putamen

  • 文章类型: Journal Article
    大脑活动的复杂性反映了它处理信息的能力,适应环境变化,和国家之间的过渡。然而,尚不清楚精神分裂症(SZ)如何影响大脑活动的复杂性,尤其是它的动态变化。本研究旨在探讨SZ脑活动复杂性的异常模式,它们与认知缺陷的关系,以及抗精神病药物的影响。包括44例未服用药物的首发(DNFE)SZ患者和30例人口统计学匹配的健康对照(HC)。首次使用基于功能性MRI的滑动窗口分析来计算加权排列熵,以表征SZ患者在利培酮治疗12周之前和之后的脑活动的复杂模式。结果显示尾状部的复杂性降低,壳核,SZ患者基线时的苍白球与HC相比,左尾状叶复杂性降低,与连续表现测试(CPT)和类别流利度测试得分呈正相关。治疗后,左尾状的复杂性增加。具有异常复杂性的区域显示功能连通性降低,复杂性与连接强度呈正相关。我们观察到大脑的动态复杂性表现出自发的特征,经常性的“复杂性下降”,可能反映静息大脑中的瞬态转变。与HC相比,患者表现出范围缩小,强度,复杂性下降的持续时间,所有这些都在治疗后得到改善。持续时间减少与CPT评分呈负相关,与临床症状呈正相关。结果表明,大脑活动复杂性及其动态变化的异常可能是SZ患者认知缺陷和临床症状的基础。抗精神病药物治疗部分恢复了这些异常,强调它们作为个性化治疗疗效指标和生物标志物的潜力。
    The complexity of brain activity reflects its ability to process information, adapt to environmental changes, and transition between states. However, it remains unclear how schizophrenia (SZ) affects brain activity complexity, particularly its dynamic changes. This study aimed to investigate the abnormal patterns of brain activity complexity in SZ, their relationship with cognitive deficits, and the impact of antipsychotic medication. Forty-four drug-naive first-episode (DNFE) SZ patients and thirty demographically matched healthy controls (HC) were included. Functional MRI-based sliding window analysis was utilized for the first time to calculate weighted permutation entropy to characterize complex patterns of brain activity in SZ patients before and after 12 weeks of risperidone treatment. Results revealed reduced complexity in the caudate, putamen, and pallidum at baseline in SZ patients compared to HC, with reduced complexity in the left caudate positively correlated with Continuous Performance Test (CPT) and Category Fluency Test scores. After treatment, the complexity of the left caudate increased. Regions with abnormal complexity showed decreased functional connectivity, with complexity positively correlated with connectivity strength. We observed that the dynamic complexity of the brain exhibited the characteristic of spontaneous, recurring \"complexity drop\", potentially reflecting transient state transitions in the resting brain. Compared to HC, patients exhibited reduced scope, intensity, and duration of complexity drop, all of which improved after treatment. Reduced duration was negatively correlated with CPT scores and positively with clinical symptoms. The results suggest that abnormalities in brain activity complexity and its dynamic changes may underlie cognitive deficits and clinical symptoms in SZ patients. Antipsychotic treatment partially restores these abnormalities, highlighting their potential as indicators of treatment efficacy and biomarkers for personalized therapy.
