Detection of cortical neuron loss in motor neuron disease by proton magnetic resonance spectroscopic imaging in vivo.

Abstract:

:We performed proton magnetic resonance spectroscopic imaging (1H-MRSI) in patients with motor neuron disease (MND) to evaluate the distribution and extent of cortical neuron damage or loss as reflected by decreased N-acetyl (NA) to creatine (Cr) resonance intensity ratios. We examined premotor (superior frontal gyrus), primary motor (precentral gyrus), primary sensory (postcentral gyrus), and parietal (superior parietal gyrus/precuneus) neocortical regions of 12 patients with MND and six normal control subjects. Patients with MND were representative of three syndromes: amyotrophic lateral sclerosis (ALS) with definite lower motor neuron and upper motor neuron signs, MND with probable upper motor neuron signs (PUMNS), and progressive spinal muscular atrophy (PSMA) with lower motor neuron signs only. Compared with healthy controls, ALS patients had a significant decrease in NA/Cr resonance intensity ratios, most prominently in the primary motor cortex (p < 0.001) but also, to varying degrees, in primary sensory (p < 0.01), posterior premotor, and parietal (p < 0.05) regions. Patients classified as ALS-PUMNS showed less prominent reduction in NA/Cr ratios in the same regions; patients with PSMA had normal cortical NA/Cr ratios. Sequential studies in one patient suggested that 1H-MRSI could document progression of the NA/Cr abnormality. Decreased NA/Cr ratios on 1H-MRSI provide an index of cortical motor neuron loss and/or dysfunction in MND patients. Clinical applications of 1H-MRSI could include documenting the extent of upper motor neuron involvement, aiding diagnosis of syndromes presenting with an ALS-like picture, and monitoring disease progression.

journal_name

Neurology

journal_title

Neurology

authors

Pioro EP,Antel JP,Cashman NR,Arnold DL

doi

10.1212/wnl.44.10.1933

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

1933-8

issue

10

eissn

0028-3878

issn

1526-632X

journal_volume

44

pub_type

临床试验,杂志文章
  • Management and outcome of CSF-JC virus PCR-negative PML in a natalizumab-treated patient with MS.

    abstract:OBJECTIVE:To describe the diagnosis and management of a 49-year-old woman with multiple sclerosis (MS) developing a progressive hemiparesis and expanding MRI lesion suspicious of progressive multifocal leukoencephalopathy (PML) 19 months after starting natalizumab. RESULTS:Polyomavirus JC (JCV)-specific qPCR in CSF wa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31823b9b27

    authors: Kuhle J,Gosert R,Bühler R,Derfuss T,Sutter R,Yaldizli O,Radue EW,Ryschkewitsch C,Major EO,Kappos L,Frank S,Hirsch HH

    更新日期:2011-12-06 00:00:00

  • Immunologic studies of patients with chronic encephalitis induced by post-exposure Semple rabies vaccine.

    abstract::Neurologic complications of brain tissue-derived rabies vaccine may be chronic or progressive. Lymphocytes and serum from three patients with this form of encephalitis were studied. Two patients had positive lymphoproliferation to purified myelin, two had antibody to white matter, and one had antibody to myelin basic ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.1.42

    authors: Hemachudha T,Griffin DE,Johnson RT,Giffels JJ

    更新日期:1988-01-01 00:00:00

  • Idiopathic cervical dystonia: an overview.

    abstract::Idiopathic cervical dystonia (CD) is the most common of the adult-onset focal dystonias. It manifests as involuntary muscle contractions that cause twisting or turning of the neck. The resulting abnormal head and neck postures are heterogeneous in their presentation. Because of the variable presentation of the disease...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Stacy M

    更新日期:2000-01-01 00:00:00

  • Effect of artificial pancreas treatment on peripheral nerve function in diabetes.

