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Editorial: 15 years of frontiers in neuroanatomy: the circuits behind the visual cortex. 社论:神经解剖学前沿 15 年:视觉皮层背后的电路。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1507122
Toru Takahata, Song-Lin Ding
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引用次数: 0
Transcription factor 4 expression in the developing non-human primate brain: a comparative analysis with the mouse brain. 转录因子 4 在发育中的非人灵长类大脑中的表达:与小鼠大脑的比较分析。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1478689
Alain C Burette, Hanna Vihma, Audrey L Smith, Siddhi S Ozarkar, Jeff Bennett, David G Amaral, Benjamin D Philpot

Transcription factor 4 (TCF4) has been implicated in a range of neuropsychiatric disorders, including major depressive disorder, bipolar disorder, and schizophrenia. Mutations or deletions in TCF4 cause Pitt-Hopkins syndrome (PTHS), a rare neurodevelopmental disorder. A detailed understanding of its spatial expression across the developing brain is necessary for comprehending TCF4 biology and, by extension, to develop effective treatments for TCF4-associated disorders. However, most current knowledge is derived from mouse models, which are invaluable for preclinical studies but may not fully capture the complexities of human neuropsychiatric phenotypes. This study compared TCF4 expression in the developing mouse brain to its regional and cellular expression patterns in normal prenatal, neonatal, and young adult rhesus macaque brains, a species more relevant to human neurodevelopment. While the general developmental expression of TCF4 is largely conserved between macaques and mice, we saw several interspecies differences. Most notably, a distinct layered pattern of TCF4 expression was clear in the developing macaque neocortex but largely absent in the mouse brain. High TCF4 expression was seen in the inner dentate gyrus of adult mice but not in macaques. Conversely, TCF4 expression was higher in the adult macaque striatum compared to the mouse striatum. Further research is needed to show the significance of these interspecies differences. Still, they underscore the importance of integrating rodent and primate studies to comprehensively understand TCF4 function and its implications for human disorders. Moreover, the primate-specific expression patterns of TCF4 will inform genetic and other therapeutic strategies to treat TCF4-associated disorders.

转录因子 4(TCF4)与一系列神经精神疾病有关,包括重度抑郁症、躁狂症和精神分裂症。TCF4 基因突变或缺失会导致一种罕见的神经发育障碍--皮特-霍普金斯综合征(Pitt-Hopkins Syndrome,PTHS)。要了解 TCF4 的生物学特性,并进而开发出治疗 TCF4 相关疾病的有效方法,就必须详细了解其在大脑发育过程中的空间表达。然而,目前大多数知识都来自小鼠模型,这些模型对于临床前研究非常宝贵,但可能无法完全捕捉到人类神经精神表型的复杂性。本研究将发育中小鼠大脑中 TCF4 的表达与正常产前、新生儿和年轻成年猕猴大脑中 TCF4 的区域和细胞表达模式进行了比较,猕猴是与人类神经发育更相关的物种。虽然 TCF4 在猕猴和小鼠之间的总体发育表达基本一致,但我们发现了几种种间差异。最值得注意的是,在发育中的猕猴新皮质中,TCF4的表达有明显的分层模式,但在小鼠大脑中却基本没有。成年小鼠的齿状回内侧有较高的 TCF4 表达,而猕猴则没有。相反,成年猕猴纹状体中 TCF4 的表达高于小鼠纹状体。这些种间差异的意义还需要进一步研究。不过,它们强调了整合啮齿类动物和灵长类动物研究的重要性,以便全面了解TCF4的功能及其对人类疾病的影响。此外,TCF4在灵长类动物中的特异性表达模式将为治疗TCF4相关疾病的基因和其他治疗策略提供依据。
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引用次数: 0
Algal polysaccharides: new perspectives for the treatment of basal ganglia neurodegenerative diseases. 海藻多糖:治疗基底节神经退行性疾病的新视角。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1465421
Alessandra Marinho Miranda Lucena, Eudes Euler de Souza Lucena, Sebastião Pacheco Duque Neto, Leonardo Thiago Duarte Barreto Nobre, Hugo Alexandre Oliveira Rocha, Rafael Barros Gomes Câmara

