Neurobiological correlates underlying insomnia are poorly understood. The hyperarousal of the central nervous system indicates that cortical excitability may be abnormal in patients with insomnia. The purpose of the present study was to investigate changes in cortical excitability by examining the recovery function of median nerve somatosensory evoked potentials (SEPs) in patients with primary insomia (PI). We studied the recovery function of median nerve SEPs in 12 medication-naive PI patients and in 12 age- and sex-matched healthy subjects. SEPs in response to single stimulus and paired stimuli at interstimulus intervals (ISIs) of 20, 60, 100 and 150 ms were recorded. The recovery function of the cortical components of frontal P20 and parietal N20 showed significantly reduced suppression in PI patients as compared to healthy controls. In conclusion, this is the first study investigating changes in cortical excitability in PI patients by examining the recovery function of median nerve SEPs. The present study suggests that cortical excitability is increased in PI patients. Dysfunction of inhibitory GABAergic intemeurons of the cerebral cortex might contribute to the increased cortical excitability in PI patients. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45 Changchunjie Road, Beijing 100053, China
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45 Changchunjie Road, Beijing 100053, China
推荐引用方式(GB/T 7714):
Zhaoyang Huang,Shuqin Zhan,Ning Li,et al.Abnormal recovery function of somatosensory evoked potentials in patients with primary insomnia[J].PSYCHIATRY RESEARCH.2012,198(3):463-467.doi:10.1016/j.psychres.2011.11.024.
APA:
Zhaoyang Huang,Shuqin Zhan,Ning Li,Yan Ding&Yuping Wang.(2012).Abnormal recovery function of somatosensory evoked potentials in patients with primary insomnia.PSYCHIATRY RESEARCH,198,(3)
MLA:
Zhaoyang Huang,et al."Abnormal recovery function of somatosensory evoked potentials in patients with primary insomnia".PSYCHIATRY RESEARCH 198..3(2012):463-467