Kuginuki T
Department of Neuropsychiatry, Kansai Medical University.
Seishin Shinkeigaku Zasshi. 1998;100(4):209-24.
EEG recording were performed in 22 non-treated schizophrenics; subsequently, the combination of traditional EEG frequency analysis with FFT Dipole Approximation as a new method for EEG analysis was employed to determine power spectra of baseline EEGs and three dimensional model dipole source location in anterior-posterior, left-right and superior-inferior directions with changing the frequency by 0.5 Hz. Quantitative EEG study included comparison of baseline EEGs between normal volunteers and schizophrenics; the results obtained in this study coincided with previous and reports in increase of slow wave, decrease of alpha band and increase of fast wave. Dipole source location in schizophrenics were generally shifted more towards superior and posterior areas compared with those in normal volunteers whereas no shifts towards left-right areas were evidenced in schizophrenics. Seven patients on monotherapy of haloperidol were subjected to determination of dipole source location two weeks after commencement of the medication. After treatment, the source locations shifted towards anterior and inferior area, approaching to the dipole source locations in normal volunteers. Baseline dipole source locations were negatively correlated with both positive symptom rating score and negative symptom rating score according to BPRS, indicating that with increasing positive symptom rating score, the source location shifted towards posterior direction, and higher negative symptoms rating scores were associated with a shift towards right direction. These findings support our view that negative symptoms and positive symptoms might be associated with frontal lobe dysfunction theory and temporal lobe dysfunction theory.
对22名未接受治疗的精神分裂症患者进行了脑电图记录;随后,采用传统脑电图频率分析与FFT偶极子近似相结合的方法作为一种新的脑电图分析方法,以0.5 Hz的频率变化来确定基线脑电图的功率谱以及前后、左右和上下方向的三维模型偶极子源位置。定量脑电图研究包括比较正常志愿者和精神分裂症患者的基线脑电图;本研究获得的结果与先前的研究以及关于慢波增加、α波带减少和快波增加的报道一致。与正常志愿者相比,精神分裂症患者的偶极子源位置通常更向上和向后区域偏移,而在精神分裂症患者中未发现向左右区域的偏移。对7名接受氟哌啶醇单一疗法的患者在开始用药两周后进行偶极子源位置测定。治疗后,源位置向前和向下区域偏移,接近正常志愿者的偶极子源位置。根据简明精神病评定量表(BPRS),基线偶极子源位置与阳性症状评分和阴性症状评分均呈负相关,表明随着阳性症状评分增加,源位置向后方向偏移,而较高的阴性症状评分与向右方向偏移相关。这些发现支持了我们的观点,即阴性症状和阳性症状可能与额叶功能障碍理论和颞叶功能障碍理论有关。