Although the scientific community has focused on the effects of concussions in contact sports, the role of subconcussive impacts, as it can occur during soccer heading, has recently gained attention, considering that it may represent an additional mechanism of cumulative brain injury. The aim of this study is to investigate the effects of soccer heading on cognitive functioning in active professional soccer players. Male soccer players (
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gold |
citations | 9 | |
popularity | Top 10% | |
influence | Average | |
impulse | Average |
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The heterogeneity of stroke prompts the need for predictors of individual treatment response to rehabilitation therapies. We previously studied healthy subjects with EEG and identified a frontoparietal circuit in which activity predicted training-related gains in visuomotor tracking. Here we asked whether activity in this same frontoparietal circuit also predicts training-related gains in visuomotor tracking in patients with chronic hemiparetic stroke. Subjects (
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Green | |
gold |
citations | 25 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Some central nervous system pathogens express neuraminidase (NA) on their surfaces. In the rat brain, a single intracerebroventricular (ICV) injection of NA induces myelin vacuolation in axonal tracts. Here, we explore the nature, the time course, and the role of the complement system in this damage.The spatiotemporal analysis of myelin vacuolation was performed by optical and electron microscopy. Myelin basic protein-positive area and oligodendrocyte transcription factor (Olig2)-positive cells were quantified in the damaged bundles. Neuronal death in the affected axonal tracts was assessed by Fluoro-Jade B and anti-caspase-3 staining. To evaluate the role of the complement, membrane attack complex (MAC) deposition on damaged bundles was analyzed using anti-C5b9. Rats ICV injected with the anaphylatoxin C5a were studied for myelin damage. In addition, NA-induced vacuolation was studied in rats with different degrees of complement inhibition: normal rats treated with anti-C5-blocking antibody and C6-deficient rats.The stria medullaris, the optic chiasm, and the fimbria were the most consistently damaged axonal tracts. Vacuolation peaked 7 days after NA injection and reverted by day 15. Olig2+ cell number in the damaged tracts was unaltered, and neurodegeneration associated with myelin alterations was not detected. MAC was absent on damaged axonal tracts, as revealed by C5b9 immunostaining. Rats ICV injected with the anaphylatoxin C5a displayed no myelin injury. When the complement system was experimentally or constitutively inhibited, NA-induced myelin vacuolation was similar to that observed in normal rats.Microbial NA induces a moderate and transient myelin vacuolation that is not caused either by neuroinflammation or complement system activation.
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citations | 3 | |
popularity | Average | |
influence | Average | |
impulse | Average |
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Structural brain white matter (WM) changes such as axonal caliber, density, myelination, and orientation, along with WM-dependent structural connectivity, may be impacted early in Parkinson disease (PD). Diffusion magnetic resonance imaging (dMRI) has been used extensively to understand such pathological WM changes, and the focus of this systematic review is to understand both the methods utilized and their corresponding results in the context of early-stage PD. Diffusion tensor imaging (DTI) is the most commonly utilized method to probe WM pathological changes. Previous studies have suggested that DTI metrics are sensitive in capturing early disease-associated WM changes in preclinical symptomatic regions such as olfactory regions and the substantia nigra, which is considered to be a hallmark of PD pathology and progression. Postprocessing analytic approaches include region of interest–based analysis, voxel-based analysis, skeletonized approaches, and connectome analysis, each with unique advantages and challenges. While DTI has been used extensively to study WM disorganization in early-stage PD, it has several limitations, including an inability to resolve multiple fiber orientations within each voxel and sensitivity to partial volume effects. Given the subtle changes associated with early-stage PD, these limitations result in inaccuracies that severely impact the reliability of DTI-based metrics as potential biomarkers. To overcome these limitations, advanced dMRI acquisition and analysis methods have been employed, including diffusion kurtosis imaging and q-space diffeomorphic reconstruction. The combination of improved acquisition and analysis in DTI may yield novel and accurate information related to WM-associated changes in early-stage PD. In the current article, we present a systematic and critical review of dMRI studies in early-stage PD, with a focus on recent advances in DTI methodology. Yielding novel metrics, these advanced methods have been shown to detect diffuse WM changes in early-stage PD. These findings support the notion of early axonal damage in PD and suggest that WM pathology may go unrecognized until symptoms appear. Finally, the advantages and disadvantages of different dMRI techniques, analysis methods, and software employed are discussed in the context of PD-related pathology.
