Liu Jiajia, Shi Jiawei, Li Ke, Wang Lei, You Gan, Wang Yinyan, Fan Xing, Jiang Tao, Qiao Hui
Department of Neurophysiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
CNS Neurosci Ther. 2025 Apr;31(4):e70396. doi: 10.1111/cns.70396.
The current study aimed to investigate brain network abnormalities in glioma-related epilepsy (gre) patients through high-density electroencephalography (eeg) data analysis.
The study included 35 patients with newly diagnosed frontal gliomas. All participants underwent 128-channel resting-state EEG recordings before surgery. Afterward, graph theory and microstate analyses were performed, and the resulting metrics were compared between patients with GRE and those without GRE.
The network topology analysis demonstrated that the GRE group had a higher clustering coefficient, global efficiency, and local efficiency; a lower characteristic path length; and a higher small-worldness coefficient than the non-GRE group (adjusted p < 0.05 for all). Additionally, the microstate analysis indicated that the GRE group had lower occurrence and global explained variance of microstate E and higher global explained variance of microstate D (adjusted p < 0.05 for all). Moreover, the occurrence of microstate D was significantly negatively correlated with the maximum tumor diameter in the non-GRE group (r = -0.542, p = 0.009).
The current study revealed specific brain network abnormalities in GRE patients based on graph theory and microstate analyses of resting-state high-density EEG data. These findings can enhance our comprehension of the mechanisms behind GRE and offer potential biomarkers for improving individualized management of glioma patients.
本研究旨在通过高密度脑电图(EEG)数据分析,调查胶质瘤相关癫痫(GRE)患者的脑网络异常情况。
该研究纳入了35例新诊断的额叶胶质瘤患者。所有参与者在手术前均接受了128导静息态EEG记录。随后,进行了图论和微状态分析,并比较了GRE患者和非GRE患者的结果指标。
网络拓扑分析表明,与非GRE组相比,GRE组具有更高的聚类系数、全局效率和局部效率;特征路径长度更低;小世界系数更高(所有调整后p<0.05)。此外,微状态分析表明,GRE组微状态E的发生率和全局解释方差较低,微状态D的全局解释方差较高(所有调整后p<0.05)。此外,非GRE组中微状态D的发生率与最大肿瘤直径显著负相关(r=-0.542,p=0.009)。
本研究基于静息态高密度EEG数据的图论和微状态分析,揭示了GRE患者特定的脑网络异常。这些发现可以增强我们对GRE背后机制的理解,并为改善胶质瘤患者的个体化管理提供潜在的生物标志物。