Department of Neurology, University Hospital Zurich, Zürich, Switzerland.
Department of Neurology, Inselspital, University Hospital, Bern, Switzerland.
Sleep. 2018 Oct 1;41(10). doi: 10.1093/sleep/zsy132.
Electroencephalography (EEG) changes across vigilance states have been observed after ischemic stroke in patients and experimental stroke models, but their relation to functional recovery remains unclear. Here, we evaluate motor function, as measured by single pellet reaching (SPR), as well as local EEG changes in nonrapid eye movement (NREM), rapid eye movement (REM), and wakefulness during a 30 day recovery period after middle cerebral artery occlusion or sham surgery in rats. Small cortical infarcts resulted in poor SPR performance and induced widespread changes in EEG spectra in the ipsilesional hemisphere in all vigilance states, without causing major changes in sleep-wake architecture. Ipsilesional 1-4 Hz power was increased after stroke, whereas power in higher frequencies was reduced, resulting in a steeper slope of the power spectrum. Microelectrode array analysis of ipsilesional M1 showed that these spectral changes were present on the microelectrode level throughout M1 and were not related to increased synchronization between electrodes. Spectrum slope was significantly correlated with poststroke motor function and may thus be a useful readout of recovery-related plasticity.
在缺血性中风患者和实验性中风模型中,已经观察到警觉状态下的脑电图(EEG)变化,但它们与功能恢复的关系尚不清楚。在这里,我们评估了运动功能,通过单颗粒达到(SPR)来测量,以及在大脑中动脉闭塞或假手术后 30 天的恢复期内,非快速眼动(NREM)、快速眼动(REM)和清醒状态下的局部 EEG 变化在大鼠中。小皮质梗死导致 SPR 表现不佳,并在所有警觉状态下诱导同侧半球的 EEG 频谱广泛变化,而不会导致睡眠-觉醒结构发生重大变化。同侧 1-4 Hz 功率在中风后增加,而较高频率的功率降低,导致频谱斜率变陡。同侧 M1 的微电极阵列分析表明,这些频谱变化在整个 M1 上都存在于微电极水平,与电极之间的同步性增加无关。频谱斜率与中风后运动功能显著相关,因此可能是一种有用的恢复相关可塑性的读数。