Proton magnetic resonance spectroscopic imaging in patients with cerebellar degeneration.

Abstract:

:Using proton magnetic resonance spectroscopic imaging, we studied the cerebellum of 9 patients with cerebellar degeneration and of 9 age-matched normal control subjects. This technique permits the simultaneous measurement of N-acetylaspartate, choline-containing compounds, creatine/phosphocreatine, and lactate signal intensities from four 15-mm slices divided into 0.84-ml single-volume elements. Because patients with cerebellar degeneration often show substantial atrophy on magnetic resonance imaging (MRI), we specifically chose to analyze the spectroscopic signals only from tissue that did not have an atrophic appearance on the MRI. The spectroscopic findings showed a significant reduction of N-acetylaspartate in all parts of the cerebellum, a significant correlation with MRI scores of cerebellar atrophy, and a significant correlation with clinical rating scores of cerebellar disturbance. Our method of analysis suggests the presence of a neurodegenerative process in cerebellar areas that do not appear to be atrophic on the MRI. Some limitations of proton magnetic resonance spectroscopic imaging in the present study were related to the partial field inhomogeneity characteristics of the posterior fossa, the anatomical location of the cerebellum, and the particularly severe cerebellar atrophy in some of the patients.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Tedeschi G,Bertolino A,Massaquoi SG,Campbell G,Patronas NJ,Bonavita S,Barnett AS,Alger JR,Hallett M

doi

10.1002/ana.410390111

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

71-8

issue

1

eissn

0364-5134

issn

1531-8249

journal_volume

39

pub_type

杂志文章
  • Familial episodic ataxia: clinical heterogeneity in four families linked to chromosome 19p.

    abstract::We describe the clinical and oculographic findings in 4 families with episodic ataxia and interictal nystagmus (EA-2) linked to chromosome 19p. Episodes varied from pure ataxia to combinations of symptoms suggesting involvement of the cerebellum, brainstem, and cortex. Some affected individuals exhibited a progressive...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410410105

    authors: Baloh RW,Yue Q,Furman JM,Nelson SF

    更新日期:1997-01-01 00:00:00

  • Greater effect of stroke thrombolysis in the presence of arterial obstruction.

    abstract:OBJECTIVE:Recanalization of arterial obstruction is associated with improved clinical outcomes. There are no controlled data demonstrating whether arterial obstruction status predicts the treatment effect of intravenous (IV) tissue plasminogen activator (tPA). We aimed to determine if the presence of arterial obstructi...

    journal_title:Annals of neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/ana.22444

    authors: De Silva DA,Churilov L,Olivot JM,Christensen S,Lansberg MG,Mlynash M,Campbell BC,Desmond P,Straka M,Bammer R,Albers GW,Davis SM,Donnan GA,EPITHET-DEFUSE Investigators.

    更新日期:2011-10-01 00:00:00

  • An English kindred with a novel recessive tauopathy and respiratory failure.

    abstract::We present the clinicopathological features of two siblings from a consanguineous marriage who presented with respiratory hypoventilation and died 10 days and 4 years later, respectively. This disorder showed extensive tau neuropathology, and both had a novel homozygous S352L tau gene mutation. This is the first descr...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10747

    authors: Nicholl DJ,Greenstone MA,Clarke CE,Rizzu P,Crooks D,Crowe A,Trojanowski JQ,Lee VM,Heutink P

    更新日期:2003-11-01 00:00:00

  • Prognostic value of cytogenetic analysis in human cerebral astrocytomas.

    abstract::Cytogenetic analysis has become an important part of the diagnostic evaluation of most hematological neoplasms. However, there is limited information on the value of cytogenetic analysis in most solid tumors, including cerebral astrocytomas. This report summarizes a prospective cytogenetic study of 99 human cerebral a...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410310512

    authors: Kimmel DW,O'Fallon JR,Scheithauer BW,Kelly PJ,Dewald GW,Jenkins RB

    更新日期:1992-05-01 00:00:00

  • Care seeking after stroke symptoms.

    abstract:OBJECTIVE:To assess risk factors associated with care for stroke symptoms. METHODS:Using data from the population-based national cohort study (REasons for Geographic And Racial Differences in Stroke) conducted January 25, 2003-February 28, 2007 (N = 23,664), we assessed care-seeking behavior among 3,668 participants w...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21357

    authors: Howard VJ,Lackland DT,Lichtman JH,McClure LA,Howard G,Wagner L,Pulley L,Gomez CR

