妄想与反皮质连接的丧失有关
Klevest Gjini1, Cameron Casey2,3, David Kunkel2
1Department of Neurology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|September 11, 2023
概括
手术后妄 (POD) 与皮质反连接性降低有关,可能是由于大脑抑制增加. 这一发现为狂妄症提供了新的见解.
科学领域:
- 神经科学是一个神经科学.
- 认知科学 认知科学
- 医学研究 医学研究
背景情况:
- 手术后妄 (POD) 增加了患者的发病率和死亡率.
- 目前对POD的治疗方法有限,原因是对其病理生理学的理解不足.
- 妄想可能源于皮质连接受损和改变的感官预测.
研究的目的:
- 为了研究手术后痴呆症的神经生理学基础.
- 探索皮层连接性和妄想严重程度之间的关系.
- 为了确定妄的潜在生物标志物.
主要方法:
- 131名患者的高密度电脑电图 (EEG) 记录在一个听觉奇怪的任务中.
- 动态因果建模 (DCM) 分析以推断神经元连接和神经动力学.
- 测量不匹配负面 (MMN) 幅度的测量.
主要成果:
- 患有POD的患者表现出较小的不匹配负面幅度.
- 妄想与从左上旋 (l-STG) 到听觉皮层的反连接性降低有关.
- 减少反连接与 Delirium 严重程度增加和全身炎症相关.
结论:
- 手术后妄想的特征是反皮质连接性减弱.
- 大脑内内在抑制调的增加可能是这些连接性变化的基础.
- 这些发现表明,治疗妄症的新治疗标.
关键词:
听觉漫游奇怪的范式 奇怪的范式妄想 妄想 妄想 妄想 妄想动态因果建模 动态因果建模与事件相关的潜力.引起的响应潜力.高密度的电脑电图.不匹配的消极性,消极的消极性在手术后出现妄症.预测编码框架 预测编码框架更多相关视频
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