Electroencephalography

脑电图
  • 文章类型: Systematic Review
    脑电图(EEG)是一种用于测量大脑活动的技术,广泛用于神经科学研究。脑电图中的事件相关电位(ERP)使研究大脑中的感觉和认知过程成为可能。以前的报告表明,有氧运动会对ERP的组成部分产生影响,例如振幅和潜伏期。然而,他们专注于运动后ERP的测量。
    本系统评价的目的是研究在自行车运动中测量ERP的可行性,并评估自行车对自行车期间ERP的影响。
    我们遵循PRISMA指南进行新的系统评价。有资格,研究必须包括健康的成年人,并在骑自行车时测量ERPs.所有文章都是使用GoogleScholar和搜索参考文献找到的。从研究中提取的数据包括:ERP研究的目标,ERP范式,脑电图系统,研究人口数据,运动特征(持续时间,强度,踩踏节奏),和ERP和行为结果。Cochrane偏差风险2工具用于评估研究偏差。
    选择了20项研究。循环对ERP的影响主要基于循环和静息状态之间P3波振幅的比较,使用注意力集中的任务。最常用的ERP范例是听觉古怪任务。运动特点和学习方法差异很大。
    在可能引入更多伪影的条件下,可以在循环过程中测量ERP,包括3小时的运动锻炼和户外骑自行车。其次,无法评估自行车对ERP的影响,因为研究之间的方法差异太大。此外,提出的解释结果的理论有时似乎相互矛盾。尽管大多数研究报告了显著的结果,效果的方向不一致。最后,我们提出了一些需要改进的地方,以便将来对该主题进行研究。
    UNASSIGNED: Electroencephalography (EEG) is a technique for measuring brain activity that is widely used in neuroscience research. Event-related potentials (ERPs) in the EEG make it possible to study sensory and cognitive processes in the brain. Previous reports have shown that aerobic exercise can have an impact on components of ERPs such as amplitude and latency. However, they focused on the measurement of ERPs after exercise.
    UNASSIGNED: The aim of this systematic review was to investigate the feasibility of measuring ERPs during cycling, and to assess the impact of cycling on ERPs during cycling.
    UNASSIGNED: We followed the PRISMA guidelines for new systematic reviews. To be eligible, studies had to include healthy adults and measure ERPs during cycling. All articles were found using Google Scholar and by searching references. Data extracted from the studies included: objectives of ERP studies, ERP paradigm, EEG system, study population data, exercise characteristics (duration, intensity, pedaling cadence), and ERP and behavioral outcomes. The Cochrane Risk of Bias 2 tool was used to assess study bias.
    UNASSIGNED: Twenty studies were selected. The effect of cycling on ERPs was mainly based on a comparison of P3 wave amplitude between cycling and resting states, using an attentional task. The ERP paradigm most often used was the auditory oddball task. Exercise characteristics and study methods varied considerably.
