睡眠中癫痫性电持续状态（electrical statusepil epticus during sleep，ESES）是指由睡眠诱发的接近持续棘慢波发放的一种特殊脑电现象，可出现在一系列以癫痫发作、ESES和认知损伤为共同特征的儿童癫痫综合征中，包括癫痫伴慢波睡眠...睡眠中癫痫性电持续状态（electrical statusepil epticus during sleep，ESES）是指由睡眠诱发的接近持续棘慢波发放的一种特殊脑电现象，可出现在一系列以癫痫发作、ESES和认知损伤为共同特征的儿童癫痫综合征中，包括癫痫伴慢波睡眠期持续棘慢波、获得性癫痫失语综合征、儿童良性癫痫伴中央颞区棘波及其变异型。ESES的产生机制目前尚不明确，但在多方面包括遗传学病因（GRIN2A、拷贝数变异等）、高频振荡及脑网络研究方面已取得了一定的进展。ESES相关综合征的治疗必须同时兼顾癫痫发作和ESES，应积极选择合理的抗癫痫药物或其他治疗方案，如激素等，从而最大限度地减少癫痫发作、保护认知功能。展开更多
重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种通过调节特定脑区神经元电生理活动治疗抑郁症的非侵入性物理治疗技术,虽然疗效和安全性已被认可,但其抗抑郁治疗的脑生物机制仍不清楚,临床效能仍需提高。本...重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种通过调节特定脑区神经元电生理活动治疗抑郁症的非侵入性物理治疗技术,虽然疗效和安全性已被认可,但其抗抑郁治疗的脑生物机制仍不清楚,临床效能仍需提高。本文重点围绕基于磁共振成像的rTMS抗抑郁治疗相关脑区及脑网络的神经机制展开探讨,归纳相关疗效预测因子,为探索rTMS抗抑郁治疗的脑网络机制以及指导临床实践提供理论支持。展开更多
Resting-state functional magnetic resonance imaging has revealed disrupted brain network connectivity in adults and teenagers with cerebral palsy. However, the specific brain networks implicated in neonatal cases rema...Resting-state functional magnetic resonance imaging has revealed disrupted brain network connectivity in adults and teenagers with cerebral palsy. However, the specific brain networks implicated in neonatal cases remain poorly understood. In this study, we recruited 14 termborn infants with mild hypoxic ischemic encephalopathy and 14 term-born infants with severe hypoxic ischemic encephalopathy from Changzhou Children's Hospital, China. Resting-state functional magnetic resonance imaging data showed efficient small-world organization in whole-brain networks in both the mild and severe hypoxic ischemic encephalopathy groups. However, compared with the mild hypoxic ischemic encephalopathy group, the severe hypoxic ischemic encephalopathy group exhibited decreased local efficiency and a low clustering coefficient. The distribution of hub regions in the functional networks had fewer nodes in the severe hypoxic ischemic encephalopathy group compared with the mild hypoxic ischemic encephalopathy group. Moreover, nodal efficiency was reduced in the left rolandic operculum, left supramarginal gyrus, bilateral superior temporal gyrus, and right middle temporal gyrus. These results suggest that the topological structure of the resting state functional network in children with severe hypoxic ischemic encephalopathy is clearly distinct from that in children with mild hypoxic ischemic encephalopathy, and may be associated with impaired language, motion, and cognition. These data indicate that it may be possible to make early predictions regarding brain development in children with severe hypoxic ischemic encephalopathy, enabling early interventions targeting brain function. This study was approved by the Regional Ethics Review Boards of the Changzhou Children's Hospital(approval No. 2013-001) on January 31, 2013. Informed consent was obtained from the family members of the children. The trial was registered with the Chinese Clinical Trial Registry(registration number: ChiCTR1800016409) and the protocol version is 1.0.展开更多
Over the last few years, many studies have been published using modern network analysis of the brain. Researchers and practical doctors alike should understand this method and its results on the brain evaluation at re...Over the last few years, many studies have been published using modern network analysis of the brain. Researchers and practical doctors alike should understand this method and its results on the brain evaluation at rest, during activation and in brain disease. The studies are noninvasive and usually performed with elecroencephalographic, magnetoencephalographic, magnetic resonance imaging and diffusion tensor imaging brain recordings. Different tools for analysis have been developed, although the methods are in their early stages. The results of these analyses are of special value. Studies of these tools in schizophrenia are important because widespread and local network disturbances can be evaluated by assessing integration, segregation and several structural and functional properties. With the help of network analyses, the main findings in schizophrenia are lower optimum network organization, less efficiently wired networks, less local clustering, less hierarchical organization and signs of disconnection. There are only about twenty five relevant papers on the subject today. Only a few years of study of these methods have produced interesting results and it appears promising that the development of these methods will present important knowledge for both the preclinical signs of schizophrenia and the methods' therapeutic effects.展开更多
