Poskotinova Liliya, Khasanova Nina, Kharak Anna, Krivonogova Olga, Krivonogova Elena
N. Laverov Federal Center for Integrated Arctic Research of the Ural Branch of the Russian Academy of Sciences, 163020 Arkhangelsk, Russia.
Department of Family Medicine and Internal Medicine, Northern State Medical University, 163069 Arkhangelsk, Russia.
Diagnostics (Basel). 2023 Apr 30;13(9):1598. doi: 10.3390/diagnostics13091598.
The neurophysiological correlates of certain types of cognitive impairment in relation to the spatial pattern of auditory cognitive evoked-related potentials (ERPs) in hypertensive persons remain unclear. The aim of this study was to determine the parameters of ERPs (N200, P300) in impaired different domains (visuospatial/executive and memory) of cognitive function in arterial hypertension, including cardiovascular ischemic events. A total of 46 patients (65-84 years) were observed. The clinical diagnosis of vascular dementia, the Montreal Cognitive Assessment Scale (MoCA test) and the spatial pattern of ERPs (N200, P300) were the parameters used to identify three groups: the Control Group without cognitive impairment (n = 13), the group with a leading memory disturbance (Memory Group, n = 20) and the group with a leading visuospatial/executive disturbance (VS/E Group, n = 13). In persons belonging to the Memory Group, N2 latency was prolonged in the central (C3 C4) and right parietal (P4) brain parts; latency of the motor component (P300) may remain similar to that of the ControlGroup. In persons belonging to theVS/E Group, maximal prolonged recognition time (N2), especially in the left central (C3), frontal-midline (Fz), right parietal (P3) and temporal (P4) brain parts, was observed; P300 latency in the central-midline (Cz) and left anterior-temporal (F7) brain parts among all the groups was revealed.
高血压患者某些类型认知障碍与听觉认知诱发相关电位(ERP)空间模式之间的神经生理相关性仍不清楚。本研究的目的是确定动脉高血压患者认知功能受损的不同领域(视觉空间/执行功能和记忆)中ERP的参数(N200、P300),包括心血管缺血事件。共观察了46例患者(65 - 84岁)。血管性痴呆的临床诊断、蒙特利尔认知评估量表(MoCA测试)和ERP的空间模式(N200、P300)是用于识别三组的参数:无认知障碍的对照组(n = 13)、以记忆障碍为主的组(记忆组,n = 20)和以视觉空间/执行功能障碍为主的组(VS/E组,n = 13)。在记忆组的患者中,中央(C3、C4)和右侧顶叶(P4)脑区的N2潜伏期延长;运动成分(P300)的潜伏期可能与对照组相似。在VS/E组的患者中,观察到最大延长的识别时间(N2),尤其是在左侧中央(C3)、额中线(Fz)、右侧顶叶(P3)和颞叶(P4)脑区;在所有组中均发现中央中线(Cz)和左侧前颞叶(F7)脑区的P300潜伏期。