    abstract::To determine whether the complete correction of hyperglycemia of diabetes can rapidly improve abnormal peripheral nerve function, eight hyperglycemic insulin-requiring diabetics underwent 3 days of glucose control with an artificial endocrine pancreas, the BIOSTATOR Glucose Controller. Comparison of neurologic assessm...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.31.11.1375

    authors: Service FJ,Daube JR,O'Brien PC,Dyck PJ

    更新日期:1981-11-01 00:00:00

  • Dementia and dependence: do modifiable risk factors delay disability?

    abstract:OBJECTIVE:To identify modifying factors that preserve functional independence among individuals at high dementia risk. METHODS:Health and Retirement Study participants aged 65 years or older without baseline activities of daily living (ADL) limitations (n = 4,922) were interviewed biennially for up to 12 years. Dement...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000357

    authors: Rist PM,Capistrant BD,Wu Q,Marden JR,Glymour MM

    更新日期:2014-04-29 00:00:00

  • Mild cognitive impairment: Can FDG-PET predict who is to rapidly convert to Alzheimer's disease?

    abstract::Patients with mild cognitive impairment (MCI) were assessed, and a metabolic profile associated with conversion to AD at 18-month follow-up was sought. As compared with nonconverters (n = 10), converters (n = 7) had lower fluorodeoxyglucose uptake in the right temporoparietal cortex (p = 0.02, corrected for cluster si...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000055847.17752.e6

    authors: Chételat G,Desgranges B,de la Sayette V,Viader F,Eustache F,Baron JC

    更新日期:2003-04-22 00:00:00

  • Specific antagonism of GABA-mediated postsynaptic inhibition in cultured mammalian spinal cord neurons: a common mode of convulsant action.

    abstract::Mammalian spinal neurons grown in tissue culture were used to study the effects of the four convulsants-penicillin, pentylenetetrazol, picrotoxin, and bicuculline-on these neurons' responses to amino acids. Bath application of all four convulsants produced paroxysmal depolarizing events in the neurons; iontophoresis o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.4.325

    authors: Macdonald RL,Barker JL

    更新日期:1978-04-01 00:00:00

  • Prevalence of ataxia in children: a systematic review.

    abstract:OBJECTIVE:To estimate the prevalence of childhood ataxia resulting from both genetic and acquired causes. METHODS:A systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) statement. Five databases were searched for articles reporting a frequency measur...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000438224.25600.6c

    authors: Musselman KE,Stoyanov CT,Marasigan R,Jenkins ME,Konczak J,Morton SM,Bastian AJ

    更新日期:2014-01-07 00:00:00

  • Response to cancer therapy in a patient with a paraneoplastic choreiform disorder.

    abstract::The authors report a patient with chorea and multifocal neurologic abnormalities associated with a small-cell lung carcinoma. A previously unreported antibody directed at a 76-kD neuronal protein antigen was identified in both serum and CSF. Antitumor treatment resulted in dramatic and sustained clinical neurologic an...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.57.4.719

    authors: Croteau D,Owainati A,Dalmau J,Rogers LR

    更新日期:2001-08-28 00:00:00

  • Infantile herpes zoster ophthalmicus and acute hemiparesis following intrauterine chickenpox.

    abstract::A 17-month-old boy developed herpes zoster ophthalmicus (HZO) and delayed contralateral hemiparesis following intrauterine varicella exposure. CT demonstrated multiple areas of hypodensity in the left basal ganglia, and angiography showed occlusion of left lenticulostriate arteries. As in most adults with HZO and dela...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.9.1537

    authors: Leis AA,Butler IJ

    更新日期:1987-09-01 00:00:00

  • Transient ischemic attacks: a prospective study of 225 patients.

    abstract::Between the years 1964 and 1973, 225 patients with transient ischemic attacks (TIAs) due primarily to atherosclerosis were evaluated and treated. They have now been followed for from 3 to 14 years (average 5.5 years). As of 1976, 82 of the 225 patients were dead, 21 from cerebral infarction, 52 from heart disease and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.8.746

    authors: Toole JF,Yuson CP,Janeway R,Johnston F,Davis C,Cordell AR,Howard G

    更新日期:1978-08-01 00:00:00

  • Serum-mediated Schwann cell cytotoxicity in the Guillain-Barré syndrome.

