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1.
J Fish Biol ; 103(6): 1488-1500, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37646305

RESUMEN

We present a potential growth thermal index (PGTI) and assess its correlation with juvenile Atlantic salmon Salmo salar fork length data collected near the end of the growth season in a range of latitudinal locations and geographic scales (watershed, regional, continental) across the American north-east. The PGTI is based on two components: a water temperature-dependent growth curve and a water temperature time series continuously describing the thermal environment preceding fish sampling. Testing various shapes and characteristics of the temperature-growth curve against fish length data revealed strong positive correlations for all combinations. PGTI warming, calculated only from the beginning of the growth season until maximum summer temperature is reached, consistently performed well in explaining fish size-at-age across the latitudinal gradient and the three geographic scales that were considered. Varying thermal contrasts created by repeat subsampling of the dataset showed that fish length is better explained by the level of thermal contrast within the dataset than the geographical scale of analysis. A simple generalized linear model using a log link function with PGTI warming, fish density and water discharge as predictors explained 87% of the variance of size-at-age of 0+ and 1+ juvenile Atlantic salmon.


Asunto(s)
Salmo salar , Animales , Estaciones del Año , Temperatura , Agua
2.
Exp Brain Res ; 237(12): 3461-3474, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31734787

RESUMEN

The purpose of the present study was to investigate the long-term stability of water-referenced GABA and Glx neurometabolite concentrations in the sensorimotor cortex using MRS and to assess the long-term stability of GABA- and glutamate-related intracortical excitability using transcranial magnetic stimulation (TMS). Healthy individuals underwent two sessions of MRS and TMS at a 3-month interval. A MEGA-PRESS sequence was used at 3 T to acquire MRS signals in the sensorimotor cortex. Metabolites were quantified by basis spectra fitting and metabolite concentrations were derived using unsuppressed water reference scans accounting for relaxation and partial volume effects. TMS was performed using published standards. After performing stability and reliability analyses for MRS and TMS, reliable change indexes were computed for all measures with a statistically significant test-retest correlation. No significant effect of time was found for GABA, Glx and TMS measures. There was an excellent ICC and a strong correlation across time for GABA and Glx. Analysis of TMS measure stability revealed an excellent ICC for rMT CSP and %MSO and a fair ICC for 2 ms SICI. There was no significant correlation between MRS and TMS measures at any time point. This study shows that MRS-GABA and MRS-Glx of the sensorimotor cortex have good stability over a 3-month period, with variability across time comparable to that reported in other brain areas. While resting motor threshold, %MSO and CSP were found to be stable and reliable, other TMS measures had greater variability and lesser reliability.


Asunto(s)
Potenciales Evocados Motores/fisiología , Ácido Glutámico/metabolismo , Inhibición Neural/fisiología , Espectroscopía de Protones por Resonancia Magnética , Corteza Sensoriomotora/fisiología , Estimulación Magnética Transcraneal , Ácido gamma-Aminobutírico/metabolismo , Adolescente , Adulto , Femenino , Humanos , Estudios Longitudinales , Imagen por Resonancia Magnética , Masculino , Corteza Motora/diagnóstico por imagen , Corteza Motora/fisiología , Corteza Sensoriomotora/diagnóstico por imagen , Corteza Sensoriomotora/metabolismo , Adulto Joven
3.
J Vis ; 19(5): 23, 2019 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-31136647

RESUMEN

A few hours of monocular patching temporarily enhances the deprived eye's contribution to binocular vision, constituting a form of adult brain plasticity. Although the mechanism for this plasticity is currently unknown, several imaging studies present evidence that monocular deprivation achieves its effects by changing excitatory-inhibitory balance in the visual cortex. Much of the past work on adult monocular patching utilized binocular rivalry to quantify the patching-induced shift in perceptual eye dominance, extracting periods of exclusive visibility (in which one eye's signal is suppressed from perception) to assess each eye's contribution to binocular vision while overlooking the occurrence of mixed visibility (in which information from both eyes is combined). In this paper, we discuss two experiments to investigate the effects of short-term monocular occlusion on the relative predominance of mixed and exclusive percepts during binocular rivalry. In addition to the known perceptual eye-dominance shift, we hypothesized patching would also increase the perception of mixtures during rivalry due to deprivation-induced changes in excitatory-inhibitory balance. Our data point to two previously unknown effects of monocular deprivation: (a) a significant increase in the overall fraction and median duration of mixed visibility during rivalry that is detectable up to at least an hour after removing the patch and (b) the overall fraction of superimposition; rather than piecemeal, mixed percepts are specifically enhanced after monocular deprivation. In addition to strengthening the contribution of the deprived eye, our results show that temporary monocular patching enhances the visibility of fused binocular percepts, likely the result of attenuated interocular inhibition.


