天津医药 ›› 2017, Vol. 45 ›› Issue (4): 393-397.doi: 10.11958/20170123

• 临床研究 • 上一篇    下一篇

额叶癫痫工作记忆的 theta 振荡特征研究

朱婧, 李花娟, 宋毅军△   

  1. 天津医科大学总医院神经内科, 天津市神经病学研究所 (邮编 300052)
  • 收稿日期:2017-01-25 修回日期:2017-03-10 出版日期:2017-04-15 发布日期:2017-04-15
  • 通讯作者: △通讯作者 E-mail: songyijun2000@126.com E-mail:13516193753@163.com
  • 作者简介:朱婧 (1991), 女, 硕士在读, 主要从事癫痫和痴呆的临床研究
  • 基金资助:
    天津市应用基础与前沿技术研究计划 (14JCZDJC35400); 2016 年度天津市 “131” 创新型人才团队培养工程

The study of the theta oscillation characteristic for working memory in frontal lobe epilepsy

ZHU Jing, LI Hua-juan, SONG Yi-jun△   

  1. Department of Neurology, Tianjin Medical University General Hospital; Tianjin Neurological Institute, Tianjin 300052, China
  • Received:2017-01-25 Revised:2017-03-10 Published:2017-04-15 Online:2017-04-15
  • Contact: △Corresponding Author E-mail: songyijun2000@126.com E-mail:13516193753@163.com

摘要: 目的 通过对额叶癫痫 (FLE) 患者静息态和工作记忆延迟期的多通道脑电 (EEGs) 分析, 研究 FLE 工作记 忆的 theta 振荡特征。方法 实验分组为 FLE 组 19 例及对照组 17 例, 采集受试者执行视觉工作记忆任务时的 34 通道脑电信号, 分析 2 组工作记忆行为学差异; 应用傅里叶变换计算各频段及 34 通道的能量密度, 分析 2 组静息态 和工作记忆延迟期 theta 振荡的变化。结果 与对照组相比, FLE 组工作记忆行为学表现为反应时间显著延长 (P< 0.01), 正确率显著降低(P<0.05); FLE 组静息态在 Fz 通道及额区的 theta 频段能量密度均较对照组显著增加(P< 0.01); 与对照组相比, FLE 组工作记忆延迟期额区 theta 振荡能量密度显著降低。结论 FLE 存在明显工作记忆障 碍, 工作记忆延迟期额区 theta 振荡缺失是其可能的神经机制之一。

关键词: 癫痫, 额叶, 脑电描记术, 工作记忆, 多通道脑电, theta 振荡, 能量密度

Abstract: Objective To investigate the characteristic of theta oscillation in patients with frontal lobe epilepsy (FLE) by the analysis of multi-channel electroencephalographs (EEGs) during rest state and working memory(WM) maintenance. Methods The 19 FLE patients and 17 healthy subjects underwent EEG recording with 34-channel EEG machine during visual working memory task performance. The differences of behavioral results were analyzed between FLE group and controls. Short-time Fourier transform was used to calculate the power spectral density of different frequency bands in 34 channels. The theta power values during the retention period of working memory and rest state were compared between two groups. Results Compared with controls, reaction time of FLE increased significantly (P < 0.01) and accuracy decreased (P < 0.05). The power spectral density of theta band for FLE increased both in Fz and frontal region during rest state (P < 0.01). Compared with controls, the power spectral density of theta oscillation decreased significantly in the frontal region for FLE during WM maintenance. Conclusion Our results suggest that working memory in patients with FLE was impaired. The absence of theta oscillation during the WM delayde period may provide a possible neural mechanism for the working memory dysfunction in FLE.

Key words: epilepsy, frontal lobe, electroencephalography, working memory, multi- channel electroencephalographs, theta oscillation, power spectral density