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失明早期初级视觉皮层的功能连通性改变
Altered functional connectivity of primary visual cortex in early blindness
Yu C., Liu Y., Li J., Zhou Y., Wang K., Tian L., Qin W., Jiang T., Li K.  2009/5/29 18:40:20 
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Human Brain Mapping, 2008, Volume 29, Issue 5 
 
In early blindness, the primary visual area (PVA) loses the ability to process visual information, and shifts to working on the processing of somatosensory input, auditory input, and some higher-level cognitive functions. It has not yet been investigated whether such functional changes can lead to alterations of the functional connectivity between the PVA and other brain areas in resting state. The purpose of this study is to investigate the differences in the functional connectivity of the PVA between early blind and sighted subjects using resting functional MRI data. The altered functional connectivity was identified by comparing the correlation coefficients of the PVA with other brain areas between 16 early blind subjects (blindness onset within 1 year of age) and 32 gender- and age-matched healthy sighted volunteers. Compared with the sighted, the early blind subjects showed decreased functional connectivity between the left PVA and the bilateral supplementary motor area (SMA), pre- and postcentral gyri, superior parietal lobule, and the left superior and middle temporal gyri. Early blind subjects also showed decreased functional connectivity between the right PVA and the bilateral SMA, pre-and postcentral gyri. Our findings suggest that early deprivation of a single sensory modality induces alterations of functional connectivity between the deprived functional area and other associated brain areas. © 2007 Wiley-Liss, Inc.
Correspondence Address: Jiang, T.; National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, China; email: jiangtz@nlpr.ia.ac.cn 
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曹晶珠  邹大进

 

解放军第二军医大学附属长海医院内分泌科

 

患者为中年女性,35岁,因多饮、多尿、全身乏力、闭经1年,体重增加、肝区不适半年20088月入院。患者2007年感冒后出现多饮、多尿,每日饮水约10,000 ml,未予重视及诊治。2007年出现闭经,在外院妇产科就诊,先后予2次黄体酮肌肉注射,仍未来月经。半年前体重增加25 kg,肝区不适,肝功能示转氨酶升高。患者无便秘腹胀、无皮肤感染、无双下肢水肿,活动后稍感胸闷、气喘,夜尿增多,平均每小时1次。最大体重88.7 kg。既往史无特殊。月经史:初潮14岁,4/283020086月。

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