The objective of this review was to verify the therapeutic effect of polysaccharides derived from algae in neurodegenerative disease models involving the basal ganglia. To achieve this goal, a literature search was conducted in PubMed, Science Direct, Scopus, Web of Science, Embase, and Google Scholar databases. The descriptors "neuroprotective or neural regenerative or immunomodulatory activity or neuroprotection," "polysaccharide or carbohydrate or carbohydrate polymers," "marine algae or seaweed," and "basal ganglia" according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) methodology were used. This methodology involved the steps of searching, pre-selection, and inclusion of articles. A total of 737 records were identified. Following the data analysis, 698 studies were excluded, resulting in a final sample of 8 studies. Species such as Turbinaria decurrens, Gracilaria cornea, Chlorella pyrenoidosa, Arthrospira (Spirulina) platensis, Fucus vesiculosus, and Laminaria japonica have demonstrated significant neuroprotective effects. This review suggests that polysaccharides derived from marine algae possess therapeutic potential for neuroprotection, modulation of inflammation, and amelioration of functional deficits. Their use in neurodegenerative disease models warrants further consideration.

本综述旨在验证藻类多糖对基底节神经退行性疾病模型的治疗效果。为实现这一目标,我们在 PubMed、Science Direct、Scopus、Web of Science、Embase 和 Google Scholar 数据库中进行了文献检索。根据系统综述和元分析首选报告项目(PRISMA)方法,使用了 "神经保护或神经再生或免疫调节活性或神经保护"、"多糖或碳水化合物或碳水化合物聚合物"、"海藻或紫菜 "和 "基底节 "等描述符。该方法包括搜索、预选和纳入文章等步骤。共确定了 737 条记录。经过数据分析,排除了 698 项研究,最终确定了 8 项研究样本。Turbinaria decurrens、Gracilaria cornea、Chlorella pyrenoidosa、Arthrospira (Spirulina) platensis、Fucus vesiculosus 和 Laminaria japonica 等物种已证明具有显著的神经保护作用。这篇综述表明,从海藻中提取的多糖在保护神经、调节炎症和改善功能障碍方面具有治疗潜力。它们在神经退行性疾病模型中的应用值得进一步考虑。
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引用次数: 0
Editorial: The four streams of the prefrontal cortex. 社论:前额叶皮层的四个流
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1487947
Dorit Ben Shalom
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引用次数: 0
Deep peroneal neuropathy induced by prolonged squatting: a case report. 久蹲诱发腓肠深神经病变:病例报告。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1474791
Hyun-Seok Jo, Ki-Hong Kim, Min-Keun Song, Hyeng-Kyu Park, In Sung Choi, Jae-Young Han

Prolonged squatting is a well-documented cause of common peroneal neuropathy, wherein the common peroneal nerve is thought to be compressed between the biceps femoris tendon and the lateral head of the gastrocnemius muscle or the fibular head. However, deep peroneal neuropathy resulting from prolonged squatting has not been previously reported. We present the case of a tile installer who developed unilateral deep peroneal neuropathy following extended squatting, diagnosed through ultrasonography, which identified the bilateral division of the common peroneal nerves between the knee joint and the fibular head. This case underscores the value of ultrasonography, particularly when electrodiagnostic results are inconsistent with clinical expectations.

长期下蹲是导致腓总神经病变的一个有据可查的原因,腓总神经被认为是在股二头肌肌腱和腓肠肌外侧头或腓骨头之间受到压迫。然而,因长时间下蹲而导致腓总神经深部病变的病例此前尚未见报道。我们介绍了一名瓷砖安装工的病例,他在长时间下蹲后出现了单侧腓总神经深部病变,通过超声波检查确诊,发现腓总神经在膝关节和腓骨头之间有双侧分叉。该病例强调了超声波检查的价值,尤其是当电诊断结果与临床预期不一致时。
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引用次数: 0
Therapeutic ultrasound: an innovative approach for targeting neurological disorders affecting the basal ganglia. 超声治疗:针对影响基底节的神经系统疾病的创新方法。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1469250
Anurag Singh, John N J Reynolds