    UNASSIGNED: It is possible to measure ERPs during cycling under conditions that are likely to introduce more artifacts, including a 3-h athletic exercise session and cycling outdoors. Secondly, no assessment of the effect of cycling on ERPs was possible, because the methods differed too widely between studies. In addition, the theories proposed to explain the results sometimes seemed to contradict each other. Although most studies reported significant results, the direction of the effects was inconsistent. Finally, we suggest some areas for improvement for future studies on the subject.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    失神癫痫通常与行为停滞和短暂的意识缺陷有关,然而,在损害的严重程度上存在很大的差异。尽管对该主题进行了数十年的研究,失神发作的病理生理学和行为损害的潜在机制仍不清楚.已经提出了几种理由,包括广泛的皮质失活,减少对外界刺激的感知,和默认模式网络的瞬时暂停,在其他人中。这篇综述旨在总结目前有关失神癫痫发作时意识受损的神经相关知识。我们回顾了使用失神癫痫动物模型的研究证据,脑电图,功能磁共振成像,脑磁图,正电子发射断层扫描,和单光子发射计算机断层扫描。
    Absence seizures are classically associated with behavioral arrest and transient deficits in consciousness, yet substantial variability exists in the severity of the impairment. Despite several decades of research on the topic, the pathophysiology of absence seizures and the mechanisms underlying behavioral impairment remain unclear. Several rationales have been proposed including widespread cortical deactivation, reduced perception of external stimuli, and transient suspension of the default mode network, among others. This review aims to summarize the current knowledge on the neural correlates of impaired consciousness in absence seizures. We review evidence from studies using animal models of absence epilepsy, electroencephalography, functional magnetic resonance imaging, magnetoencephalography, positron emission tomography, and single photon emission computed tomography.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    压力是参与不同精神病理学发作的主要环境因素之一。在青年时期,紧张的生活事件会引发不适当的和损害健康的行为,比如暴饮暴食。这种行为,反过来,会导致对压力的神经生理反应的持久变化和晚年心理障碍的发展,例如,酒精使用障碍。我们的目的是分析年轻暴饮暴食者对紧张的虚拟环境的阐述引发的神经生理反应模式。
    AUDIT-3(来自完整AUDIT的第三个问题)用于检测我们年轻样本(年龄18-25岁)中的暴饮暴食(BD)。根据分数,参与者分为对照组(CO)和BD组。接下来,使用标准化的虚拟现实(VR)场景(Richie'sPlank)触发应激反应,同时测量以下神经生理变量:通过脑电图(EEG)进行的脑电活动和通过唾液样本进行的皮质醇水平,这两个测量值在压力状况之前和之后进行记录。此外,心率(HR)与脉搏计和皮肤电反应(EDA)通过电极放置在手指之前进行分析,在VR任务期间和之后。
    关于VR任务期间评估的行为,BD组花在向前走桌子上的时间明显减少,并且倾向于向后走更多的时间。BD组和CO组的观察时间没有统计学差异,但是当我们控制可变性别时,BD女性组比其他组显示更多的向下看的时间。神经生理学测量显示,在任何EEG注册测量中,组间没有任何统计学上的显着差异,EDA反应和皮质醇水平。在对VR场景的HR反应中发现了与性别相关的差异,其中BD女性对压力源的反应达到最高峰。此外,BD女性的心跳变化高于男性。
    揭示与BD相关的神经生理改变可以帮助我们预防和发现酒精使用障碍的早期发作。此外,根据我们的数据,我们得出结论,参与者的性行为可以调节一些应激反应,特别是当不健康的行为,如BD存在。然而,神经生理变量相对于压力源的注册时刻似乎是至关重要的变量。
    UNASSIGNED: Stress is one of the main environmental factors involved in the onset of different psychopathologies. In youth, stressful life events can trigger inappropriate and health-damaging behaviors, such as binge drinking. This behavior, in turn, can lead to long-lasting changes in the neurophysiological response to stress and the development of psychological disorders late in life, e.g., alcohol use disorder. Our aim was to analyze the pattern of neurophysiological responses triggered with the exposition to a stressful virtual environment in young binge drinkers.
    UNASSIGNED: AUDIT-3 (third question from the full AUDIT) was used to detect binge drinking (BD) in our young sample (age 18-25 years). According to the score, participants were divided into control (CO) and BD group. Next, a standardized virtual reality (VR) scenario (Richie\'s Plank) was used for triggering the stress response while measuring the following neurophysiological variables: brain electrical activity by electroencephalogram (EEG) and cortisol levels through saliva samples both measurements registered before and after the stressful situation. Besides, heart rate (HR) with a pulsometer and electrodermal response (EDA) through electrodes placed on fingers were analyzed before, during and after the VR task.
    UNASSIGNED: Regarding the behavior assessed during the VR task, BD group spent significantly less amount of time walking forward the table and a tendency toward more time walking backwards. There was no statistically significant difference between the BD and the CO group regarding time looking down, but when we controlled the variable sex, the BD women group displayed higher amount of time looking down than the rest of the groups. Neurophysiological measurements revealed that there was not any statistically significant difference between groups in any of the EEG registered measures, EDA response and cortisol levels. Sex-related differences were found in HR response to VR scenario, in which BD women displayed the highest peak of response to the stressor. Also, the change in heartbeat was higher in BD women than men.
