Patients with arteriovenous malformations (AVMs) located in the functional area of speech often exhibit language dysfunction, and neuroplasticity allows the brain of some patients to regain speech through functional reorganization. Exploring the mechanism of AVMs-induced reorganization of language function is important for understanding neuroplasticity and improving clinical intervention strategies. This review systematically searched and analyzed the research literature in related fields in recent years, covering data from neuroimaging, functional magnetic resonance imaging (fMRI), and clinical case studies. By integrating these evidences, the phenomenon of functional reorganization within non-verbal functional areas and its influencing factors in patients with AVMs were assessed. It concluded that functional reorganization of language due to AVMs is a manifestation of a high degree of neurological plasticity and that understanding this process has important implications for neurosurgical planning and postoperative rehabilitation of patients. Future research should continue to explore the mechanisms of functional reorganization in the brain and work to develop new diagnostic tools and therapeutic approaches to improve the rate of recovery of language function in patients with AVMs.
{"title":"Neuroplasticity and functional reorganization of language in patients with arteriovenous malformations: insights from neuroimaging and clinical interventions.","authors":"Jialong Yuan, Hongchuan Niu, Chengxu Lei, Ruichen Xu, Yutong Liu, Kexin Yuan, Linru Zou, Shihao He, Yuanli Zhao","doi":"10.3389/fnhum.2025.1503864","DOIUrl":"https://doi.org/10.3389/fnhum.2025.1503864","url":null,"abstract":"<p><p>Patients with arteriovenous malformations (AVMs) located in the functional area of speech often exhibit language dysfunction, and neuroplasticity allows the brain of some patients to regain speech through functional reorganization. Exploring the mechanism of AVMs-induced reorganization of language function is important for understanding neuroplasticity and improving clinical intervention strategies. This review systematically searched and analyzed the research literature in related fields in recent years, covering data from neuroimaging, functional magnetic resonance imaging (fMRI), and clinical case studies. By integrating these evidences, the phenomenon of functional reorganization within non-verbal functional areas and its influencing factors in patients with AVMs were assessed. It concluded that functional reorganization of language due to AVMs is a manifestation of a high degree of neurological plasticity and that understanding this process has important implications for neurosurgical planning and postoperative rehabilitation of patients. Future research should continue to explore the mechanisms of functional reorganization in the brain and work to develop new diagnostic tools and therapeutic approaches to improve the rate of recovery of language function in patients with AVMs.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1503864"},"PeriodicalIF":2.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1504057
Ephrat Huss, Mitsue Nagamine, Michele Zaccai
This paper compares the embodied aesthetic experience of three types of images: photographed flowers, drawn flowers, and mandalas, summarizing data from three former comparative papers. The findings denote the strong embodied emotional connection of participants (changes in mood expressed in neural and physiological responses) to images of real flowers, as compared to the more cognitive reactions to drawings of flowers and cognitive stimulation of flower-like mandalas. These findings are discussed in terms of methodological relevance for art therapy and nature therapy. While it is known that flowers arouse positive emotions, this more nuanced comparison has interesting implications for visual art therapy, and for the therapeutic effects of nature photos, as opposed to drawn interpretations of nature.