    abstract::To study the anti-Schwann cell activity of serum from patients with Guillain-Barré syndrome (GBS), we used a 51Cr-release cytotoxicity assay. Specific release of 51Cr mediated by GBS serum did not differ from that with normals or disease controls. Heating sera from GBS patients or controls at 56 or 50 degrees C for 30...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.9.1240

    authors: Lisak RP,Kuchmy D,Armati-Gulson PJ,Brown MJ,Sumner AJ

    更新日期:1984-09-01 00:00:00

  • Effects of fish oil supplementation on acute ischemic brain injury in the rat.

    abstract::We studied the effects of long-term fish oil (FO) dietary supplementation on brain edema, polymorphonuclear neutrophil (PMN) infiltration, and infarct size in a rat stroke model. Rats were given regular rat chow with or without FO supplement (20% of total calories) for 7 weeks. Body weight did not differ between the t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.6.1227

    authors: Lai ML,Hsu CY,Liu TH,He YY,Xu J,Navidi M,Sun G,Hogan EL

    更新日期:1993-06-01 00:00:00

  • Biological age is better than chronological as predictor of 3-month outcome in ischemic stroke.

    abstract:OBJECTIVE:To analyze the effect of age-related DNA methylation changes in multiple cytosine-phosphate-guanine (CpG) sites (biological age [b-age]) on patient outcomes at 3 months after an ischemic stroke. METHODS:We included 511 patients with first-ever acute ischemic stroke assessed at Hospital del Mar (Barcelona, Sp...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004261

    authors: Soriano-Tárraga C,Mola-Caminal M,Giralt-Steinhauer E,Ois A,Rodríguez-Campello A,Cuadrado-Godia E,Gómez-González A,Vivanco-Hidalgo RM,Fernández-Cadenas I,Cullell N,Roquer J,Jiménez-Conde J

    更新日期:2017-08-22 00:00:00

  • Lyme borreliosis in Bell's palsy. Long Island Neuroborreliosis Collaborative Study Group.

    abstract::Lyme borreliosis (LB) causes a range of neurologic manifestations, the most common of which is facial nerve paralysis. To evaluate nervous system LB, we organized a neurologic collaborative study group in Suffolk County, NY, a region of high LB incidence. Between July and September 1989, LB serologies were performed o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.7.1268

    authors: Halperin JJ,Golightly M

    更新日期:1992-07-01 00:00:00

  • Plasma beta-amyloid and white matter lesions in AD, MCI, and cerebral amyloid angiopathy.

    abstract:BACKGROUND:Microvascular brain injury, typically measured by extent of white matter hyperintensity (WMH) on MRI, is an important contributor to cognitive impairment in the elderly. Recent studies suggest a role for circulating beta-amyloid peptide in microvascular dysfunction and white matter disease. METHODS:The auth...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191403.95453.6a

    authors: Gurol ME,Irizarry MC,Smith EE,Raju S,Diaz-Arrastia R,Bottiglieri T,Rosand J,Growdon JH,Greenberg SM

    更新日期:2006-01-10 00:00:00

  • History of multiple sclerosis in 2 successive pregnancies: A French and Italian cohort.

    abstract:OBJECTIVE:To evaluate the risk of relapses during pregnancy and in the first 3 months after delivery in 2 successive pregnancies in a cohort of French and Italian women with multiple sclerosis (MS). METHODS:A total of 93 women were included if they had had 2 pregnancies followed prospectively after MS onset between Ja...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003036

    authors: Benoit A,Durand-Dubief F,Amato MP,Portaccio E,Casey R,Roggerone S,Androdias G,Gignoux L,Ionescu I,Marrosu MG,Cocco E,Ghezzi A,Annovazzi P,Trojano M,Simone M,Marignier R,Confavreux C,Vukusic S

    更新日期:2016-09-27 00:00:00

  • Experimental pain assessment in patients with poststroke aphasia.

