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功能磁共振脑电连接性增加作为MRI阴性局灶性和全身性癫痫的一个标志

Increased Functional MEG Connectivity as a Hallmark of MRI-Negative Focal and Generalized Epilepsy.

作者信息

Li Hegner Yiwen, Marquetand Justus, Elshahabi Adham, Klamer Silke, Lerche Holger, Braun Christoph, Focke Niels K

机构信息

Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tübingen, Hope-Seyler-Straße 3, 72076, Tübingen, Germany.

Werner Reichardt Centre for Integrative Neuroscience, Tübingen, Germany.

出版信息

Brain Topogr. 2018 Sep;31(5):863-874. doi: 10.1007/s10548-018-0649-4. Epub 2018 May 15.

Abstract

Epilepsy is one of the most prevalent neurological diseases with a high morbidity. Accumulating evidence has shown that epilepsy is an archetypical neural network disorder. Here we developed a non-invasive cortical functional connectivity analysis based on magnetoencephalography (MEG) to assess commonalities and differences in the network phenotype in different epilepsy syndromes (non-lesional/cryptogenic focal and idiopathic/genetic generalized epilepsy). Thirty-seven epilepsy patients with normal structural brain anatomy underwent a 30-min resting state MEG measurement with eyes closed. We only analyzed interictal epochs without epileptiform discharges. The imaginary part of coherency was calculated as an indicator of cortical functional connectivity in five classical frequency bands. This connectivity measure was computed between all sources on individually reconstructed cortical surfaces that were surface-aligned to a common template. In comparison to healthy controls, both focal and generalized epilepsy patients showed widespread increased functional connectivity in several frequency bands, demonstrating the potential of elevated functional connectivity as a common pathophysiological hallmark in different epilepsy types. Furthermore, the comparison between focal and generalized epilepsies revealed increased network connectivity in bilateral mesio-frontal and motor regions specifically for the generalized epilepsy patients. Our study indicated that the surface-based normalization of MEG sources of individual brains enables the comparison of imaging findings across subjects and groups on a united platform, which leads to a straightforward and effective disclosure of pathological network characteristics in epilepsy. This approach may allow for the definition of more specific markers of different epilepsy syndromes, and increased MEG-based resting-state functional connectivity seems to be a common feature in MRI-negative epilepsy syndromes.

摘要

癫痫是最常见的神经系统疾病之一,发病率很高。越来越多的证据表明,癫痫是一种典型的神经网络疾病。在此,我们基于脑磁图(MEG)开发了一种非侵入性皮质功能连接分析方法,以评估不同癫痫综合征(非病变/隐源性局灶性癫痫和特发性/遗传性全身性癫痫)网络表型的异同。37名脑结构正常的癫痫患者闭眼进行了30分钟的静息态MEG测量。我们仅分析了无癫痫样放电的发作间期。相干性的虚部被计算为五个经典频段皮质功能连接的指标。这种连接性测量是在个体重建的皮质表面上的所有源之间进行的,这些皮质表面与一个共同模板进行了表面对齐。与健康对照相比,局灶性和全身性癫痫患者在几个频段均显示广泛的功能连接增加,这表明功能连接升高作为不同癫痫类型共同病理生理特征的潜力。此外,局灶性癫痫和全身性癫痫的比较显示,全身性癫痫患者在双侧内侧额叶和运动区域的网络连接增加。我们的研究表明,个体脑MEG源的基于表面的归一化能够在统一平台上比较不同受试者和组的影像学结果,从而直接有效地揭示癫痫的病理网络特征。这种方法可能有助于定义不同癫痫综合征更具体的标志物,基于MEG的静息态功能连接增加似乎是MRI阴性癫痫综合征的一个共同特征。

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