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The Modulation of Error Processing in the Medial Frontal Cortex by Transcranial Direct Current Stimulation. 经颅直流电刺激对额叶内侧皮层错误加工的调节。
Pub Date : 2013-01-01 Epub Date: 2013-04-17 DOI: 10.1155/2013/187692
Lisa Bellaïche, Manish Asthana, Ann-Christine Ehlis, Thomas Polak, Martin J Herrmann

Background. In order to prevent future errors, we constantly control our behavior for discrepancies between the expected (i.e., intended) and the real action outcome and continuously adjust our behavior accordingly. Neurophysiological correlates of this action-monitoring process can be studied with event-related potentials (error-related negativity (ERN) and error positivity (Pe)) originating from the medial prefrontal cortex (mPFC). Patients with neuropsychiatric diseases often show performance monitoring dysfunctions potentially caused by pathological changes of cortical excitability; therefore, a modulation of the underlying neuronal activity might be a valuable therapeutic tool. One technique which allows us to explore cortical modulation of neural networks is transcranial direct current stimulation (tDCS). Therefore, we tested the effect of medial-prefrontal tDCS on error-monitoring potentials in 48 healthy subjects randomly assigned to anodal, cathodal, or sham stimulation. Results. We found that cathodal stimulation attenuated Pe amplitudes compared to both anodal and sham stimulation, but no effect for the ERN. Conclusions. Our results indicate that cathodal tDCS over the mPFC results in an attenuated cortical excitability leading to decreased Pe amplitudes. We therefore conclude that tDCS has a neuromodulatory effect on error-monitoring systems suggesting a future approach to modify the sensitivity of corresponding neural networks in patients with action-monitoring deficits.

背景。为了防止未来的错误,我们不断地控制自己的行为,以发现预期(即预期)与实际行动结果之间的差异,并不断相应地调整自己的行为。这种动作监测过程的神经生理学相关性可以通过源自内侧前额叶皮层(mPFC)的事件相关电位(错误相关负性(ERN)和错误正性(Pe))来研究。神经精神疾病患者常表现出可能由皮层兴奋性病理改变引起的行为监测功能障碍;因此,调节潜在的神经元活动可能是一种有价值的治疗工具。经颅直流电刺激(tDCS)是一种可以让我们探索神经网络皮层调节的技术。因此,我们在48名健康受试者中测试了正中前额叶tDCS对错误监测电位的影响,这些受试者被随机分配到阳极、阴极或假刺激组。结果。我们发现,与阳极和假刺激相比,阴极刺激会减弱Pe振幅,但对ERN没有影响。结论。我们的研究结果表明,阴极tDCS在mPFC上导致皮质兴奋性减弱,导致Pe振幅下降。因此,我们得出结论,tDCS对错误监测系统具有神经调节作用,这表明未来的方法可以修改动作监测缺陷患者相应神经网络的敏感性。
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引用次数: 30
Surgical Outcome of Treating Grades II and III Meningiomas: A Report of 32 Cases. 二、三级脑膜瘤32例手术疗效分析。
Pub Date : 2013-01-01 Epub Date: 2012-11-05 DOI: 10.1155/2013/706481
Konstantinos Violaris, Vasileios Katsarides, Maria Karakyriou, Pavlos Sakellariou

Aim. To evaluate the frequency of atypical and malignant meningiomas and analyze recurrence rate; to study the morbidity and mortality of these tumors compared to benign meningiomas. Methods. During 1992-2007, 16 patients with malignant and 16 patients with atypical meningioma were operated in Neurosurgery Department of Thessaloniki's Papanikolaou Hospital. We analyzed tumor histology, location, and extent of surgical resection with respect to tumor reappearance and patients' outcome and compared the behavior of benign versus nonbenign meningiomas. Results. Malignant meningiomas accounted for 4.4% (16 patients) and atypical meningiomas for another 4.4% of the series of patients (353) who were operated for intracranial meningioma at our department that period. Malignant meningiomas recurred at a rate of 75% and atypical meningiomas recurred at a rate of 41.6%. There was a significant association of the histological classification (benign, atypical, and malignant) with recurrence (P < 0.01). The recurrence rate after complete resection was 13.8%. The recurrence rate for incomplete resection was 46.7%. Extent of tumor removal was significant to recurrence (P < 0.001) for benign as well for atypical and malignant meningiomas. Tumor location (P > 0.05) was not significant to recurrence. Conclusions. Atypical and malignant meningiomas appeared at a rate of 8.8% of our series of intracranial meningiomas. They showed a significant predisposition to recur. These rare subtypes have higher morbidity and mortality rates than benign meningiomas. Recurrence depends primarily on the extent of surgical removal and on the histological characterization of the tumor as atypical or malignant.

