高清经颅直流电刺激对意识障碍患者静息态功能连接的影响

Effects of High-Definition Transcranial Direct-Current Stimulation on Resting-State Functional Connectivity in Patients With Disorders of Consciousness.

作者信息

Zhang Rui, Zhang Lipeng, Guo Yongkun, Shi Li, Gao Jinfeng, Wang Xinjun, Hu Yuxia

机构信息

School of Electrical Engineering, Zhengzhou University, Zhengzhou, China.

Henan Key Laboratory of Brain Science and Brain-Computer Interface Technology, Zhengzhou, China.

出版信息

Front Hum Neurosci. 2020 Sep 23;14:560586. doi: 10.3389/fnhum.2020.560586. eCollection 2020.

Abstract

Recently a positive treatment effect on disorders of consciousness (DOCs) with high-definition transcranial direct-current stimulation (HD-tDCS) has been reported; however, the neural modulation mechanisms of this treatment's efficacy need further investigation. To better understand the processing of HD-tDCS interventions, a long-lasting HD-tDCS protocol was applied to 15 unresponsive wakefulness syndrome (UWS) patients and 20 minimally conscious states (MCS) patients in this study. Ten minutes of resting-state electroencephalograms (EEGs) were recorded from the patients, and the coma recovery scale-revised scores (CRS-Rs) were assessed for each patient from four time-points (T0, T1, T2, and T3). Brain networks were constructed by calculating the EEG spectral connectivity using the debiased weighted phase lag index (dwPLI) and then quantified the network information transmission efficiency by graph theory. We found that there was an increasing trend in local and global information processing of beta and gamma bands in resting-state functional brain networks during the 14 days of HD-tDCS modulation for MCS patients. Furthermore, the increased functional connectivity not only occurred in the local brain area surrounding the stimulation position but was also present across more global brain areas. Our results suggest that long-lasting HD-tDCS on the precuneus may facilitate information processing among neural populations in MCS patients.

摘要

最近有报道称,高清晰度经颅直流电刺激(HD-tDCS)对意识障碍(DOCs)具有积极的治疗效果;然而,这种治疗效果的神经调节机制仍需进一步研究。为了更好地理解HD-tDCS干预的过程,本研究对15例无反应觉醒综合征(UWS)患者和20例最低意识状态(MCS)患者应用了一种持久的HD-tDCS方案。记录了患者10分钟的静息态脑电图(EEG),并在四个时间点(T0、T1、T2和T3)对每位患者的昏迷恢复量表修订版评分(CRS-Rs)进行了评估。通过使用去偏加权相位滞后指数(dwPLI)计算EEG频谱连通性来构建脑网络,然后用图论量化网络信息传输效率。我们发现,在对MCS患者进行14天的HD-tDCS调制期间,静息态功能脑网络中β和γ频段的局部和全局信息处理呈增加趋势。此外,功能连通性的增加不仅发生在刺激位置周围的局部脑区,也出现在更广泛的全脑区域。我们的结果表明,对楔前叶进行持久的HD-tDCS可能会促进MCS患者神经群体之间的信息处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffd/7546763/1b62f47ad947/fnhum-14-560586-g0001.jpg

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