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  • 文章类型: Journal Article
    遗传性全身性癫痫(GGE)在皮质下结构中表现出广泛的形态变化。皮层下结构对于理解GGE病理生理学至关重要,但是它们的细粒度形态多样性尚未得到全面研究。此外,宏观形态紊乱和微观分子化学结构之间的关系尚不清楚。从GGE患者(n=97)和性别和年龄匹配的健康对照(HCs,n=184)。量化了七个双侧皮质下结构的表面形状特征(厚度和表面积)的个体测量值。然后对患者和HC进行顶点比较,和形状异常与脑神经递质谱位于同一位置。我们发现GGE广泛的形态学改变和丘脑的明显破坏,壳核,和海马体。在双侧腹侧观察到形状区域扩张,中间,和右背侧丘脑,以及双侧外侧壳核。我们发现,形状面积偏差模式与去甲肾上腺素转运蛋白和烟碱乙酰胆碱(Ach)受体(α4β2)谱在空间上相关,但是在毒蕈碱性Ach受体(M1)中发现了明显的关联。这些发现提供了GGE皮层下形态破坏的全面图景,并进一步表征了相关的分子机制。这些信息可能会增加我们对GGE病理生理学的理解。
    Genetic generalized epilepsies (GGE) exhibit widespread morphometric alterations in the subcortical structures. Subcortical structures are essential for understanding GGE pathophysiology, but their fine-grained morphological diversity has yet to be comprehensively investigated. Furthermore, the relationships between macroscale morphological disturbances and microscale molecular chemoarchitectures are unclear. High-resolution structural images were acquired from patients with GGE (n = 97) and sex- and age-matched healthy controls (HCs, n = 184). Individual measurements of surface shape features (thickness and surface area) of seven bilateral subcortical structures were quantified. The patients and HCs were then compared vertex-wise, and shape anomalies were co-located with brain neurotransmitter profiles. We found widespread morphological alterations in GGE and prominent disruptions in the thalamus, putamen, and hippocampus. Shape area dilations were observed in the bilateral ventral, medial, and right dorsal thalamus, as well as the bilateral lateral putamen. We found that the shape area deviation pattern was spatially correlated with the norepinephrine transporter and nicotinic acetylcholine (Ach) receptor (α4β2) profiles, but a distinct association was seen in the muscarinic Ach receptor (M1). The findings provided a comprehensive picture of subcortical morphological disruptions in GGE, and further characterized the associated molecular mechanisms. This information may increase our understanding of the pathophysiology of GGE.
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  • 文章类型: Journal Article
    精神分裂症通常与皮质体积减少和基底神经节扩张有关,尤其是壳核。最近的全基因组关联研究强调了与kinectin1基因(KTN1)相邻的3'调节区变异在调节壳核灰质体积(GMV)中的重要性。本研究旨在全面调查该地区在精神分裂症中的参与情况。
    我们分析了4个独立的dbGaP样本中覆盖整个3个调控区的1136个单核苷酸多态性(SNPs)(4604例精神分裂症患者与4884名健康受试者)和3个独立的精神病学基因组学联盟样本(107240例与210203控件)以识别一致的关联。此外,我们在348名受试者中检测了精神分裂症相关等位基因对16个脑区KTN1mRNA表达的调节作用,以及38258名受试者中7个皮质下核的GMV,36936名受试者的整个皮质和34个皮质区域的表面积(SA)和厚度(TH)。
    25个变异的主要等位基因(f>0.5)在2至5个独立样本(8.4×10-4≤P≤.049)中增加(β>0)精神分裂症的风险。这些精神分裂症相关等位基因显着升高(β>0)基底神经节的GMV,包括壳核(6.0×10-11≤P≤1.1×10-4),尾状(8.7×10-4≤P≤9.4×10-3),苍白球(P=6.0×10-4),和伏隔核(P=2.7×10-5)。此外,它们可能会增加(β>0)后扣带和岛叶皮质的SA,以及额叶(三角部和内侧眶额)的TH,顶叶(上级,precuneus,和劣等),和时间(横向)皮质,但可能降低(β<0)整体的SA,额叶(内侧眶额),和时间(极点,上级,中间,和内嗅)皮质,以及中段额叶和上额叶皮质的TH(8.9×10-4≤P≤.050)。
    我们的发现确定了与KTN1相邻的3'调控区的显著和功能相关的风险等位基因,暗示了它们在精神分裂症发展中的关键作用。
    UNASSIGNED: Schizophrenia is often associated with volumetric reductions in cortices and expansions in basal ganglia, particularly the putamen. Recent genome-wide association studies have highlighted the significance of variants in the 3\' regulatory region adjacent to the kinectin 1 gene (KTN1) in regulating gray matter volume (GMV) of the putamen. This study aimed to comprehensively investigate the involvement of this region in schizophrenia.
    UNASSIGNED: We analyzed 1136 single-nucleotide polymorphisms (SNPs) covering the entire 3\' regulatory region in 4 independent dbGaP samples (4604 schizophrenia patients vs. 4884 healthy subjects) and 3 independent Psychiatric Genomics Consortium samples (107 240 cases vs. 210 203 controls) to identify consistent associations. Additionally, we examined the regulatory effects of schizophrenia-associated alleles on KTN1 mRNA expression in 16 brain areas among 348 subjects, as well as GMVs of 7 subcortical nuclei in 38 258 subjects, and surface areas (SA) and thickness (TH) of the entire cortex and 34 cortical areas in 36 936 subjects.