    更新日期:2008-04-01 00:00:00

  • Sarcolemmal reorganization in facioscapulohumeral muscular dystrophy.

    abstract:OBJECTIVE:We examined the sarcolemma of skeletal muscle from patients with facioscapulohumeral muscular dystrophy (FSHD1A) to learn if, as in other murine and human muscular dystrophies, its organization and relationship to nearby contractile structures are altered. METHODS:Unfixed biopsies of control and FSHD deltoid...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20750

    authors: Reed P,Porter NC,Strong J,Pumplin DW,Corse AM,Luther PW,Flanigan KM,Bloch RJ

    更新日期:2006-02-01 00:00:00

  • Site of autonomic deficit in harlequin syndrome: local autonomic failure affecting the arm and the face.

    abstract::The site of autonomic deficit was investigated in 4 patients with loss of thermoregulatory flushing and sweating on one side of the face but no associated miosis (harlequin syndrome). In 2 patients the sudomotor deficit included the hand. Signs of postganglionic sympathetic deficit included pathological lacrimal sweat...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410340610

    authors: Drummond PD,Lance JW

    更新日期:1993-12-01 00:00:00

  • Alexander's law: its behavior and origin in the human vestibulo-ocular reflex.

    abstract::Alexander's law refers to the phenomenon in which the spontaneous nystagmus of a patient with a vestibular lesion is more intense when the patient looks in the quick-phase than in the slow-phase direction. Alexander's law was investigated in normal subjects as well as patients with vestibular lesions. During sinusoida...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410160614

    authors: Robinson DA,Zee DS,Hain TC,Holmes A,Rosenberg LF

    更新日期:1984-12-01 00:00:00

  • Weakness in malignancy: evidence for a remote effect of tumor on distal axons.

    abstract::Malignant tumors are known to have a "remote" or nonmetastatic effect on the central and peripheral nervous systems. Eight patients were seen with proximal muscle weakness in association with bronchogenic carcinoma (5), carcinoma of breast (2), and leukemia (1). Electromyography demonstrated small polyphasic motor uni...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410040314

    authors: Barron SA,Heffner RR Jr

    更新日期:1978-09-01 00:00:00

  • Proteasome inhibitor-induced model of Parkinson's disease.

    abstract::We recently reported that systemic administration of a proteasome inhibitor induced a progressive levodopa-responsive, bradykinetic syndrome in rats with imaging, pathological, and biochemical features that strikingly resemble what is found in PD. This model has the potential to be a useful tool for studying the mecha...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20936

    authors: McNaught KS,Olanow CW

    更新日期:2006-08-01 00:00:00

  • Upregulation of Bcl-2 protein in the myasthenic thymus.

    abstract::We examined the expression of Fas antigen and Bcl-2 protein in thymic tissue surgically resected from 10 patients with myasthenia gravis, using immunocytochemical techniques. Histologically, thymic tissues from 7 myasthenia gravis patients showed hyperplasia, while 3 other patients had thymomas. In hyperplastic thymic...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410390414

    authors: Onodera J,Nakamura S,Nagano I,tobita M,Yoshioka M,Takeda A,Oouchi M,Itoyama Y

    更新日期:1996-04-01 00:00:00

  • Imaging-guided convection-enhanced delivery and gene therapy of glioblastoma.

    abstract::In a prospective phase I/II clinical study, we treated eight patients suffering from recurrent glioblastoma multiform with stereotactically guided intratumoral convection-enhanced delivery of an HSV-1-tk gene-bearing liposomal vector and systemic ganciclovir. Noninvasive identification of target tissue together with a...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1002/ana.10688

    authors: Voges J,Reszka R,Gossmann A,Dittmar C,Richter R,Garlip G,Kracht L,Coenen HH,Sturm V,Wienhard K,Heiss WD,Jacobs AH

    更新日期:2003-10-01 00:00:00

  • Gut Microbiome Signatures of Risk and Prodromal Markers of Parkinson Disease.

    abstract:OBJECTIVE:Alterations of the gut microbiome in Parkinson disease (PD) have been repeatedly demonstrated. However, little is known about whether such alterations precede disease onset and how they relate to risk and prodromal markers of PD. We investigated associations of these features with gut microbiome composition. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25788

    authors: Heinzel S,Aho VTE,Suenkel U,von Thaler AK,Schulte C,Deuschle C,Paulin L,Hantunen S,Brockmann K,Eschweiler GW,Maetzler W,Berg D,Auvinen P,Scheperjans F

