PMID- 22424903 OWN - NLM STAT- MEDLINE DCOM- 20130430 LR - 20121112 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 198 IP - 3 DP - 2012 Aug 15 TI - Abnormal recovery function of somatosensory evoked potentials in patients with primary insomnia. PG - 463-7 LID - S0165-1781(11)00781-5 [pii] LID - 10.1016/j.psychres.2011.11.024 [doi] AB - Neurobiological correlates underlying insomnia are poorly understood. The hyperarousal of the central nervous system indicates that cortical excitability may be abnormal in patients with insomnia. The purpose of the present study was to investigate changes in cortical excitability by examining the recovery function of median nerve somatosensory evoked potentials (SEPs) in patients with primary insomia (PI). We studied the recovery function of median nerve SEPs in 12 medication-naive PI patients and in 12 age- and sex-matched healthy subjects. SEPs in response to single stimulus and paired stimuli at interstimulus intervals (ISIs) of 20, 60, 100 and 150 ms were recorded. The recovery function of the cortical components of frontal P20 and parietal N20 showed significantly reduced suppression in PI patients as compared to healthy controls. In conclusion, this is the first study investigating changes in cortical excitability in PI patients by examining the recovery function of median nerve SEPs. The present study suggests that cortical excitability is increased in PI patients. Dysfunction of inhibitory GABAergic interneurons of the cerebral cortex might contribute to the increased cortical excitability in PI patients. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Huang, Zhaoyang AU - Huang Z AD - Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45 Changchunjie Road, Beijing 100053, China. FAU - Zhan, Shuqin AU - Zhan S FAU - Li, Ning AU - Li N FAU - Ding, Yan AU - Ding Y FAU - Wang, Yuping AU - Wang Y LA - eng PT - Journal Article DEP - 20120316 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - Case-Control Studies MH - Electric Stimulation/methods MH - Evoked Potentials, Somatosensory/*physiology MH - Female MH - Humans MH - Male MH - Median Nerve/physiology MH - Recovery of Function/*physiology MH - Sleep Initiation and Maintenance Disorders/*physiopathology MH - Somatosensory Cortex/*physiopathology EDAT- 2012/03/20 06:00 MHDA- 2013/05/01 06:00 CRDT- 2012/03/20 06:00 PHST- 2011/01/27 00:00 [received] PHST- 2011/11/13 00:00 [revised] PHST- 2011/11/26 00:00 [accepted] PHST- 2012/03/20 06:00 [entrez] PHST- 2012/03/20 06:00 [pubmed] PHST- 2013/05/01 06:00 [medline] AID - S0165-1781(11)00781-5 [pii] AID - 10.1016/j.psychres.2011.11.024 [doi] PST - ppublish SO - Psychiatry Res. 2012 Aug 15;198(3):463-7. doi: 10.1016/j.psychres.2011.11.024. Epub 2012 Mar 16.