白物质纤维完整性和结构性大脑网络拓学:对继发性中风患者平衡功能的影响
Ling-Ling Li1,2, Jia-Jia Wu1, Jie Ma1
1Department of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Cerebral cortex (New York, N.Y. : 1991)
|December 1, 2023
概括
缺血性中风会损害大脑白质,改变结构网络拓,显著影响患者的平衡功能. 这些变化与中风后平衡受损密切相关.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 缺血性中风可能导致白质损伤并影响大脑网络结构.
- 在中风后,这些大脑变化与平衡功能之间的联系尚未得到充分理解.
研究的目的:
- 研究中风后患者的白质微观结构变化和大脑网络拓学.
- 探索这些神经变化与平衡功能之间的相关性.
主要方法:
- 扩散张力成像 (DTI) 和基于通道的空间统计 (TBSS) 用于分析白质完整性.
- 图形理论分析检查了结构性脑网络的拓性质.
- 在21名中风后患者和21名健康对照 (HC) 中评估了平衡功能.
主要成果:
- 与HC相比,中风后的患者表现出广泛的白质损伤.
- 观察到全球效率,本地效率和集群系数的显著降低.
- 在患者中发现了特征性路径长度增加和节点效率/中心性降低.
结论:
- 广泛的白质损伤和大脑网络拓的改变是后缺血性中风的特征.
- 这些神经变化与平衡功能受损有显著的相关性.
- 了解这些机制为中风恢复和康复策略提供了洞察力.
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