神经病学与神经康复学杂志2025，Vol.21Issue(6)：467-473,7.DOI:10.12022/jnnr.2025-0271
社会认知与社会脑网络及其在癫痫中的研究进展
Research progress on social cognition and social brain networks in epilepsy
摘要
Abstract
Social cognition is a core ability that enables individuals to recognize others'emotions and intentions and relies on a highly coordinated social brain network(SBN),which includes key brain regions such as the fusiform gyrus,amygdala,and medial prefrontal cortex.As a network disorder,epilepsy not only causes seizure manifestations but also disrupts the structure and function of the SBN through direct involvement of epileptogenic foci or the remote propagation of abnormal discharges,leading to social cognitive impairments such as difficulties in emotion recognition,deficits in theory of mind,impaired empathy,and abnormalities in social decision-making.Children and adolescents with epilepsy are particularly vulnerable to deviations in social cognitive development because their brain networks are still undergoing maturation.This review systematically elaborates on the neural underpinnings and clinical manifestations of the SBN in epilepsy,as well as its developmental characteristics in children and adolescents,and proposes a clinically translatable pathway from assessment to intervention.Furthermore,it emphasizes the integration of neuroimaging,neuropsychological assessment,and multimodal rehabilitation strategies to promote a paradigm shift in epilepsy management from seizure control to the improvement of social functioning.关键词
癫痫/社会认知/社会脑网络/儿童/青少年Key words
Epilepsy/Social cognition/Social brain network/Children/Adolescent引用本文复制引用
杨梦晗,洪桢,周东,杨天华..社会认知与社会脑网络及其在癫痫中的研究进展[J].神经病学与神经康复学杂志,2025,21(6):467-473,7.基金项目
国家重点研发计划(2022YFC2503802) （2022YFC2503802）
四川省科技计划项目(2023YFG0268)National Key Research and Development Program(2022YFC2503802) （2023YFG0268）
Sichuan Provincial Science and Technology Plan Project(2023YFG0268) （2023YFG0268）
