Page 30 - MEGIN Book Of Abstracts - 2023
P. 30

Memorial Hospital, Hsinchu, Taiwan                 wan; Healthy Aging Research Center, Chang Gung University,
                                                               Taoyuan, Taiwan; Laboratory of Brain Imaging and Neural
            ABSTRACT Previous studies have reported that       Dynamics (BIND Lab), Chang Gung University, Taoyuan,
            patients with panic disorder (PD) exhibited an aber-  Taiwan; Department of Psychiatry, Chang Gung Memorial
            rant level of GABA concentration, an inhibitory neu-  Hospital, Linkou, Taiwan. Electronic address: ch.cheng@mail.
            rotransmitter in the human brain. However, it remains   cgu.edu.tw; Department of Psychiatry, Chang Gung Memo-
            substantially unclear whether the inhibitory function   rial Hospital, Linkou, Taiwan; School of Medicine, Chang
            regarding the neurophysiological characteristics is   Gung University, Taoyuan, Taiwan; Department of Psychiatry,
            altered in this disease. Sensory gating (SG) is consid-  New Taipei Municipal TuCheng Hospital (Built and Operated
            ered as an automatic inhibitory function in the sensory   by Chang Gung Medical Foundation), Taiwan
            cortex. In addition, brain's gamma oscillation within
            the sensory cortex is another index to reflect inhibitory   BACKGROUND Mismatch negativity (MMN) or its
            function. Here we aimed to investigate whether the   magnetic counterpart (MMNm) is a neurophysiological
            patients with PD showed altered inhibitory function in   signal to reflect the automatic change-detection ability.
            the somatosensory system, including the primary (SI)   However, MMN studies in patients with panic disorder
            and secondary (SII) somatosensory cortices. A total of   (PD) showed contrasting results using electroencepha-
            20 healthy controls and 21 patients with PD underwent   lographic (EEG) recordings. The present study attempt-
            magnetoencephalographic recordings. Paired-pulse   ed to overcome the limitations of EEG methodology
            and single-pulse paradigms were used to study SG and   by means of a whole-head magnetoencephalography
            gamma oscillations, respectively. There were no signifi-  (MEG) combined with the depth-weighted minimum
            cant between-group differences in the SG function in   norm estimate method to conduct an in-depth inves-
            the SI and SII. However, patients with PD demonstrated   tigation on the MMNm at the cortical level in patients
            a reduced gamma power in the SI. Among the healthy   with PD.
            individuals, strong associations between SG ratios and
            gamma frequency values were observed in the SI. How-  METHODS We recruited 22 healthy controls (HC)
            ever, such a functional relationship disappeared among   and 20 patients with PD to perform auditory oddball
            the patients with PD. We suggested the reduced cou-  paradigm during MEG recordings. The cortical MMNm
            pling of SG and gamma oscillation as one of the neural   amplitudes and latencies in the superior temporal
            signatures in PD.                                  gyrus, inferior parietal lobule, and inferior frontal gyrus
                                                               (IFG) were compared between the HC and PD groups.
            Keywords: Gamma oscillation, Inhibitory function, Magne-  The correlations between MMNm responses and clini-
            toencephalography (MEG), Primary somatosensory cortex   cal measurement were also examined.
            (SI), Sensory gating
                                                               RESULTS Compared with the HC group, the PD group
            Psychiatry research. Neuroimaging (2021), Vol. 307   demonstrated significantly reduced MMNm amplitudes
            (33248324) (0 citations)                           in the IFG. Furthermore, higher trait scores of the State-
                                                               Trait Anxiety Inventory were associated with lower
                                                               MMNm amplitudes of the right IFG among patients
            Dysfunctional frontal activation of                with PD.
            mismatch negativity in panic disorder: A
            magnetoencephalographic study (2021)               LIMITATIONS Generalization of the current results to
                                                               other settings or samples should be made cautiously
                          Cheng, Chia-Hsiung; Hsu, Shih-Chieh; Liu, Chia-Yih  due to the use of different medication regimens and
                                                               presence of comorbidities in our patients.
            Department of Occupational Therapy and Graduate Institute
            of Behavioral Sciences, Chang Gung University, Taoyuan, Tai-







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