Abstract
Nine patients with posttraumatic Korsakoff syndrome (KS) were examined before and after a rehabilitation course of feedback stability training (ST) using EEG, posturographic and clinical tests (with the FIM and Mayo Portland scales used for estimation). During 7 to 12 sessions, the patients tried to perform static and motor tasks. A group of 18 healthy subjects were examined to provide standard parameters. The results demonstrated a disturbed spatiotemporal EEG pattern in patients with KS before ST in the form of a reduced coherence for short derivation pairs (intrahemispheric, interhemispheric, and diagonal ones) in frontal and parietooccipital areas. Analysis of specific EEG rhythms demonstrated the maximum decrease in coherence in the α band (with the aforementioned regional specificity) and for long diagonal pairs (between the left frontal and right parietooccipital areas). The ST course was accompanied by KS regression (according to clinical scales and posturographic study); an original increase in EEG coherence, especially that of α waves, was recorded in the occipitoparietal and central frontal areas of the right hemisphere; a subsequent increase in coherence of the frontal areas in both hemispheres was observed. Late after the ST course, further positive changes were characteristic of the EEG spatiotemporal pattern. However, comparison with standard data suggested incomplete recovery of various coherence parameters: hypertrophied coherence in intrahemispheric pairs and still reduced values in interhemispheric derivations. This EEG pattern suggested incomplete KS regression, which was confirmed by clinical data.
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References
Grindel, O.M., Entsefalogramma cheloveka pri cherepno-mozgovoi travme, (Human Encephalogram in Traumatic Brain Injury), Moscow: Nauka, 1988.
Grindel, O.M., Voronov, V.G., Romanova, N.V., et al., Intercentral EEG Relationships in Regressing and Chronic Korsakoffís Syndrome, Zh. Vyssh. Nerv. Deyat., 2001, vol. 51, no. 5, p. 572
Dobrokhotova, T.A., Potapov, A.A., Zaitsev, O.S., et al., Reversible Postcomatose States, Sots. Clin. Psychiatry, 1996, no. 2, p. 26.
Sharova, E.V., Adaptive Compensatory Rearrangement of Human Brain Bioelectrical Activity in Brainstem Injuries, Doctoral (Biol.) Dissertation, Moscow: Institute of Higher Nervous Activity and Neurophysiology of the Russian Academy of Sciences, 1999.
Sharova, E.V., Obraztsova, E.R., Zaitsev, O.S., et al., Specific EEG in Posttraumatic Korsakoffís Syndrome, Zh. Nevrol. Psikhiatr., 2001, vol. 101, no. 5, p. 32.
Obraztsova, E.R., Sharova, E.V., Zaitsev, O.S., et al., Specific Human Brain Bioelectrical Activity in Posttraumatic Korsakoff’s Syndrome, Zh. Nevrol. Psikhiatr., 2003, vol. 103, no. 8, p. 59.
Obraztsova, E. R., Neurophysiological Mechanisms of Posttraumatic Korsakoff’s Syndrome, Doctoral (Med.) Dissertation, Moscow, 2007.
Zaitsev, O.S., Psychopathology of Severe Traumatic Brain Injury, Doctoral (Med.) Dissertation, Moscow, 2004.
Ioffe, M.E., Ustinova, K.I., and Chernikova, L.A., Education of Voluntary Posture Control under Conditions of Posturogram Bioregulation, in Trudy XXX Vserossiiskogo soveshchaniya po problemam vysshei nervnoi deyatel’nosty (Proc. XXX All-Russian Conf. on the Problems of Higher Nervous Activity), St. Peterburg, 2000, p. 338.
Petrukhova, I.S., Luzinovich, V.M., and Sologubova, E.G., Regulyatsiya pozy i khod’by pri detskom tserebral’nom paraliche i nekotorye sposoby korrektsii (Regulation of Gait and Posture in Cerebral Palsy and Some Methods of Correction), Moscow: Knizhnaya Palata, 1996.
Skvortsov, D.V., Klinicheskii analyz dvizhenii, (Clinical Analysis of Movements), Moscow: MBN, 2000.
Ustinova, K.I., Chernikova, L.A., Ioffe, M.E., and Sliva, S.S., Impaired Learning of the Voluntary Posture Control in Cortical Injury of Various Locations: On the Cortical Mechanisms of Posture Control, Zh. Vyssh Nervn. Deyat., 2000, vol. 50, no. 3, p. 421.