{"title":"Observing versus creating flowers: a review of relevance for art therapy.","authors":"Ephrat Huss, Mitsue Nagamine, Michele Zaccai","doi":"10.3389/fnhum.2025.1504057","DOIUrl":"10.3389/fnhum.2025.1504057","url":null,"abstract":"<p><p>This paper compares the embodied aesthetic experience of three types of images: photographed flowers, drawn flowers, and mandalas, summarizing data from three former comparative papers. The findings denote the strong embodied emotional connection of participants (changes in mood expressed in neural and physiological responses) to images of real flowers, as compared to the more cognitive reactions to drawings of flowers and cognitive stimulation of flower-like mandalas. These findings are discussed in terms of methodological relevance for art therapy and nature therapy. While it is known that flowers arouse positive emotions, this more nuanced comparison has interesting implications for visual art therapy, and for the therapeutic effects of nature photos, as opposed to drawn interpretations of nature.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1504057"},"PeriodicalIF":2.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the sensorimotor synchronization (synchronized and continuous tapping) task, subjects move their limbs in synchrony with an isochronous tone presented at various tempos and continue tapping at the same pace after the tones have ceased. We investigated the ability of bilateral lower limb motor control for performing this task as a crucial metric for examining motor coordination relevant to human locomotion, such as walking. Here, sensory information such as auditory and tactile inputs is considered to improve the accuracy of sensorimotor synchronization. In this study, we explored the change in tapping variability of rhythmic motor control of the bilateral lower limb with different movement phase conditions in the presence or absence of sensory information. Thirty-three healthy volunteers performed three types of foot-tapping tasks: synchronization-continuation (SC-tap), air-tapping (A-tap), and a combination of both (SCA-tap). Participants were instructed to tap the foot-switch (or perform a similar movement in the A-tap) in synchrony with the tones presented at fixed interstimulus intervals (ISIs) between 500 and 4,800 ms. Taps were performed with either unilateral foot or, in the case of bilateral movements, with both feet, either simultaneously (in-phase) or alternately for bilateral movements (antiphase). The synchronizing tapping error and the inter-tap interval (ITI) were evaluated. The coefficient of variation (CV) of ITI was significantly smaller for the antiphase condition than for the unilateral or in-phase conditions in the SC-tap and SCA-tap tasks. In addition, considering the timing of taps on both sides, the CV was significantly lower for antiphase only in the SC-tap task. The findings indicated that the antiphase condition exhibited superior temporal stability in repetitive lower limb movements. The findings also underscored the significance of tactile feedback from the soles of the feet when stability of rhythmic limb movements unpaced by the tones in antiphase movements was taken into consideration.
{"title":"Differences in the movement phase condition and sensory inputs on temporal synchronization and continuation during bilateral foot-tapping tasks.","authors":"Atsuki Numata, Yasuo Terao, Kenichi Sugawara, Yoshikazu Ugawa, Toshiaki Furubayashi","doi":"10.3389/fnhum.2025.1518230","DOIUrl":"10.3389/fnhum.2025.1518230","url":null,"abstract":"<p><p>In the sensorimotor synchronization (synchronized and continuous tapping) task, subjects move their limbs in synchrony with an isochronous tone presented at various tempos and continue tapping at the same pace after the tones have ceased. We investigated the ability of bilateral lower limb motor control for performing this task as a crucial metric for examining motor coordination relevant to human locomotion, such as walking. Here, sensory information such as auditory and tactile inputs is considered to improve the accuracy of sensorimotor synchronization. In this study, we explored the change in tapping variability of rhythmic motor control of the bilateral lower limb with different movement phase conditions in the presence or absence of sensory information. Thirty-three healthy volunteers performed three types of foot-tapping tasks: synchronization-continuation (SC-tap), air-tapping (A-tap), and a combination of both (SCA-tap). Participants were instructed to tap the foot-switch (or perform a similar movement in the A-tap) in synchrony with the tones presented at fixed interstimulus intervals (ISIs) between 500 and 4,800 ms. Taps were performed with either unilateral foot or, in the case of bilateral movements, with both feet, either simultaneously (in-phase) or alternately for bilateral movements (antiphase). The synchronizing tapping error and the inter-tap interval (ITI) were evaluated. The coefficient of variation (CV) of ITI was significantly smaller for the antiphase condition than for the unilateral or in-phase conditions in the SC-tap and SCA-tap tasks. In addition, considering the timing of taps on both sides, the CV was significantly lower for antiphase only in the SC-tap task. The findings indicated that the antiphase condition exhibited superior temporal stability in repetitive lower limb movements. The findings also underscored the significance of tactile feedback from the soles of the feet when stability of rhythmic limb movements unpaced by the tones in antiphase movements was taken into consideration.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1518230"},"PeriodicalIF":2.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1460584
Yu Sun Chung, Berry van den Berg, Kenneth C Roberts, Armen Bagdasarov, Marty G Woldorff, Michael S Gaffrey
Both adults and children learn through feedback to associate environmental events and choices with reward, a process known as reinforcement learning (RL). However, tasks to assess RL-related neurocognitive processes in children have been limited. This study validated a child version of the Probabilistic Reward Learning task in preadolescents (8-12 years) while recording event-related-potential (ERPs), focusing on: (1) reward-feedback sensitivity (frontal Reward-related Positivity, RewP), (2) late attention-related responses to feedback (parietal P300), and (3) attentional shifting toward favored stimuli (N2pc). Behaviorally, as expected, preadolescents could learn stimulus-reward outcome associations, but with varying performance levels. Poor learners showed greater RewP amplitudes compared to good learners. Learning strategies (i.e., Win-Lose-Stay-Shift) were reflected by feedback-elicited P300 amplitudes. Lastly, attention shifted toward to-be-chosen stimuli, as evidenced by the N2pc, but not toward more highly rewarded stimuli as in adults. These findings provide novel insights into the neural processes underlying RL in preadolescents.
