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脑缺血后脑振荡的病理变化。

Pathological changes of brain oscillations following ischemic stroke.

机构信息

Department of Neurological Surgery, UCSF, San Francisco, CA, USA.

Department of Neurological Surgery, SFVAMC, San Francisco, CA, USA.

出版信息

J Cereb Blood Flow Metab. 2022 Oct;42(10):1753-1776. doi: 10.1177/0271678X221105677. Epub 2022 Jun 25.

Abstract

Brain oscillations recorded in the extracellular space are among the most important aspects of neurophysiology data reflecting the activity and function of neurons in a population or a network. The signal strength and patterns of brain oscillations can be powerful biomarkers used for disease detection and prediction of the recovery of function. Electrophysiological signals can also serve as an index for many cutting-edge technologies aiming to interface between the nervous system and neuroprosthetic devices and to monitor the efficacy of boosting neural activity. In this review, we provided an overview of the basic knowledge regarding local field potential, electro- or magneto- encephalography signals, and their biological relevance, followed by a summary of the findings reported in various clinical and experimental stroke studies. We reviewed evidence of stroke-induced changes in hippocampal oscillations and disruption of communication between brain networks as potential mechanisms underlying post-stroke cognitive dysfunction. We also discussed the promise of brain stimulation in promoting post stroke functional recovery via restoring neural activity and enhancing brain plasticity.

摘要

脑电波是神经生理学数据中最重要的方面之一,反映了神经元在群体或网络中的活动和功能。脑电波的信号强度和模式可以作为疾病检测和功能恢复预测的有力生物标志物。电生理信号也可以作为许多旨在实现神经系统与神经假肢设备接口以及监测增强神经活动效果的前沿技术的指标。在这篇综述中,我们提供了关于局部场电位、脑电图或脑磁图信号及其生物学相关性的基础知识概述,然后总结了各种临床和实验性中风研究报告的结果。我们综述了中风引起的海马体振荡变化和脑网络之间通讯中断的证据,这些可能是中风后认知功能障碍的潜在机制。我们还讨论了通过恢复神经活动和增强大脑可塑性来促进中风后功能恢复的脑刺激的前景。

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