    UNASSIGNED: Unveiling the neurophysiological alterations associated with BD can help us to prevent and detect early onset of alcohol use disorder. Also, from our data we conclude that participants\' sex can modulate some stress responses, especially when unhealthy behaviors such as BD are present. Nevertheless, the moment of registration of the neurophysiological variables respect to the stressor seems to be a crucial variable.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Journal Article
    身体活动和正念技术,比如锻炼和KapalbhatiPranayama,众所周知,对健康和福祉有积极影响。然而,有限的研究直接比较了它们对生理和心理参数的影响。这项研究旨在调查和比较运动和KapalbhatiPranayama对心率变异性(HRV)和脑电图(EEG)活动的影响。阐明他们对整体健康和心理健康的贡献。这项研究是在博帕尔的全印度医学科学研究所(AIIMS)进行的,印度,从2018年到2022年。在两个月的时间里采用了前瞻性介入设计,涉及20名BMI正常且无呼吸或心脏病的参与者。排除标准包括肺部或心脏疾病,吸烟史,体力活动时呼吸困难,踏板水肿,还有高血压.对KapalbhatiPranayama干预进行了监督,并将其限制为5分钟。HRV之前使用HRVBrainTapNeuralchek机器进行评估,during,在Kapalbhati之后.为了锻炼,对20~50岁的健康志愿者进行了轻度强度循环方案.HRV记录之前,during,锻炼后。EEG分析显示脑电波模式发生了显着变化。在基线,参与者表现出更高水平的三角洲,theta,阿尔法波,表示放松和平静的状态。在锻炼过程中,β波显著增加,δ减小,theta,阿尔法波,反映了大脑活动和警觉性的提高。在Kapalbhati之后,β波水平仍然升高,而三角洲和θ波抑制更明显,这表明对大脑的刺激作用类似于运动。β和γ脑电图波的变化可以归因于运动强度等因素,持续时间,频率,以及运动和卡帕尔巴蒂过程中内啡肽的释放。HRV分析显示对运动和Kapalbhati的反应不同。运动导致HRV参数显着降低,以心率增加和时域HRV测量减少为特征,与身体活动期间典型的交感神经系统优势保持一致。相比之下,Kapalbhati对HRV参数的影响较温和,心率的微小变化和时域HRV测量的细微变化。Kapalbhati期间的高LF/HF比率表明了对交感神经系统的潜在刺激。需要更全面的研究来证实这些发现,并了解Kapalbhati对HRV和心血管健康的长期影响。这项研究有助于了解运动和KapalbhatiPranayama如何影响健康的认知和心血管方面。它强调了两种干预措施都能增加大脑活动和警觉性,但Kapalbhati可能有更强的效果.运动显著降低HRV参数,表明交感神经系统占优势,而Kapalbhati具有较温和的HRV效应。对更大和更多样化的人群进行进一步的研究对于确认和扩展这些发现至关重要,通过量身定制的运动和KapalbhatiPranayama方法,提供优化认知功能和心血管健康的见解。
    Physical activity and mindfulness techniques, such as exercise and Kapalbhati Pranayama, are known to have positive effects on health and well-being. However, limited research has directly compared their impact on physiological and psychological parameters. This study aimed to investigate and compare the effects of exercise and Kapalbhati Pranayama on Heart Rate Variability (HRV) and Electroencephalogram (EEG) activity, shedding light on their contributions to overall health and mental well-being. The study was conducted at All India Institute of Medical Sciences (AIIMS) in Bhopal, India, from 2018 to 2022. A prospective interventional design was employed over two months, involving 20 participants with normal BMI and no respiratory or cardiac conditions. Exclusion criteria included lung or cardiac diseases, smoking history, dyspnoea during physical activity, pedal edema, and high blood pressure. The Kapalbhati Pranayama intervention was supervised and limited to 5 minutes. HRV was assessed using the HRV Brain Tap Neuralchek Machine before, during, and after Kapalbhati. For exercise, a mild-intensity cycling protocol was performed on healthy volunteers aged 20 to 50. HRV was recorded before, during, and after exercise. The EEG analysis revealed notable changes in brain wave patterns. At baseline, participants exhibited higher levels of delta, theta, and alpha waves, indicating a state of relaxation and calmness. During exercise, there was a significant increase in beta waves and a decrease in delta, theta, and alpha waves, reflecting heightened brain activity and alertness. After Kapalbhati, beta wave levels remained elevated, while