{"title":"Electrical brain activations in preadolescents during a probabilistic reward-learning task reflect cognitive processes and behavior strategies.","authors":"Yu Sun Chung, Berry van den Berg, Kenneth C Roberts, Armen Bagdasarov, Marty G Woldorff, Michael S Gaffrey","doi":"10.3389/fnhum.2025.1460584","DOIUrl":"10.3389/fnhum.2025.1460584","url":null,"abstract":"<p><p>Both adults and children learn through feedback to associate environmental events and choices with reward, a process known as reinforcement learning (RL). However, tasks to assess RL-related neurocognitive processes in children have been limited. This study validated a child version of the Probabilistic Reward Learning task in preadolescents (8-12 years) while recording event-related-potential (ERPs), focusing on: (1) reward-feedback sensitivity (frontal Reward-related Positivity, RewP), (2) late attention-related responses to feedback (parietal P300), and (3) attentional shifting toward favored stimuli (N2pc). Behaviorally, as expected, preadolescents could learn stimulus-reward outcome associations, but with varying performance levels. Poor learners showed greater RewP amplitudes compared to good learners. Learning strategies (i.e., Win-Lose-Stay-Shift) were reflected by feedback-elicited P300 amplitudes. Lastly, attention shifted toward to-be-chosen stimuli, as evidenced by the N2pc, but not toward more highly rewarded stimuli as in adults. These findings provide novel insights into the neural processes underlying RL in preadolescents.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1460584"},"PeriodicalIF":2.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1560294
Takashi Shibata, Kaoru Takakusaki
{"title":"Editorial: EEG rhythms: decoding the evolutionary enigma of alpha rhythms in vertebrates.","authors":"Takashi Shibata, Kaoru Takakusaki","doi":"10.3389/fnhum.2025.1560294","DOIUrl":"10.3389/fnhum.2025.1560294","url":null,"abstract":"","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1560294"},"PeriodicalIF":2.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-29eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1495050
Mark Vink, Alexandra Vink-Niese
{"title":"CBT and graded exercise therapy studies have proven that ME/CFS and long COVID are physical diseases, yet no one is aware of that.","authors":"Mark Vink, Alexandra Vink-Niese","doi":"10.3389/fnhum.2025.1495050","DOIUrl":"10.3389/fnhum.2025.1495050","url":null,"abstract":"","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1495050"},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-29eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1503228
Kun Zhao, Xueying Guo
Introduction: In high-stakes environments such as aviation, monitoring cognitive, and mental health is crucial, with electroencephalogram (EEG) data emerging as a keytool for this purpose. However traditional methods like linear models Long Short-Term Memory (LSTM), and Gated Recurrent Unit (GRU) architectures often struggle to capture the complex, non-linear temporal dependencies in EEG signals. These approaches typically fail to integrate multi-scale features effectively, resulting in suboptimal health intervention decisions, especially in dynamic, high-pressure environments like pilot training.
Methods: To overcome these challenges, this study introduces PilotCareTrans Net, a novel Transformer-based model designed for health intervention decision-making in aviation students. The model incorporates dynamic attention mechanisms, temporal convolutional layers, and multi-scale feature integration, enabling it to capture intricate temporal dynamics in EEG data more effectively. PilotCareTrans Net was evaluated on multiple public EEG datasets, including MODA, STEW, SJTUEmotion EEG, and Sleep-EDF, where it outperformed state-of-the-art models in key metrics.
Results and discussion: The experimental results demonstrate the model's ability to not only enhance prediction accuracy but also reduce computational complexity, making it suitable for real-time applications in resource-constrained settings. These findings indicate that PilotCareTrans Net holds significant potential for improving cognitive health monitoring and intervention strategies in aviation, thereby contributing to enhanced safety and performance in critical environments.
