中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2013年
9期
896-899
,共4页
李其富%罗程%周东%蔡美华%王淑荣%王埮%陈志斌
李其富%囉程%週東%蔡美華%王淑榮%王埮%陳誌斌
리기부%라정%주동%채미화%왕숙영%왕담%진지빈
癫痫%功能磁共振%脑电图%棘波%神经网络
癲癇%功能磁共振%腦電圖%棘波%神經網絡
전간%공능자공진%뇌전도%극파%신경망락
Epilepsy%Functional magnetic resonance%Electroencephalogram%Spike wave%Neural network
目的 研究伴有中央颞区棘波的儿童良性癫痫(BCECTS)患者发作间期棘波相关的血氧依赖水平(BOLD)变化情况. 方法 选择海南医学院附属医院神经内科自2010年1月至2011年12月收治的频繁出现发作间期放电的BCECTS患者进行同步脑电图(EEG)联合功能磁共振(EEG-fMRI)扫描,将离线EEG滤波后确定棘波的时间点,采用统计参数图软件(SPM)提供的经典血氧动力学函数(HRF)模型计算棘波相关的BOLD变化. 结果 共纳入6例BCECTS患者,常规EEG显示频繁出现发作间期中央区和中颞区棘波.EEG-fRI扫描时1例未见放电,获得5例患者5个序列的fMRI数据,5个序列均出现BOLD激活信号,两侧中央颞区同时出现激活信号2例,单侧中央颞区出现激活信号3例,4例最大激活区位于中央-中颞区,1例位于枕叶.5例在中央颞区外的其他脑区具有激活信号. 结论 中央颢区可能是BCECTS的致痫灶,致痫灶与其他部位共同构成的神经网络可能与BCECTS的发生相关.
目的 研究伴有中央顳區棘波的兒童良性癲癇(BCECTS)患者髮作間期棘波相關的血氧依賴水平(BOLD)變化情況. 方法 選擇海南醫學院附屬醫院神經內科自2010年1月至2011年12月收治的頻繁齣現髮作間期放電的BCECTS患者進行同步腦電圖(EEG)聯閤功能磁共振(EEG-fMRI)掃描,將離線EEG濾波後確定棘波的時間點,採用統計參數圖軟件(SPM)提供的經典血氧動力學函數(HRF)模型計算棘波相關的BOLD變化. 結果 共納入6例BCECTS患者,常規EEG顯示頻繁齣現髮作間期中央區和中顳區棘波.EEG-fRI掃描時1例未見放電,穫得5例患者5箇序列的fMRI數據,5箇序列均齣現BOLD激活信號,兩側中央顳區同時齣現激活信號2例,單側中央顳區齣現激活信號3例,4例最大激活區位于中央-中顳區,1例位于枕葉.5例在中央顳區外的其他腦區具有激活信號. 結論 中央顥區可能是BCECTS的緻癇竈,緻癇竈與其他部位共同構成的神經網絡可能與BCECTS的髮生相關.
목적 연구반유중앙섭구극파적인동량성전간(BCECTS)환자발작간기극파상관적혈양의뢰수평(BOLD)변화정황. 방법 선택해남의학원부속의원신경내과자2010년1월지2011년12월수치적빈번출현발작간기방전적BCECTS환자진행동보뇌전도(EEG)연합공능자공진(EEG-fMRI)소묘,장리선EEG려파후학정극파적시간점,채용통계삼수도연건(SPM)제공적경전혈양동역학함수(HRF)모형계산극파상관적BOLD변화. 결과 공납입6례BCECTS환자,상규EEG현시빈번출현발작간기중앙구화중섭구극파.EEG-fRI소묘시1례미견방전,획득5례환자5개서렬적fMRI수거,5개서렬균출현BOLD격활신호,량측중앙섭구동시출현격활신호2례,단측중앙섭구출현격활신호3례,4례최대격활구위우중앙-중섭구,1례위우침협.5례재중앙섭구외적기타뇌구구유격활신호. 결론 중앙호구가능시BCECTS적치간조,치간조여기타부위공동구성적신경망락가능여BCECTS적발생상관.
Objective To study the blood oxygen dependent level (BOLD) changes associated with interictal spikes in benign childhood epilepsy patients with centrotemporal spikes (BCECTS).Methods BCECTS patients with frequent interictal spikes,admitted to our hsopital from Junary 2010 to December 2011,were included in our study; all the patients were performed simultaneous EEG combined functional magnetic resonance imaging (EEG-fMRI).The off-line EEG was filtered to find the time of spikes discharges,and then,the spike-related BOLD changes were calculated with the classic oxygen dynamics reaction function (HRF) model in statistical parametric mapping (SPM) software.Results Six patients with BCECTS were included with frequent spikes in the centrotemporal area in conventional EEG.One patient did not show spike discharge in EEG-fMRI scanning.Five patients showed BOLD signal changes in 5 sessions of fMRI.Activation signals were revealed in bilateral central temporal region in 2 sessions and in unilateral central temporal region in 3 sessions.The maximum activations were located in the centrotemporal area in 4 sessions and one session in the occipital lobe.The activation signals were observed in the other brain regions besides the central temporal regions in all the 5 patients.Conclusion The central temporal region may be the epileptogenic zone of BCECTS; the epileptogenic zone and other brain structures may contribute to the neural network of BCECTS.