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Advanced Neurology                                        MNS in patients with anxiety and depressive symptoms


























            Figure 3. Scheme for obtaining results: Mirror tasks caused clear mu-rhythm suppression in the central regions of the brain in the upper-frequency range
            (10.5 – 13 Hz) in the control group. Patients showed suppression of EEG rhythms over a wider range of frequencies and in several areas of the brain and
            the greatest activation of the MNS was in the tasks of observation and joint execution of hand clenching.

            Second, suppression occurred over a wider frequency   may mean that patients suffering from affective disorders
            range in the alpha-1, alpha-2, and beta frequency bands.   engage in additional resources and neural networks to
            Third,  suppression  mainly  occurred  during  observation   complete  the  tasks.  Available  data  support  the  notion
            and joint execution tasks. Notably, the level of rhythm   that patients with anxiety and depressive symptoms have
            desynchronization in patients was generally not lower   weak and inefficient brain networks and require additional
            than that in the healthy subjects. Thus, no insufficiency or   neural resources. 33,45  This also indicates that the MNS is
            decrease in the activity of the system was established, and   a functional network that is not tightly bound to specific
            there were differences in localization, frequency band, and   brain structures and may involve additional non-specific
            selectivity in tasks.                              areas.
              Changes in the localization and a frequency shift of   The mirror system of the human brain contains many
            functional rhythms are the most common findings from   different areas. The MNS core is generally thought to
            studies on depressive and anxiety disorders.  Spatial-  include the following cortical regions: the inferior parietal
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            frequency changes in the organization of brain activity in   lobule, especially the supramarginal gyrus and adjacent
            patients with anxiety-affective disorders have also been   intraparietal sulcus, ventral premotor cortex, and posterior
            confirmed by other authors. 52-57  Thus, if the frequency of   inferior frontal gyrus. However, the extended MNS
            the main rhythm is shifted in patients as a result of their   contains additional regions, including the primary motor
            mental state, eventhough it remains functionally similar to   cortex and supplementary motor area. 13,58
            the alpha or mu rhythm, the suppression of the alpha or   In addition, there are features and differences in
            mu rhythm would appear in a wider range of frequencies.   the areas and connections of the MNS that implement
            Therefore, a shift in basic functional EEG rhythms may   hand movements and facial expressions.  Difficulties
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            reflect a change in the functional state of the brain.  with identifying specific structures also lie in the fact
              In this study, patients exhibited strong suppression of   that it is impossible to clearly limit the functions of
            alpha-1, alpha-2, and even beta-1 rhythms in the occipital,   the MNS to: projection of movements, projection and
            central, and frontal regions. It can be assumed that this shift   emotional assessment, projection, emotional assessment,
            in the frequency and spatial distribution reflects changes   and understanding of the goal, or understanding the
            in the extended MNS and other associated functional   motive of the opponent’s actions. Thus, spatial activation
            networks.  Activation  areas  in  patients  defined  by  the   when observing and performing movements can vary
            sLORETA are diffusely distributed almost throughout   significantly and can include many different areas.
            the entire volume of the brain, affecting both the frontal   Numerous studies have identified that the human
            lobes and visual areas, with the highest intensity recorded   mirror system is, to some extent, both a product and a
            in the alpha-1 range. Significant intensity in patients was   process of social interaction.  It has been shown that it is
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            registered in Brodmann areas 8 and 9 of the frontal lobes,   possible to retrain the MNS with motor training.  These
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            in the associative visual field 19 and fields 35 and 36. This   results indicate that the mirror properties of the mirror

            Volume 3 Issue 1 (2024)                         8                         https://doi.org/10.36922/an.2009
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