| 선천성 경상 운동 환자에서 fMRI를 이용한
운동-감각 피질의 활성화 양상 |
| 김나영**, 이경민*,**김재우*** |
| 서울대학교 의과대학 신경과학교실*,서울대학교 대학원 인지과학 협동과정**,동아대학교 의과대학 신경과학교실*** |
| Cortical Activation Related to Motor and Sensory Tasks in
Congenital Mirror Movement using Functional MRI |
| Na-Young Kim, B.S.**, Kyoung-Min Lee, M.D., Ph.D.* , **, Jae-Woo Kim, M.D.*** |
| Department of Neurology, College of Medicine, Seoul National University,*
Interdisciplinary Program for Cognitive Science, Seoul National University,**
Department of Neurology, College of Medicine, Dong-A University*** |
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| Abstract |
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Background : Mirror movements are symmetric, identical, contralateral involuntary movements that accompany vol-untary movements on one side of the body. The aim of this study is to examine the patterns of brain activation during motor and sensory tasks using a functional magnetic resonance imaging (fMRI) and to compare them between normal subjects and a patient with congenital mirror movements. M e t h o d s : A 19 year-old patient with congenital mirror movements and seven normal volunteers (mean age: 29 years old), performed finger-tapping and tactile stimulation tasks with the right, left, and both hands, while gradient echo EPI (echo planar imaging) images were acquired in a 1.5T scanner. Results : During the motor and sensory tasks, the patient showed a bilateral activation of the primary motor and sensory cortices, whereas normal subjects showed only unilateral activations. Activations related to the motor task was observed in the primary sensory cortex, the supplementary motor area, and the cerebellum as well as the primary motor cortex in the case of the patient, while only the primary motor cortex was significantly activated in normal subjects. Conclusions : These findings suggest that the abnormality underlying congenital mirror movements involves not only the primary motor cortices and interhemispheric connections between them, but also the more extended motor-sensory circuitry including the primary sensory cortex, supplementary motor area, and cerebellum. J Korean Neurol Assoc 17(6):829~835, 1999 Key Words : Congenital mirror movement, Functional MRI, Bilateral activation, Primary motor-sensory areas, Supplementary motor area |
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