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高密度脑电图在神经系统疾病诊断和预后中的作用:一项系统综述。

The role of high-density EEG in diagnosis and prognosis of neurological diseases: A systematic review.

作者信息

Formica Caterina, Gjonaj Elvira, Bonanno Lilla, Quercia Angelica, Cartella Emanuele, Romeo Laura, Quartarone Angelo, Marino Silvia, De Salvo Simona

机构信息

RCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

RCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

出版信息

Clin Neurophysiol. 2025 Jun;174:37-47. doi: 10.1016/j.clinph.2025.03.026. Epub 2025 Mar 25.

Abstract

OBJECTIVE

The use of High-Density Electroencephalography (HD-EEG) increased in neurological disorders, due to analysis of brain connectivity. This method is able to create a detailed brain mapping. The aim is to investigate studies that employed HD-EEG in neurological and neurodegenerative filed.

METHODS

This systematic review was conducted and reported in accordance with the PRISMA. A research terms was conducted for: (1) dementia, (2) Multiple Sclerosis (MS), (3) Parkinson Disease (PD), (4) stroke, (5) epilepsy.

RESULTS

The study included a total of 89 articles: 22 dementia; 33 epilepsy; 5 MS; 24 PD; 5 S. Articles were discussed for each neurological disorder and for different types of EEG analysis: analysis of event-related potentials, specific EEG features at resting state, spectral and connectivity analysis, time-frequency analysis and EEG recordings combined with other types of intervention.

DISCUSSION

HD-EEG recordings provide evidence about the evaluation of early markers of the disease onset, mapping of cortical activity distribution of neurological disorders.

SIGNIFICANCE

HD-EEG demonstrated it effectiveness in detection of biomarkers for the diagnosis and prognosis. In dementia contributed to misdiagnosis between different subtype and identifying markers of cognitive decline, investigating motor and cognitive networks dynamics in stroke, PD and MS, and to detect task-specific network reorganization.

摘要

目的

由于对脑连接性的分析,高密度脑电图(HD - EEG)在神经系统疾病中的应用有所增加。这种方法能够创建详细的脑图谱。目的是调查在神经学和神经退行性疾病领域采用HD - EEG的研究。

方法

本系统评价按照PRISMA进行并报告。对以下方面进行了检索词研究:(1)痴呆;(2)多发性硬化症(MS);(3)帕金森病(PD);(4)中风;(5)癫痫。

结果

该研究共纳入89篇文章:22篇关于痴呆;33篇关于癫痫;5篇关于MS;24篇关于PD;5篇关于中风。针对每种神经系统疾病以及不同类型的脑电图分析对文章进行了讨论:事件相关电位分析、静息状态下的特定脑电图特征、频谱和连接性分析、时频分析以及与其他类型干预相结合的脑电图记录。

讨论

HD - EEG记录为疾病发作早期标志物的评估以及神经系统疾病皮质活动分布图谱提供了证据。

意义

HD - EEG在检测用于诊断和预后的生物标志物方面显示出有效性。在痴呆方面,有助于不同亚型之间的误诊以及识别认知衰退的标志物,研究中风、PD和MS中的运动和认知网络动态,并检测特定任务的网络重组。

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