颈源性头痛患者静息态脑功能磁共振局部一致性研究
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1.川北医学院附属医院放射科;2.川北医学院附属医院神经内科

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创新研究群体科学基金;市校合作项目基金


A RESTING-STATE fMRI STUDY :REGIONAL HOMOGENEITY ALTERATIONS IN PATIENTS WITH CERVICOCOGENIC HEADACHE
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1.Department of radiology, affiliated hospital of north sichuan medical college, Nanchong 637000, China);2.Department of neurology, affiliated hospital of north sichuan medical college, Nanchong 637000, China)

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    摘要:

    摘 要 目的:应用静息态脑功能磁共振局部一致性方法探究颈源性头痛发生的中枢机制以及病人脑区的改变程度。方法:采用GE 3.0T磁共振对13例颈源性头痛患者(Cervicocogenic headache, CeH组)和13例健康志愿者(health control group,HC组)进行静息态脑功能磁共振扫描。再利用后处理软件进行数据处理统计。并将CeH组有差异脑区的局部一致性值(Regional homogeneity ,ReHo值)与患者视觉模拟评分(visual analogue scale,VAS)及病程进行相关分析。结果:CeH组与HC组相比,ReHo值增高的脑区有双侧楔前叶、左侧胼胝体压部、左侧背侧丘脑、左侧海马旁回、右侧岛叶、右侧枕中回以及双侧小脑半球;ReHo值降低的脑区有:双侧额上回-额中回-前扣带回、右侧中央后回、右侧楔前叶-后扣带回、右侧颞中回、左侧枕下回。且CeH组差异脑区ReHo值与VAS评分及病程之间没有相关性。结论:颈源性头痛是累积多个脑区的病理状态,涉及情感、记忆、认知等多个方面。

    Abstract:

    Abstract Objective: by using the Regional Homogeneity method of resting brain functional magnetic resonance imaging (fmri),we investigate the central mechanism of cervicocogenic headache and the degree of change in the patient's brain area .Methods: GE 3.0T magnetic resonance imaging was used to perform resting functional magnetic resonance scanning for 13 patients with Cervicocogenic headache (CeH group) and13 healthy volunteers (health control group (HC group). After the use of post-processing software for data processing statistics.Correlation analysis was performed between Regional Homogeneity (ReHo) of different brain areas in the CeH group,visual analogue scale (VAS),and disease course. Results: Compared with HC group, the brain areas with increased ReHo value in CeH group were bilateral precuneus, left corpus callosum, left dorsal thalamus, left parahippocampal gyrus, right insula, right occipital middle gyrus, and bilateral cerebellar hemispheres. Brain regions with decreased ReHo were: bilateral superior frontal gyrus - middle frontal gyrus - anterior cingulate gyrus, right central posterior gyrus, right precuneus - posterior cingulate gyrus, right middle temporal gyrus, and left inferior occipital gyrus. In addition, there was no correlation between brain ReHo and VAS score and disease course in the CeH group.Conclusion: Cervicocogenic headache is a pathological state that affects multiple brain ,involving emotion, memory, cognitive and other aspects.

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  • 收稿日期:2019-03-04
  • 最后修改日期:2019-08-23
  • 录用日期:2019-10-15
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