The basal ganglia are involved in motor control and action selection, and their impairment manifests in movement disorders such as Parkinson's disease (PD) and dystonia, among others. The complex neuronal circuitry of the basal ganglia is located deep inside the brain and presents significant treatment challenges. Conventional treatment strategies, such as invasive surgeries and medications, may have limited effectiveness and may result in considerable side effects. Non-invasive ultrasound (US) treatment approaches are becoming increasingly recognized for their therapeutic potential for reversibly permeabilizing the blood-brain barrier (BBB), targeting therapeutic delivery deep into the brain, and neuromodulation. Studies conducted on animals and early clinical trials using ultrasound as a therapeutic modality have demonstrated promising outcomes for controlling symptom severity while preserving neural tissue. These results could improve the quality of life for patients living with basal ganglia impairments. This review article explores the therapeutic frontiers of ultrasound technology, describing the brain mechanisms that are triggered and engaged by ultrasound. We demonstrate that this cutting-edge method could transform the way neurological disorders associated with the basal ganglia are managed, opening the door to less invasive and more effective treatments.

基底神经节参与运动控制和动作选择,其功能受损表现为帕金森病(PD)和肌张力障碍等运动障碍。基底神经节复杂的神经元回路位于大脑深处,给治疗带来了巨大挑战。传统的治疗策略,如侵入性手术和药物,可能效果有限,并可能导致严重的副作用。非侵入性超声波(US)治疗方法在可逆性渗透血脑屏障(BBB)、向大脑深部靶向输送治疗药物和神经调控方面的治疗潜力正日益得到认可。将超声波作为一种治疗方式在动物身上进行的研究和早期临床试验表明,这种治疗方式在控制症状严重程度的同时还能保护神经组织,效果十分理想。这些结果可以改善基底节受损患者的生活质量。这篇综述文章探讨了超声波技术的治疗前沿,描述了超声波触发和参与的大脑机制。我们证明,这种尖端方法可以改变与基底节相关的神经系统疾病的治疗方式,为更微创、更有效的治疗打开大门。
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引用次数: 0
Topographic anatomy of the lateral surface of the parietal lobe and its relationship with white matter tracts. 顶叶外侧表面的地形解剖及其与白质束的关系。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1458989
Volkan Oğlin, Ömer Orhun, Alfredo Quiñones-Hinojosa, Erik H Middlebrooks, Orhun Mete Çevik, M İmre Usseli, Mustafa Güdük, M Emin Aksoy, M Necmettin Pamir, Baran Bozkurt

Aim of this study was to define sulcal and gyral variations of the lateral parietal cortex and underlying white matter tracts and emphasize the importance of relationship between topographic anatomy of parietal lobe and white matter tracts underlying it in approaches to deep parietal and atrial lesions. Twenty-eight formalin-fixed cerebral hemispheres of 14 adult cadavers were used. Ten hemispheres were dissected from lateral to medial by fiber dissection and all stages were photographed. Our anatomic findings were supported by MRI tractography. Postcentral sulcus and intraparietal sulcus were continuous in most of the cadavers (71% in right, 64% in left side). Intermediate sulcus of Jensen was in bayonet shape in 86 and 50 percent of cadavers at right and left side, respectively. The range of perpendicular distance between the meeting point and interhemispheric fissure was 2.5-4.9 cm in right and 2.8-4.2 cm in left hemisphere whereas the range of distance between meeting point and the sylvian fissure was 3-6 cm and 2.5-5.6 in left and right hemispheres, respectively. When the meeting point was located more laterally, the probability of damaging the arcuate fasciculus and superior longitudinal fasciculus II during dissection was increased. We also found that the intraparietal sulcus and intermediate sulcus of Jensen were associated with the superior longitudinal fasciculus II, middle longitudinal fasciculus, inferior frontooccipital fasciculus, tapetum, and optic radiation. These variations and their relation to subcortical tracts should be considered in atrium and deep parietal lobe surgeries.

