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Neuropsychiatric Symptoms in Clinically Defined Parkinson's Disease: An Updated Review of Literature 临床定义帕金森病的神经精神症状:最新文献综述
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-05-09 DOI: 10.1155/2022/1213393
Paloma Macías-García, Raúl Rashid-López, Á. J. Cruz-Gómez, Elena Lozano-Soto, Florencia Sanmartino, R. Espinosa-Rosso, J. González-Rosa
Background Neuropsychiatric symptoms (NPS) are a common and potentially serious manifestation of Parkinson's disease (PD) but are frequently overlooked in favor of a focus on motor symptomatology. Here, we conducted a literature review of the prevalence and type of NPS experienced by PD patients with a clinically defined course of their illness. Methods We identified reports of NPS in patients with PD and mean disease duration over 3 years. Three databases—PubMed, Scopus, and Dialnet—were searched for relevant literature published between 2010 and 2020. Predefined exclusion criteria were applied prior to a descriptive analysis of the literature base. Results In all, 87 unique reports were identified and 30 met inclusion and exclusion criteria. These included 7142 patients with PD (male: 67.3%; mean age: 66.2 years; mean disease duration: 6.7 years). The most frequent NPS were mood disorders (apathy, depression, and anxiety), psychosis, and impulse control disorders (ICD). Treatment with dopamine agonists was identified as an important risk factor for ICD. Co-occurrence of NPS and cognitive dysfunction was also evidenced in a number of studies. Patients with more significant cognitive deficits and higher levels of NPS appeared to be of older age with a longer disease duration and to have more severe motor symptoms. Conclusions NPS, most commonly mood disorders (apathy, depression, and anxiety), psychosis, and ICDs are frequent manifestations of PD. The results of this review reflect the need to develop unified validated assessment protocols for NPS in PD, as well as to improve their management in clinical practice.
背景神经精神症状(NPS)是帕金森病(PD)的一种常见且潜在的严重表现,但经常被忽视,而倾向于关注运动症状学。在这里,我们对具有临床定义病程的帕金森病患者所经历的NPS的患病率和类型进行了文献综述。方法我们确定了帕金森病患者的NPS报告和3年以上的平均病程。检索了PubMed、Scopus和Dialnet三个数据库,以查找2010年至2020年间发表的相关文献。在对文献基础进行描述性分析之前,应用预定义的排除标准。结果共发现87份独特的报告,其中30份符合纳入和排除标准。其中7142名PD患者(男性:67.3%;平均年龄:66.2岁;平均病程:6.7年)。最常见的NPS是情绪障碍(冷漠、抑郁和焦虑)、精神病和冲动控制障碍(ICD)。多巴胺激动剂治疗被确定为ICD的一个重要危险因素。NPS和认知功能障碍的共同发生也在许多研究中得到证实。具有更显著认知缺陷和更高NPS水平的患者年龄较大,病程较长,运动症状更严重。结论NPS,最常见的情绪障碍(冷漠、抑郁和焦虑)、精神病和ICD是帕金森病的常见表现。本综述的结果反映了制定统一、有效的帕金森病NPS评估方案的必要性,并在临床实践中改进其管理。
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引用次数: 6
Shared Etiology in Autism Spectrum Disorder and Epilepsy with Functional Disability 自闭症谱系障碍和癫痫伴功能障碍的共同病因
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-27 DOI: 10.1155/2022/5893519
Aqeela Zahra, YunFu Wang, Qun Wang, Jianping Wu
Autism spectrum disorders and epilepsies are heterogeneous human disorders that have miscellaneous etiologies and pathophysiology. There is considerable risk of frequent epilepsy in autism that facilitates amplified morbidity and mortality. Several biological pathways appear to be involved in disease progression, including gene transcription regulation, cellular growth, synaptic channel function, and maintenance of synaptic structure. Here, abnormalities in excitatory/inhibitory (E/I) balance ratio are reviewed along with part of an epileptiform activity that may drive both overconnectivity and genetic disorders where autism spectrum disorders and epilepsy frequently co-occur. The most current ideas concerning common etiological and molecular mechanisms for co-occurrence of both autism spectrum disorders and epilepsy are discussed along with the powerful pharmacological therapies that protect the cognition and behavior of patients. Better understanding is necessary to identify a biological mechanism that might lead to possible treatments for these neurological disorders.
