Gulyaev S A
Federal State Budgetary Institution Federal Center for Brain and Neurotechnologies of the Federal Medical and Biological Agency of Russia, Moscow, Russia.
Hum Physiol. 2022;48(5):587-597. doi: 10.1134/S0362119722600217. Epub 2022 Oct 13.
The term "postcovid syndrome" is firmly entrenched in medical terminology, however, many aspects of its clinical manifestations are not well understood. The aim of this work was to find the causes of the development of cognitive dysfunctions in individuals who had a mild form of SARS-CoV-2 using high-density EEG technology and solving an inverse neurophysiological problem. A dynamic study was conducted of 38 people who had COVID-19 and returned to work. Neurophysiological studies were carried out using the EGI-GES-300 system (128 channels). The descriptive characteristics of electroencephalograms were built on the method of studying the spectral density of the EEG signal on the surface of the scalp, and the dynamic characteristics of the signal were studied by fixing EEG microstates, using the method of D. Lehmann and T. Koenig (2018). In the study, a relatively new diagnostic technique for studying cognitive impairments based on the analysis of EEG microstates was implemented, which made it possible to identify signs of functional restructuring of the neuronal macronetworks of the brain and trace the characteristic adaptation of a person during the period of convalescence. The results obtained made it possible to detect a violation of the implementation of the speech function, as a violation of the perception system (ventral information flow system), as well as the connection between the fields of Wernicke's center and Broca's center (dorsal information flow system), leading to the development of communicative dysfunctions that cause characteristic clinical symptoms due to impaired perception of new information and difficulties in implementing the solution. Thus, the survey showed that SARS-Co-V2 causes objective changes in the functional activity of the brain, which are manifested by the syndrome of cognitive dysfunction and require the development of more sensitive clinical tests than currently used.
“新冠后综合征”这一术语已在医学术语中牢固确立,然而,其临床表现的许多方面尚未得到充分理解。这项工作的目的是使用高密度脑电图技术并解决逆神经生理学问题,找出感染轻度新型冠状病毒肺炎(SARS-CoV-2)的个体出现认知功能障碍的原因。对38名感染过新冠病毒且已恢复工作的人员进行了动态研究。使用EGI-GES-300系统(128个通道)进行神经生理学研究。脑电图的描述性特征基于研究头皮表面脑电图信号频谱密度的方法构建,信号的动态特征通过固定脑电图微状态进行研究,采用D. 莱曼和T. 柯尼希(2018年)的方法。在该研究中,实施了一种基于脑电图微状态分析来研究认知障碍的相对较新的诊断技术,这使得能够识别大脑神经元宏观网络功能重组的迹象,并追踪康复期个体的特征性适应情况。所获得的结果使得能够检测到言语功能执行的障碍,表现为感知系统(腹侧信息流系统)的障碍,以及韦尼克区和布洛卡区之间的连接(背侧信息流系统)的障碍,导致由于对新信息感知受损和解决方案实施困难而引发的交流功能障碍,进而产生特征性临床症状。因此,调查表明,SARS-CoV-2会导致大脑功能活动出现客观变化,表现为认知功能障碍综合征,并且需要开发比目前使用的更敏感的临床检测方法。