本研究的目的是确定外侧顶叶皮层及其下白质束的沟状和回状变异,并强调顶叶地形解剖学与其下白质束之间的关系在处理顶叶深部和心房病变中的重要性。研究使用了 14 具成年尸体的 28 个福尔马林固定大脑半球。用纤维解剖法从外侧到内侧解剖了 10 个半球,并对所有阶段进行了拍照。我们的解剖结果得到了核磁共振成像束学的支持。大多数尸体的后中央沟和顶内沟是连续的(右侧 71%,左侧 64%)。右侧和左侧分别有 86% 和 50% 的尸体詹森中间沟呈刺刀状。会合点与大脑半球间裂隙之间的垂直距离范围,右侧为 2.5-4.9 厘米,左侧为 2.8-4.2 厘米,而会合点与颅裂之间的距离范围,左侧为 3-6 厘米,右侧为 2.5-5.6 厘米。当会合点位于更外侧时,解剖时损伤弓状筋束和上纵筋束 II 的概率增加。我们还发现,顶盖内沟和詹森中间沟与上纵筋束Ⅱ、中纵筋束、下额枕筋束、锥体和视神经辐射有关。在心房和顶叶深部手术中应考虑到这些变化及其与皮层下束的关系。
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引用次数: 0
Cajal's contributions to vestibular research. 卡哈尔对前庭研究的贡献。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1476640
Juan M Espinosa-Sanchez, Nicolas Perez-Fernandez, Fernando de Castro, Angel Batuecas-Caletrio

The Spanish neurohistologist Santiago Ramón y Cajal (1852-1934) is widely regarded as the father of modern Neuroscience. In addition to identifying the individuality of cells in the nervous system (the neuron theory) or the direction followed by nerve impulses (the principle of dynamic polarization), he described numerous details regarding the organization of the different structures of the nervous system. This task was compiled in his magnum opus, "Textura del Sistema Nervioso del Hombre y los Vertebrados," first published in Spanish between 1899 and 1904, and later revised and updated in French as "Histologie du système nerveux de l'homme et des vertébrés" between 1909 and 1911 for wider distribution among the international scientific community. Some of Cajal's findings are fundamental to our understanding of the anatomy and histology of the vestibular system. He depicted the nerve endings in the sensory epithelia, the structure of the vestibular nerve and Scarpa ganglion, afferent vestibular fibers, vestibular nuclei, lateral vestibulospinal tract, vestibulocerebellar connections, and the fine structure of the cerebellum. However, most of these pioneering descriptions were published years earlier in Spanish journals with limited circulation. Our study aimed to gather Cajal's findings on the vestibular system and identify his original publications. After this endeavor, we claim a place for Cajal among the founders of anatomy and histology of the vestibular system.