    更新日期:2020-08-01 00:00:00

  • Quantitative morphological analysis of striatal cholinergic neurons in perinatal asphyxia.

    abstract::Although the static encephalopathies of childhood are common, little is known of the underlying alterations in the neurochemical anatomy of the brain. Using quantitative morphological techniques, we examined the effect of perinatal hypoxia-ischemia on the number and distribution of cholinergic (ACh) neurons in a unila...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410270113

    authors: Burke RE,Karanas AL

    更新日期:1990-01-01 00:00:00

  • Localization of lead in rat peripheral nerve by electron microscopy.

    abstract::Lead intoxication in rats reliably produces segmental demyelination. Following a single intravenous injection of radioactive lead, localization of tracer was observed sequentially by quantitative electron microscopical autoradiography. The animals injected had been on a lead-containing diet for 70 days; as a result, t...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410180206

    authors: Windebank AJ,Dyck PJ

    更新日期:1985-08-01 00:00:00

  • New innovations: therapeutic opportunities for intellectual disabilities.

    abstract::Intellectual disability is common and is associated with significant morbidity. Until the latter half of the 20th century, there were no efficacious treatments. Following initial breakthroughs associated with newborn screening and metabolic corrections, little progress was made until recently. With improved understand...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.24002

    authors: Picker JD,Walsh CA

    更新日期:2013-09-01 00:00:00

  • Passive joint position sense after total hip replacement surgery.

    abstract::Passive joint position sense was tested in 10 subjects after unilateral total hip replacement surgery (which included capsulectomy). Varied initial limb position, amplitude, and velocity of movement were used. The unoperated side was used as a control. Statistically barely significant errors (p less than 0.025) on the...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410130612

    authors: Karanjia PN,Ferguson JH

    更新日期:1983-06-01 00:00:00

  • Failure of chronic dorsal column stimulation in multiple sclerosis.

    abstract::In view of the favorable claims of Cook and others, an open trial of chronic dorsal column stimulation was undertaken in 9 patients who had moderately advanced multiple sclerosis (MS) but were still ambulatory. No objective improvement was noted by either author during the postoperative observation period of 6 to 37 m...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410060115

    authors: Rosen JA,Barsoum AH

    更新日期:1979-07-01 00:00:00

  • Amphiphysin autoimmunity: paraneoplastic accompaniments.

    abstract::Amphiphysin-IgG was identified in 71 patients among 120,000 evaluated serologically for paraneoplastic autoantibodies. Clinical information was available for 63 patients. Cancer was detected in 50 (mostly limited), proven histologically in 46, and was imaged intrathoracically in 4 patients (lung, small-cell [27] and n...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20529

    authors: Pittock SJ,Lucchinetti CF,Parisi JE,Benarroch EE,Mokri B,Stephan CL,Kim KK,Kilimann MW,Lennon VA

    更新日期:2005-07-01 00:00:00

  • Cauda equina syndrome secondary to long-standing ankylosing spondylitis.

    abstract::Fourteen patients with cauda equina syndrome secondary to long-standing ankylosing spondylitis are described. The roughly symmetrical neurological deficits were very slowly progressive and began long after the onset of the spondylitis, usually well after the rheumatological symptoms had stopped. Eventually every patie...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410140610

    authors: Bartleson JD,Cohen MD,Harrington TM,Goldstein NP,Ginsburg WW

    更新日期:1983-12-01 00:00:00

  • Kearns-Sayre syndrome with reduced plasma and cerebrospinal fluid folate.

    abstract::A young woman with Kearns-Sayre syndrome and progressive central nervous system deterioration over 15 years had decreased plasma and cerebrospinal fluid folate levels while receiving phenytoin for a seizure disorder. A muscle biopsy showed a "ragged red fiber" myopathy with reduced muscle carnitine and mitochondrial e...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410130620

    authors: Allen RJ,DiMauro S,Coulter DL,Papadimitriou A,Rothenberg SP

    更新日期:1983-06-01 00:00:00

  • Narcolepsy following cerebral hypoxic ischemia.

    abstract::A 51-year-old man with non-HLA-DR2 histocompatibility developed classic signs and symptoms of the narcoleptic tetrad soon after recovering from an episode of cardiopulmonary insufficiency, which occurred during induction of surgical anesthesia. Symptoms included excessive daytime sleepiness, hypnagogic hallucinations,...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410190516

    authors: Rivera VM,Meyer JS,Hata T,Ishikawa Y,Imai A

    更新日期:1986-05-01 00:00:00

  • Evidence of hydrogen sulfide involvement in amyotrophic lateral sclerosis.