自闭症谱系障碍和癫痫是异质的人类疾病,具有多种病因和病理生理学。自闭症患者有相当大的频繁癫痫的风险,这促进了发病率和死亡率的增加。几种生物学途径似乎与疾病进展有关,包括基因转录调控、细胞生长、突触通道功能和突触结构的维持。本研究回顾了兴奋性/抑制性(E/I)平衡比异常以及部分癫痫样活动,这些活动可能导致过度连接和遗传性疾病,其中自闭症谱系障碍和癫痫经常同时发生。本文讨论了自闭症谱系障碍和癫痫共同发生的常见病因和分子机制,以及保护患者认知和行为的强有力的药物治疗方法。更好的了解是必要的,以确定可能导致这些神经系统疾病的可能治疗的生物学机制。
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引用次数: 6
The Mental Status Examination Handbook. 精神状态检查手册。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-27 DOI: 10.1097/WNN.0000000000000306
H. Kirshner
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引用次数: 3
Protective Effect of Melatonin on Nonylphenol-Induced Reproductive and Behavioral Disorders in First-Generation Adult Male Rats 褪黑素对壬基酚诱导的第一代成年雄性大鼠生殖和行为障碍的保护作用
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-26 DOI: 10.1155/2022/1877761
Mahsa Tavakoli, A. Moghadamnia, F. Pourabdolhossein, M. Asghari, S. Kazemi
Methods Pregnant Wistar rats were randomly assigned into five groups: control, NP (25 mg/kg), NP (25 mg/kg)+MLT (10 mg/kg), NP (25 mg/kg)+MLT (20 mg/kg), and MLT (20 mg/kg). The duration of treatment was 21 days from gestation time. Morris water maze was used to assess learning and memory. NP concentrations of serum and testicular tissue were measured by HPLC. Histological analysis of testicular tissues was done by H&E staining. Results Behavioral study showed that NP does not impair learning and memory in first-generation rats. Histomorphometric results showed that NP can significantly reduce the cross-sectional area of the seminiferous tubules and the epithelium, the diameter and number of seminiferous tubules, the thickness of the epithelium, and the number of spermatocytes and spermatogonia compared to other groups. MLT reversed the NP-induced histomorphometric. Also, it changes and increased the activity of superoxide dismutase (SOD), total antioxidant capacity (TAC), and catalase (CAT). The level of malondialdehyde (MDA) significantly decreased in MLT-treated groups compared with the NP group. Conclusion Our finding showed that MLT enhanced the learning process and reduced NP-induced testicular tissue damage through its antioxidants and cytoprotective effects.
方法将妊娠Wistar大鼠随机分为5组:对照组、NP(25 mg/kg)、NP(25 mg/kg)+MLT(10 mg/kg)、NP(25 mg/kg)+MLT(20 mg/kg)和MLT(20 mg/kg)。治疗时间为妊娠后21天。Morris水迷宫用于评估学习和记忆。用高效液相色谱法测定血清和睾丸组织中NP的浓度。通过H&E染色对睾丸组织进行组织学分析。结果行为学研究表明,NP对第一代大鼠的学习记忆没有损害。组织形态计量学结果显示,与其他组相比,NP可显著减少曲精管和上皮的横截面积、曲精管的直径和数量、上皮的厚度以及精母细胞和精原细胞的数量。MLT逆转了NP诱导的组织形态计量学。此外,它还改变并增加了超氧化物歧化酶(SOD)、总抗氧化能力(TAC)和过氧化氢酶(CAT)的活性。与NP组相比,MLT处理组的丙二醛(MDA)水平显著降低。结论MLT通过其抗氧化剂和细胞保护作用,增强了学习过程,减少了NP诱导的睾丸组织损伤。
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引用次数: 1
Graph Theoretical Analysis of Semantic Fluency in Patients with Parkinson's Disease 帕金森病患者语义流畅性的图论分析
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-23 DOI: 10.1155/2022/6935263
Guanyu Zhang, Jinghong Ma, P. Chan, Zheng Ye
Semantic fluency is the ability to name items from a given category within a limited time, which relies on semantic memory, working memory, and executive function. Semantic disfluency is a common problem in Parkinson's disease (PD) and Alzheimer's disease (AD). We demonstrated a graph theoretical analysis of semantic fluency in patients with PD (N = 86), patients with AD (N = 40), and healthy controls (HC, N = 88). All participants completed a standard animal fluency test. Their verbal responses were recorded, transcripted, and transformed into directed speech graphs. Patients with PD generated fewer correct words than HC and more correct words than patients with AD. Patients with PD showed higher density, shorter diameter, and shorter average shortest path length than HC, but lower density, longer diameter, and longer average shortest path length than patients with AD. It suggests that patients with PD produced relatively smaller and denser speech graphs. Moreover, in PD, the densities of speech graphs correlated with the severity of non-motor symptoms, but not the severity of motor symptoms. The graph theoretical analysis revealed new features of semantic disfluency in patients with PD.