西班牙神经史学家圣地亚哥-拉蒙-卡哈尔(1852-1934 年)被公认为现代神经科学之父。除了确定神经系统中细胞的个体性(神经元理论)或神经冲动的方向(动态极化原理)之外,他还描述了有关神经系统不同结构组织的许多细节。这项工作被编入他的巨著《人类和脊椎动物神经系统的结构》(Textura del Sistema Nervioso del Hombre y los Vertebrados),该书于 1899 年至 1904 年间首次以西班牙文出版,后于 1909 年至 1911 年间以法文修订和更新为《人类和脊椎动物神经系统的组织学》(Histologie du système nerveux de l'homme et des vertébrés),在国际科学界广泛传播。卡哈尔的一些发现对我们了解前庭系统的解剖学和组织学具有重要意义。他描绘了感觉上皮的神经末梢、前庭神经和斯卡帕神经节的结构、前庭传入纤维、前庭神经核、前庭脊髓外侧束、前庭小脑连接以及小脑的精细结构。然而,这些开创性的描述大多发表在多年前的西班牙期刊上,发行量有限。我们的研究旨在收集卡哈尔对前庭系统的研究成果,并确定他的原始出版物。经过这一努力,我们认为卡加尔在前庭系统解剖学和组织学奠基人中占有一席之地。
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引用次数: 0
NECAB1-3, parvalbumin, calbindin, and calretinin in the hippocampus of the European mole 欧洲鼹鼠海马中的 NECAB1-3、parvalbumin、calbindin 和 calretinin
IF 2.9 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-09-04 DOI: 10.3389/fnana.2024.1452722
Jovana Maliković, Irmgard Amrein, Lorenzo Vinciguerra, David P. Wolfer, Lutz Slomianka
Many calcium-binding proteins are expressed in a region-and cell-type specific manner in the mammalian hippocampus. Neuronal calcium-binding proteins (NECABs) are also expressed in hippocampal neurons, but few species have been investigated, with partly controversial findings. We here describe NECAB1, NECAB2 and NECAB3 as well as parvalbumin, calbindin, and calretinin in the European mole, and compare staining patterns of these proteins with those in mouse and other species. While subtle differences are present, NECAB staining in the European mole was generally similar to those in mouse. Common to European moles, mice, and other species we investigated, large hilar polymorphic cells, likely to represent mossy cells, were positive for all three NECABs. NECAB1 and 2 are suitable as markers for these cells along the entire septotemporal axis of the hippocampus. In the European mole, parvalbumin, calbindin and calretinin showed traits that have been described in other species before, albeit in a unique combination. In summary, we provide the first description of distribution of these proteins in the hippocampus of the European mole. This subterranean, insectivorous, and solitary living species belongs to the Order of Eulipotyphla. Despite many similarities with other subterranean species from the rodent order in terms of lifestyle, its hippocampus is cytoarchitecturally much more elaborated than in, e.g., mole-rats. It remains an open question if the hippocampal structure of the European mole reflects evolutionary constraints or ecology. Our descriptive study highlights the diversity in hippocampal cytoarchitecture even in small mammalian species.
许多钙结合蛋白在哺乳动物海马中以特定区域和细胞类型的方式表达。神经元钙结合蛋白(NECABs)也在海马神经元中表达,但研究的物种很少,且研究结果存在部分争议。我们在此描述了欧洲鼹鼠中的 NECAB1、NECAB2 和 NECAB3 以及副缬白蛋白、钙巴林蛋白和钙网蛋白,并将这些蛋白的染色模式与小鼠和其他物种的染色模式进行了比较。欧洲鼹鼠的 NECAB 染色虽然存在细微差别,但总体上与小鼠相似。与欧洲鼹鼠、小鼠和我们研究的其他物种一样,可能代表苔藓细胞的大疱多形性细胞对所有三种 NECAB 均呈阳性。NECAB1 和 2 适合作为这些细胞在整个海马隔颞轴上的标记。在欧洲鼹鼠中,parvalbumin、calbindin 和 calretinin 显示出了之前在其他物种中描述过的特征,尽管是以一种独特的组合出现的。总之,我们首次描述了这些蛋白质在欧洲鼹鼠海马中的分布情况。欧洲鼹鼠是一种地下、食虫和独居物种,属于欧罗巴鼹鼠目(Order of Eulipotyphla)。尽管在生活方式上与啮齿目其他地下物种有许多相似之处,但其海马的细胞结构比鼹鼠等要复杂得多。欧洲鼹鼠的海马结构是反映了进化限制还是生态学因素,这仍然是一个悬而未决的问题。我们的描述性研究强调了海马细胞结构的多样性,即使在小型哺乳动物中也是如此。
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引用次数: 0
Mapping brain morphology to cognitive deficits: a study on PD-CRS scores in Parkinson's disease with mild cognitive impairment. 大脑形态与认知障碍的映射:帕金森病伴轻度认知障碍的 PD-CRS 评分研究。
IF 2.1 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.3389/fnana.2024.1362165
Pedro Renato Brandão, Danilo Assis Pereira, Talyta Cortez Grippe, Diógenes Diego de Carvalho Bispo, Fernando Bisinoto Maluf, Ricardo Titze-de-Almeida, Brenda Macedo de Almeida E Castro, Renato Puppi Munhoz, Maria Clotilde Henriques Tavares, Francisco Cardoso

Background: The Parkinson's Disease-Cognitive Rating Scale (PD-CRS) is a widely used tool for detecting mild cognitive impairment (MCI) in Parkinson's Disease (PD) patients, however, the neuroanatomical underpinnings of this test's outcomes require clarification. This study aims to: (a) investigate cortical volume (CVol) and cortical thickness (CTh) disparities between PD patients exhibiting mild cognitive impairment (PD-MCI) and those with preserved cognitive abilities (PD-IC); and (b) identify the structural correlates in magnetic resonance imaging (MRI) of overall PD-CRS performance, including its subtest scores, within a non-demented PD cohort.

