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探讨癫痫患儿血清α-突触核蛋白与异常脑电图模式之间的相关性以及脑电图放电指数。

Exploring the correlation between serum α-synuclein and abnormal electroencephalography patterns in children with epilepsy, as well as electroencephalographic discharge index.

作者信息

Zheng Guoyuan, Kong Haibo

机构信息

Center for Rehabilitation Medicine, Department of Neuroelectrophysiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.

Center for Reproductive Medicine, Department of Pediatrics, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.

出版信息

Int J Neurosci. 2025 Jul;135(7):779-786. doi: 10.1080/00207454.2024.2332958. Epub 2024 Apr 1.

Abstract

BACKGROUND

This study investigates the correlation between serum α-synuclein and abnormal electroencephalography patterns as well as the electroencephalographic discharge index in children with epilepsy.

METHODS

Fasting venous blood of 4 ml were collected from the participants, centrifuged at 3000 rpm with a centrifuge radius of 15 cm for 20 min, and stored in a -70 °C freezer for serum α-synuclein examination. Normal EEG: Exhibits symmetrical α or β rhythm primarily in the occipital region.

RESULTS

The electroencephalogram (EEG) examination results showed that out of the 110 children with epilepsy, 9 had normal EEGs, 35 had mild EEG abnormalities, 46 had moderate EEG abnormalities, and 20 had severe EEG abnormalities. It is noteworthy that the control group did not exhibit any abnormalities in EEG. In the epilepsy group, serum α-synuclein levels were higher than those in the normal group, while α-wave power and θ-wave power were lower than in the normal group ( < 0.05). Among children with epilepsy, those with mild EEG abnormalities, moderate EEG abnormalities, and severe EEG abnormalities had higher serum α-synuclein levels and electroencephalographic discharge indices compared to children with normal EEGs ( < 0.05). Additionally, among children with EEG abnormalities, those with mild, moderate, and severe EEG abnormalities had progressively increasing serum α-synuclein levels and electroencephalographic discharge indices ( < 0.05).

CONCLUSIONS

Children with epilepsy exhibit elevated serum α-synuclein levels, and there is a positive correlation between α-synuclein levels and the grading of EEG abnormalities as well as the electroencephalographic discharge index.

摘要

背景

本研究调查癫痫患儿血清α-突触核蛋白与异常脑电图模式以及脑电图放电指数之间的相关性。

方法

从参与者中采集4毫升空腹静脉血,以半径15厘米的离心机在3000转/分钟的转速下离心20分钟,并储存在-70°C冰箱中用于血清α-突触核蛋白检测。正常脑电图:主要在枕区表现出对称的α或β节律。

结果

脑电图(EEG)检查结果显示,在110例癫痫患儿中,9例脑电图正常,35例脑电图轻度异常,46例脑电图中度异常,20例脑电图重度异常。值得注意的是,对照组脑电图未显示任何异常。癫痫组血清α-突触核蛋白水平高于正常组,而α波功率和θ波功率低于正常组(<0.05)。在癫痫患儿中,脑电图轻度异常、中度异常和重度异常的患儿血清α-突触核蛋白水平和脑电图放电指数高于脑电图正常的患儿(<0.05)。此外,在脑电图异常的患儿中,轻度、中度和重度脑电图异常的患儿血清α-突触核蛋白水平和脑电图放电指数逐渐升高(<0.05)。

结论

癫痫患儿血清α-突触核蛋白水平升高,α-突触核蛋白水平与脑电图异常分级及脑电图放电指数之间存在正相关。

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