delta and theta wave suppression was more pronounced, suggesting a stimulating effect on the brain similar to exercise. The changes in beta and gamma EEG waves could be attributed to factors such as exercise intensity, duration, frequency, and the release of endorphins during both exercise and Kapalbhati. The HRV analysis demonstrated distinct responses to exercise and Kapalbhati. Exercise led to a significant reduction in HRV parameters, characterized by increased heart rate and decreased time-domain HRV measures, aligning with the typical sympathetic nervous system dominance during physical activity. In contrast, Kapalbhati\'s impact on HRV parameters was milder, with minor changes in heart rate and subtle alterations in time-domain HRV measures. The high LF/HF ratio during Kapalbhati suggested a potential stimulation of the sympathetic nervous system. More comprehensive research is required to confirm these findings and understand the long-term effects of Kapalbhati on HRV and cardiovascular health. This study contributes to the understanding of how exercise and Kapalbhati Pranayama affect both cognitive and cardiovascular aspects of health. It highlights that both interventions increase brain activity and alertness, but Kapalbhati may have a more potent effect. Exercise significantly reduces HRV parameters, indicating sympathetic nervous system dominance, while Kapalbhati has milder HRV effects. Further research with larger and more diverse populations is essential to confirm and expand on these findings, providing insights into optimizing cognitive function and cardiovascular health through tailored approaches of exercise and Kapalbhati Pranayama.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:经皮耳迷走神经刺激(taVNS),一种非侵入性的刺激迷走神经的方法,通过传出和传入途径同时影响自主神经系统(ANS)和中枢神经系统(CNS)。这项研究的目的是通过确定的响应者的心率变异性(HRV)和脑电图(EEG)参数分析taVNS对ANS和CNS的影响。
    方法:从10名20多岁的健康成年男性受试者中收集两组数据,和来自时域的五个HRV参数(RMSSD,pNN50,pNN30,pNN20,ppNNx)和两个EEG参数(α波段的功率,提取δ波段的功率)。
    结果:基于pNN50,确定了taVNS的应答者;其中,pNN50(p=0.0041)和ppNNx(p=0.0037)在taVNS前后表现出显著差异。同时,脑电图的α功率和δ功率,与刺激前相比,在taVNS后的大多数通道中观察到显著差异(p<0.05)。
    结论:这项研究证明了使用pNN50识别应答者的有效性以及taVNS对ANS和CNS的影响。我们得出结论,taVNS可用于治疗多种疾病,并作为帮助控制ANS和CNS的工具。
    OBJECTIVE: Transcutaneous auricular vagus nerve stimulation (taVNS), a non-invasive method of stimulating the vagus nerve, simultaneously affects the autonomic nervous system (ANS) and central nervous system (CNS) through efferent and afferent pathways. The purpose of this study is to analyze the effect of taVNS on the ANS and CNS through heart rate variability (HRV) and electroencephalography (EEG) parameters of identified responders.
    METHODS: Two sets of data were collected from each of 10 healthy adult male subjects in their 20s, and five HRV parameters from the time domain (RMSSD, pNN50, pNN30, pNN20, ppNNx) and two EEG parameters (power of alpha band, power of delta band) were extracted.
    RESULTS: Based on pNN50, responders to taVNS were identified; among them, pNN50 (p = 0.0041) and ppNNx (p = 0.0037) showed significant differences before and after taVNS. At the same time, for alpha power and delta power of EEG, significant difference (p < 0.05) was observed in most channels after taVNS compared to before stimulation.
