Large-scale network architecture and associated structural cortico-subcortical abnormalities in patients with sleep/awake-related seizures

被引:16
|
作者
Chiosa, Vitalie [1 ,2 ,3 ]
Ciolac, Dumitru [1 ,2 ,3 ]
Groppa, Stanislav [2 ,3 ]
Koirala, Nabin [1 ]
Pintea, Bogdan [4 ]
Vataman, Anatolie [2 ]
Winter, Yaroslav [1 ]
Gonzalez-Escamilla, Gabriel [1 ]
Muthuraman, Muthuraman [1 ]
Groppa, Sergiu [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Rhine Main Neurosci Network Rmn2, Dept Neurol Neuroimaging & Neurostimulat, Focus Program Translat Neurosci FTN,Univ Med Ctr, Mainz, Germany
[2] Nicolae Testemianu State Univ Med & Pharm, Lab Neurobiol & Med Genet, Kishinev, Moldova
[3] Inst Emergency Med, Dept Neurol, Kishinev, Moldova
[4] BG Univ Hosp Bochum, Dept Neurosurg, Bochum, Germany
关键词
sleep seizures; awake seizures; network topology; structural correlates; HUMAN CEREBRAL-CORTEX; ILAE COMMISSION; POSITION PAPER; SLEEP; EPILEPSY; CONNECTIVITY; CLASSIFICATION; SEGMENTATION; TRACTOGRAPHY; THICKNESS;
D O I
10.1093/sleep/zsz006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Objectives In this study, we aimed to estimate the alterations of brain networks and structural integrity linked to seizure occurrence during sleep and awake states. Methods Using a graph theory approach to magnetic resonance imaging-derived volumes of cortical and subcortical regions, we investigated the topological organization of structural networks in patients with sleep seizures (n = 13), patients with awake seizures (n = 12), and age- and sex-matched healthy controls (n = 10). Abnormalities in regional structural substrates (cortical volume/surface area, subcortical volumes) associated with sleep seizures and awake seizures were further analyzed. Results Brain networks in patients with sleep seizures compared to patients with awake seizures displayed a more integrated structural organization coupled with greater networks' stability. When compared to healthy controls, networks in both patients with sleep and awake seizures were analogously compromised, exhibiting a less integrated and preserved organization. Patients with sleep seizures in contrast to awake seizures had larger volumes of bilateral insula, superior temporal, and orbitofrontal cortices but lower volumes of left postcentral and right middle temporal cortices in comparison to healthy controls. Patients with awake seizures compared to healthy controls displayed reduced volumes mainly in frontal, temporal, and parietal regions of right hemisphere. Volumes of hippocampus, amygdala, caudate, pallidum, and putamen were larger in patients with sleep seizures than in patients with awake seizures. Conclusions Despite epileptogenesis, patients with sleep and awake seizures had distinct network and structural correlates across different epilepsy types. Identified regional cortical/subcortical abnormalities can endorse the pathophysiological alterations that induce seizures during the sleep or awake states.
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页数:9
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