Materials and methods: This study involved 51 PD patients with Hoehn & Yahr stages I-II, categorized into two groups: PD-IC (n = 36) and PD-MCI (n = 15). Cognitive screening evaluations utilized the PD-CRS and the Montreal Cognitive Assessment (MoCA). PD-MCI classification adhered to the Movement Disorder Society Task Force criteria, incorporating extensive neuropsychological assessments. The interrelation between brain morphology and cognitive performance was determined using FreeSurfer.

Results: Vertex-wise analysis of the entire brain demonstrated a notable reduction in CVol within a 2,934 mm2 cluster, encompassing parietal and temporal regions, in the PD-MCI group relative to the PD-IC group. Lower PD-CRS total scores correlated with decreased CVol in the middle frontal, superior temporal, inferior parietal, and cingulate cortices. The PD-CRS subtests for Sustained Attention and Clock Drawing were associated with cortical thinning in distinct regions: the Clock Drawing subtest correlated with changes in the parietal lobe, insula, and superior temporal cortex morphology; while the PD-CRS frontal-subcortical scores presented positive correlations with CTh in the transverse temporal, medial orbitofrontal, superior temporal, precuneus, fusiform, and supramarginal regions. Additionally, PD-CRS subtests for Semantic and Alternating verbal fluency were linked to CTh changes in orbitofrontal, temporal, fusiform, insula, and precentral regions.

Conclusion: PD-CRS performance mirrors neuroanatomical changes across extensive fronto-temporo-parietal areas, covering both lateral and medial cortical surfaces, in PD patients without dementia. The observed changes in CVol and CTh associated with this cognitive screening tool suggest their potential as surrogate markers for cognitive decline in PD. These findings warrant further exploration and validation in multicenter studies involving independent patient cohorts.

背景:帕金森病认知评定量表(PD-CRS)是检测帕金森病(PD)患者轻度认知功能障碍(MCI)的一种广泛使用的工具,然而,该测试结果的神经解剖学基础需要澄清。本研究旨在:(a) 调查表现出轻度认知障碍(PD-MCI)的帕金森病患者与认知能力保持良好(PD-IC)的帕金森病患者之间的皮质体积(CVol)和皮质厚度(CTh)差异;(b) 在非痴呆帕金森病队列中确定磁共振成像(MRI)与帕金森病-CRS总体表现(包括其子测验分数)的结构相关性:本研究涉及 51 名患有 Hoehn & Yahr I-II 期的帕金森病患者,分为两组:PD-IC 组(36 人)和 PD-MCI 组(15 人)。认知筛查评估采用 PD-CRS 和蒙特利尔认知评估 (MoCA)。PD-MCI的分类遵循运动障碍学会特别工作组的标准,并结合了大量的神经心理学评估。使用FreeSurfer确定了大脑形态与认知能力之间的相互关系:结果:对整个大脑的顶点分析表明,相对于 PD-IC 组,PD-MCI 组的 CVol 在 2,934 平方毫米的集群内明显减少,其中包括顶叶和颞叶区域。PD-CRS 总分较低与额叶中部、颞叶上部、顶叶下部和扣带回皮层的 CVol 下降相关。PD-CRS 的持续注意和时钟绘图子测试与不同区域的皮质变薄有关:时钟绘图子测试与顶叶、岛叶和颞上皮质形态的变化相关;而 PD-CRS 的额叶皮质下得分与颞横纹、眶额叶内侧、颞上、楔前、纺锤形和边际上区域的 CTh 呈正相关。此外,PD-CRS的语义和交替言语流利性子测试与眶额叶、颞叶、纺锤形、岛叶和前中央区的CTh变化相关:结论:PD-CRS表现反映了无痴呆症的帕金森病患者大脑皮层外侧和内侧广泛的额颞顶区神经解剖学变化。观察到的与这一认知筛查工具相关的 CVol 和 CTh 的变化表明,它们有可能成为帕金森病认知衰退的替代标记物。这些发现值得在涉及独立患者队列的多中心研究中进一步探索和验证。
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引用次数: 0
期刊
Frontiers in Neuroanatomy
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