    CONCLUSIONS: This study demonstrated the validity of identifying responders using pNN50 and the influence of taVNS on both the ANS and CNS. We conclude that taVNS can be used to treat a variety of diseases and as a tool to help control the ANS and CNS.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:神经反馈是一种非侵入性脑训练技术,用于通过改变脑活动模式来增强和治疗多动症。尽管如此,神经反馈增强的程度因个体/患者而异,其中许多人对这种治疗技术没有反应。因此,已经进行了几项研究来预测神经反馈训练的有效性,包括在开始治疗之前特别强调慢皮质电位(SCP)的theta/beta方案,以及根据不同人群的年龄和性别标准检查SCP标准。虽然其中一些研究未能做出准确的预测,其他人的成功率很低。这项研究探讨了脑电图(EEG)信号的不同频带中各个脑叶之间的功能连接,并且相位锁定的值用于预测神经反馈治疗开始前的潜在有效性。
    方法:本研究利用孟德尔数据库中的脑电图数据。在这个数据库中,在涉及60名7-14岁多动学生的神经反馈会议期间记录EEG信号,不管性别。这些学生分为可治疗和不可治疗。所提出的方法包括五步算法。最初,数据经过预处理,以减少噪声使用多级滤波过程。第二步涉及从预处理的EEG信号中提取α和β频带,特别强调从神经反馈治疗的第10到20个疗程记录的脑电图。第三步,该方法通过使用锁相值评估不同脑叶的功能关系来评估两组之间的脑信号差异,一个关键的数据特征。第四步的重点是缩小特征空间,并确定神经反馈治疗最有效和最佳的电极。两种方法,概率指数(p值)通过t检验和遗传算法,被雇用。这些方法表明,最佳电极位于额叶和中央大脑皮层,特别是通道C3,FZ,F4,CZ,C4和F3,因为它们在两组之间表现出显着差异。最后,第五步,机器学习分类器被应用,并将结果合并以生成每个数据集的可治疗和不可治疗标签。
    结果:在分类器中,支持向量机和Boosting方法在组合时表现出最高的精度。因此,所提出的算法在短时间内和有限的数据下成功地预测了多动症个体的可治疗性,在神经反馈方法中达到90.6%的准确度。此外,它有效地识别了神经反馈治疗中的关键电极,他们的人数从32人减少到6人。
    结论:本研究引入了一种算法,用于预测多动症的神经反馈治疗结果,准确率为90.6%。通过确定最佳电极并将其数量从32个减少到6个,显着提高治疗效率。所提出的方法能够预测患者对神经反馈治疗的反应性,而不需要大量的疗程。从而节约时间和财力。
    BACKGROUND: Neurofeedback is a non-invasive brain training technique used to enhance and treat hyperactivity disorder by altering the patterns of brain activity. Nonetheless, the extent of enhancement by neurofeedback varies among individuals/patients and many of them are irresponsive to this treatment technique. Therefore, several studies have been conducted to predict the effectiveness of neurofeedback training including the theta/beta protocol with a specific emphasize on slow cortical potential (SCP) before initiating treatment, as well as examining SCP criteria according to age and sex criteria in diverse populations. While some of these studies failed to make accurate predictions, others have demonstrated low success rates. This study explores functional connections within various brain lobes across different frequency bands of electroencephalogram (EEG) signals and the value of phase locking is used to predict the potential effectiveness of neurofeedback treatment before its initiation.
    METHODS: This study utilized EEG data from the Mendelian database. In this database, EEG signals were recorded during neurofeedback sessions involving 60 hyperactive students aged 7-14 years, irrespective of sex. These students were categorized into treatable and non-treatable. The proposed method includes a five-step algorithm. Initially, the data underwent preprocessing to reduce noise using a multi-stage filtering process. The second step involved extracting alpha and beta frequency bands from the preprocessed EEG signals, with a particular emphasis on the EEG recorded from sessions 10 to 20 of neurofeedback therapy. In the third step, the method assessed the disparity in brain signals between the two groups by evaluating functional relationships in different brain lobes using the phase lock value, a crucial data characteristic. The fourth step focused on reducing the feature space and identifying the most effective and optimal electrodes for neurofeedback treatment. Two methods, the probability index (p-value) via a t-test and the genetic algorithm, were employed. These methods showed that the optimal electrodes were in the frontal lobe and central cerebral cortex, notably channels C3, FZ, F4, CZ, C4, and F3, as they exhibited significant differences between the two groups. Finally, in the fifth step, machine learning classifiers were applied, and the results were combined to generate treatable and non-treatable labels for each dataset.
