scholarly journals White matter degeneration in remote brain areas of stroke patients with motor impairment due to basal ganglia lesions

2021 ◽  
Author(s):  
Xuejin Cao ◽  
Zan Wang ◽  
Xiaohui Chen ◽  
Yanli Liu ◽  
Wei Wang ◽  
...  
Keyword(s):  
White Matter ◽  
Basal Ganglia ◽  
Motor Impairment ◽  
Stroke Patients ◽  
Brain Areas ◽  
White Matter Degeneration

scholarly journals White matter degeneration in remote brain areas of stroke patients with motor impairment due to basal ganglia lesions

2021 ◽  
Author(s):  
Xuejin Cao ◽  
Zan Wang ◽  
Xiaohui Chen ◽  
Yanli Liu ◽  
Wei Wang ◽  
...  
Keyword(s):  
White Matter ◽  
Basal Ganglia ◽  
Structural Changes ◽  
Diffusion Tensor ◽  
Motor Impairment ◽  
Brain Regions ◽  
Stroke Patients ◽  
Brain Areas ◽  
Structural Network ◽  
Multivariate Pattern

Abstract Diffusion tensor imaging (DTI) studies have revealed distinct white matter characteristics of the brain following diseases. Beyond the lesion-symptom maps, stroke is characterized by extensive structural and functional alterations of brain areas remote to local lesions. Here, we further investigated the structural changes over a global level by using DTI data of ten ischemic stroke patients showing motor impairment due to basal ganglia lesions and 11 healthy controls. DTI data were processed to obtain fractional anisotropy (FA) maps, and multivariate pattern analysis (MVPA) was used to explore brain regions that play an important role in classification based on FA maps. The white matter (WM) structural network was constructed by the deterministic fiber-tracking approach. In comparison with the controls, the stroke patients showed FA reductions in the perilesional basal ganglia, brainstem, and bilateral frontal lobes. Using network-based statistics (NBS), we found a significant reduction in the WM subnetwork in stroke patients. We identified the patterns of WM degeneration affecting brain areas remote to the lesions, revealing the abnormal organization of the structural network in stroke patients, which may be helpful in understanding of the neural mechanisms underlying hemiplegia.

scholarly journals Pattern of white matter degeneration in remote brain areas from the basal ganglion lesion of ischemic stroke patients with motor impairment

2020 ◽  
Author(s):  
xuejin cao ◽  
Zan Wang ◽  
Xiaohui Chen ◽  
Yanli Liu ◽  
Xi Yang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
White Matter ◽  
Basal Ganglia ◽  
Diffusion Tensor ◽  
Brain Magnetic Resonance Imaging ◽  
Motor Dysfunction ◽  
Stroke Patients ◽  
Brain Areas ◽  
Ischemic Lesion ◽  
Structural Network

Abstract Background Diffusion tensor imaging (DTI) studies have revealed distinct white matter characteristic of brain following diseases. Beyond the lesion-symptom mapping, recent studies have demonstrate extensive structural and functional alterations of remote areas to local lesions caused by stroke in the brain. Here, we investigated the influences further from a global level by multivariate pattern analysis (MVPA) and network-based statistic (NBS). Methods Ten ischemic stroke patients with basal ganglia lesion and motor dysfunction and eleven demographically matched adults underwent brain Magnetic Resonance Imaging scans. DTI data was processed to obtain fractional anisotropy (FA) map and MVPA was used to explore brain regions that play an important role in classification based on FA map. White matter (WM) structural network was constructed by the deterministic fiber tracking approach according to the Automated Anatomical Labeling (AAL) atlas. NBS was used to explore differences of structural network between groups. Results MVPA applied to FA images correctly identified stroke patients with a statistically significant accuracy of 100% (P ≤ 0.001). Compared with the controls, the patients showed an FA reduction in the perilesional basal ganglia and brainstem, with a few in bilateral frontal lobes. Using NBS, we found the significant decreased FA-weighted WM subnetwork in stroke patients. Conclusions We identified some patterns of WM degeneration in the affected brain areas remote from the ischemic lesion, revealed the abnormal topological organization of WM network in stroke patients, which may be helpful for understanding of the neural mechanism of stroke sequela.

scholarly journals Patterns of white matter degeneration in remote brain areas from the basal ganglion lesion of ischemic stroke patients with motor impairment

2020 ◽  
Author(s):  
xuejin cao ◽  
Zan Wang ◽  
Xiaohui Chen ◽  
Yanli Liu ◽  
Wei Wang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
White Matter ◽  
Basal Ganglia ◽  
Structural Changes ◽  
Diffusion Tensor ◽  
Brain Magnetic Resonance Imaging ◽  
Stroke Patients ◽  
Brain Areas ◽  
Ischemic Lesion ◽  
The Brain