    UNASSIGNED: The major alleles (f > 0.5) of 25 variants increased (β > 0) the risk of schizophrenia across 2 to 5 independent samples (8.4 × 10-4 ≤ P ≤ .049). These schizophrenia-associated alleles significantly elevated (β > 0) GMVs of basal ganglia, including the putamen (6.0 × 10-11 ≤ P ≤ 1.1 × 10-4), caudate (8.7 × 10-4 ≤ P ≤ 9.4 × 10-3), pallidum (P = 6.0 × 10-4), and nucleus accumbens (P = 2.7 × 10-5). Moreover, they potentially augmented (β > 0) the SA of posterior cingulate and insular cortices, as well as the TH of frontal (pars triangularis and medial orbitofrontal), parietal (superior, precuneus, and inferior), and temporal (transverse) cortices, but potentially reduced (β < 0) the SA of the whole, frontal (medial orbitofrontal), and temporal (pole, superior, middle, and entorhinal) cortices, as well as the TH of rostral middle frontal and superior frontal cortices (8.9 × 10-4 ≤ P ≤ .050).
    UNASSIGNED: Our findings identify significant and functionally relevant risk alleles in the 3\' regulatory region adjacent to KTN1, implicating their crucial roles in the development of schizophrenia.
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  • 文章类型: Journal Article
    已提出壳核在强迫症(OCD)的发展中起关键作用。这项研究的主要目的是检查被诊断为OCD的个体中壳核的静息状态区域活动和功能连接模式。为了实现这一点,我们采用静息态功能磁共振成像(rs-fMRI)从45例OCD患者和53例健康对照参与者的样本中收集数据.我们旨在使用低频波动(ALFF)分析的区域振幅来生成壳核的ROI掩模,然后在OCD患者中进行壳核的全脑功能连接。与对照组相比,强迫症组显示双侧壳核ALFF降低。右壳核也显示出FC降低,左壳核延伸到额下回(IFG),双侧前突延伸到钙,右中枕骨皮质延伸到右中颞叶皮质,和左枕中回.右壳核和左IFG之间的连通性降低与耶鲁-布朗强迫症量表(Y-BOCS)强迫症得分呈负相关。这项研究旨在揭示强迫症患者静息状态活动和连通性的壳核变化。强调壳核异常ALFF/FC的重要性是强迫症的关键特征。
    The putamen has been proposed to play a critical role in the development of obsessive-compulsive disorder (OCD). The primary objective of this study was to examine the resting-state regional activity and functional connectivity patterns of the putamen in individuals diagnosed with OCD. To achieve this, we employed resting-state functional magnetic resonance imaging (rs-fMRI) to collect data from a sample of 45 OCD patients and 53 healthy control participants. We aimed to use the regional amplitude of low-frequency fluctuation (ALFF) analysis to generate the ROI masks of the putamen and then conduct the whole brain functional connectivity of the putamen in individuals with OCD. Compared to controls, the OCD group demonstrated decreased ALFF in bilateral putamen. The right putamen also displayed decreased FC with the left putamen extending to the inferior frontal gyrus (IFG), bilateral precuneus extending to calcarine, the right middle occipital cortex extending to the right middle temporal cortex, and the left middle occipital gyrus. The decreased connectivity between the right putamen and the left IFG was negatively correlated with Yale-Brown Obsessive Compulsive scale (Y-BOCS) Obsession Scores. This study aimed to reveal the putamen changes in resting-state activity and connectivity in OCD patients, highlighting the significance of aberrant ALFF/FC of the putamen is a key characteristic of OCD.