    RESULTS: Among the classifiers, the support vector machine and the boosting method demonstrated the highest accuracy when combined. Consequently, the proposed algorithm successfully predicted the treatability of individuals with hyperactivity in a short time and with limited data, achieving an accuracy of 90.6% in the neurofeedback method. Additionally, it effectively identified key electrodes in neurofeedback treatment, reducing their number from 32 to 6.
    CONCLUSIONS: This study introduces an algorithm with a 90.6% accuracy for predicting neurofeedback treatment outcomes in hyperactivity disorder, significantly enhancing treatment efficiency by identifying optimal electrodes and reducing their number from 32 to 6. The proposed method enables the prediction of patient responsiveness to neurofeedback therapy without the need for numerous sessions, thus conserving time and financial resources.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:在这项研究中,我们使用脑电图(EEG)来研究与视觉追踪和扫视策略相关的大脑皮层的活动模式,以预测视觉目标的到达位置。此外,我们澄清了那些可以使用扫视策略很好地预测到达位置的人与那些不熟练的人的EEG差异。
    方法:16名参与者在进行EEG时执行了两项任务:“追求策略任务(PST)”和“扫视策略任务(SST)”。对于PST,参与者被指示用眼睛跟踪目标的整个轨迹,并指出它何时到达终点。对于SST,参与者被指示一旦预测到终点,就将目光转移到终点。
    结果:Oz的β脑电图活性低,Cz,和CP2电极在SST期间明显高于PST期间。此外,P7电极的低β脑电图活动在显示小位置误差(PE)的组中明显高于在响应时显示大PE的组。
    结论:Oz的EEG活动,Cz,在SST期间和CP2电极可以反映对运动目标的视觉空间注意力,运动目标的跟踪,以及对最终目的地位置的关注。此外,P7电极处的EEG活动可以通过小PE组在响应时更准确地检测运动目标的速度和方向。
    BACKGROUND: In this study, we used electroencephalogram (EEG) to investigate the activity pattern of the cerebral cortex related to visual pursuit and saccade strategies to predict the arrival position of a visual target. In addition, we clarified the differences in the EEG of those who could predict the arrival position well using the saccade strategy compared to those who were not proficient.
    METHODS: Sixteen participants performed two tasks: the \"Pursuit Strategy Task (PST)\" and the \"Saccade Strategy Task (SST)\" while undergoing EEG. For the PST, the participants were instructed to follow the target with their eyes throughout its trajectory and indicate when it reached the final point. For the SST, the participants were instructed to shift their gaze to the end point of arrival once they had predicted it.
    RESULTS: Low beta EEG activity at the Oz, Cz, and CP2 electrodes was significantly higher during the SST than during the PST. In addition, low beta EEG activity at P7 electrode was significantly higher in the group showing a small position error (PE) than in the group showing a large PE at response.
