Department of Neurology, University of Chicago, 5841 S. Maryland Ave., MC2030, Chicago, IL, 60637, USA.
Purdue University, West Lafayette, IN, USA.
Cerebellum. 2024 Apr;23(2):601-608. doi: 10.1007/s12311-023-01585-7. Epub 2023 Jul 10.
Spinocerebellar ataxias (SCAs) are familial neurodegenerative diseases involving the cerebellum and spinocerebellar tracts. While there is variable involvement of corticospinal tracts (CST), dorsal root ganglia, and motor neurons in SCA3, SCA6 is characterized by a pure, late-onset ataxia. Abnormal intermuscular coherence in the beta-gamma frequency range (IMCβγ) implies a lack of integrity of CST or the afferent input from the acting muscles. We test the hypothesis that IMCβγ has the potential to be a biomarker of disease activity in SCA3 but not SCA6. Intermuscular coherence between biceps brachii and brachioradialis muscles was measured from surface EMG waveforms in SCA3 (N = 16) and SCA6 (N = 20) patients and in neurotypical subjects (N = 23). IMC peak frequencies were present in the β range in SCA patients and in the γ range in neurotypical subjects. The difference between IMC amplitudes in the γ and β ranges was significant when comparing neurotypical control subjects to SCA3 (p < 0.01) and SCA6 (p = 0.01) patients. IMCβγ amplitude was smaller in SCA3 patients compared to neurotypical subjects (p < 0.05), but not different between SCA3 and SCA6 patients or between SCA6 and neurotypical subjects. IMC metrics can differentiate SCA patients from normal controls.
脊髓小脑共济失调(SCAs)是一种家族性神经退行性疾病,涉及小脑和脊髓小脑束。虽然 SCA3 中皮质脊髓束(CST)、背根神经节和运动神经元有不同程度的受累,但 SCA6 的特征是纯、迟发性共济失调。β-γ 频带(IMCβγ)中的异常肌间相干性意味着 CST 或来自作用肌肉的传入输入完整性缺失。我们检验了以下假说,即 IMCβγ 有可能成为 SCA3 但不是 SCA6 疾病活动的生物标志物。我们在 SCA3(N=16)和 SCA6(N=20)患者以及神经典型受试者(N=23)的表面肌电图波形中测量了肱二头肌和肱桡肌之间的肌间相干性。IMC 峰值频率在 SCA 患者中出现在β范围,在神经典型受试者中出现在γ范围。与神经典型对照组相比,SCA3(p<0.01)和 SCA6(p=0.01)患者的γ和β范围之间的 IMC 幅度差异具有统计学意义。与神经典型受试者相比,SCA3 患者的 IMCβγ 幅度较小(p<0.05),但 SCA3 患者与 SCA6 患者之间或 SCA6 患者与神经典型受试者之间无差异。IMC 指标可将 SCA 患者与正常对照区分开来。