内血管再血管化的影响功能连接和认知在症状慢性内 Carotid 动脉封闭患者的功能连接和认知:一项初步探索性研究
Renjie Ji1, Shixin Zhang2, Hanfeng Chen1
1Department of Neurology, The First Affiliated Hospital, School of Medicine, Zhejiang University, 310003 Hangzhou, Zhejiang, China.
Journal of integrative neuroscience
|April 30, 2025
概括
症状性慢性内动脉封闭 (CICAO) 的功能连接 (FC) 障碍与认知能力下降相关. 内血管再通道可能改善FC和认知,基线DMNFC预测恢复.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 症状性慢性内动脉闭塞 (CICAO) 与中风和认知衰退有关.
- 内血管再通道治疗用于降低中风风险,但其认知效应需要进一步调查.
- 这项研究探讨了功能连接 (FC) 变化及其在CICAO患者在重血管化前后的认知影响.
研究的目的:
- 在症状慢性内动脉封闭 (CICAO) 的患者中调查大脑功能连接 (FC) 的改变.
- 检查这些FC变化与认知功能之间的关联.
- 评估内血管再血管化的对CICAO患者FC和认知的影响.
主要方法:
- 招募了18名CICAO患者和15名健康对照 (HC).
- 使用休息状态功能磁共振成像 (rs-fMRI) 和神经心理评估.
- 在患者组内血管回血化前和6个月后收集的数据.
主要成果:
- 与HC相比,CICAO患者在背部注意网络 (DAN),默认模式网络 (DMN),视觉网络 (VN) 和前端对象网络 (FPN) 中显示了减少的FC.
- 降低的DAN FC与认知得分 (MMSE,MoCA,BDST) 有正相关,与TMT-A和TMT-B有负相关.
- 内血管再通道导致DMN和VN的FC增加;手术前的DMNFC与TMT-A改善积极相关.
结论:
- FC 干扰可能会导致症状性 CICAO 的认知衰退.
- 内血管再血管化显示出改善这些患者的FC和认知功能的潜力.
- 基线DMN FC可能预测术后认知恢复,特别是对于执行功能措施,如TMT-A.
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