Effect of white matter lesions on manual dexterity in healthy middle-aged persons.

Abstract:

OBJECTIVES:We hypothesized that integrated motor-visual functions measured by manipulative manual dexterity are affected by white matter lesion (WML) burden as measured on cranial MRI across relevant brain regions in subjects at risk of preclinical occult vascular disease. METHODS:A real-time cross-sectional study of healthy subjects aged 29 to 74 years with a family history of early-onset coronary artery disease (n = 714; mean age, 51 ± 11 years; mean education, 14 ± 3 years; 42% male; 38% black) were identified from probands with coronary artery disease diagnosed before age 60 years. WMLs on 3-tesla brain MRI and Grooved Pegboard scores were measured. RESULTS:WMLs were observed at all ages. Mean pegboard scores were 108 ± 18, similar to normal populations. In unadjusted analysis, WMLs and pegboard scores were significantly correlated by region (total WMLs, r = 0.34, p = 0.0001; frontal [r = 0.34, p < 0.0001], insula [r = 0.31, p < 0.0001], parietal [r = 0.31, p < 0.0001], and temporal [r = 0.17, p < 0.0001]). In multivariate analysis predicting (log) pegboard score adjusted for age, sex, race, education, regional or total volumes, and familial non-independence, total WML volume (p = 5.79E - 05) and regional WML volumes (p < 0.01) retained statistical significance in all but the youngest age quartile (29-43 years). CONCLUSIONS:Greater WML volumes in different brain regions are associated with higher pegboard scores (worse performance) independent of age, sex, race, education, and total or regional volumes. This suggests that small vessel cerebrovascular disease may be present in healthy individuals in a preclinical state with measurable impact on complex integrative functions in individuals with excess risk of clinical vascular disease.

journal_name

Neurology

journal_title

Neurology

authors

Nyquist PA,Yanek LR,Bilgel M,Cuzzocreo JL,Becker LC,Chevalier-Davis K,Yousem D,Prince J,Kral BG,Vaidya D,Becker DM

doi

10.1212/WNL.0000000000001557

subject

Has Abstract

pub_date

2015-05-12 00:00:00

pages

1920-6

issue

19

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000001557

journal_volume

84

pub_type

杂志文章,随机对照试验
  • Heterogeneity of blood-brain barrier changes in multiple sclerosis: an MRI study with gadolinium-DTPA enhancement.

    abstract::We performed 15 dynamic gadolinium-DTPA (Gd-DTPA)-enhanced MRI studies in 8 patients with relapsing and remitting multiple sclerosis; 7 were follow-up studies. We measured the time course of enhancement in 102 enhancing lesions for up to 384 minutes, with rest breaks. Immediate postcontrast MRIs demonstrated many diff...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.2.229

    authors: Kermode AG,Tofts PS,Thompson AJ,MacManus DG,Rudge P,Kendall BE,Kingsley DP,Moseley IF,du Boulay EP,McDonald WI

    更新日期:1990-02-01 00:00:00

  • Correlations of nuclear magnetic resonance imaging, computerized tomography, and clinical profiles in multiple sclerosis.

    abstract::Nuclear magnetic resonance (NMR) imaging was superior to CT for imaging the brain lesions of 27 patients with MS. The incidence of abnormal examinations was 78% by NMR and 63% by CT. In cases in which both studies were abnormal, NMR usually demonstrated many more lesions and more extensive involvement than CT. The app...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.1.27

    authors: Jacobs L,Kinkel WR,Polachini I,Kinkel RP

    更新日期:1986-01-01 00:00:00

  • Treatment of pseudobulbar affect in ALS with dextromethorphan/quinidine: a randomized trial.

    abstract:BACKGROUND:Patients with ALS commonly exhibit pseudobulbar affect. METHODS:The authors conducted a multicenter, randomized, double-blind, controlled, parallel, three-arm study to test a defined combination of dextromethorphan hydrobromide (DM) and quinidine sulfate (Q) (AVP-923) for the treatment of pseudobulbar affec...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000142042.50528.2f

    authors: Brooks BR,Thisted RA,Appel SH,Bradley WG,Olney RK,Berg JE,Pope LE,Smith RA,AVP-923 ALS Study Group.