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gold |
citations | 24 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Purpose Motor deficits after stroke are supposed to arise from the reduced neural drive from the brain to muscles. This study aimed to demonstrate the feasibility of reflecting the motor function improvement after stroke with the measurement of corticomuscular coherence (CMC) in an individual subject. Method A stroke patient was recruited to participate in an experiment before and after the function recovery of his paretic upper limb, respectively. An elbow flexion task with a constant muscle contraction level was involved in the experiment. Electromyography and electroencephalography signals were recorded simultaneously to estimate the CMC. The non-parameter statistical analysis was used to test the significance of CMC differences between the first and second times of experiments. Result The strongest corticomuscular coupling emerged at the motor cortex contralateral to the contracting muscles for both the affected and unaffected limbs. The strength of the corticomuscular coupling between activities from the paretic limb muscles and the contralateral motor cortex for the second time of experiment increased significantly compared with that for the first time. However, the CMC of the unaffected limb had no significant changes between two times of experiments. Conclusion The results demonstrated that the increased corticomuscular coupling strength resulted from the motor function restoration of the paretic limb. The measure of CMC can reflect the recovery of motor function after stroke by quantifying interactions between activities from the motor cortex and controlled muscles.
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gold |
citations | 28 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Survivors of infant traumatic brain injury (TBI) are prone to chronic neurological deficits that impose lifelong individual and societal burdens. Translation of novel interventions to clinical trials is hampered in part by the lack of truly representative preclinical tests of cognition and corresponding biomarkers of functional outcomes. To address this gap, the ability of a high-dose, extended, post-injury regimen of erythropoietin (EPO, 3000U/kg/dose × 6d) to prevent chronic cognitive and imaging deficits was tested in a postnatal day 12 (P12) controlled-cortical impact (CCI) model in rats, using touchscreen operant chambers and regional analysis of diffusion tensor imaging (DTI). Results indicate that EPO prevents functional injury and MRI injury after infant TBI. Specifically, subacute DTI at P30 revealed widespread microstructural damage that is prevented by EPO. Assessment of visual discrimination on a touchscreen operant chamber platform demonstrated that all groups can perform visual discrimination. However, CCI rats treated with vehicle failed to pass reversal learning, and perseverated, in contrast to sham and CCI-EPO rats. Chronic DTI at P90 showed EPO treatment prevented contralateral white matter and ipsilateral lateral prefrontal cortex damage. This DTI improvement correlated with cognitive performance. Taken together, extended EPO treatment restores executive function and prevents microstructural brain abnormalities in adult rats with cognitive deficits in a translational preclinical model of infant TBI. Sophisticated testing with touchscreen operant chambers and regional DTI analyses may expedite translation and effective yield of interventions from preclinical studies to clinical trials. Collectively, these data support the use of EPO in clinical trials for human infants with TBI.
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Green | |
gold |
citations | 23 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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pmid: 32849169
pmc: PMC7417677
Les syndromes démyélinisants récurrents (SDR) chez les enfants englobent un large éventail d'entités, y compris l'encéphalomyélite aiguë disséminée (ADEM) de la sclérose en plaques (SEP), le trouble du spectre de la neuromyélite optique associé aux anticorps de l'aquaporine-4 (AQP4-NMOSD) et la maladie des anticorps anti-glycoprotéines oligodendrocytaires de la myéline (MOG-AD). En plus de ceux-ci, il existe des syndromes démyélinisants « anticorps-négatifs » qui n'ont pas encore été entièrement caractérisés et définis. La rareté des biomarqueurs spécifiques et le chevauchement des présentations cliniques rendent difficile la distinction entre ces entités de la maladie lors de la présentation initiale et, à ce titre, il existe une forte dépendance aux résultats de l'imagerie par résonance magnétique (IRM) pour satisfaire aux critères d'initiation et d'optimisation du traitement. Un diagnostic erroné n'est pas rare et est généralement lié à l'application inexacte de critères ou à l'incapacité d'identifier des imitations cliniques et radiologiques potentielles. Il est également à noter qu'il existe des cas où les tests d'anticorps AQP4 et MOG peuvent être faussement négatifs lors des premiers épisodes cliniques, ce qui complique encore le problème. Cet article illustre les phénotypes clinico-radiologiques typiques associés au SDR pédiatrique connu