Abstract Background: Diffusion tensor imaging (DTI) studies have revealed distinct white matter characteristics of the brain following diseases. Beyond the lesion-symptom mapping, recent studies have demonstrated extensive structural and functional alterations of remote areas to local lesions caused by stroke in the brain. Here, we further investigated the structural changes from a global level using DTI data through multivariate pattern analysis (MVPA) and network-based statistic (NBS). Methods: Ten ischemic stroke patients with basal ganglia lesions and motor dysfunctions and eleven demographically matched adults as controls underwent brain Magnetic Resonance Imaging scans. DTI data were processed to obtain fractional anisotropy (FA) maps and MVPA was used to explore brain regions that play an important role in classification based on FA maps. The white matter (WM) structural network was constructed by the deterministic fiber tracking approach according to the Automated Anatomical Labeling (AAL) atlas. NBS was used to explore differences in structural networks between groups. Results: MVPA applied to FA images correctly identified stroke patients with a statistically significant accuracy of 100% (P≤0.001). Compared with the controls, the study patients showed FA reductions in the perilesional basal ganglia and brainstem, with a few showing reductions in bilateral frontal lobes. Using NBS, we found a significant decrease in FA-weighted WM subnetwork in stroke patients. Conclusions: We identified some patterns of WM degeneration affecting brain areas remote to the ischemic lesion, revealing the abnormal organization of WM network in stroke patients, which may be helpful for the understanding of the neural mechanisms of stroke sequela.

scholarly journals Patterns of white matter degeneration in remote brain areas from the basal ganglion lesion of ischemic stroke  patients  with motor impairment

2020 ◽  
Author(s):  
Xuejin Cao ◽  
Zan Wang ◽  
Xiaohui Chen ◽  
Yanli Liu ◽  
Wei Wang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
White Matter ◽  
Basal Ganglia ◽  
Structural Changes ◽  
Diffusion Tensor ◽  
Brain Magnetic Resonance Imaging ◽  
Stroke Patients ◽  
Brain Areas ◽  
Ischemic Lesion ◽  
The Brain

Abstract Background: Diffusion tensor imaging (DTI) studies have revealed distinct white matter characteristics of the brain following diseases. Beyond the lesion-symptom mapping, recent studies have demonstrated extensive structural and functional alterations of remote areas to local lesions caused by stroke in the brain. Here, we further investigated the structural changes from a global level using DTI data through multivariate pattern analysis (MVPA) and network-based statistic (NBS). Methods: Ten ischemic stroke patients with basal ganglia lesions and motor dysfunctions and eleven demographically matched adults as controls underwent brain Magnetic Resonance Imaging scans. DTI data were processed to obtain fractional anisotropy (FA) maps and MVPA was used to explore brain regions that play an important role in classification based on FA maps. The white matter (WM) structural network was constructed by the deterministic fiber tracking approach according to the Automated Anatomical Labeling (AAL) atlas. NBS was used to explore differences in structural networks between groups.Results: MVPA applied to FA images correctly identified stroke patients with a statistically significant accuracy of 100% (P≤0.001). Compared with the controls, the study patients showed FA reductions in the perilesional basal ganglia and brainstem, with a few showing reductions in bilateral frontal lobes. Using NBS, we found a significant decrease in FA-weighted WM subnetwork in stroke patients. Conclusions: We identified some patterns of WM degeneration affecting brain areas remote to the ischemic lesion, revealing the abnormal organization of WM network in stroke patients, which may be helpful for the understanding of the neural mechanisms of stroke sequela.

279 Apraxia and the temporal lobe in action: a role for biological motion

2018 ◽  
Vol 89 (10) ◽  
pp. A41.2-A41
Author(s):  
Rounis Elisabeth ◽  
Pizzamiglio Gloria ◽  
Kolasinski James ◽  
Riddoch Jane ◽  
Mantini Dante ◽  
...  
Keyword(s):  
White Matter ◽  
Biological Motion ◽  
Primary Motor Cortex ◽  
Recognition Task ◽  
Stroke Patients ◽  
Brain Areas ◽  
Integrated Network ◽  
Disconnection Syndrome ◽  
Limb Apraxia ◽  
Lesion Symptom Mapping

Limb apraxia is a syndrome that affects the ability to perform skilful actions, despite intact elementary motor and sensory systems. Using voxel-based lesion symptom mapping in a large cohort of 387 stroke patients we determined the neuroanatomy of three tasks traditionally used to study praxis skills in patient populations: these included a meaningless gesture imitation task, a gesture production task involving pantomime of transitive and intransitive gestures and a gesture recognition task, involving recognition of these same categories of gestures. Lesions associated with reduced performance in these tasks involved an integrated network previously described in biological motion, with input areas comprising left pre-striate and occipital regions, left superior temporal sulcus and motor output areas comprising left premotor area, left striatum and the white matter underlying the left primary motor cortex. This study confirms a role for the left hemisphere in limb apraxia and supports the hypothesis it is a white matter disconnection syndrome, whilst shedding new light into the nature of the behavioural deficits described in the disorder comprising parts of an integrated network of brain areas described in biological motion.