    更新日期:2004-10-26 00:00:00

  • Plasmapheresis in multiple sclerosis: preliminary findings.

    abstract::In seven of eight patients with progressive multiple sclerosis subjected to long-term plasmapheresis in combination with azathioprine and pulsed prednisone therapy, we found modest improvement of neurologic function. There was no change in auditory and visual evoked responses or serum demyelinating activity. In six of...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.10.1023

    authors: Dau PC,Petajan JH,Johnson KP,Panitch HS,Bornstein MB

    更新日期:1980-10-01 00:00:00

  • The risks and costs of multiple-generic substitution of topiramate.

    abstract:OBJECTIVE:To investigate clinical and economic consequences following generic substitution of one vs multiple generics of topiramate (Topamax; Ortho-McNeil Neurologics, Titusville, NJ). METHODS:Medical and pharmacy claims data of Régie de l'Assurance-Maladie du Québec from January 2006 to October 2007 were used. Patie...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181aa5300

    authors: Duh MS,Paradis PE,Latrémouille-Viau D,Greenberg PE,Lee SP,Durkin MB,Wan GJ,Rupnow MF,LeLorier J

    更新日期:2009-06-16 00:00:00

  • EEG in cough syncope.

    abstract::In 17 patients with cough syncope, electroencephalograms showed normal interictal recordings in 12 patients, minimally abnormal recordings in 4, and a moderately abnormal recording in 1. Fourteen episodes of cough syncope (six patients) were recorded, with the EEGs showing diffuse theta and delta slowing during the ep...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.3.371

    authors: DeMaria AA Jr,Westmoreland BF,Sharbrough FW

    更新日期:1984-03-01 00:00:00

  • Perinatal stroke in term infants with neonatal encephalopathy.

    abstract::In a prospective cohort of 124 encephalopathic term infants, six infants had an acute focal stroke. All six encephalopathic patients with strokes presented with seizures. Neurodevelopmental outcome at 30 months was abnormal in all six patients and significantly worse when compared with the entire cohort overall. These...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000129909.77753.c4

    authors: Ramaswamy V,Miller SP,Barkovich AJ,Partridge JC,Ferriero DM

    更新日期:2004-06-08 00:00:00

  • The child neurology clinical workforce in 2015: Report of the AAP/CNS Joint Taskforce.

    abstract:OBJECTIVES:More than a decade has passed since the last major workforce survey of child neurologists in the United States; thus, a reassessment of the child neurology workforce is needed, along with an inaugural assessment of a new related field, neurodevelopmental disabilities. METHODS:The American Academy of Pediatr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003147

    authors: Kang PB,Bale JF Jr,Mintz M,Joshi SM,Gilbert DL,Radabaugh C,Ruch-Ross H,Section on Neurology Executive Committee of the American Academy of Pediatrics, and the Board of Directors of the Child Neurology Society.

    更新日期:2016-09-27 00:00:00

  • Acute and prophylactic treatment of migraine: practical approaches and pharmacologic rationale.

    abstract::The antimigraine efficacy of many drugs may be mediated less through their primary modes of action than through the common pathway of serotonergic transmission stabilization. Migraine treatment may be symptomatic, acute/abortive, or prophylactic. Because oral drug absorption is impaired during attacks, parenteral agen...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Raskin NH

    更新日期:1993-06-01 00:00:00

  • Sample size estimations for MRI-monitored trials of MS comparing new vs standard treatments.

    abstract::The authors estimated the sample sizes needed for exploratory trials of MS assessing the efficacy of new treatments in reducing the number of new enhancing lesions vs those of interferon-beta or glatiramer acetate. The sample sizes per arm ranged from 868 (effect: 20%) to 94 (effect: 50%) for patients with relapsing-r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.10.1883

    authors: Sormani MP,Rovaris M,Bagnato F,Molyneux P,Bruzzi P,Pozzilli C,Miller DH,Comi G,Filippi M

    更新日期:2001-11-27 00:00:00

  • Whole genome sequence analyses of brain imaging measures in the Framingham Study.