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  • 文章类型: Journal Article
    目的:大约20-30%的癫痫患者在常规磁共振成像中表现为阴性,这种情况被称为非病灶性癫痫。失神癫痫(AE)是一种常见的非病灶性癫痫。本研究旨在研究通过支持向量机(SVM)方法评估的区域同质性(ReHo)的临床诊断实用性,以识别AE。
    方法:本研究涉及102名健康个体和93名AE患者。所有参与者均采用静息状态功能磁共振成像进行数据采集。ReHo分析,再加上SVM方法,用于数据处理。
    结果:与健康对照组相比,AE患者在双侧壳核表现出显著升高的ReHo值,伴有双侧丘脑ReHo减少。基于rs-fMRI数据,使用SVM来区分患有AE的患者与健康对照个体。对左壳核和左丘脑中改变的ReHo的综合评估得出的最高准确度为81.64%,敏感性为95.41%,特异性为69.23%。
    结论:根据结果,双侧壳核和丘脑中ReHo值的改变可以作为AE的神经影像学标志物,为其诊断提供客观指导。
    OBJECTIVE: Approximately 20-30 % of epilepsy patients exhibit negative findings on routine magnetic resonance imaging, and this condition is known as nonlesional epilepsy. Absence epilepsy (AE) is a prevalent form of nonlesional epilepsy. This study aimed to investigate the clinical diagnostic utility of regional homogeneity (ReHo) assessed through the support vector machine (SVM) approach for identifying AE.
    METHODS: This research involved 102 healthy individuals and 93 AE patients. Resting-state functional magnetic resonance imaging was employed for data acquisition in all participants. ReHo analysis, coupled with SVM methodology, was utilized for data processing.
    RESULTS: Compared to healthy control individuals, AE patients demonstrated significantly elevated ReHo values in the bilateral putamen, accompanied by decreased ReHo in the bilateral thalamus. SVM was used to differentiate patients with AE from healthy control individuals based on rs-fMRI data. A composite assessment of altered ReHo in the left putamen and left thalamus yielded the highest accuracy at 81.64 %, with a sensitivity of 95.41 % and a specificity of 69.23 %.
    CONCLUSIONS: According to the results, altered ReHo values in the bilateral putamen and thalamus could serve as neuroimaging markers for AE, offering objective guidance for its diagnosis.
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  • 文章类型: Journal Article
    背景:先前的任务相关功能磁共振成像(task-fMRI)研究已证明与亚临床抑郁症(SD)相关的异常大脑激活,定义为不符合重度抑郁障碍诊断标准的抑郁症状的临床相关水平。然而,这些task-fMRI研究没有报告一致的结论.对任务功能磁共振成像研究进行基于体素的荟萃分析可能会产生可靠的发现。
    方法:我们提取了纳入研究的峰坐标和t值,并使用各向异性效应-大小符号差分映射(AES-SDM)分析了SD个体和健康对照(HC)之间的大脑激活。
    结果:系统的文献检索确定了8项研究,包括266名SD患者和281名HCs(年龄14至25岁)。荟萃分析显示,根据task-fMRI,患有SD的个体在右豆状核和壳核中表现出明显更大的激活。荟萃回归分析显示,一组中女性的比例与右纹状体的激活呈负相关。
    结论:SD患者的招募标准,纳入研究的任务类型和MRI采集参数具有异质性.由于纳入的研究不足,应谨慎解释结果。
    结论:我们的研究结果表明,患有SD的个体在右侧透镜状核的激活增加,壳核和纹状体,这可能表明对抑郁症引起的岛叶和纹状体功能受损的补偿性增加。这些结果为SD中脑功能障碍的潜在病理生理学提供了有价值的见解。
    BACKGROUND: Previous task-related functional magnetic resonance imaging (task-fMRI) investigations have documented abnormal brain activation associated with subclinical depression (SD), defined as a clinically relevant level of depressive symptoms that does not meet the diagnostic criteria for major depressive disorder. However, these task-fMRI studies have not reported consistent conclusions. Performing a voxel-based meta-analysis of task-fMRI studies may yield reliable findings.
    METHODS: We extracted the peak coordinates and t values of included studies and analyzed brain activation between individuals with SD and healthy controls (HCs) using anisotropic effect-size signed differential mapping (AES-SDM).
    RESULTS: A systematic literature search identified eight studies, including 266 individuals with SD and 281 HCs (aged 14 to 25). The meta-analysis showed that individuals with SD exhibited significantly greater activation in the right lenticular nucleus and putamen according to task-fMRI. The meta-regression analysis revealed a negative correlation between the proportion of females in a group and activation in the right striatum.