Asunto(s)
Predominio Ocular/fisiología , Plasticidad Neuronal/fisiología , Visión Monocular/fisiología , Corteza Visual/fisiología , Percepción Visual/fisiología , Femenino , Humanos , Inhibición Psicológica , Masculino , Estimulación Luminosa/métodos , Privación Sensorial , Adulto Joven
4.
Neuroimage ; 157: 705-715, 2017 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-28131894

RESUMEN

Converging areas of research have implicated glutamate and γ-aminobutyric acid (GABA) as key players in neuronal signalling and other central functions. Further research is needed, however, to identify microstructural and behavioral links to regional variability in levels of these neurometabolites, particularly in the presence of demyelinating disease. Thus, we sought to investigate the extent to which regional glutamate and GABA levels are related to a neuroimaging marker of microstructural damage and to motor and cognitive performance. Twenty-one healthy volunteers and 47 people with multiple sclerosis (all right-handed) participated in this study. Motor and cognitive abilities were assessed with standard tests used in the study of multiple sclerosis. Proton magnetic resonance spectroscopy data were acquired from sensorimotor and parietal regions of the brains' left cerebral hemisphere using a MEGA-PRESS sequence. Our analysis protocol for the spectroscopy data was designed to account for confounding factors that could contaminate the measurement of neurometabolite levels due to disease, such as the macromolecule signal, partial volume effects, and relaxation effects. Glutamate levels in both regions of interest were lower in people with multiple sclerosis. In the sensorimotor (though not the parietal) region, GABA concentration was higher in the multiple sclerosis group compared to controls. Lower magnetization transfer ratio within grey and white matter regions from which spectroscopy data were acquired was linked to neurometabolite levels. When adjusting for age, normalized brain volume, MTR, total N-acetylaspartate level, and glutamate level, significant relationships were found between lower sensorimotor GABA level and worse performance on several tests, including one of upper limb motor function. This work highlights important methodological considerations relevant to analysis of spectroscopy data, particularly in the afflicted human brain. These findings support that regional neurotransmitter levels are linked to local microstructural integrity and specific behavioral abilities that can be affected in diseases such as multiple sclerosis.


Asunto(s)
Ácido Glutámico/metabolismo , Sustancia Gris/metabolismo , Esclerosis Múltiple/metabolismo , Esclerosis Múltiple/fisiopatología , Espectroscopía de Protones por Resonancia Magnética/métodos , Índice de Severidad de la Enfermedad , Sustancia Blanca/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Adulto , Personas con Discapacidad , Femenino , Sustancia Gris/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Esclerosis Múltiple/diagnóstico por imagen , Sustancia Blanca/diagnóstico por imagen
5.
Neuroimage ; 119: 20-32, 2015 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-26093328

RESUMEN

EEG-fMRI is an established technique to allow mapping BOLD changes in response to interictal discharges recorded in the EEG of epilepsy patients. Traditional fMRI experiments rely on an echo planar imaging (EPI) sequence with a time resolution given by its time-to-repetition (TR) of ~2 s. Recently, multiple fast fMRI sequences have been developed to get around the limited temporal resolution of the EPI sequence, and achieved a TR in the 100 ms range or lower. One such sequence is called Magnetic Resonance EncephaloGraphy (MREG). Its high temporal resolution should offer increased detection sensitivity and statistical power in the context of epilepsy studies and in fMRI experiments in general. The aim of this work was to investigate the advantages and disadvantages offered by MREG. This was done by superimposing artificial event-related BOLD responses on EPI and MREG background signals, from 5 epileptic patients, that were free of epileptic discharges (spikes) on simultaneously recorded EEG. These functional datasets simulated different spiking rates and hemodynamic response amplitudes, and were analyzed with the commonly used General Linear Model (GLM) with the canonical hemodynamic response function (HRF) as a fixed model of the response. Robustness to violation of the assumptions of the GLM was additionally assessed with similar simulations using variable spike-to-spike response amplitudes and 8 non-canonical HRFs. Consistent with previous work, MREG yields higher maximum statistical t-values than EPI, but our simulations showed these statistics to be inflated, as the false positive rate at a standard threshold was high. At thresholds set to appropriately control specificity, EPI showed better true positive rate and larger cluster size than MREG. However, the lack of an appropriate calibration of the amplitude of the responses across the sequences precludes definitive judgment on their relative sensitivity. In addition, we show that a mismatch between the assumed and actual HRF impairs more MREG detection performance, but that EPI is more affected by non-modeled spike-to-spike variations of response amplitude. Filtering-out physiological noise, which is not aliased at the fast sampling rate of MREG, and the modeling of temporal autocorrelation are advantageous in increasing the detection power of MREG. This simulation study 1) warrants care when interpreting statistical t-values from fast fMRI sequences, 2) proposes thresholds for valid inferences and processing methods for maximal sensitivities, and 3) demonstrates the relative robustness/susceptibility of MREG and EPI to violation of the GLM's assumptions.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/fisiopatología , Electroencefalografía/métodos , Epilepsia/fisiopatología , Imagen por Resonancia Magnética/métodos , Simulación por Computador , Epilepsia/diagnóstico , Humanos , Modelos Neurológicos , Curva ROC , Relación Señal-Ruido
6.
Neuroimage ; 93 Pt 1: 59-73, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24582920