    abstract:OBJECTIVE:We sought to identify rare variants influencing brain imaging phenotypes in the Framingham Heart Study by performing whole genome sequence association analyses within the Trans-Omics for Precision Medicine Program. METHODS:We performed association analyses of cerebral and hippocampal volumes and white matter...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004820

    authors: Sarnowski C,Satizabal CL,DeCarli C,Pitsillides AN,Cupples LA,Vasan RS,Wilson JG,Bis JC,Fornage M,Beiser AS,DeStefano AL,Dupuis J,Seshadri S,NHLBI Trans-Omics for Precision Medicine (TOPMed) Consortium.,TOPMed Neurocognitive W

    更新日期:2018-01-16 00:00:00

  • Myasthenic congenital myopathy from recessive mutations at a single residue in NaV1.4.

    abstract:OBJECTIVE:To identify the genetic and physiologic basis for recessive myasthenic congenital myopathy in 2 families, suggestive of a channelopathy involving the sodium channel gene, SCN4A. METHODS:A combination of whole exome sequencing and targeted mutation analysis, followed by voltage-clamp studies of mutant sodium ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007185

    authors: Elia N,Palmio J,Castañeda MS,Shieh PB,Quinonez M,Suominen T,Hanna MG,Männikkö R,Udd B,Cannon SC

    更新日期:2019-03-26 00:00:00

  • Improvement of motor function in early Parkinson disease by safinamide.

    abstract::A median safinamide (SAF) dose of 70 mg/day (range 40 to 90 mg/day) increased the percentage of parkinsonian patients improving their motor scores by > or =30% from baseline (responders) after 3 months from 21.4% (placebo) to 37.5% (p < 0.05, calculated by logistic regression analysis). In a subgroup of 101 patients u...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000134672.44217.f7

    authors: Stocchi F,Arnold G,Onofrj M,Kwiecinski H,Szczudlik A,Thomas A,Bonuccelli U,Van Dijk A,Cattaneo C,Sala P,Fariello RG,Safinamide Parkinson's Study Group.

    更新日期:2004-08-24 00:00:00

  • Preservation of branchimotor neurons of the nucleus ambiguus in multiple system atrophy.

    abstract::Cholinergic neurons in the nucleus ambiguus (NA) were counted in autopsy tissue obtained from five patients with multiple system atrophy (MSA), four patients with PD, and five controls. The number of neurons in the dorsal NA was not significantly different among the three groups. Neurons in the ventrolateral portion o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000042087.07133.87

    authors: Benarroch EE,Schmeichel AM,Parisi JE

    更新日期:2003-01-14 00:00:00

  • Comorbidity is associated with disease activity in MS: Findings from the CombiRx trial.

    abstract:OBJECTIVE:To determine whether comorbidity is associated with clinical (relapses, disability worsening) and MRI outcomes in multiple sclerosis (MS) by conducting a secondary analysis of the CombiRx clinical trial. METHODS:CombiRx compared interferon beta-1a, glatiramer acetate, and the combination of these agents. For...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000010024

    authors: Salter A,Kowalec K,Fitzgerald KC,Cutter G,Marrie RA

    更新日期:2020-08-04 00:00:00

  • Recanalization after intravenous thrombolysis: does a recanalization time window exist?

    abstract:BACKGROUND:To evaluate the time course of major vessel recanalization under IV thrombolysis in relation to functional outcome in acute ischemic stroke. METHODS:A total of 99 patients with an acute anterior circulation vessel occlusion who underwent IV thrombolysis were included. All patients had a standardized admissi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/01.wnl.0000260604.26469.8e

    authors: Wunderlich MT,Goertler M,Postert T,Schmitt E,Seidel G,Gahn G,Samii C,Stolz E,Duplex Sonography in Acute Stroke (DIAS) Study Group.,Competence Network Stroke.

    更新日期:2007-04-24 00:00:00

  • Hyperglycemia predicts poststroke infections in acute ischemic stroke.

    abstract:OBJECTIVE:To investigate whether admission hyperglycemia predicts poststroke infections and, if so, whether poststroke infections modify the effect of admission hyperglycemia on functional outcome in ischemic stroke. METHODS:We used data from acute ischemic stroke patients in the Preventive Antibiotics in Stroke Study...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000003811

    authors: Zonneveld TP,Nederkoorn PJ,Westendorp WF,Brouwer MC,van de Beek D,Kruyt ND,PASS Investigators.

