认知和运动特征作为预兆标记,用于预测孤立REM睡眠行为障碍中的表态转换和表型
Xuan Zhang1, Danqi Liang2, Li Ma2
1Department of Neurology, Tianjin Medical University General Hospital Airport Site, Tianjin, China.
Sleep medicine
|November 5, 2023
概括
确定了预测孤立的快速眼动睡眠行为障碍 (iRBD) 现象转换的临床标志物. 注意力执行和运动功能,特别是使用Trail Making Test (TMT) 和Alternate-tap Test (ATT),是关键的预测因素.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 神经心理学 神经心理学
背景情况:
- 孤立的快速眼动睡眠行为障碍 (iRBD) 是神经退行性同核病变的前兆阶段.
- 识别表转化临床标志物对于早期诊断和干预至关重要.
研究的目的:
- 确定临床标志物,特别是认知和运动特征,可以预测iRBD患者的变异和特定表型.
主要方法:
- 一项纵向研究涉及45名iRBD患者和25名健康对照.
- 综合的基线评估包括认知,运动和自主功能评估.
- 在随访期间,根据标准诊断标准确定了转化.
主要成果:
- 21名iRBD患者 (46.7%) 在2.9年内表现出表态转换,其中14人发展了运动和7个认知表型.
- 视觉空间,记忆,注意力-执行力,处理速度和运动功能预测了表态转换.
- 轨道制造试验 (TMT) 和交替点击试验 (ATT) 的组合显示出高灵敏度和特异性,用于预测表态转换和运动表型.
- 单独的TMT是认知表型转换的最佳预测因素.
结论:
- 注意执行功能和运动功能是预测iRBD中的表转化和运动表型的最佳结合标记.
- 注意力执行功能是认知表型的最佳预测因素.
- 注意力-执行功能的受损,处理速度和运动功能的受损独立地增加了iRBD中的转换风险.
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