{"title":"PilotCareTrans Net: an EEG data-driven transformer for pilot health monitoring.","authors":"Kun Zhao, Xueying Guo","doi":"10.3389/fnhum.2025.1503228","DOIUrl":"10.3389/fnhum.2025.1503228","url":null,"abstract":"<p><strong>Introduction: </strong>In high-stakes environments such as aviation, monitoring cognitive, and mental health is crucial, with electroencephalogram (EEG) data emerging as a keytool for this purpose. However traditional methods like linear models Long Short-Term Memory (LSTM), and Gated Recurrent Unit (GRU) architectures often struggle to capture the complex, non-linear temporal dependencies in EEG signals. These approaches typically fail to integrate multi-scale features effectively, resulting in suboptimal health intervention decisions, especially in dynamic, high-pressure environments like pilot training.</p><p><strong>Methods: </strong>To overcome these challenges, this study introduces PilotCareTrans Net, a novel Transformer-based model designed for health intervention decision-making in aviation students. The model incorporates dynamic attention mechanisms, temporal convolutional layers, and multi-scale feature integration, enabling it to capture intricate temporal dynamics in EEG data more effectively. PilotCareTrans Net was evaluated on multiple public EEG datasets, including MODA, STEW, SJTUEmotion EEG, and Sleep-EDF, where it outperformed state-of-the-art models in key metrics.</p><p><strong>Results and discussion: </strong>The experimental results demonstrate the model's ability to not only enhance prediction accuracy but also reduce computational complexity, making it suitable for real-time applications in resource-constrained settings. These findings indicate that PilotCareTrans Net holds significant potential for improving cognitive health monitoring and intervention strategies in aviation, thereby contributing to enhanced safety and performance in critical environments.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1503228"},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-29eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1557542
Franco Delogu, Riccardo Brunetti, Cunmei Jang, Marta Olivetti Belardinelli
{"title":"Editorial: The effects of music on cognition and action, volume II.","authors":"Franco Delogu, Riccardo Brunetti, Cunmei Jang, Marta Olivetti Belardinelli","doi":"10.3389/fnhum.2025.1557542","DOIUrl":"10.3389/fnhum.2025.1557542","url":null,"abstract":"","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1557542"},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-29eCollection Date: 2024-01-01DOI: 10.3389/fnhum.2024.1463740
I Strbačko, M Radoš, I Jurjević, D Orešković, M Klarica
Introduction: It is generally accepted that during body position changes from horizontal to vertical there is a short-lasting shift of a certain CSF volume from the cranium into the hydrostatically lower parts of the spinal space, which leads to transitory CSF pressure decrease to negative values.
Methods: In order to test this, we performed MRI volumetry of cranial and spinal part of the CSF space in healthy volunteers of both genders (n = 22) in three different body positions [horizontal (H); elevated head and upper body (H-UP) under an angle about 30° from the base; elevated lower body (B-UP) under an angle about 30° from the base].
Results: Volumes of brain and spinal cord tissue did not change during body position changes. Significant CSF volume (ml) changes occur inside the spinal space in the tested body positions, primarily in the lumbosacral segment (H-UP - 38.1 ± 7.0; H - 34.4 ± 6.5; B-UP - 28.7 ± 6.5), while at the same time no significant CSF volume changes have been observed inside the cranium in two tested positions (H and B-UP) in which it was possible to measure intracranial CSF volume changes or if we sum up cervical and cranial CSF volumes in those positions.
Conclusion: Observed results suggest that during the changes of body position CSF volume redistribution occurs, primarily inside the spinal and not the cranial space. This is in accordance with the new hypothesis by which spinal intradural space can significantly change its volume due to its elasticity, thus adjusting to the influence of gravity and pressure changes.