    CONCLUSIONS: The recruitment criteria for individuals with SD, type of tasks and MRI acquisition parameters of included studies were heterogeneous. The results should be interpreted cautiously due to insufficient included studies.
    CONCLUSIONS: Our findings suggest that individuals with SD exhibit increased activation in the right lenticular nucleus, putamen and striatum, which may indicate a compensatory increase in response to an impairment of insular and striatal function caused by depression. These results provide valuable insights into the potential pathophysiology of brain dysfunction in SD.
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  • 文章类型: Journal Article
    背景:青光眼,导致不可逆转的失明的进行性神经退行性疾病,与广泛性焦虑和抑郁的发生率升高有关。本研究旨在全面探讨青光眼患者的脑形态学改变,延伸到视觉处理区域之外,并探索与焦虑和抑郁中观察到的改变的潜在重叠。
    方法:进行了比较荟萃分析,使用青光眼患者脑结构完整性的病例对照研究。我们旨在识别具有灰质体积(GMV)变化的区域,检查它们在不同的大规模网络中的作用,并评估与广泛性焦虑症(GAD)和重度抑郁症(MDD)的重叠。
    结果:青光眼患者在视觉处理区域(舌回,丘脑)。值得注意的是,体积减少超出了视觉系统,包括左壳核和脑岛。行为和功能网络解码揭示了不同的大规模网络,暗示视觉,动机,和情感领域。岛屿地区,与疼痛和情感过程有关,显示减少与GAD中观察到的改变重叠。
    结论:虽然研究发现了显著的VBM变化,由于缺乏符合我们纳入标准的独立研究,因此纳入青光眼和GAD队列的研究受到限制.
    结论:该研究提出了青光眼的三方脑模型,将视觉处理变化与舌回联系起来,并暗示与情感或动机功能相关的壳核和岛区的其他变化。这些神经解剖学变化超出了视觉系统,暗示着对大脑结构和潜在病理发展的更广泛的影响,提供对这种视觉聚焦障碍的整体神经系统后果的见解。
    BACKGROUND: Glaucoma, a progressive neurodegenerative disorder leading to irreversible blindness, is associated with heightened rates of generalized anxiety and depression. This study aims to comprehensively investigate brain morphological changes in glaucoma patients, extending beyond visual processing areas, and explores overlaps with morphological alterations observed in anxiety and depression.
    METHODS: A comparative meta-analysis was conducted, using case-control studies of brain structural integrity in glaucoma patients. We aimed to identify regions with gray matter volume (GMV) changes, examine their role within distinct large-scale networks, and assess overlap with alterations in generalized anxiety disorder (GAD) and major depressive disorder (MDD).
    RESULTS: Glaucoma patients exhibited significant GMV reductions in visual processing regions (lingual gyrus, thalamus). Notably, volumetric reductions extended beyond visual systems, encompassing the left putamen and insula. Behavioral and functional network decoding revealed distinct large-scale networks, implicating visual, motivational, and affective domains. The insular region, linked to pain and affective processes, displayed reductions overlapping with alterations observed in GAD.
    CONCLUSIONS: While the study identified significant morphological alterations, the number of studies from both the glaucoma and GAD cohorts remains limited due to the lack of independent studies meeting our inclusion criteria.
