Department of Electrical Engineering, Eindhoven University of Technology, De Rondom 70, Eindhoven, Netherlands,; School for Mental Health and Neuroscience, Maastricht University Medical Center, P. Debyelaan 25, Maastricht, Netherlands; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, P. Debyelaan 25, Maastricht, Netherlands.
School for Mental Health and Neuroscience, Maastricht University Medical Center, P. Debyelaan 25, Maastricht, Netherlands; Department of Neurology, Maastricht University Medical Center, P. Debyelaan 25, Maastricht, Netherlands; Department of Behavioral Sciences, Epilepsy Center Kempenhaeghe, Sterkselseweg 65, Heeze, Netherlands.
Neuroimage Clin. 2020;27:102264. doi: 10.1016/j.nicl.2020.102264. Epub 2020 Apr 23.
While cognitive impairments are not generally considered to be part of the childhood absence epilepsy (CAE) syndrome, some recent studies report cognitive, mainly attentional, deficits. Here we set out to investigate the whole brain functional network of children with CAE and controls. Furthermore, the possible relation of the functional network abnormalities with epilepsy and neurocognitive characteristics is studied. Seventeen children with childhood CAE (aged 9.2 ± 2.1 years) and 15 controls (aged 9.8 ± 1.8 years) were included. Resting state functional MRI was acquired to study the functional network. Using graph theoretical analysis, three global metrics of the functional network were investigated: the characteristic path length, the clustering coefficient, and the small-worldness. A multivariable linear regression model including age, sex, and subject motion as covariates was used to investigate group differences in the graph metrics. Subsequently, relations of the graph metrics with epilepsy and neurocognitive characteristics were assessed. Longer path lengths, weaker clustering and a lower small-world network topology were observed in children with CAE compared to controls. Moreover, longer path lengths were related to a longer duration of CAE and a higher number of absence seizure per hour. Clustering and small-worldness were not significantly related to epilepsy or neurocognitive characteristics. The organization of the functional network of children with CAE is less efficient compared to controls, and is related to disease duration. These preliminary findings suggest that CAE is associated with alterations in the functional network.
虽然认知障碍通常不被认为是儿童失神癫痫(CAE)综合征的一部分,但最近的一些研究报告了认知方面的缺陷,主要是注意力方面的缺陷。在这里,我们着手研究 CAE 儿童和对照组的全脑功能网络。此外,还研究了功能网络异常与癫痫和神经认知特征的可能关系。纳入了 17 名患有儿童 CAE 的儿童(年龄 9.2±2.1 岁)和 15 名对照组儿童(年龄 9.8±1.8 岁)。采集静息状态功能磁共振成像数据以研究功能网络。使用图论分析,研究了功能网络的三个全局指标:特征路径长度、聚类系数和小世界性。使用包括年龄、性别和受试者运动作为协变量的多变量线性回归模型,研究了图度量的组间差异。随后,评估了图度量与癫痫和神经认知特征的关系。与对照组相比,CAE 儿童的路径长度更长,聚类系数和小世界网络拓扑结构更弱。此外,较长的路径长度与 CAE 的持续时间较长以及每小时失神发作次数较多有关。聚类和小世界性与癫痫或神经认知特征无显著相关性。与对照组相比,CAE 儿童的功能网络组织效率较低,与疾病持续时间有关。这些初步发现表明 CAE 与功能网络的改变有关。
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