A Girl of Unusual Diffuse White Matter and Basal Ganglia Lesions Following Streptococcus Pneumoniae Meningoencephalitis

2016 ◽  
Vol 24 (4) ◽  
pp. 266-271
Author(s):  
이훈상 ◽  
이윤진 ◽  
김영미 ◽  
Yeon Gyu Min ◽  
김경민 ◽  
...  
Keyword(s):  
Streptococcus Pneumoniae ◽  
White Matter ◽  
Basal Ganglia ◽  
Diffuse White Matter

scholarly journals Increased serum QUIN/KYNA is a reliable biomarker of post-stroke cognitive decline

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Adrien Cogo ◽  
Gabrielle Mangin ◽  
Benjamin Maïer ◽  
Jacques Callebert ◽  
Mikael Mazighi ◽  
...  
Keyword(s):  
White Matter ◽  
Cerebral Artery ◽  
Quinolinic Acid ◽  
Neuronal Death ◽  
Artery Occlusion ◽  
Serum Biomarkers ◽  
Diabetic Mice ◽  
Stroke Patients ◽  
Cerebral Artery Occlusion

Abstract Background Strokes are becoming less severe due to increased numbers of intensive care units and improved treatments. As patients survive longer, post-stroke cognitive impairment (PSCI) has become a major health public issue. Diabetes has been identified as an independent predictive factor for PSCI. Here, we characterized a clinically relevant mouse model of PSCI, induced by permanent cerebral artery occlusion in diabetic mice, and investigated whether a reliable biomarker of PSCI may emerge from the kynurenine pathway which has been linked to inflammatory processes. Methods Cortical infarct was induced by permanent middle cerebral artery occlusion in male diabetic mice (streptozotocin IP). Six weeks later, cognitive assessment was performed using the Barnes maze, hippocampi long-term potentiation using microelectrodes array recordings, and neuronal death, white matter rarefaction and microglia/macrophages density assessed in both hemispheres using imunohistochemistry. Brain and serum metabolites of the kynurenin pathway were measured using HPLC and mass fragmentography. At last, these same metabolites were measured in the patient’s serum, at the acute phase of stroke, to determine if they could predict PSCI 3 months later. Results We found long-term spatial memory was impaired in diabetic mice 6 weeks after stroke induction. Synaptic plasticity was completely suppressed in both hippocampi along with increased neuronal death, white matter rarefaction in both striatum, and increased microglial/macrophage density in the ipsilateral hemisphere. Brain and serum quinolinic acid concentrations and quinolinic acid over kynurenic acid ratios were significantly increased compared to control, diabetic and non-diabetic ischemic mice, where PSCI was absent. These putative serum biomarkers were strongly correlated with degradation of long-term memory, neuronal death, microglia/macrophage infiltration and white matter rarefaction. Moreover, we identified these same serum biomarkers as potential predictors of PSCI in a pilot study of stroke patients. Conclusions we have established and characterized a new model of PSCI, functionally and structurally, and we have shown that the QUIN/KYNA ratio could be used as a surrogate biomarker of PSCI, which may now be tested in large prospective studies of stroke patients.

scholarly journals Explicit motor sequence learning after stroke: a neuropsychological study

2021 ◽  
Author(s):  
Cristina Russo ◽  
Laura Veronelli ◽  
Carlotta Casati ◽  
Alessia Monti ◽  
Laura Perucca ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Motor Learning ◽  
Upper Limb ◽  
Motor Recovery ◽  
Finger Tapping ◽  
Control Group ◽  
Stroke Severity ◽  
Motor Sequence ◽  
Stroke Patients ◽  
Motor Practice

AbstractMotor learning interacts with and shapes experience-dependent cerebral plasticity. In stroke patients with paresis of the upper limb, motor recovery was proposed to reflect a process of re-learning the lost/impaired skill, which interacts with rehabilitation. However, to what extent stroke patients with hemiparesis may retain the ability of learning with their affected limb remains an unsolved issue, that was addressed by this study. Nineteen patients, with a cerebrovascular lesion affecting the right or the left hemisphere, underwent an explicit motor learning task (finger tapping task, FTT), which was performed with the paretic hand. Eighteen age-matched healthy participants served as controls. Motor performance was assessed during the learning phase (i.e., online learning), as well as immediately at the end of practice, and after 90 min and 24 h (i.e., retention). Results show that overall, as compared to the control group, stroke patients, regardless of the side (left/right) of the hemispheric lesion, do not show a reliable practice-dependent improvement; consequently, no retention could be detected in the long-term (after 90 min and 24 h). The motor learning impairment was associated with subcortical damage, predominantly affecting the basal ganglia; conversely, it was not associated with age, time elapsed from stroke, severity of upper-limb motor and sensory deficits, and the general neurological condition. This evidence expands our understanding regarding the potential of post-stroke motor recovery through motor practice, suggesting a potential key role of basal ganglia, not only in implicit motor learning as previously pointed out, but also in explicit finger tapping motor tasks.

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