文摘睡眠中癫痫性电持续状态（electrical statusepil epticus during sleep，ESES）是指由睡眠诱发的接近持续棘慢波发放的一种特殊脑电现象，可出现在一系列以癫痫发作、ESES和认知损伤为共同特征的儿童癫痫综合征中，包括癫痫伴慢波睡眠期持续棘慢波、获得性癫痫失语综合征、儿童良性癫痫伴中央颞区棘波及其变异型。ESES的产生机制目前尚不明确，但在多方面包括遗传学病因（GRIN2A、拷贝数变异等）、高频振荡及脑网络研究方面已取得了一定的进展。ESES相关综合征的治疗必须同时兼顾癫痫发作和ESES，应积极选择合理的抗癫痫药物或其他治疗方案，如激素等，从而最大限度地减少癫痫发作、保护认知功能。
文摘重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)是一种通过调节特定脑区神经元电生理活动治疗抑郁症的非侵入性物理治疗技术,虽然疗效和安全性已被认可,但其抗抑郁治疗的脑生物机制仍不清楚,临床效能仍需提高。本文重点围绕基于磁共振成像的rTMS抗抑郁治疗相关脑区及脑网络的神经机制展开探讨,归纳相关疗效预测因子,为探索rTMS抗抑郁治疗的脑网络机制以及指导临床实践提供理论支持。
基金supported by the Jiangsu Maternal and Child Health Research Project of China,No.F201612(to HXL)Changzhou Science and Technology Support Plan of China,No.CE20165027(to HXL)+1 种基金Changzhou City Planning Commission Major Science and Technology Projects of China,No.ZD201515(to HXL)Changzhou High Level Training Fund for Health Professionals of China,No.2016CZBJ028(to HXL)
文摘Resting-state functional magnetic resonance imaging has revealed disrupted brain network connectivity in adults and teenagers with cerebral palsy. However, the specific brain networks implicated in neonatal cases remain poorly understood. In this study, we recruited 14 termborn infants with mild hypoxic ischemic encephalopathy and 14 term-born infants with severe hypoxic ischemic encephalopathy from Changzhou Children's Hospital, China. Resting-state functional magnetic resonance imaging data showed efficient small-world organization in whole-brain networks in both the mild and severe hypoxic ischemic encephalopathy groups. However, compared with the mild hypoxic ischemic encephalopathy group, the severe hypoxic ischemic encephalopathy group exhibited decreased local efficiency and a low clustering coefficient. The distribution of hub regions in the functional networks had fewer nodes in the severe hypoxic ischemic encephalopathy group compared with the mild hypoxic ischemic encephalopathy group. Moreover, nodal efficiency was reduced in the left rolandic operculum, left supramarginal gyrus, bilateral superior temporal gyrus, and right middle temporal gyrus. These results suggest that the topological structure of the resting state functional network in children with severe hypoxic ischemic encephalopathy is clearly distinct from that in children with mild hypoxic ischemic encephalopathy, and may be associated with impaired language, motion, and cognition. These data indicate that it may be possible to make early predictions regarding brain development in children with severe hypoxic ischemic encephalopathy, enabling early interventions targeting brain function. This study was approved by the Regional Ethics Review Boards of the Changzhou Children's Hospital(approval No. 2013-001) on January 31, 2013. Informed consent was obtained from the family members of the children. The trial was registered with the Chinese Clinical Trial Registry(registration number: ChiCTR1800016409) and the protocol version is 1.0.
文摘Over the last few years, many studies have been published using modern network analysis of the brain. Researchers and practical doctors alike should understand this method and its results on the brain evaluation at rest, during activation and in brain disease. The studies are noninvasive and usually performed with elecroencephalographic, magnetoencephalographic, magnetic resonance imaging and diffusion tensor imaging brain recordings. Different tools for analysis have been developed, although the methods are in their early stages. The results of these analyses are of special value. Studies of these tools in schizophrenia are important because widespread and local network disturbances can be evaluated by assessing integration, segregation and several structural and functional properties. With the help of network analyses, the main findings in schizophrenia are lower optimum network organization, less efficiently wired networks, less local clustering, less hierarchical organization and signs of disconnection. There are only about twenty five relevant papers on the subject today. Only a few years of study of these methods have produced interesting results and it appears promising that the development of these methods will present important knowledge for both the preclinical signs of schizophrenia and the methods' therapeutic effects.