    更新日期:2017-04-11 00:00:00

  • A case-control study of HIV-1-related dementia and co-infection with HHV-8.

    abstract::This nested case-control study assessed the putative protective effect of human herpesvirus-8 (HHV-8) against HIV-1-related dementia (dementia). The HHV-8 seropositivity of 210 male age- and HIV disease stage-matched cases and controls was compared. The overall HHV-8 seropositivity of 66% was similar among demented HI...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/wnl.59.6.950

    authors: Polk S,Muñoz A,Sacktor NC,Jenkins FJ,Cohen B,Miller EN,Jacobson LP

    更新日期:2002-09-24 00:00:00

  • Progressive supranuclear palsy: loss of choline-acetyltransferase-like immunoreactive neurons in the pontine reticular formation.

    abstract::We performed a quantitative immunocytochemical study using a polyclonal antibody directed against choline acetyltransferase (ChAT) in the lower pontine reticular formation in four control subjects and three patients with progressive supranuclear palsy (PSP). In the normal brains, there was detectable ChAT-like immunor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.10.1593

    authors: Malessa S,Hirsch EC,Cervera P,Javoy-Agid F,Duyckaerts C,Hauw JJ,Agid Y

    更新日期:1991-10-01 00:00:00

  • Adult botulism type F in the United States, 1981-2002.

    abstract:BACKGROUND:Clostridium botulinum neurotoxin types A, B, and E cause most cases of the paralytic disease botulism. Little is known about the epidemiology, clinical features, or microbiology of botulism type F. METHODS:Cases of adult type F botulism were identified by review of data collected by CDC's National Botulism ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000187127.92446.4c

    authors: Gupta A,Sumner CJ,Castor M,Maslanka S,Sobel J

    更新日期:2005-12-13 00:00:00

  • Core cerebrospinal fluid biomarker profile in cerebral amyloid angiopathy: A meta-analysis.

    abstract:OBJECTIVE:To perform a meta-analysis of 4 core CSF biomarkers (β-amyloid [Aβ]42, Aβ40, total tau [t-tau], and phosphorylated tau [p-tau]) to assess which of these are most altered in sporadic cerebral amyloid angiopathy (CAA). METHODS:We systematically searched PubMed for eligible studies reporting data on CSF biomark...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/WNL.0000000000005030

    authors: Charidimou A,Friedrich JO,Greenberg SM,Viswanathan A

    更新日期:2018-02-27 00:00:00

  • Efficacy and tolerability of the new antiepileptic drugs II: treatment of refractory epilepsy: report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee of the American Academy of Neurology and the American Epile

    abstract:OBJECTIVE:To assess the evidence demonstrating efficacy, tolerability, and safety of seven new antiepileptic drugs (AEDs) (gabapentin, lamotrigine, topiramate, tiagabine, oxcarbazepine, levetiracetam, and zonisamide) in the treatment of children and adults with refractory partial and generalized epilepsies. METHODS:A ...

    journal_title:Neurology

    pub_type: 指南,杂志文章,实务指引,评审

    doi:10.1212/01.wnl.0000123695.22623.32

    authors: French JA,Kanner AM,Bautista J,Abou-Khalil B,Browne T,Harden CL,Theodore WH,Bazil C,Stern J,Schachter SC,Bergen D,Hirtz D,Montouris GD,Nespeca M,Gidal B,Marks WJ Jr,Turk WR,Fischer JH,Bourgeois B,Wilner A,Faught R

    更新日期:2004-04-27 00:00:00

  • Practice parameter: medical treatment of infantile spasms: report of the American Academy of Neurology and the Child Neurology Society.

    abstract:OBJECTIVE:To determine the current best practice for treatment of infantile spasms in children. METHODS:Database searches of MEDLINE from 1966 and EMBASE from 1980 and searches of reference lists of retrieved articles were performed. Inclusion criteria were the documented presence of infantile spasms and hypsarrhythmi...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000127773.72699.c8

    authors: Mackay MT,Weiss SK,Adams-Webber T,Ashwal S,Stephens D,Ballaban-Gill K,Baram TZ,Duchowny M,Hirtz D,Pellock JM,Shields WD,Shinnar S,Wyllie E,Snead OC 3rd,American Academy of Neurology.,Child Neurology Society.

