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Sensory evoked and event related oscillations in Alzheimer’s disease: a short review

机译:感官诱发和与事件有关的阿尔茨海默氏病振荡:简短回顾

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Diagnosis and treatment of Alzheimer’s disease (AD) depend on clinical evaluation and there is a strong need for an objective tool as a biomarker. Our group has investigated brain oscillatory responses in a small group of AD subjects. We found that the de novo (untreated) AD group differs from both the cholinergically-treated AD group and aged-matched healthy controls in theta and delta responses over left frontal-central areas after cognitive stimulation. On the contrary, the difference observed in AD groups upon a sensory visual stimulation includes response increase over primary or secondary visual sensorial areas compared to controls. These findings imply at least two different neural networks, depending on type of stimulation (i.e. cognitive or sensory). The default mode defined as activity in resting state in AD seems to be affected electrophysiologically. Coherences are also very valuable in observing the group differences, especially when a cognitive stimulus is applied. In healthy controls, higher coherence values are elicited after a cognitive stimulus than after a sensory task. Our findings support the notion of disconnectivity of cortico-cortical connections in AD. The differences in comparison of oscillatory responses upon sensory and cognitive stimulations and their role as a biomarker in AD await further investigation in series with a greater number of subjects.
机译:阿尔茨海默氏病(AD)的诊断和治疗取决于临床评估,强烈需要一种客观的工具作为生物标记物。我们的小组研究了一小组AD受试者的大脑振动反应。我们发现,从头开始(未经治疗)的AD组与接受胆碱治疗的AD组和年龄匹配的健康对照组在认知刺激后左额中部区域的θ和δ反应方面不同。相反,与对照组相比,在感觉视觉刺激后在AD组中观察到的差异包括反应在初级或次级视觉感觉区域上的增加。这些发现暗示至少两个不同的神经网络,具体取决于刺激的类型(即认知或感觉)。定义为AD静止状态活动的默认模式似乎在电生理上受到影响。连贯性对于观察群体差异也非常有价值,尤其是在应用认知刺激时。在健康对照中,认知刺激后的感觉一致性要高于感觉任务。我们的发现支持AD中皮层-皮层连接的断开性的概念。感觉和认知刺激对振荡反应的比较差异以及它们在AD中作为生物标志物的作用,尚待与大量受试者进行进一步的研究。

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