语义流利性是指在有限的时间内从给定类别中命名项目的能力,这取决于语义记忆、工作记忆和执行功能。语义障碍是帕金森病(PD)和阿尔茨海默病(AD)的常见问题。我们对PD患者(N=86)、AD患者(N=40)和健康对照组(HC,N=88)的语义流畅性进行了图论分析。所有参与者都完成了标准的动物流畅性测试。他们的言语反应被记录、转录并转化为有向言语图。PD患者产生的正确单词比HC少,比AD患者产生的准确单词多。PD患者比HC表现出更高的密度、更短的直径和更短的平均最短路径长度,但比AD患者表现出更低的密度、更长的直径和更长的平均最长路径长度。这表明PD患者产生相对更小、更密集的语音图。此外,在PD中,语音图的密度与非运动症状的严重程度相关,但与运动症状的程度无关。图论分析揭示了帕金森病患者语义障碍的新特点。
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引用次数: 2
Communication, Feeding and Swallowing Disorders in Neurological Diseases 神经系统疾病中的沟通、进食和吞咽障碍
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-21 DOI: 10.1155/2022/9851424
G. Nasios, L. Messinis, E. Dardiotis, J. Kassubek
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引用次数: 0
Mitigated Oxidative Stress and Cognitive Impairments in Transient Global Ischemia using Niosomal Selegiline-NBP delivery 使用Niosomal Selegiline-NBP减轻短暂性全身缺血的氧化应激和认知障碍
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-16 DOI: 10.1155/2022/4825472
Bahareh Jafari, Mahmoud Gharbavi, Yasamin Baghdadchi, H. Manjili, J. Mahmoudi, Iraj Jafari-Anarkoli, Shayan Amiri, M. Hosseini
Stroke is the most common reason for adult disabilities and the second ground for death worldwide. Our previous study revealed that selegiline serves as an alternative candidate in transient hypoxia-ischemia. However, aggressive and restless behavior was observed in stroke-induced rats receiving 4 mg/kg selegiline. In comparison, 1 mg/kg selegiline could induce negligible therapeutic effects on mitochondrial dysfunction and histopathological changes. Therefore, we designed oral noisome-based selegiline attached to 4-(4-nitrobenzyl) pyridine to improve transient global ischemia by attenuating cognitive impairments, oxidative stress, and histopathological injury. The investigation was performed in transient hypoxia-ischemia-induced rats by oral administration of nanoformulation containing selegiline (0.25-1 mg/kg) for 4 weeks (3 times a week). Novel object recognition (NOR) was considered to evaluate their cognitive dysfunction. Oxidative stress parameters and brain histopathological assessments were determined following the scarification of rats. Outstandingly, our data demonstrated slower selegiline release from niosomes relative to free drug, which was also in a controlled manner. Our data confirmed significant improvement in cognitive behavior in the NOR test, an increase in glutathione level and total antioxidant power, a decline in MDA and protein carbonyl level, as well as a decreased number of dead cells in histopathological assessment after being exposed to (0.5-1 mg/kg) selegiline-NBP nanoformulation. These data manifested that the selegiline-NBP nanoformulation (0.5-1 mg/kg) could significantly reduce oxidative damage, cognitive dysfunction, and histopathological damage compared to transient hypoxia-ischemia rats, which is 20 times lower than the therapeutic dose in humans. Therefore, the proposed nanoformulation would be capable as an alternative candidate without side effects in stroke.