RESUMEN

Activation detection in functional Magnetic Resonance Imaging (fMRI) typically assumes the hemodynamic response to neuronal activity to be invariant across brain regions and subjects. Reports of substantial variability of the morphology of blood-oxygenation-level-dependent (BOLD) responses are accumulating, suggesting that the use of a single generic model of the expected response in general linear model (GLM) analyses does not provide optimal sensitivity due to model misspecification. Relaxing assumptions of the model can limit the impact of hemodynamic response function (HRF) variability, but at a cost on model parsimony. Alternatively, better specification of the model could be obtained from a priori knowledge of the HRF of a given subject, but the effectiveness of this approach has only been tested on simulation data. Using fast BOLD fMRI, we characterized the variability of hemodynamic responses to a simple event-related auditory-motor task, as well as its effect on activation detection with GLM analyses. We show the variability to be higher between subjects than between regions and variation in different regions to correlate from one subject to the other. Accounting for subject-related variability by deriving subject-specific models from responses to the task in some regions lead to more sensitive detection of responses in other regions. We applied the approach to epilepsy patients, where task-derived patient-specific models provided additional information compared to the use of a generic model for the detection of BOLD responses to epileptiform activity identified on scalp electro-encephalogram (EEG). This work highlights the importance of improving the accuracy of the model for detecting neuronal activation with fMRI, and the fact that it can be done at no cost to model parsimony through the acquisition of independent a priori information about the hemodynamic response.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/irrigación sanguínea , Encéfalo/fisiología , Epilepsia/fisiopatología , Imagen por Resonancia Magnética/métodos , Adulto , Electroencefalografía , Potenciales Evocados , Femenino , Hemodinámica , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
7.
J Neurophysiol ; 109(5): 1343-9, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23221412

RESUMEN

Transcranial magnetic stimulation (TMS) can provide an index of intracortical excitability/inhibition balance. However, the neurochemical substrate of these measures remains unclear. Pharmacological studies suggest the involvement of GABAA and GABAB receptors in TMS protocols aimed at measuring intracortical inhibition, but this link remains inferential. Proton magnetic resonance spectroscopy ((1)H-MRS) permits measurement of GABA and glutamate + glutamine (Glx) concentrations in the human brain and might help in the direct empirical assessment of the relationship between TMS inhibitory measures and neurotransmitter concentrations. In the present study, MRS-derived relative concentrations of GABA and Glx measured in the left M1 of healthy participants were correlated with TMS measures of intracortical inhibition. Glx levels were found to correlate positively with TMS-induced silent period duration, whereas no correlation was found between GABA concentration and TMS measures. The present data demonstrate that specific TMS measures of intracortical inhibition are linked to shifts in cortical Glx, rather than GABA neurotransmitter levels. Glutamate might specifically interact with GABAB receptors, where higher MRS-derived Glx concentrations seem to be linked to higher levels of receptor activity.


Asunto(s)
Ácido Glutámico/análisis , Glutamina/análisis , Corteza Motora/fisiología , Inhibición Neural , Ácido gamma-Aminobutírico/análisis , Adulto , Femenino , Humanos , Espectroscopía de Resonancia Magnética , Masculino , Corteza Motora/química , Estimulación Magnética Transcraneal
8.
Med Sci (Paris) ; 27(4): 413-20, 2011 Apr.
Artículo en Francés | MEDLINE | ID: mdl-21524407

RESUMEN

This review presents the results of studies carried out in our laboratory that aim to investigate, through functional magnetic resonance imaging (fMRI), the brain plasticity associated with motor sequence learning, defined as our ability to integrate simple stereotyped movements into a single motor representation. Following a brief description of Doyon and colleagues' model (2002, 2005, 2009) of motor skill learning that has guided this work, we then describe the functional changes that occur at the different (rapid, slow, automatization) acquisition phases, and propose specific roles that the putamen, the cerebellum and their motor-related cortical areas, play in this form of motor behavior. Finally, we put forward evidence that post-training, non-REM sleep (and spindles in Stage 2 sleep, in particular) contributes to the consolidation of a motor sequence memory trace, and that increased activity within the striatum and/or the hippocampus mediates this mnemonic process.