    abstract:OBJECTIVE:To evaluate an observational-behavioral pain tool among individuals with acute poststroke aphasia. METHODS:We performed a randomized, double-blind, controlled study of experimental pain assessment among 36 adult patients with acute poststroke aphasia. Patients were administered 3 levels of mechanical pain, i...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000006081

    authors: Soares CD,Panuganti PK,Shrivastava A,Aroor S,Keinath KM,Bromagen MC,Howard ME,Carlson C,Smith JH

    更新日期:2018-08-28 00:00:00

  • Correlation of muscle biopsy, clinical course, and outcome in PM and sporadic IBM.

    abstract:OBJECTIVE:To correlate muscle biopsy findings with prebiopsy and postbiopsy clinical course and response to therapy in polymyositis (PM) and sporadic inclusion body myositis (IBM). BACKGROUND:Existence of pure PM has recently been questioned; subsequently, the definition and criteria for diagnosing PM were debated. M...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000277527.69388.fe

    authors: Chahin N,Engel AG

    更新日期:2008-02-05 00:00:00

  • Granulomatous angiitis of the brain: a successfully treated case.

    abstract::A patient with clinical and radiographic findings initially suggesting a neoplasm was diagnosed as having Hodgkin disease. Computerized axial tomography demonstrated profound diffuse decreased density similar to that seen in cases of cerebral edema or leukomalacia. Cerebral angiography showed blood vessels with a bead...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.6.588

    authors: Rajjoub RK,Wood JH,Ommaya AK

    更新日期:1977-06-01 00:00:00

  • Practice Parameter: treatment of nonmotor symptoms of Parkinson disease: report of the Quality Standards Subcommittee of the American Academy of Neurology.

    abstract:OBJECTIVE:Nonmotor symptoms (sleep dysfunction, sensory symptoms, autonomic dysfunction, mood disorders, and cognitive abnormalities) in Parkinson disease (PD) are a major cause of morbidity, yet are often underrecognized. This evidence-based practice parameter evaluates treatment options for the nonmotor symptoms of P...

    journal_title:Neurology

    pub_type: 杂志文章,实务指引

    doi:10.1212/WNL.0b013e3181d55f24

    authors: Zesiewicz TA,Sullivan KL,Arnulf I,Chaudhuri KR,Morgan JC,Gronseth GS,Miyasaki J,Iverson DJ,Weiner WJ,Quality Standards Subcommittee of the American Academy of Neurology.

    更新日期:2010-03-16 00:00:00

  • Regional hypometabolism in Alzheimer's disease as measured by positron emission tomography after correction for effects of partial volume averaging.

    abstract::Measurements of cerebral metabolism in patients with Alzheimer's disease (AD) using PET are artifactually depressed due to partial volume averaging of brain tissue activity with enlarged CSF spaces. To investigate the effects of correction for the expansion of CSF spaces on regional metabolic measures, as well as the ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.454

    authors: Meltzer CC,Zubieta JK,Brandt J,Tune LE,Mayberg HS,Frost JJ

    更新日期:1996-08-01 00:00:00

  • Phase II study of monthly pasireotide LAR (SOM230C) for recurrent or progressive meningioma.

    abstract:OBJECTIVE:A subset of meningiomas recur after surgery and radiation therapy, but no medical therapy for recurrent meningioma has proven effective. METHODS:Pasireotide LAR is a long-acting somatostatin analog that may inhibit meningioma growth. This was a phase II trial in patients with histologically confirmed recurre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001153

    authors: Norden AD,Ligon KL,Hammond SN,Muzikansky A,Reardon DA,Kaley TJ,Batchelor TT,Plotkin SR,Raizer JJ,Wong ET,Drappatz J,Lesser GJ,Haidar S,Beroukhim R,Lee EQ,Doherty L,Lafrankie D,Gaffey SC,Gerard M,Smith KH,McCluskey

    更新日期:2015-01-20 00:00:00

  • Evidence in focus: Nusinersen use in spinal muscular atrophy: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.

