在患有多发性硬化症相关疲劳的人群中,在认知任务期间,在背侧前额叶皮层内破坏了血液动力学反应
Bruna D Baldasso1, Syed Z Raza1, Sadman S Islam1,2
1Recovery & Performance Laboratory, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
PloS one
|June 5, 2024
概括
患有多发性硬化症 (MS) 的人在认知任务期间,在背侧前额叶皮层 (dlPFC) 显示大脑活动受到干扰. 这种精神疲劳随着任务难度的增加而恶化,这表明dlPFC是神经调节治疗的目标.
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:
- 精神疲劳是多发性硬化症 (MS) 的常见症状.
- 神经调节是一种潜在的治疗方法,但最佳的大脑点尚不清楚.
- 这项研究调查了与MS相关的疲劳中的皮质活动.
研究的目的:
- 为了检查背侧前额皮层 (dlPFC) 和前极区域的血液动力学反应.
- 为了比较MS患者和健康对照者的认知任务表现.
- 为了确定与MS相关的认知疲劳的潜在神经调节目标.
主要方法:
- 招募了15名多发性硬化症患者和12名健康对照.
- 利用功能近红外光谱学 (fNIRS) 来测量血液动力学反应.
- 分析了氧血球峰值,达到峰值的时间,通道连贯性和功能连接性 (z-score).
主要成果:
- 患有多发性硬化症的个体在认知任务期间表现出受损的dlPFC血液动力连贯性.
- 随着任务难度的增加,在MS中减少的一致性在双边上更为明显.
- 右 dlPFC 的功能连接性较低,与自我报告的疲劳更大相关.
结论:
- 在经历精神疲劳的MS患者中,血液动力学反应受到干扰和不一致.
- 随着任务需求的增加,MS患者的认知疲劳会加剧.
- dlPFC,而不是前极区域,是神经调节的潜在目标,以缓解MS患者的认知疲劳.
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