{"title":"Body position influence on cerebrospinal fluid volume redistribution inside the cranial and spinal CSF compartments.","authors":"I Strbačko, M Radoš, I Jurjević, D Orešković, M Klarica","doi":"10.3389/fnhum.2024.1463740","DOIUrl":"10.3389/fnhum.2024.1463740","url":null,"abstract":"<p><strong>Introduction: </strong>It is generally accepted that during body position changes from horizontal to vertical there is a short-lasting shift of a certain CSF volume from the cranium into the hydrostatically lower parts of the spinal space, which leads to transitory CSF pressure decrease to negative values.</p><p><strong>Methods: </strong>In order to test this, we performed MRI volumetry of cranial and spinal part of the CSF space in healthy volunteers of both genders (<i>n</i> = 22) in three different body positions [horizontal (H); elevated head and upper body (H-UP) under an angle about 30° from the base; elevated lower body (B-UP) under an angle about 30° from the base].</p><p><strong>Results: </strong>Volumes of brain and spinal cord tissue did not change during body position changes. Significant CSF volume (ml) changes occur inside the spinal space in the tested body positions, primarily in the lumbosacral segment (H-UP - 38.1 ± 7.0; H - 34.4 ± 6.5; B-UP - 28.7 ± 6.5), while at the same time no significant CSF volume changes have been observed inside the cranium in two tested positions (H and B-UP) in which it was possible to measure intracranial CSF volume changes or if we sum up cervical and cranial CSF volumes in those positions.</p><p><strong>Conclusion: </strong>Observed results suggest that during the changes of body position CSF volume redistribution occurs, primarily inside the spinal and not the cranial space. This is in accordance with the new hypothesis by which spinal intradural space can significantly change its volume due to its elasticity, thus adjusting to the influence of gravity and pressure changes.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"18 ","pages":"1463740"},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-28eCollection Date: 2025-01-01DOI: 10.3389/fnhum.2025.1443463
Qingzi Yan, Yixiang Hu, Xiang Liu, Hong Xia
Objective: Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment and expanded the range of tumor indications. However, as the usage of this medication has increased, related adverse events are increasingly being identified. Among these, Atezolizumab-induced encephalitis, aseptic meningitis, and meningoencephalitis remain poorly understood regarding clinical features. This study provides a comprehensive reference for classifying, identifying, and managing Atezolizumab-associated neurological adverse events, specifically encephalitis, aseptic meningitis, and meningoencephalitis.
Methods: This study systematically collected published case reports from public databases such as PubMed, Web of Science, Wanfang Database, and CNKI Database. Two independent reviewers screened titles and abstracts and then extracted data in the included article according to the designed table and analyzed the clinical characteristics of Atezolizumab-induced encephalitis, aseptic meningitis, or meningoencephalitis.
Results: A total of 17 articles were included, with 19 patients diagnosed with encephalitis, aseptic meningitis, or meningoencephalitis after Atezolizumab treatment. The most common presenting symptoms included fever, altered consciousness, fatigue, somnolence, and seizures. Diagnosis was primarily based on cerebrospinal fluid analysis, blood tests, and imaging studies, such as computed tomography (CT) scans. Treatment strategies typically involved systemic steroids, antiviral agents, antibiotics, and anti-epileptic medications, as appropriate.
Conclusion: Neurological immune-related adverse events may rapidly progress and impact prognosis. Therefore, clinical practitioners should have a deep understanding of these neurological immune-related adverse events, promptly diagnose them, and provide accurate and timely treatment.
{"title":"Clinical characteristics, diagnosis, treatment, and prognosis of Atezolizumab-induced encephalitis, aseptic meningitis or meningoencephalitis.","authors":"Qingzi Yan, Yixiang Hu, Xiang Liu, Hong Xia","doi":"10.3389/fnhum.2025.1443463","DOIUrl":"10.3389/fnhum.2025.1443463","url":null,"abstract":"<p><strong>Objective: </strong>Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment and expanded the range of tumor indications. However, as the usage of this medication has increased, related adverse events are increasingly being identified. Among these, Atezolizumab-induced encephalitis, aseptic meningitis, and meningoencephalitis remain poorly understood regarding clinical features. This study provides a comprehensive reference for classifying, identifying, and managing Atezolizumab-associated neurological adverse events, specifically encephalitis, aseptic meningitis, and meningoencephalitis.</p><p><strong>Methods: </strong>This study systematically collected published case reports from public databases such as PubMed, Web of Science, Wanfang Database, and CNKI Database. Two independent reviewers screened titles and abstracts and then extracted data in the included article according to the designed table and analyzed the clinical characteristics of Atezolizumab-induced encephalitis, aseptic meningitis, or meningoencephalitis.</p><p><strong>Results: </strong>A total of 17 articles were included, with 19 patients diagnosed with encephalitis, aseptic meningitis, or meningoencephalitis after Atezolizumab treatment. The most common presenting symptoms included fever, altered consciousness, fatigue, somnolence, and seizures. Diagnosis was primarily based on cerebrospinal fluid analysis, blood tests, and imaging studies, such as computed tomography (CT) scans. Treatment strategies typically involved systemic steroids, antiviral agents, antibiotics, and anti-epileptic medications, as appropriate.</p><p><strong>Conclusion: </strong>Neurological immune-related adverse events may rapidly progress and impact prognosis. Therefore, clinical practitioners should have a deep understanding of these neurological immune-related adverse events, promptly diagnose them, and provide accurate and timely treatment.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"19 ","pages":"1443463"},"PeriodicalIF":2.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}