Neural generators of psychogenic seizures: Evidence from intracranial and extracranial brain recordings

被引:7
作者
Arzy, Shahar [1 ,2 ]
Halje, Paer [3 ,5 ]
Schechter, Daniel S. [4 ]
Spinelli, Laurent [2 ]
Seeck, Margitta [2 ]
Blanke, Olaf [2 ,3 ]
机构
[1] Hadassah Hebrew Univ, Med Ctr, Dept Neurol, Jerusalem, Israel
[2] Univ Hosp, Dept Neurol, Geneva, Switzerland
[3] Ecole Polytech Federale Lausanne, Ctr Neuroprosthet & Brain Mind Inst, Lab Cognit Neurosci, Lausanne, Switzerland
[4] Univ Hosp, Dept Child Psychiat, Geneva, Switzerland
[5] Lund Univ, Fac Expt Med Sci, Lund, Sweden
基金
欧盟第七框架计划; 瑞士国家科学基金会;
关键词
Psychogenic seizures; Frequency analysis; Intracranial recording; Theta rhythm; EEG; FUNCTIONAL CONNECTIVITY; NONEPILEPTIC SEIZURES; SELF; FREQUENCIES;
D O I
10.1016/j.yebeh.2013.10.017
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Psychogenic seizures (PSs) convincingly mimic seizure phenomena but with no underlying epileptic activity. However, not much is known about their neurophysiological basis. We had the rare opportunity to analyze intracranial brain recordings of PSs occurring besides epileptic seizures (ESs), which identified distinct frequency changes over the parietal cortex. For further validation, we applied topographic frequency analysis to two other patients who presented PSs and ESs during long-term monitoring. The analysis revealed a power decrease in the theta band at the posterior parietal cortex in all three patients during PSs but not during ESs. These changes may reflect disturbed self-referential processing associated with some PSs. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:381 / 385
页数:5
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