lors de la présentation et décrit les imitations neuroimagerie de ceux-ci en utilisant une approche basée sur les motifs dans le cerveau, les nerfs optiques et la moelle épinière. Des conseils pratiques sur les principales caractéristiques distinctives sous la forme de signaux d'alerte cliniques et radiologiques sont incorporés. Une sous-section sur les imitations cliniques avec des modèles d'imagerie caractéristiques qui aident à établir des diagnostics alternatifs est également incluse. Los síndromes desmielinizantes recidivantes (SDR) en niños abarcan un espectro diverso de entidades que incluyen la encefalomielitis diseminada aguda (EM) con esclerosis múltiple (EM), el trastorno del espectro DE neuromielitis óptica asociado a anticuerpos contra la acuaporina-4 (AQP4-NMOSD) y la enfermedad de anticuerpos contra la glicoproteína oligodendrocítica de la mielina (MOG-AD). Además de estos, existen síndromes desmielinizantes "anticuerpos negativos" que aún no se han caracterizado y definido completamente. La escasez de biomarcadores específicos y la superposición en las presentaciones clínicas dificulta la distinción entre estas entidades de la enfermedad en la presentación inicial y, como tal, existe una gran dependencia de los hallazgos de la resonancia magnética (IRM) para satisfacer los criterios de inicio y optimización del tratamiento. El diagnóstico erróneo no es infrecuente y generalmente está relacionado con la aplicación inexacta de criterios o la falta de identificación de posibles imitaciones clínicas y radiológicas. También es notable que hay casos en los que las pruebas de anticuerpos AQP4 y MOG pueden ser falsamente negativas durante los episodios clínicos iniciales, lo que complica aún más el problema. Este artículo ilustra los fenotipos clínicos-radiológicos típicos asociados con el SDR pediátrico conocido en la presentación y describe los imitadores de neuroimagen de estos utilizando un enfoque basado en patrones en el cerebro, los nervios ópticos y la médula espinal. Se incorporan orientaciones prácticas sobre las características distintivas clave en forma de señales de alerta clínicas y radiológicas. También se incluye una subsección sobre imitaciones clínicas con patrones de imágenes característicos que ayudan a establecer diagnósticos alternativos. Relapsing demyelinating syndromes (RDS) in children encompass a diverse spectrum of entities including multiple sclerosis (MS) acute disseminated encephalomyelitis (ADEM), aquaporin-4 antibody associated neuromyelitis optica spectrum disorder (AQP4-NMOSD) and myelin oligodendrocyte glycoprotein antibody disease (MOG-AD). In addition to these, there are "antibody-negative" demyelinating syndromes which are yet to be fully characterized and defined. The paucity of specific biomarkers and overlap in clinical presentations makes the distinction between these disease entities difficult at initial presentation and, as such, there is a heavy reliance on magnetic resonance imaging (MRI) findings to satisfy the criteria for treatment initiation and optimization. Misdiagnosis is not uncommon and is usually related to the inaccurate application of criteria or failure to identify potential clinical and radiological mimics. It is also notable that there are instances where AQP4 and MOG antibody testing may be falsely negative during initial clinical episodes, further complicating the issue. This article illustrates the typical clinico-radiological phenotypes associated with the known pediatric RDS at presentation and describes the neuroimaging mimics of these using a pattern-based approach in the brain, optic nerves, and spinal cord. Practical guidance on key distinguishing features in the form of clinical and radiological red flags are incorporated. A subsection on clinical mimics with characteristic imaging patterns that assist in establishing alternative diagnoses is also included. تشمل المتلازمات الناكسة لإزالة الميالين لدى الأطفال مجموعة متنوعة من الكيانات بما في ذلك التهاب الدماغ والنخاع المنتشر الحاد الناجم عن التصلب المتعدد (ADEM)، واضطراب طيف التهاب الأعصاب والنخاع المرتبط بالأجسام المضادة للأكوابورين-4 (AQP4 - NMOSD) ومرض الأجسام المضادة للبروتين السكري قليل التغصن في المايلين (MOG - AD). بالإضافة إلى ذلك، هناك متلازمات مزيلة للميالين "سلبية الأجسام المضادة" والتي لم يتم تمييزها وتعريفها بالكامل بعد. إن ندرة المؤشرات الحيوية المحددة والتداخل في العروض السريرية يجعل التمييز بين هذه الكيانات المرضية صعبًا عند العرض الأولي، وعلى هذا النحو، هناك اعتماد كبير على نتائج التصوير بالرنين المغناطيسي لتلبية معايير بدء العلاج وتحسينه. التشخيص الخاطئ ليس غير شائع وعادة ما يرتبط بالتطبيق غير الدقيق للمعايير أو الفشل في تحديد المحاكاة السريرية والإشعاعية المحتملة. من الجدير بالذكر أيضًا أن هناك حالات قد يكون فيها اختبار الأجسام المضادة AQP4 و MOG سلبيًا بشكل خاطئ خلال النوبات السريرية الأولية، مما يزيد من تعقيد المشكلة. توضح هذه المقالة الأنماط الظاهرية الإكلينيكية الإشعاعية النموذجية المرتبطة بنظام الكشف الإشعاعي للأطفال المعروف عند العرض وتصف محاكاة التصوير العصبي لهذه الأنماط باستخدام نهج قائم على الأنماط في الدماغ والأعصاب البصرية والحبل الشوكي. يتم دمج إرشادات عملية حول السمات المميزة الرئيسية في شكل أعلام حمراء سريرية وإشعاعية. كما تم تضمين قسم فرعي حول المحاكاة السريرية مع أنماط التصوير المميزة التي تساعد في إنشاء تشخيصات بديلة.
