1)河北工业大学省部共建电工装备可靠性与智能化国家重点实验室,天津 300130;2)河北工业大学河北省生物电磁与神经工程重点实验室,天津 300130;3)天津市环湖医院神经外科,天津 300350
国家自然科学基金(51737003,51877067,51677053)资助项目。
1)State Key Laboratory of Reliability and Intelligence of Electrical Equipment, Hebei University of Technology, Tianjin 300130, China;2)Key Laboratory of Bioelectromagnetics and Neuroengineering of Hebei Province, Hebei University of Technology, Tianjin 300130, China;3)Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, China
This work was supported by grants from The National Natural Science Foundation of China (51737003, 51877067, 51677053).
目的 重复经颅磁刺激(rTMS)作为一种无创的神经调控技术,对帕金森病(PD)患者的疗效目前尚未完全明确。本文结合临床量表评估、脑电溯源以及脑功能网络以探讨高频rTMS对强直迟缓亚型帕金森病(AR-PD)患者的作用效应。方法 共纳入18例AR-PD患者,利用标准低分辨率电磁断层成像(sLORETA)对脑电信号进行溯源分析,进而通过复杂网络理论构建脑功能网络,从脑区之间协同工作的角度对比分析网络拓扑特征。结果 磁刺激后前额叶、初级运动皮层出现显著性差异(P<0.05);与运动感觉产生、运动规划和运动执行相关脑区的网络连通性显著增强(P<0.05)且脑功能网络的拓扑特征平均聚类系数的变化与帕金森病统一评定量表评分的变化存在显著相关性(P<0.05)。结论 推测rTMS改善了AR-PD患者在运动感觉产生到运动执行过程中的信息传递能力,本研究可为rTMS对AR-PD患者运动症状的改善作用与感觉运动网络重新整合的关系提供一定的理论依据。
Objective The efficacy of repeated transcranial magnetic stimulation (rTMS) as a noninvasive neuromodulation technique in patients with Parkinson’s disease (PD) has not been fully Validated. In this study, we combined clinical scale evaluation, brain electrical source and brain network to explore the effects of high-frequency repetitive transcranial magnetic stimulation on patients with akinetic-rigid Parkinson’s disease (AR-PD).Methods A total of 18 patients with AR-PD were included. The EEG signals were traced by standard low-resolution electromagnetic tomography (sLORETA), then the brain functional network was constructed by complex network theory, and the network topological characteristics were compared and analyzed from the perspective of collaborative work between brain regions.Results The results showed that there were significant differences in prefrontal cortex and primary motor cortex after magnetic stimulation (P<0.05). The network connectivity of brain regions associated with motor sensory production, motor planning, and motor execution was significantly enhanced (P<0.05) and the change in the mean cluster coefficient of topological features of brain functional networks was significantly correlated with the change in Parkinson’s uniform rating scale score (P<0.05).Conclusion It is speculated that rTMS improves the information transmission ability of AR-PD patients from motor sensation generation to motor execution. This study can provide a theoretical basis for the relationship between the improvement of motor symptoms of AR-PD patients by rTMS and the reintegration of sensorimotor network.
李佳丽,尹宁,姚尧,冯珂珂,李润泽,刘硕,尹绍雅,徐桂芝.经颅磁刺激对强直迟缓亚型帕金森病患者脑功能网络的影响[J].生物化学与生物物理进展,2023,50(3):585-594
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