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Abstract

Dorsal attention network (DAN) is associated with wide-ranging cognitive damage resulting in right temporal lobe epilepsy (TLE). Nevertheless, little is known about the relationship between DAN and TLE, let alone the alternations of network homogeneity (NH) of DAN in rTLE patients. Hence, in this study, we aim to utilize the NH approach to determine the NH of DAN in resting state TLE patients. 

There were 85 TLE patients and 69 healthy controls recruited, who went through resting-state functional magnetic resonance imaging (rs-fMRI) and the attentional network test (ANT). The NH method and independent component analysis (ICA) were conducted to analyze the data. 

Comparing with the healthy controls, TLE patients showed significantly increased NH values in the right superior parietal lobule (SPL) as well as right precuneus (PCU). In addition, reaction time (RT) was found significantly longer in TLE patients in comparison with healthy controls. Last but not the least, there were no significant relationship between the clinical variables and abnormal NH values in TLE patients.

Our results indicated that abnormal NH of DAN was in the TLE patients and stressed the crucial role of DAN in the pathophysiology of cognitive damage in TLE. We also found that executive function (EF) significantly weakened in the TLE patients.

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高玉军·副主任医师
高玉军副主任医师自营医生三甲可处方
武汉科技大学附属天佑医院精神科
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擅长:精神分裂症、情感障碍、癫痫、抑郁症、躁狂症、强迫症、焦虑症、睡眠障碍、痴呆症、创伤后应激障碍、器质性精神病、进食障碍、酒精毒品所致精神障碍等精神疾病。 人际关系、行为认知等心理治疗,以及夫妻、婆媳、母子家庭心理治疗、青少年心理障碍尤其擅长高学历患者心理咨询(答辩、论文、就业以及海外留学生等)(如果咨询的话,请预约电话或视频咨询)
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#概述#精神心理科#头颈部症状#颞叶性癫痫
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主要由先天异常、后天因素以及感染造成主要表现为意识、语言、感觉障碍等一般可治愈,经药物及手术治疗后预后较好简介颞叶癫痫属于常见急性病,发病原因由先天异常、后天因素(如肿瘤、意外受伤等)以及感染等多种因素造成,主要表现为意识障碍、语言障碍、感觉障碍等,情况严重可危及患者生命,一般可治愈,通过药物治疗结合手术治疗可治愈,预后情况较好,但易复发,应格外注意[1]。症状表现:典型症状为意识障碍、语言障碍、感觉障碍。诊断依据:主要通过意识障碍、语言障碍、感觉障碍等典型症状以及CT、心理学评估及基因检查,若患者有癫痫基因或CT显示海马硬化和萎缩、心理学评估患者智力减退可确诊。颞叶癫痫有哪些类型?颞极型:发病部位位于颞极,发病时更易向外侧扩散;颞叶外侧型:多由肿瘤、脑细胞发育良导致,发病时症状可累及全身;颞叶内侧结构型:多存在于幼儿时期,经十年到二十年的静止期后出现癫痫发作;颞叶混合型:发病时累及颞叶内侧和新皮层。是否具有传染性?否是否常见?本病较为常见,是癫痫中最常见的类型,国内患病率约为7‰[1]。是否可以治愈?本病有希望治愈,但完全治愈需要的时间较久,通过药物治疗和手术治疗可控制病情,延长生命周期。是否遗传?是,父母或有血缘关系的长辈遗传给子女后代,子女患颞叶癫痫的几率大大提高。是否医保范围?是
高玉军·副主任医师王群主任医师首都医科大学附属北京天坛医院
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