Shvarkov, S.B., Davydov, O.S., Kuuz, R.A., et al., New Approaches to Rehabilitation of Patients with Neurological Motor Defects, Zh. Nevropat. Psikhiatr., 1996, vol. 96, no. 3, p. 51.
Radovanovic, S., Dragasevic, N., and Markovic, S, Cognitive and Motor Dual Task Effect on Posture and Balance Impairment in Parkinsons Disease Patients, in Abstr. 2nd Congress on Gait and Mental Functions, Amsterdam, 2008, p. 128.
Scherder, E.J., A., Basic Science of the Interaction in Gait and Mental Dysfunction; Gait and Cognitive Activity Are Closely Related, Abstr. 2nd Congress on Gait and Mental Functions, Amsterdam, 2008, p. 15.
Luchikhin, L.A., Equilibrium Function: Clinical Aspects, Doctoral (Med.) Dissertation, Moscow, 1991.
Luchikhin, L.A. and Patrin, A.F., The State of Equilibrium Function in Persons of Various Ages as Determined from Posturography Data, Vestn. Otolaringol., 1983, no. 5, p. 29.
Accornero, N., Cappoza, M., Rinalduzzi, S., and Manfredi, G.W., Clinical Multisegmental Posturography: Age-Related Changes in Stance Control, EEG Clin. Neurophysiol., 1997, vol. 105, no. 3, p. 213.
Balon, R.W., Jacobson, K.M., Enrietto, J.A., et al., Balance Disorders in Older Persons: Quantification with Posturography, Otolaryngol. Head Neck Surg., 1998, vol. 119, no. 1, p. 89.
Camicioli, R., Pancer, V.P., and Kaye, J., Balance in Healthy Elderly and Clinical Assessment, Arch. Neurol., 1997, vol. 54, no. 8, p. 976.
Zhuchenko, T.D., Balance Disorders in Elderly Persons with Chronic Vascular Insufficiency, Cand. Sci. (Med.) Dissertation, Moscow: Med. Academy, 1995.
Cherebillo, V.Yu., The State of Statokinetic Function in Oncologic Brain Injury, Cand. Sci. (Med.) Dissertation, St. Petersburg, 1996.
Zhavoronkova, L.A., Maksakova, O.A., Smirnova, N.Ya., and Naidin, V.L., Interhemispheric EEG Coherence during Rehabilitation of Patients after Severe Craniocerebral Injury, Fiziol. Chel., 2001, vol. 27, no. 2, p. 5. [Hum. Physiol. (Eng. Transl.), 2001, vol. 27, no. 2, p. 133].
Zhavoronkova, L.A., Lukyanov, V.I., Maksakova, O.A., and Shchekut’ev, G.A., Assessment of the Course of Rehabilitation of Patients with Craniocerebral Injury According to Posturographic, Encephalographic, and Clinical Indices, Fiziol. Chel., 2003, vol. 29, no. 1, p. 38. [Hum. Physiol. (Eng. Transl.), 2003, vol. 29, no. 1, p. 31].
Zhavoronkova, L.A., Maksakova, O.A., and Shcheku’ev, G.A., Role of the Visual Afferent Stream in Recovery of the Postural Control in Different Periods after Craniocerebral Injury, Fiziol. Chel., 2005, vol. 31, no. 4, p. 5; [Hum. Physiol., (Eng. Transl.), 2005, vol. 31, no. 4, p. 373].
Zhavoronkova, L.A., Pravshi-levshi: mezhpolusharnaya asimmetriya electricheskoi aktivnisti mozga cheloveka, (Right- and Left-Handers: Interhemispheric Asymmetry of the Human Brain Electric Activity, Moscow: Nauka, 2006.
Geurts, A.C., Ribbets, G.M., Knoop, J.A., and Limbeek, J., Identification of Static and Dynamic Postural Instability Following Traumatic Brain Injury, Arch. Phys. Med. Rehabil., 1996, vol. 77, no. 6, p. 639.
Malec, J.F. and Thompson, J.M., Relationship of the Mayo-Portland Adaptability Inventory to Functional Outcome and Cognitive Performance Measures, J. Head Trauma Rehabil., 1994, vol. 9, no. 4, p. 1.
