Liu Chuan, Qu Liangcheng, Li Qixue, Cao Yiting, Shi Jingping, Yu Chao, Liu Weiguo, Yin Kuiying
Link Sense Laboratory, Nanjing Research Institute of Electronic Technology, Nanjing, China.
Department of Neurology, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Front Aging Neurosci. 2024 Jan 17;15:1189621. doi: 10.3389/fnagi.2023.1189621. eCollection 2023.
Visual hallucination is a prevalent psychiatric disorder characterized by the occurrence of false visual perceptions due to misinterpretation in the brain. Individuals with Parkinson's disease often experience both minor and complex visual hallucinations. The underlying mechanism of complex visual hallucinations in Parkinson's patients is commonly attributed to dysfunction in the visual pathway and attention network. However, there is limited research on the mechanism of minor hallucinations.
To address this gap, we conducted an experiment involving 13 Parkinson's patients with minor hallucinations, 13 Parkinson's patients without hallucinations, and 13 healthy elderly individuals. We collected and analyzed EEG and MRI data. Furthermore, we utilized EEG data from abnormal brain regions to train a machine learning model to determine whether the abnormal EEG data were associated with minor hallucinations.
Our findings revealed that Parkinson's patients with minor hallucinations exhibited excessive activation of cortical excitability, an imbalanced interaction between the attention network and the default network, and disruption in the connection between these networks. These findings is similar to the mechanism observed in complex visual hallucinations. The visual reconstruction of one patient experiencing hallucinations yields results that differ from those observed in subjects without such symptoms.
The visual reconstruction results demonstrated significant differences between Parkinson's patients with hallucinations and healthy subjects. This suggests that visual reconstruction techniques may offer a means of evaluating hallucinations.
视幻觉是一种常见的精神疾病,其特征是由于大脑的错误解读而出现虚假的视觉感知。帕金森病患者经常会经历轻微和复杂的视幻觉。帕金森病患者复杂视幻觉的潜在机制通常归因于视觉通路和注意力网络的功能障碍。然而,关于轻微幻觉机制的研究有限。
为了填补这一空白,我们进行了一项实验,涉及13名有轻微幻觉的帕金森病患者、13名无幻觉的帕金森病患者和13名健康老年人。我们收集并分析了脑电图(EEG)和磁共振成像(MRI)数据。此外,我们利用异常脑区的EEG数据训练一个机器学习模型,以确定异常EEG数据是否与轻微幻觉有关。
我们的研究结果显示,有轻微幻觉的帕金森病患者表现出皮质兴奋性过度激活、注意力网络与默认网络之间的相互作用失衡以及这些网络之间连接的中断。这些发现与在复杂视幻觉中观察到的机制相似。一名有幻觉的患者的视觉重建结果与没有此类症状的受试者的结果不同。
视觉重建结果显示,有幻觉的帕金森病患者与健康受试者之间存在显著差异。这表明视觉重建技术可能提供一种评估幻觉的方法。