早期精神分裂症的thalamic hyperperfusion:与认知缺陷和负面症状的关联
Ivona Orlović1, Ines Šiško Markoš2, Ivan Blažeković2
1UHC Sestre Milosrdnice, Department of Psychiatry, Zagreb, Croatia.
早期的精神分裂症患者表现出体血流增加,特别是在右半球. 这种胸膜溢血与认知缺陷和症状严重程度相关,这表明它有可能成为精神分裂症的早期生物标志物.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗成像医学成像
背景情况:
- 胸膜异常与精神分裂症症状有关.
- 在精神分裂症的早期阶段,甲状腺变化的作用尚不清楚.
研究的目的:
- 为了比较第一发精神分裂症 (FES) 和早期精神分裂症 (ECS) 的thalamic perfusion.
- 调查在这些早期阶段的胸膜 perfusion,认知功能和症状严重程度之间的关联.
主要方法:
- 100名未接受治疗的精神分裂症患者 (50名FES,50名ECS) 接受了大脑SPECT.
- 使用MIMneuro®软件分析了胸膜输液.
- 认知功能和症状严重程度使用5KOG电池和PANSS进行了评估.
主要成果:
- 早期精神分裂症 (ECS) 患者表现出明显高于第一发精神分裂症 (FES) 患者的thalamic perfusion.
- 在FES中,全球的乳头膜溢血与口语流有负相关性.
- 在ECS中,右胸膜输液与负症状严重程度正相关.
结论:
- 泰拉姆细胞的溢血,特别是在右半球,可能表明精神分裂症的早期认知和临床变化.
- 这些发现表明,胸膜输液可以作为早期精神分裂症的功能生物标志物.
- 需要进一步的纵向成像研究来证实这些早期发现.
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