Zhavoronkova, L.A., Gabova, A.V., Kuznetsova G.D., et al., Postradiation Disorders of Interhemispheric Asymmetry of Electroencephalographic and Thermographic Parameters during Cognitive Activity, Zh. Vyssh. Nervn. Deyat., 2003, vol. 53, no. 4, p. 410.
Sviderskaya, N.E. and Korol’kova, T.A., Spatial Organization of Electrical Processes in Brain, Zh. Vyssh. Nervn. Deyat., 1997, vol. 47, no. 5, p. 782.
Ivanitskii, A.M., Interaction Foci, Information Systems, Psychical Activity, Zh. Vyssh. Nervn. Deyat., 1993, vol. 43, no. 2, p. 219.
Strelets, V.B., Garakh, Zh.V., Novototskii-Vlasov, V.Y., and Magamedov, R.A., Neurosci. Behav. Physiol., 2006, vol. 36, no. 6, p. 655.
Magomedov, R.A., Neurophysiological Mechanisms of Cognitive Disorders in Schizophrenia, Cand. Sci. (Med.) Dissertation, Moscow: Institute of Higher Nervous Activity, 2008.
Lopez de Silva, F.H., Neural Mechanisms Underlying Braine Waves: from Neural Membrane to Networks, EEG Clin. Neurophysiol., 1991, vol. 79, p. 81.
Sologubov, E.V., Yavorskii, A.B., Kobrin, V.I., et al., The Role of Vestibular and Visual Analyzers in the Changes in Postural Activity in Children with Cerebral Palsy during Treatment with the Use of Space Technologies: A Posturographic Study, Aviats. Kosm. Med., 1995, vol. 29, no. 5, p. 30.
Sinelínikova, A.N., Sologubov, E.G., Yavorskii, A.B., et al., Interaction between Visual and Proprioceptive Analyzers in Vertical Posture Control, Fiziol. Chel., 2001, vol. 27, no. 3, p. 61. [Hum. Physiol. (Eng. Transl.), 2001, vol. 27, no. 3 p 312].
Boldyreva, G.N., Elektricheskaya aktivností mozga cheloveka pri porazhenii dientsefalínykh i limbicheskikh struktur, (Cerebral Electric Activity in Patients with Disturbed Diencephalic and Limbic Structures), Moscow: Nauka, 2000.
Boldyreva, G.N., Zhavoronkova, L.A., Sharova, E.V., and Dobronravova, I.S., Normal and Pathological Intercentral EEG Relationships that Reflect Systemic Organization of the Human Brain, Zh. Vyssh. Nervn. Deyat., 2003, vol. 33, no. 4, p. 391.
Rusinov, V.S., Grindenlí, O.M., Boldyreva, G.N., and Vakar, E.M., Biopotentsialy mozga cheloveka (matematicheskii analiz), (Human Brain Bioelectric Potentials: Mathematical Analysis, Moscow: Meditsina, 1987.
Damassio, H., The Somatic Markers Hypothesis and Possible Functions of the Prefrontal Cortex, Phil. Trans. R. Soc. Bul., 1995, vol. 351, p. 1413.
Kostandov, E.A., Funktsional’naya asimmetriya polusharii mozga i neosoznavaemoe vospriyatie, (Functional Asymmetry of Brain Hemispheres and Unconscious Perception), Moscow: Nauka, 1983.
Tucker, D.H., Stenslie, C.E., Roth, R.S., and Shearer, S.L., Right Frontal Lobe Activation and Right Hemispheric Performance Decrement during Depressed Mood, Arch. Gen. Psychiat., 1981, vol. 38, p. 169.
Grindel’, O.M., The Optimal Level of EEG Coherence and Its Role in Estimation of the Functional State of the Human Brain, Zh. Vyssh. Nervn. Deyat., 1980, vol. 30, no. 1, p. 62.
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Original Russian Text © L.A. Zhavoronkova, O.A. Maksakova, A.V. Zharikova, I.S. Flerov, G.A. Shchekut’ev, V.L. Naidin, 2009, published in Fiziologiya Cheloveka, 2009, Vol. 35, No. 2, pp. 16–26.
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Zhavoronkova, L.A., Maksakova, O.A., Zharikova, A.V. et al. EEG markers of the stabilotraining effect during the rehabilitation of patients with posttraumatic Korsakoff’s syndrome. Hum Physiol 35, 142–151 (2009). https://doi.org/10.1134/S0362119709020029
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DOI: https://doi.org/10.1134/S0362119709020029