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纤维肌痛、慢性疲劳综合征和长新冠的定量脑电图研究综述。

A systematic review of quantitative EEG findings in Fibromyalgia, Chronic Fatigue Syndrome and Long COVID.

机构信息

Leeds Institute of Rheumatology and Musculoskeletal Medicine, School of Medicine, University of Leeds, Leeds, UK.

Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.

出版信息

Clin Neurophysiol. 2024 Jul;163:209-222. doi: 10.1016/j.clinph.2024.04.019. Epub 2024 May 6.

Abstract

Fibromyalgia Syndrome (FMS), Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long COVID (LC) are similar multisymptom clinical syndromes but with difference in dominant symptoms in each individual. There is existing and emerging literature on possible functional alterations of the central nervous system in these conditions. This review aims to synthesise and appraise the literature on resting-state quantitative EEG (qEEG) in FMS, ME/CFS and LC, drawing on previous research on FMS and ME/CFS to help understand neuropathophysiology of the new condition LC. A systematic search of MEDLINE, Embase, CINHAL, PsycINFO and Web of Science databases for articles published between December 1994 and September 2023 was performed. Out of the initial 2510 studies identified, 17 articles were retrieved that met all the predetermined selection criteria, particularly of assessing qEEG changes in one of the three conditions compared to healthy controls. All studies scored moderate to high quality on the Newcastle-Ottawa scale. There was a general trend for decreased low-frequency EEG band activity (delta, theta, and alpha) and increased high-frequency EEG beta activity in FMS, differing to that found in ME/CFS. The limited LC studies included in this review focused mainly on cognitive impairments and showed mixed findings not consistent with patterns observed in FMS and ME/CFS. Our findings suggest different patterns of qEEG brainwave activity in FMS and ME/CFS. Further research is required to explore whether there are phenotypes within LC that have EEG signatures similar to FMS or ME/CFS. This could inform identification of reliable diagnostic markers and possible targets for neuromodulation therapies tailored to each clinical syndrome.

摘要

纤维肌痛综合征(FMS)、慢性疲劳综合征/肌痛性脑脊髓炎(ME/CFS)和长新冠(LC)是相似的多症状临床综合征,但在个体中主导症状不同。目前有关于这些疾病中枢神经系统可能存在功能改变的现有和新兴文献。本综述旨在综合和评估 FMS、ME/CFS 和 LC 中静息态定量脑电图(qEEG)的文献,借鉴之前关于 FMS 和 ME/CFS 的研究来帮助理解新条件 LC 的神经病理生理学。对 MEDLINE、Embase、CINHAL、PsycINFO 和 Web of Science 数据库进行了系统检索,以查找 1994 年 12 月至 2023 年 9 月期间发表的文章。在最初确定的 2510 项研究中,有 17 项研究符合所有预先确定的选择标准,特别是评估了三种疾病之一与健康对照组相比 qEEG 变化的研究。所有研究在纽卡斯尔-渥太华量表上的评分均为中等到高度。FMS 中通常存在低频 EEG 带活动(德尔塔、θ 和α)减少和高频 EEGβ活动增加的趋势,与 ME/CFS 中的发现不同。本综述中包含的有限的 LC 研究主要集中在认知障碍上,结果不一致,与 FMS 和 ME/CFS 中观察到的模式不一致。我们的研究结果表明 FMS 和 ME/CFS 中存在不同的 qEEG 脑波活动模式。需要进一步研究来探索 LC 中是否存在具有类似于 FMS 或 ME/CFS 的 EEG 特征的表型。这可以为识别可靠的诊断标志物和针对每种临床综合征的神经调节治疗提供可能的目标提供信息。

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