    CONCLUSIONS: EEG activity at the Oz, Cz, and CP2 electrodes during the SST may reflect visuospatial attention to the moving target, the tracking of moving targets, and the focus on the final destination position. In addition, EEG activity at P7 electrode may more accurately detect the speed and direction of the moving target by the small PE group at response.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    结论:立体脑电图是一种广泛使用的方法,可提高难治性癫痫患者术前检查的诊断精度。其检测癫痫活动和识别癫痫网络的能力在很大程度上取决于所选择的植入策略。即使在理想的情况下,电极记录在<10%的大脑中产生的活动,并且仅在其紧邻的脑组织中进行接触记录。在这篇文章中,作者讨论了与其他诊断方法同时记录立体脑电图如何提高其在临床和研究环境中的诊断价值。它可以帮助克服颅内记录的有限空间覆盖范围,并更好地了解癫痫活动的来源。同时头皮脑电图是最广泛可用的方法,通常用于理解大型癫痫网络,癫痫发作传播,和脑电图活动发生在对侧半球。同时脑磁图允许更精确的源定位和立体EEG覆盖范围之外的深源识别。最后,同时功能性MRI可以突出癫痫活动后的代谢变化,并有助于了解与发作间活动相关的广泛网络变化.本概述强调了所有这些方法的优势和方法挑战。介绍了每种方法的临床使用和研究应用。
    CONCLUSIONS: Stereo-EEG is a widely used method to improve the diagnostic precision of presurgical workup in patients with refractory epilepsy. Its ability to detect epileptic activity and identify epileptic networks largely depends on the chosen implantation strategy. Even in an ideal situation, electrodes record activity generated in <10% of the brain and contacts only record from brain tissue in their immediate proximity. In this article, the authors discuss how recording stereo-EEG simultaneously with other diagnostic methods can improve its diagnostic value in clinical and research settings. It can help overcome the limited spatial coverage of intracranial recording and better understand the sources of epileptic activity. Simultaneous scalp EEG is the most widely available method, often used to understand large epileptic networks, seizure propagation, and EEG activity occurring on the contralateral hemisphere. Simultaneous magnetoencephalography allows for more precise source localization and identification of deep sources outside the stereo-EEG coverage. Finally, simultaneous functional MRI can highlight metabolic changes following epileptic activity and help understand the widespread network changes associated with interictal activity. This overview highlights advantages and methodological challenges for all these methods. Clinical use and research applications are presented for each approach.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    结论:尽管睡眠在调节癫痫活动中的作用已得到证实,许多癫痫学家忽视了在耐药性癫痫患者的术前癫痫评估中考虑睡眠的重要性.这里,我们从2000年1月至2023年5月使用PubMed电子数据库进行了全面的文献综述,并汇编了证据,强调需要修改当前的临床方法.所有文章均由两名独立审稿人进行资格评估。我们的目的是阐明将睡眠监测纳入立体脑电图术前评估的临床价值。我们介绍了在立体脑电图记录中观察到的睡眠与各种形式的癫痫活动之间重要的双向相互作用的最新进展。具体来说,癫痫活动由不同的睡眠阶段调节,在非快速眼动睡眠中达到顶峰,同时在快速眼动睡眠中被抑制。然而,这种调制可以在不同的大脑区域变化,强调需要考虑睡眠,以在术前评估期间准确确定癫痫发生区。最后,我们提供实用的解决方案,例如仅使用立体脑电图数据的自动睡眠评分算法,将睡眠监测无缝整合到常规临床实践中。希望这篇综述将为临床医生提供一个易于获得的路线图,以了解有关立体脑电图背景下睡眠监测的临床实用性的最新证据,并帮助开发治疗和诊断策略以改善患者的手术效果。
    CONCLUSIONS: Although the role of sleep in modulating epileptic activity is well established, many epileptologists overlook the significance of considering sleep during presurgical epilepsy evaluations in cases of drug-resistant epilepsy. Here, we conducted a comprehensive literature review from January 2000 to May 2023 using the PubMed electronic database and compiled evidence to highlight the need to revise the current clinical approach. All articles were assessed for eligibility by two independent reviewers. Our aim was to shed light on the clinical value of incorporating sleep monitoring into presurgical evaluations with stereo-electroencephalography. We present the latest developments on the important bidirectional interactions between sleep and various forms of epileptic activity observed in stereo-electroencephalography recordings. Specifically, epileptic activity is modulated by different sleep stages, peaking in non-rapid eye movement sleep, while being suppressed in rapid eye movement sleep. However, this modulation can vary across different brain regions, underlining the need to account for sleep to accurately pinpoint the epileptogenic zone during presurgical assessments. Finally, we offer practical solutions, such as automated sleep scoring algorithms using stereo-electroencephalography data alone, to seamlessly integrate sleep monitoring into routine clinical practice. It is hoped that this review will provide clinicians with a readily accessible roadmap to the latest evidence concerning the clinical utility of sleep monitoring in the context of stereo-electroencephalography and aid the development of therapeutic and diagnostic strategies to improve patient surgical outcomes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号