梅内尔特的基底核预测了孤立的REM睡眠行为障碍中的认知变化
1Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Sleep medicine
|July 2, 2023
概括
在孤立的REM睡眠行为障碍 (iRBD) 患者中,Meynert (NBM) 基底核的体积减少,与认知能力下降相关. 较大的NBM体积预测了更好的认知功能和iRBD的较慢下降.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 梅纳特基底核 (NBM) 的退化与帕金森病的认知障碍有关.
- 在孤立的快速眼动 (REM) 睡眠行为障碍 (iRBD) 中,NBM体积在认知功能中的特定作用仍然未被探索.
研究的目的:
- 在iRBD患者中调查NBM体积的变化.
- 检查iRBD中NBM数量与认知缺陷之间的关联.
- 评估基线NBM体积对纵向认知变化的预测值.
主要方法:
- 利用来自帕金森进展标记者倡议数据库的结构性MRI数据.
- 在29名iRBD患者和29名健康对照者之间比较了基线NBM体积.
- 采用了部分相关性和线性混合模型来分析横截面和纵向认知关联.
主要成果:
- 与对照组相比,iRBD患者的NBM体积显著减少.
- 在iRBD中,较高的基线NBM体积与更好的全球认知表现相关.
- 减少的NBM体积预测了更严重和更快的纵向认知衰退,包括较低的MoCA分数.
结论:
- 提供了体内证据,将NBM退化与iRBD的认知障碍联系起来.
- 建议NBM体积作为iRBD认知衰退的潜在生物标志物.
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