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gold |
citations | 9 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Cognitive impairment (CI) is common in multiple sclerosis (MS), but underlying mechanisms and their imaging correlates are not completely understood. The gray and white matter structures of the limbic system (LS) play crucial roles in different aspects of cognition. To investigate their role in MS related CI, and since a detailed evaluations are lacking in the literature, we used a comprehensive neuroimaging approach to evaluate CI's correlations with the main components of the LS.Ten non-cognitively impaired MS patients and 30 MS patients with diagnosed CI, who underwent a comprehensive neuropsychological evaluation were included in the analysis. Microstructural integrity, volumetry of main limbic gray and white matter structures and cortical thickness were assessed for associations with CI.Fornix and cingulum/cingulate cortices were found to be the strongest correlates of CI in MS. As expected, LS' gray and white matter structures were involved in various cognitive functions. Uncinate fasciculi showed significant correlation with verbal and visuospatial learning and memory, phonemic and semantic fluency; hippocampi with visuospatial skills, phonemic and semantic fluency, executive functions, and processing speed; thalami with verbal learning, visuospatial skills, semantic fluency; and amygdala with verbal recognition discrimination.This comprehensive neuroimaging approach elucidated the role of the main limbic structures in cognitive functions associated with MS-related CI.
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citations | 13 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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TANK1-binding kinase 1 (TBK1) is mainly involved in the regulation of various cellular pathways through the autophagic lysosomal system, and the loss of function or hypofunction caused by TBK1 gene mutation mainly leads to frontotemporal lobar degeneration (FTLD), amyotrophic lateral sclerosis (ALS), and ALS-FTLD. Alzheimer's disease (AD) due to TBK1 gene mutation is extremely rare, and only one case has been reported in China so far. In this report, we described a patient with early-onset AD (EOAD) in whom a new probable pathogenic variant c.704A>T (p.Tyr235Phe) in the TBK1 gene was identified by a whole-genome sequencing analysis. It is suggested that FTLD gene mutation may exist in patients with clinical manifestations of AD.
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gold |
citations | 0 | |
popularity | Average | |
influence | Average | |
impulse | Average |
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Periventricular leukomalacia (PVL) is the most common form of preterm brain injury affecting the cerebral white matter. This type of injury involves a multiphase process and is induced by many factors, including hypoxia-ischemia (HI) and infection. Previous studies have suggested that lymphocytes play a significant role in the pathogenesis of brain injury, and the aim of this study was to determine the contribution of lymphocyte subsets to preterm brain injury.Immunohistochemistry on brain sections from neonatal mice was performed to evaluate the extent of brain injury in wild-type and T cell and B cell-deficient neonatal mice (Mature lymphocyte-deficientLymphocytes were found in the injured brain after injury in both mice and humans, and lack of mature lymphocytes protected neonatal mice from HI-induced brain white matter injury. This finding provides insight into the pathology of perinatal brain injury and suggests new avenues for the development of therapeutic strategies.
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Green | |
gold |
citations | 35 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 10% |
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Although the scientific community has focused on the effects of concussions in contact sports, the role of subconcussive impacts, as it can occur during soccer heading, has recently gained attention, considering that it may represent an additional mechanism of cumulative brain injury. The aim of this study is to investigate the effects of soccer heading on cognitive functioning in active professional soccer players. Male soccer players (