    abstract:OBJECTIVE:To identify the level of evidence for use of nusinersen to treat spinal muscular atrophy (SMA) and review clinical considerations regarding use. METHODS:The author panel systematically reviewed nusinersen clinical trials for patients with SMA and assigned level of evidence statements based on the American Ac...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006502

    authors: Michelson D,Ciafaloni E,Ashwal S,Lewis E,Narayanaswami P,Oskoui M,Armstrong MJ

    更新日期:2018-11-13 00:00:00

  • Cerebral microembolism in symptomatic and asymptomatic high-grade internal carotid artery stenosis.

    abstract::Using transcranial Doppler (TCD) ultrasonography in patients with high-grade (> or = 70%) internal carotid artery (ICA) stenosis, we examined the relation between the rate of TCD-detected silent microembolism of the ipsilateral middle cerebral artery and a history of recent (< 121 days) ischemic symptoms attributable ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.4.615

    authors: Siebler M,Kleinschmidt A,Sitzer M,Steinmetz H,Freund HJ

    更新日期:1994-04-01 00:00:00

  • Brodmann area 12: an historical puzzle relevant to FTLD.

    abstract:BACKGROUND:Brodmann brain maps, assembled in 1909, are still in use, but understanding of their animal-human homology is uncertain. Furthermore, in 1909, Brodmann did not identify human area 12 (BA12), a location now important to understanding of frontotemporal lobar degeneration (FTLD). METHODS:We re-examined Brodman...

    journal_title:Neurology

    pub_type: 历史文章,杂志文章

    doi:10.1212/WNL.0b013e3182190cd8

    authors: Kawamura M,Miller MW,Ichikawa H,Ishihara K,Sugimoto A

    更新日期:2011-05-03 00:00:00

  • Mechanism of action of dopaminergic agents in Parkinson's disease.

    abstract::As the substantia nigra degenerates in Parkinson's disease (PD), the nigrostriatal pathway is disrupted, reducing striatal dopamine and producing PD symptoms. Although dopamine does not readily cross the blood-brain barrier, its precursor, levodopa, does. Levodopa is absorbed in the small bowel and is rapidly cataboli...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.6_suppl_6.s11

    authors: Koller WC,Rueda MG

    更新日期:1998-06-01 00:00:00

  • Antimyoclonic effects of alcohol in progressive myoclonus epilepsy.

    abstract::We studied the effect of a single oral intake of 30 to 40 grams of alcohol in 4 consecutive patients presenting with Ramsay Hunt syndrome, the most common type of degenerative progressive myoclonic epilepsy (PME) encountered in southern Europe. Clinical and polygraphic monitoring demonstrated abatement of myoclonus in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.9.1412

    authors: Genton P,Guerrini R

    更新日期:1990-09-01 00:00:00

  • Myasthenic crisis after intravenous administration of iodinated contrast agent.

    abstract::Two women with myasthenia gravis became apneic immediately after IV injection of iodinated contrast material for CT. Aggravation of myasthenia continued for days after this initial reaction. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.8.1219

    authors: Chagnac Y,Hadani M,Goldhammer Y

    更新日期:1985-08-01 00:00:00

  • PM2.5 associated with gray matter atrophy reflecting increased Alzheimers risk in older women.

    abstract:OBJECTIVE:To examine whether late-life exposure to PM2.5 (particulate matter with aerodynamic diameters <2.5-µm) contributes to progressive brain atrophy predictive of Alzheimer's disease (AD) using a community-dwelling cohort of women (aged 70-89) with up to two brain MRI scans (MRI-1: 2005-6; MRI-2: 2010-11). METHOD...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011149

    authors: Younan D,Wang X,Casanova R,Barnard R,Gaussoin SA,Saldana S,Petkus AJ,Beavers DP,Resnick SM,Manson JE,Serre ML,Vizuete W,Henderson VW,Sachs BC,Salinas JA,Gatz M,Espeland MA,Chui HC,Shumaker SA,Rapp SR,Chen JC,Wom

    更新日期:2020-11-18 00:00:00