的目标。目的:探讨非典型脑膜瘤和恶性脑膜瘤的发生频率及复发率;目的:比较这些肿瘤与良性脑膜瘤的发病率和死亡率。方法。1992-2007年期间,塞萨洛尼基Papanikolaou医院神经外科对16名恶性脑膜瘤患者和16名非典型脑膜瘤患者进行了手术。我们分析了肿瘤的组织学、位置和手术切除的程度与肿瘤复发和患者预后的关系,并比较了良性和非良性脑膜瘤的行为。结果。同期在我科行颅内脑膜瘤手术的353例患者中,恶性脑膜瘤占4.4%(16例),非典型脑膜瘤占4.4%。恶性脑膜瘤复发率为75%,非典型脑膜瘤复发率为41.6%。组织学分型(良性、非典型、恶性)与复发有显著相关性(P < 0.01)。完全切除后复发率为13.8%。不完全切除复发率为46.7%。良性、非典型和恶性脑膜瘤的肿瘤切除程度与复发率有显著关系(P < 0.001)。肿瘤部位与复发无显著性差异(P > 0.05)。结论。非典型和恶性脑膜瘤在我们的颅内脑膜瘤系列中占8.8%。他们有明显的复发倾向。这些罕见亚型的发病率和死亡率高于良性脑膜瘤。复发主要取决于手术切除的程度和肿瘤的非典型或恶性的组织学特征。
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引用次数: 25
Age-Induced Loss of Mossy Fibre Synapses on CA3 Thorns in the CA3 Stratum Lucidum. CA3透明层CA3刺上苔藓纤维突触的年龄诱导损失。
Pub Date : 2013-01-01 Epub Date: 2013-06-24 DOI: 10.1155/2013/839535
Bunmi Ojo, Heather Davies, Payam Rezaie, Paul Gabbott, Francis Colyer, Igor Kraev, Michael G Stewart

Advanced ageing is associated with hippocampal deterioration and mild cognitive decline. The hippocampal subregion CA3 stratum lucidum (CA3-SL) receives neuronal inputs from the giant mossy fibre boutons of the dentate gyrus, but relatively little is known about the integrity of this synaptic connection with ageing. Using serial electron microscopy and unbiased stereology, we examined age-related changes in mossy fibre synapses on CA3 thorny excrescences within the CA3-SL of young adults (4-month-old), middle-aged (12-month-old), and old-aged (28-month-old) Wistar rats. Our data show that while there is an increase in CA3 volume with ageing, there is a significant (40-45%) reduction in synaptic density within the CA3-SL of 12- and 28-month-old animals compared with 4-month-old animals. We also present preliminary data showing that the CA3 neuropil in advanced ageing was conspicuously full of lipofuscin and phagolysosome positive, activated microglial cellular processes, and altered perivascular pathology. These data suggest that synaptic density in the CA3-SL is significantly impaired in ageing, accompanied by underlying prominent ultrastructural glial and microvascular changes.

老年化与海马体退化和轻度认知能力下降有关。海马CA3透明层亚区(CA3- sl)接收来自齿状回巨大苔藓纤维扣的神经元输入,但相对而言,人们对这种突触连接与衰老的完整性知之甚少。利用连续电子显微镜和无偏体视学,我们研究了年轻成年(4个月)、中年(12个月)和老年(28个月)Wistar大鼠CA3- sl中CA3多刺赘生物上苔藓纤维突触的年龄相关变化。我们的数据显示,虽然CA3体积随着年龄的增长而增加,但与4个月大的动物相比,12个月和28个月大的动物CA3- sl内的突触密度显著减少(40-45%)。我们还提供了初步数据,显示老年CA3神经pil明显充满脂褐素和吞噬酶体阳性,激活小胶质细胞过程,并改变血管周围病理。这些数据表明,CA3-SL的突触密度在衰老过程中显著受损,并伴有潜在的突出的超微结构胶质和微血管变化。
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引用次数: 13
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