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EEG 微观状态可作为脆性 X 综合征认知障碍的标志物。

EEG Microstates as Markers for Cognitive Impairments in Fragile X Syndrome.

机构信息

Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA, USA.

M.I.N.D. Institute, University of California, Davis, Sacramento, CA, USA.

出版信息

Brain Topogr. 2024 May;37(3):432-446. doi: 10.1007/s10548-023-01009-z. Epub 2023 Sep 26.

Abstract

Fragile X syndrome (FXS) is one of the most common inherited causes of intellectual disabilities. While there is currently no cure for FXS, EEG is considered an important method to investigate the pathophysiology and evaluate behavioral and cognitive treatments. We conducted EEG microstate analysis to investigate resting brain dynamics in FXS participants. Resting-state recordings from 70 FXS participants and 71 chronological age-matched typically developing control (TDC) participants were used to derive microstates via modified k-means clustering. The occurrence, mean global field power (GFP), and global explained variance (GEV) of microstate C were significantly higher in the FXS group compared to the TDC group. The mean GFP was significantly negatively correlated with non-verbal IQ (NVIQ) in the FXS group, where lower NVIQ scores were associated with greater GFP. In addition, the occurrence, mean duration, mean GFP, and GEV of microstate D were significantly greater in the FXS group than the TDC group. The mean GFP and occurrence of microstate D were also correlated with individual alpha frequencies in the FXS group, where lower IAF frequencies accompanied greater microstate GFP and occurrence. Alterations in microstates C and D may be related to the two well-established cognitive characteristics of FXS, intellectual disabilities and attention impairments, suggesting that microstate parameters could serve as markers to study cognitive impairments and evaluate treatment outcomes in this population. Slowing of the alpha peak frequency and its correlation to microstate D parameters may suggest changes in thalamocortical dynamics in FXS, which could be specifically related to attention control. (250 words).

摘要

脆性 X 综合征 (FXS) 是最常见的遗传性智力障碍病因之一。尽管目前 FXS 尚无治愈方法,但脑电图被认为是研究病理生理学和评估行为及认知治疗的重要方法。我们进行了脑电图微状态分析,以研究 FXS 参与者的静息脑动力学。使用修改后的 K-均值聚类从 70 名 FXS 参与者和 71 名年龄匹配的正常发育对照(TDC)参与者的静息状态记录中得出微状态。FXS 组的微状态 C 的出现、平均全局场功率(GFP)和全局解释方差(GEV)显著高于 TDC 组。FXS 组的平均 GFP 与非言语智商(NVIQ)呈显著负相关,NVIQ 得分越低,GFP 越大。此外,FXS 组的微状态 D 的出现、平均持续时间、平均 GFP 和 GEV 显著大于 TDC 组。FXS 组的微状态 D 的平均 GFP 和出现也与个体阿尔法频率相关,IAF 频率越低,微状态 GFP 和出现越大。微状态 C 和 D 的改变可能与 FXS 两个公认的认知特征有关,即智力障碍和注意力障碍,表明微状态参数可以作为研究认知障碍和评估该人群治疗效果的标志物。阿尔法峰频率的减慢及其与微状态 D 参数的相关性可能表明 FXS 中丘脑皮质动力学的变化,这可能与注意力控制特别相关。(250 字)

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