中风是造成成人残疾的最常见原因,也是世界范围内死亡的第二大原因。我们之前的研究表明,司来吉林在短暂缺氧缺血中是一种替代候选药物。然而,在接受4 mg/kg司来吉林。相比之下,1 mg/kg司来吉林对线粒体功能障碍和组织病理学变化的治疗作用可忽略不计。因此,我们设计了与4-(4-硝基苄基)吡啶连接的口服黑色素硒吉林,通过减轻认知障碍、氧化应激和组织病理学损伤来改善短暂性全身缺血。通过口服含硒吉林(0.25-1 mg/kg)持续4周(每周3次)。新对象识别(NOR)被认为是评估他们的认知功能障碍。氧化应激参数和脑组织病理学评估是在大鼠的划痕后确定的。值得注意的是,我们的数据表明,与游离药物相比,硒吉林从niosomes中的释放较慢,这也是以可控的方式进行的。我们的数据证实,在NOR测试中,认知行为显著改善,谷胱甘肽水平和总抗氧化能力增加,MDA和蛋白质羰基水平下降,以及暴露于(0.5-1 mg/kg)硒吉林NBP纳米制剂。这些数据表明,硒吉林NBP纳米制剂(0.5-1 mg/kg)可以显著减少氧化损伤、认知功能障碍和组织病理学损伤,这比人类的治疗剂量低20倍。因此,所提出的纳米制剂将能够作为一种替代候选药物,在中风中没有副作用。
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引用次数: 4
Applications of Theranostics for Detecting and Targeting CNS Injuries and Diseases Theranotics在检测和靶向中枢神经系统损伤和疾病中的应用
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-15 DOI: 10.1155/2022/9891859
Yu-Yo Sun, Horacio Soto, C. Kao, Cui Mei, Muh-Shi Lin
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引用次数: 0
Early Stroke Prediction Methods for Prevention of Strokes. 预防脑卒中的早期预测方法。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7725597
Mandeep Kaur, Sachin R Sakhare, Kirti Wanjale, Farzana Akter

The emergence of the latest technologies gives rise to the usage of noninvasive techniques for assisting health-care systems. Amongst the four major cardiovascular diseases, stroke is one of the most dangerous and life-threatening disease, but the life of a patient can be saved if the stroke is detected during early stage. The literature reveals that the patients always experience ministrokes which are also known as transient ischemic attacks (TIA) before experiencing the actual attack of the stroke. Most of the literature work is based on the MRI and CT scan images for classifying the cardiovascular diseases including a stroke which is an expensive approach for diagnosis of early strokes. In India where cases of strokes are rising, there is a need to explore noninvasive cheap methods for the diagnosis of early strokes. Hence, this problem has motivated us to conduct the study presented in this paper. A noninvasive approach for the early diagnosis of the strokes is proposed. The cascaded prediction algorithms are time-consuming in producing the results and cannot work on the raw data and without making use of the properties of EEG. Therefore, the objective of this paper is to devise mechanisms to forecast strokes on the basis of processed EEG data. This paper is proposing time series-based approaches such as LSTM, biLSTM, GRU, and FFNN that can handle time series-based predictions to make useful decisions. The experimental research outcome reveals that all the algorithms taken up for the research study perform well on the prediction problem of early stroke detection, but GRU performs the best with 95.6% accuracy, whereas biLSTM gives 91% accuracy and LSTM gives 87% accuracy and FFNN gives 83% accuracy. The experimental outcome is able to measure the brain waves to predict the signs of strokes. The findings can certainly assist the physicians to detect the stroke at early stages to save the lives of the patients.