    更新日期:2004-05-25 00:00:00

  • Epilepsy in pregnancy: developmental outcome of offspring at 12 months.

    abstract::Women were enrolled in our prospective cohort study of epilepsy and pregnancy to determine the developmental outcome of offspring and the immediate outcome of pregnancy. Women with epilepsy (case group) were enrolled before conception or during the first trimester, and women without epilepsy or chronic illness (contro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:

    authors: Leavitt AM,Yerby MS,Robinson N,Sells CJ,Erickson DM

    更新日期:1992-04-01 00:00:00

  • Venous drainage in multiple sclerosis: a combined MRI and ultrasound study.

    abstract:BACKGROUND:Chronic cerebrospinal venous insufficiency (CCSVI) was proposed as the causal trigger for developing multiple sclerosis (MS). However, current data are contradictory and a gold standard for venous flow assessment is missing. OBJECTIVE:To compare structural magnetic resonance venography (MRV) and dynamic ext...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318236f0ea

    authors: Doepp F,Würfel JT,Pfueller CF,Valdueza JM,Petersen D,Paul F,Schreiber SJ

    更新日期:2011-11-08 00:00:00

  • Detection of Borrelia burgdorferi-specific antigen in antibody-negative cerebrospinal fluid in neurologic Lyme disease.

    abstract:OBJECTIVE:To determine the potential of detection in CSF of specific Borrelia burgdorferi antigen, OspA, as a marker of infection in neurologic Lyme disease and compare this with the detection of antibody. DESIGN:CSF from 83 neurologic patients in an area highly endemic for Lyme disease was examined prospectively for ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.11.2010

    authors: Coyle PK,Schutzer SE,Deng Z,Krupp LB,Belman AL,Benach JL,Luft BJ

    更新日期:1995-11-01 00:00:00

  • The frequency of intractable seizures after stopping AEDs in seizure-free children with epilepsy.

    abstract:BACKGROUND:After 1 to 4 years, seizure-free children with epilepsy are encouraged to stop daily antiepileptic drug (AED) treatment. Approximately 70% are successful. The authors examined how often intractable epilepsy follows discontinuation of AED treatment in a population-based cohort of children with epilepsy. METH...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000154517.82748.A7

    authors: Camfield P,Camfield C

    更新日期:2005-03-22 00:00:00

  • Decreased striatal monoaminergic terminals in Huntington disease.

    abstract:OBJECTIVE:To evaluate the integrity of the dorsal striatal dopaminergic innervation in rigid and choreic Huntington disease (HD). BACKGROUND:Some patients with HD have an akinetic-rigid phenotype. It has been suggested that nigrostriatal in addition to striatal pathology is present in this subgroup. The authors sought...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.9.1753

    authors: Bohnen NI,Koeppe RA,Meyer P,Ficaro E,Wernette K,Kilbourn MR,Kuhl DE,Frey KA,Albin RL

    更新日期:2000-05-09 00:00:00

  • The predictive value of CSF oligoclonal banding for MS 5 years after optic neuritis. Optic Neuritis Study Group.

    abstract::The predictive value of CSF oligoclonal banding for the development of clinically definite MS (CDMS) within 5 years after optic neuritis was assessed in 76 patients enrolled in the Optic Neuritis Treatment Trial. The presence of oligoclonal bands was associated with the development of CDMS (p = 0.02). However, the res...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.3.885

    authors: Cole SR,Beck RW,Moke PS,Kaufman DI,Tourtellotte WW

    更新日期:1998-09-01 00:00:00

  • The effects of storage and shaking on the settling properties of phenytoin suspension.

    abstract::Phenytoin suspension (PHY-S) is reported to settle, resulting in uneven drug distribution and variable patient dosing. We designed this study to determine the rate of settling and the amount of agitation needed to resuspend the preparation. To determine the rate of settling, we thoroughly shook three bottles of PHY-S ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.2.207

    authors: Sarkar MA,Garnett WR,Karnes HT

    更新日期:1989-02-01 00:00:00