    CONCLUSIONS: The study proposes a tripartite brain model for glaucoma, with visual processing changes related to the lingual gyrus and additional alterations in the putamen and insular regions tied to emotional or motivational functions. These neuroanatomical changes extend beyond the visual system, implying broader implications for brain structure and potential pathological developments, providing insights into the overall neurological consequences of glaucoma.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    运动和肌肉控制对于所有自由生物的生存至关重要。本研究旨在使用功能磁共振成像(fMRI)探索肌肉控制不同阶段的皮质和皮质下激活的差异模式。采用了与事件相关的设计。在每次审判中,参与者(n=10)被指示用右手食指轻轻按下按钮,自然保持几秒钟,然后放松手指.使用一般线性模型分析这些时间上分离的阶段中的神经激活。我们的发现揭示了一个广泛分布的皮层网络,包括辅助运动区和脑岛,不仅牵涉到紧迫阶段,而且在放松阶段,而只有部分网络参与了稳定的保持阶段。此外,支持皮质下基底神经节的直接/间接途径模型,它们的子结构在肌肉控制的不同阶段发挥着不同的作用。尾状核表现出更大的参与肌肉收缩,而壳核显示出与肌肉松弛的更强关联;这两个结构都与压迫阶段有关。此外,在肌肉松弛阶段,丘脑底核仅参与其中。我们得出的结论是,即使控制简单的肌肉运动也涉及复杂的自动高级感觉-运动整合,特别是在协调相对肌肉运动时,包括肌肉收缩和肌肉松弛;皮质和皮质下区域在肌肉控制的不同阶段承担不同但协调的作用。
    Movement and muscle control are crucial for the survival of all free-living organisms. This study aimed to explore differential patterns of cortical and subcortical activation across different stages of muscle control using functional magnetic resonance imaging (fMRI). An event-related design was employed. In each trial, participants (n = 10) were instructed to gently press a button with their right index finger, hold it naturally for several seconds, and then relax the finger. Neural activation in these temporally separated stages was analyzed using a General Linear Model. Our findings revealed that a widely distributed cortical network, including the supplementary motor area and insula, was implicated not only in the pressing stage, but also in the relaxation stage, while only parts of the network were involved in the steady holding stage. Moreover, supporting the direct/indirect pathway model of the subcortical basal ganglia, their substructures played distinct roles in different stages of muscle control. The caudate nucleus exhibited greater involvement in muscle contraction, whereas the putamen demonstrated a stronger association with muscle relaxation; both structures were implicated in the pressing stage. Furthermore, the subthalamic nucleus was exclusively engaged during the muscle relaxation stage. We conclude that even the control of simple muscle movements involves intricate automatic higher sensory-motor integration at a neural level, particularly when coordinating relative muscle movements, including both muscle contraction and muscle relaxation; the cortical and subcortical regions assume distinct yet coordinated roles across different stages of muscle control.
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  • 文章类型: Journal Article
    随着时间的推移,帕金森病患者的认知障碍会逐渐出现,与基底神经节-皮层网络密切相关。该网络包含由壳核和尾状核介导的两个平行回路,分别。基于生物物理平均场模型,我们构建了一个与帕金森病痴呆相关的基底节-皮层网络并行回路的动态计算模型。模拟结果表明,前额叶皮层功率比的下降主要是由尾状核的多巴胺耗竭引起的,与壳核的多巴胺耗竭的关系较小,这表明帕金森病痴呆可能是由尾状核而不是壳核的损伤引起的。此外,通过分岔分析研究了功率比降低背后的潜在动力机制,这表明功率比的降低是由于脑放电模式从极限循环模式到点吸引子模式的变化。更重要的是,帕金森病患者多巴胺耗竭的时空过程是很好的模拟,这表明随着多巴胺能神经元投射到纹状体的丢失,首先观察到帕金森病的运动功能障碍,而认知障碍发生在运动功能障碍发作一段时间后。这些结果有助于了解认知功能障碍的发病机制,为帕金森病痴呆的治疗提供见解。
    The cognitive impairment will gradually appear over time in Parkinson\'s patients, which is closely related to the basal ganglia-cortex network. This network contains two parallel circuits mediated by putamen and caudate nucleus, respectively. Based on the biophysical mean-field model, we construct a dynamic computational model of the parallel circuit in the basal ganglia-cortex network associated with Parkinson\'s disease dementia. The simulated results show that the decrease of power ratio in the prefrontal cortex is mainly caused by dopamine depletion in the caudate nucleus and is less related to that in the putamen, which indicates Parkinson\'s disease dementia may be caused by a lesion of the caudate nucleus rather than putamen. Furthermore, the underlying dynamic mechanism behind the decrease of power ratio is investigated by bifurcation analysis, which demonstrates that the decrease of power ratio is due to the change of brain discharge pattern from the limit cycle mode to the point attractor mode. More importantly, the spatiotemporal course of dopamine depletion in Parkinson\'s disease patients is well simulated, which states that with the loss of dopaminergic neurons projecting to the striatum, motor dysfunction of Parkinson\'s disease is first observed, whereas cognitive impairment occurs after a period of onset of motor dysfunction. These results are helpful to understand the pathogenesis of cognitive impairment and provide insights into the treatment of Parkinson\'s disease dementia.
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