最新技术的出现促进了无创技术在医疗保健系统中的应用。在四大心血管疾病中,中风是最危险、最危及生命的疾病之一,但如果能在早期发现中风,就能挽救病人的生命。文献显示,在中风真正发作之前,患者总是会出现小中风,也称为短暂性脑缺血发作(TIA)。大多数文献工作都是基于核磁共振成像和 CT 扫描图像来对包括中风在内的心血管疾病进行分类,这种诊断早期中风的方法成本高昂。在中风病例不断增加的印度,有必要探索诊断早期中风的非侵入性廉价方法。因此,这一问题促使我们开展了本文所介绍的研究。本文提出了一种早期诊断脑卒中的无创方法。级联预测算法在生成结果时非常耗时,而且无法处理原始数据,也无法利用脑电图的特性。因此,本文的目的是根据处理过的脑电图数据设计出预测脑卒中的机制。本文提出了基于时间序列的方法,如 LSTM、biLSTM、GRU 和 FFNN,这些方法可以处理基于时间序列的预测,从而做出有用的决策。实验研究结果表明,研究中采用的所有算法在早期中风检测的预测问题上都表现良好,但 GRU 的准确率最高,达到 95.6%,而 biLSTM 的准确率为 91%,LSTM 的准确率为 87%,FFNN 的准确率为 83%。实验结果能够通过测量脑电波来预测中风的征兆。这些发现无疑能帮助医生在早期阶段检测出中风,从而挽救病人的生命。
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引用次数: 51
Relationships between Personality Traits and Brain Gray Matter Are Different in Risky and Non-risky Drivers 风险和非风险司机的人格特征与脑灰质的关系不同
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-04-05 DOI: 10.1155/2022/1775777
Laura Mas-Cuesta, S. Baltruschat, A. Cándido, A. Catena
Personality traits such as impulsivity or sensitivity to rewards and punishments have been associated with risky driving behavior, but it is still unclear how brain anatomy is related to these traits as a function of risky driving. In the present study, we explore the neuroanatomical basis of risky driving behavior and how the level of risk-taking influences the relationship between the traits of impulsivity and sensitivity to rewards and punishments and brain gray matter volume. One hundred forty-four participants with different risk-taking tendencies assessed by real-life driving situations underwent MRI. Personality traits were assessed with self-report measures. We observed that the total gray matter volume varied as a function of risky driving tendencies, with higher risk individuals showing lower gray matter volumes. Similar results were found for volumes of brain areas involved in the reward and cognitive control networks, such as the frontotemporal, parietal, limbic, and cerebellar cortices. We have also shown that sensitivity to reward and punishment and impulsivity are differentially related to gray matter volumes as a function of risky driving tendencies. Highly risky individuals show lower absolute correlations with gray matter volumes than less risk-prone individuals. Taken together, our results show that risky drivers differ in the brain structure of the areas involved in reward processing, cognitive control, and behavioral modulation, which may lead to dysfunctional decision-making and riskier driving behavior.
冲动或对奖惩的敏感性等性格特征与危险驾驶行为有关,但目前尚不清楚大脑解剖结构与这些特征在危险驾驶中的关系。在本研究中,我们探讨了危险驾驶行为的神经解剖学基础,以及冒险水平如何影响冲动性和对奖惩的敏感性特征与大脑灰质体积之间的关系。通过真实驾驶情况评估,144名具有不同冒险倾向的参与者接受了核磁共振成像。人格特征通过自我报告测量进行评估。我们观察到,总灰质体积随着风险驾驶倾向的变化而变化,风险较高的人表现出较低的灰质体积。对于参与奖赏和认知控制网络的大量大脑区域,如额颞叶、顶叶、边缘和小脑皮层,也发现了类似的结果。我们还表明,对奖惩的敏感性和冲动性与灰质体积有不同的关系,灰质体积是危险驾驶倾向的函数。与风险较低的个体相比,高风险个体与灰质体积的绝对相关性较低。总之,我们的研究结果表明,风险驾驶员在参与奖励处理、认知控制和行为调节的区域的大脑结构不同,这可能导致决策功能失调和风险较高的驾驶行为。
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引用次数: 1
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Behavioural Neurology
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