Department of Neurosurgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa, Nagoya, Aichi, 466-8550, Japan.
Brain and Mind Research Center, Nagoya University, Nagoya, Aichi, Japan.
Sci Rep. 2023 Jun 30;13(1):10632. doi: 10.1038/s41598-023-37834-2.
This work aimed to investigate the involvement of the thalamic nuclei in mesial temporal lobe epilepsy (MTLE) and identify the influence of interictal epileptic discharges on the neural basis of memory processing by evaluating the functional connectivity (FC) between the thalamic nuclei and default mode network-related area (DMNRA) using magnetoencephalography. Preoperative datasets of nine patients with MTLE with seizure-free status after surgery and those of nine healthy controls were analyzed. The FC between the thalamic nuclei (anterior nucleus [ANT], mediodorsal nucleus [MD], intralaminar nuclei [IL]), hippocampus, and DMNRA was examined for each of the resting, pre-spike, spike, and post-spike periods in the delta to ripple bands using magnetoencephalography. The FC between the ANT, MD, hippocampus, and medial prefrontal cortex increased in the gamma to ripple bands, whereas the FC between the ANT, IL, and DMNRA decreased in the delta to beta bands, compared with that of the healthy controls at rest. Compared with the rest period, the pre-spike period had significantly decreased FC between the ANT, MD, and DMNRA in the ripple band. Different FC changes between the thalamic nuclei, hippocampus, and DMNRA of specific connections in a particular band may reflect impairment or compensation in the memory processes.
本研究旨在探讨内侧颞叶癫痫(MTLE)中丘脑核的作用,并通过评估脑磁图(MEG)中丘脑核与默认模式网络相关区域(DMNRA)之间的功能连接(FC),确定间发性癫痫放电对记忆处理神经基础的影响。分析了 9 例术后无癫痫发作的 MTLE 患者和 9 例健康对照者的术前数据集。在 delta 到 ripple 频段,使用 MEG 分别对静息期、前棘波期、棘波期和后棘波期的丘脑核(前核[ANT]、中背核[MD]、内板核[IL])、海马体和 DMNRA 之间的 FC 进行了检查。与健康对照组相比,ANT、MD、海马体与内侧前额叶皮质之间的 FC 在 gamma 到 ripple 频段增加,而 ANT、IL 与 DMNRA 之间的 FC 在 delta 到 beta 频段减少。与静息期相比,棘波前期间,ANT、MD 和 DMNRA 之间的 FC 在 ripple 频段显著降低。特定频段特定连接的丘脑核、海马体和 DMNRA 之间的 FC 变化不同,可能反映了记忆过程的损伤或代偿。