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Ciencia básica y patogénesis

Giuseppe Noce1, Dharmendra Jakhar2, Claudio Del Percio2

  • 1IRCCS Synlab SDN, Naples, Italy.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La enfermedad de Huntington (EH) y la enfermedad de Alzheimer (EA) muestran patrones distintos de EEG en estado de reposo. En la EH, la actividad alterada de las ondas delta y alfa se correlaciona con el deterioro motor, cognitivo y funcional.

Palabras clave:
Electroencefalografía en estado de reposoEnfermedad de HuntingtonEnfermedad de AlzheimerOndas cerebralesDeterioro cognitivoDeterioro motorDeterioro funcionalNeuroimagenAnálisis de fuentes de EEG

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Área de la Ciencia:

  • Neurociencia
  • Neurología
  • Ingeniería Biomédica

Sus antecedentes:

  • La enfermedad de Huntington (EH) presenta características clínicas únicas en comparación con la enfermedad de Alzheimer (EA), especialmente en los dominios de la vigilancia, el motor, el funcional y el cognitivo.
  • Los ritmos electroencefalográficos en estado de reposo (rsEEG) pueden reflejar estos déficits clínicos distintos en la EH y la EA.

Objetivo del estudio:

  • Investigar las diferencias en la actividad de la fuente rsEEG entre pacientes con EH, pacientes con EA y controles sanos.
  • Determinar la relación entre anomalías específicas de rsEEG y déficits clínicos en la EH.

Principales métodos:

  • Se recopilaron datos clínicos y de rsEEG de grupos emparejados por edad, sexo y educación: pacientes con EH (N=29), pacientes con EA (N=24) y adultos mayores sanos (N=29).
  • Se calculó la localización de la fuente de EEG utilizando el software eLORETA.

Principales resultados:

  • Tanto los pacientes con EA como con EH mostraron un aumento de la actividad de la fuente delta generalizada en comparación con los controles, con niveles más altos en la EH (EH > EA).
  • En los pacientes con EH, los déficits motores graves se correlacionaron con una alta actividad delta y theta; los déficits cognitivos graves se correlacionaron con una menor actividad alfa y una mayor actividad delta; los déficits funcionales graves se correlacionaron con una alta actividad delta.

Conclusiones:

  • Las alteraciones en la sincronización neuronal cortical en las frecuencias delta y alfa en la EH están vinculadas de manera distintiva a los déficits cognitivos, motores y funcionales durante la vigilia tranquila.
  • Estos hallazgos sugieren una interacción única entre los sistemas colinérgico y dopaminérgico que influye en la generación de ondas cerebrales alfa y delta en la EH.