    abstract:OBJECTIVE:Amyotrophic lateral sclerosis (ALS) is a motor neuron disease whose pathophysiological deficits, causing impairment in motor function, are largely unknown. Here we propose that hydrogen sulfide (H2 S), as a glial-released inflammatory factor, contributes to ALS-mediated motor neuron death. METHODS:H2 S conce...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24372

    authors: Davoli A,Greco V,Spalloni A,Guatteo E,Neri C,Rizzo GR,Cordella A,Romigi A,Cortese C,Bernardini S,Sarchielli P,Cardaioli G,Calabresi P,Mercuri NB,Urbani A,Longone P

    更新日期:2015-04-01 00:00:00

  • Fibrin(ogen) and neurodegeneration in the progressive multiple sclerosis cortex.

    abstract:OBJECTIVE:Neuronal loss, a key substrate of irreversible disability in multiple sclerosis (MS), is a recognized feature of MS cortical pathology of which the cause remains unknown. Fibrin(ogen) deposition is neurotoxic in animal models of MS, but has not been evaluated in human progressive MS cortex. The aim of this st...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24997

    authors: Yates RL,Esiri MM,Palace J,Jacobs B,Perera R,DeLuca GC

    更新日期:2017-08-01 00:00:00

  • Oxidative damage to mitochondrial DNA is increased in Alzheimer's disease.

    abstract::Oxidative damage to DNA may play a role in both normal aging and in neurodegenerative diseases. We examined whether Alzheimer's disease (AD) is associated with increased oxidative damage to nDNA and mtDNA in postmortem brain tissue. We measured the oxidized nucleoside, 8-hydroxy-2'-deoxyguanosine (OH8dG), in DNA isola...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410360510

    authors: Mecocci P,MacGarvey U,Beal MF

    更新日期:1994-11-01 00:00:00

  • Impaired visual search in drivers with Parkinson's disease.

    abstract:OBJECTIVE:To assess the ability for visual search and recognition of roadside targets and safety errors during a landmark and traffic sign identification task in drivers with Parkinson's disease (PD). METHODS:Seventy-nine drivers with PD and 151 neurologically normal older adults underwent a battery of visual, cogniti...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20958

    authors: Uc EY,Rizzo M,Anderson SW,Sparks J,Rodnitzky RL,Dawson JD

    更新日期:2006-10-01 00:00:00

  • Isoflurane prevents acquired epilepsy in rat models of temporal lobe epilepsy.

    abstract:OBJECTIVE:Acquired epilepsy is a devastating long-term risk of various brain insults, including trauma, stroke, infections, and status epilepticus (SE). There is no preventive treatment for patients at risk. Attributable to the complex alterations involved in epileptogenesis, it is likely that multitargeted approaches ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24804

    authors: Bar-Klein G,Klee R,Brandt C,Bankstahl M,Bascuñana P,Töllner K,Dalipaj H,Bankstahl JP,Friedman A,Löscher W

    更新日期:2016-12-01 00:00:00

  • B-cell Therapy for Multiple Sclerosis: Entering an era.

    abstract::Monoclonal antibodies that target CD20 expressing B cells represent an important new treatment option for patients with multiple sclerosis (MS). B-cell-depleting therapy is highly effective against relapsing forms of the disease and is also the first treatment approach proven to protect against disability worsening in...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.25119

    authors: Greenfield AL,Hauser SL

    更新日期:2018-01-01 00:00:00

  • Free kappa light chains in multiple sclerosis spinal fluid.

    abstract::Based on prior reports of free light chains of immunoglobulin G (IgG) in the cerebrospinal fluid (CSF) of patients with multiple sclerosis (MS), we quantitated free kappa and lambda chains and whole IgG concentrations using sensitive and specific radioimmunoassays (RIAs). The RIA for free kappa chains had a sensitivit...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410200111

    authors: Rudick RA,Pallant A,Bidlack JM,Herndon RM

    更新日期:1986-07-01 00:00:00

  • Drop attacks with Menière's syndrome.

    abstract::We report the clinical features of 12 patients with drop attacks associated with Meniere's syndrome. Each described a sensation of being pushed, thrown, or knocked to the ground or a sudden illusion of movement of the environment that led to a fall. These episodes were not accompanied by symptoms of their typical atta...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280314

    authors: Baloh RW,Jacobson K,Winder T

    更新日期:1990-09-01 00:00:00