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Brain Network Signature of Autoscopic Phenomena in Humans

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机构: [1]Department of Neurology, Xuanwu Hospital, Clinical Center for Epilepsy, Capital Medical University, Beijing, China. [2]National Center for Neurological Disorders, Beijing, China. [3]Department of Neurology, China Rehabilitation Research Center, Beijing, China. [4]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China. [5]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China. [6]Department of Pharmacy Phase I Clinical Trial Center, Xuanwu Hospital, Capital Medical University, Beijing, China. [7]Jinan Hospital of Xuanwu Hospital, Shandong First Medical University, Jinan, China.
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关键词: autoscopic phenomena epilepsy functional human connectome lesion network mapping seizure semiology

摘要:
Autoscopic phenomena (AP) are distinct manifestations of epileptic seizure semiology and are also identified in diverse psychiatric disorders. Our study aimed to map the brain AP network and characterize its multimodal signatures.By performing lesion network mapping using the human connectome dataset (n = 1000), we investigated the brain AP network derived from 25 cases of AP caused by distributed focal brain lesions (n = 19) and direct electrical stimulation (DES) (n = 6). We further studied the multimodal signatures of the AP network, including exploring spatial correlation with human cortical developmental and evolutionary expansions, neurotransmitters, and electrophysiological rhythms.We mapped a common AP network primarily involving the bilateral angular gyrus, posterior medial cortex, intraparietal sulcus, cuneus, fusiform and insula. Specifically, the bilateral thalamic pulvinar were identified as subcortical hubs. We further found a significant negative correlation between the AP network and developmental and evolutionary expansions. Particularly, the spatial density of norepinephrine transporter and the alpha frequency band power were significantly positively correlated with the AP network.Our study identified a common brain AP network and uncovered its multimodal signatures. These findings may clarify the network mechanisms underpinning AP, providing novel insights into bodily self-consciousness.© 2025 The Author(s). CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd.

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大类 | 2 区 医学
小类 | 2 区 药学 3 区 神经科学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 药学 3 区 神经科学
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第一作者机构: [1]Department of Neurology, Xuanwu Hospital, Clinical Center for Epilepsy, Capital Medical University, Beijing, China. [2]National Center for Neurological Disorders, Beijing, China.
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通讯作者:
通讯机构: [1]Department of Neurology, Xuanwu Hospital, Clinical Center for Epilepsy, Capital Medical University, Beijing, China. [2]National Center for Neurological Disorders, Beijing, China. [7]Jinan Hospital of Xuanwu Hospital, Shandong First Medical University, Jinan, China.
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