Altered Cortical Information Interaction During Respiratory Events in Children with Obstructive Sleep Apnea-Hypopnea Syndrome.

Journal: Neuroscience bulletin

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Affiliated Institutions:  Key Laboratory of Brain, Cognition and Education Science, Ministry of Education, China; Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, , China. Department of Sleep Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, , China. TUM-Neuroimaging Center, Technical University of Munich, , Munich, Germany. Department of Sleep Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, , China. pangf@mail.sysu.edu.cn. Key Laboratory of Brain, Cognition and Education Science, Ministry of Education, China; Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, , China. liangjiuxing@m.scnu.edu.cn.

Abstract summary 

Obstructive sleep apnea-hypopnea syndrome (OSAHS) significantly impairs children's growth and cognition. This study aims to elucidate the pathophysiological mechanisms underlying OSAHS in children, with a particular focus on the alterations in cortical information interaction during respiratory events. We analyzed sleep electroencephalography before, during, and after events, utilizing Symbolic Transfer Entropy (STE) for brain network construction and information flow assessment. The results showed a significant increase in STE after events in specific frequency bands during N2 and rapid eye movement (REM) stages, along with increased STE during N3 stage events. Moreover, a noteworthy rise in the information flow imbalance within and between hemispheres was found after events, displaying unique patterns in central sleep apnea and hypopnea. Importantly, some of these alterations were correlated with symptom severity. These findings highlight significant changes in brain region coordination and communication during respiratory events, offering novel insights into OSAHS pathophysiology in children.

Authors & Co-authors:  Chen Lin Shi Shen Weng Pang Liang

Study Outcome 

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Statistics
Citations :  Bokov P, Matrot B, Medjahdi N, Boureghda S, Essalhi M, Konofal E. Cross-sectional study of loop gain abnormalities in childhood obstructive sleep apnea syndrome. Sleep Med 2020, 69: 172–178.
Authors :  7
Identifiers
Doi : 10.1007/s12264-024-01197-z
SSN : 1995-8218
Study Population
Male,Female
Mesh Terms
Other Terms
Children;Effective connectivity;Electroencephalogram;Obstructive sleep apnea-hypopnea syndrome;Respiratory events;Symbolic transfer entropy
Study Design
Study Approach
Country of Study
Publication Country
Singapore