Asunto(s)
Encéfalo/fisiología , Aprendizaje/fisiología , Memoria/fisiología , Destreza Motora/fisiología , Plasticidad Neuronal/fisiología , Adulto , Mapeo Encefálico , Cerebelo/fisiología , Corteza Cerebral/fisiología , Femenino , Hábitos , Humanos , Imaginación/fisiología , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Modelos Neurológicos , Modelos Psicológicos , Trastornos del Movimiento/fisiopatología , Fases del Sueño/fisiología , Conducta Estereotipada/fisiología
9.
Neuroscience ; 452: 235-246, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33246064

RESUMEN

This study aimed at better understanding the neurochemistry underlying transcranial magnetic stimulation (TMS) and magnetic resonance spectroscopy (MRS) measurements as it pertains to GABAergic activity following administration of allosteric GABAA receptor agonist lorazepam. Seventeen healthy adults (8 females, 26.0 ±â€¯5.4 years old) participated in a double-blind, crossover, placebo-controlled study, where participants underwent TMS and MRS two hours after drug intake (placebo or lorazepam; 2.5 mg). Neuronavigated TMS measures reflecting cortical inhibition and excitation were obtained in the left primary motor cortex. Sensorimotor cortex and occipital cortex MRS data were acquired using a 3T scanner with a MEGA-PRESS sequence, allowing water-referenced [GABA] and [Glx] (glutamate + glutamine) quantification. Lorazepam administration decreased occipital [GABA], decreased motor cortex excitability and increased GABAA-receptor mediated motor cortex inhibition (short intracortical inhibition (SICI)). Lorazepam intake did not modulate sensorimotor [GABA] and TMS measures of intra-cortical facilitation, long-interval cortical inhibition, cortical silent period, and resting motor threshold. Furthermore, higher sensorimotor [GABA] was associated with higher cortical inhibition (SICI) following lorazepam administration, suggesting that baseline sensorimotor [GABA] may be valuable in predicting pharmacological or neuromodulatory treatment response. Finally, the differential effects of lorazepam on MRS and TMS measures, with respect to GABA, support the idea that TMS measures of cortical inhibition reflect synaptic GABAergic phasic inhibitory activity while MRS reflects extrasynaptic GABA.


Asunto(s)
Lorazepam , Corteza Motora , Adulto , Potenciales Evocados Motores , Femenino , Humanos , Lorazepam/farmacología , Espectroscopía de Resonancia Magnética , Masculino , Inhibición Neural , Estimulación Magnética Transcraneal , Adulto Joven
10.
Healthc Policy ; 14(4): 28-38, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31322112

RESUMEN

While public involvement in health policy is gaining traction around the world, deciding whether practitioners of public involvement should encourage participants to deliberate from a personal or a collective perspective remains an object of contention. Drawing on an empirical study, the aim of this article is to generate methodological insights into these two perspectives. Our qualitative analyses illustrate how members of the public contributed differently to deliberations about the value of health innovations by alternatively sharing views as public representatives and as potential users. When engaging as public representatives, participants raised important collective concerns, and, when engaging as potential users, participants brought concrete details and contextual nuances to the group exchanges. Because these perspectives entail different yet mutually challenging ways of appraising health innovations, public engagement practitioners should foster both personal and collective perspectives.


Asunto(s)
Personal de Salud/psicología , Política de Salud , Innovación Organizacional , Participación del Paciente/psicología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Canadá , Toma de Decisiones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Adulto Joven
11.
J Neurotrauma ; 35(7): 953-962, 2018 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-29279021

RESUMEN

The objective of the study was to determine whether repetitive hits to the head at a subclinical level are associated with structural and functional brain abnormalities and whether these effects are influenced by high levels of fitness associated with intense physical activity. Seventy-two college students were recruited: 24 nonathletic, 24 athletes practicing a varsity contact sport, and 24 athletes practicing a varsity noncontact sport. They were recruited for a neuropsychological evaluation and a magnetic resonance imaging session that included magnetic resonance spectroscopy of primary motor cortex (M1) and prefrontal cortex and susceptibility-weighted imaging. There was no evidence for reduced cognitive performance or presence of micro bleeds in contact sports athletes. Abnormalities in contact sports athletes were found for myo-inositol concentration (mIns) in M1, where levels were significantly higher compared with noncontact sports athletes (p = 0.016) and nonathletes (p = 0.029). In prefrontal cortex, glutamate + glutamine (Glx) was significantly reduced in contact sports athletes compared with noncontact sports athletes (p = 0.016), and a similar reduction was observed for gamma-aminobutyric acid (GABA) levels (p = 0.005). Varsity contact sports are associated with area-specific alterations in mIns concentration in the primary motor cortex. In the prefrontal cortex, high levels of fitness could modulate the effects of head impact exposure on prefrontal metabolite concentration. Indeed, although athletes in contact and noncontact sports show different neurometabolic profiles, they do not differ from sedentary controls.

12.
Restor Neurol Neurosci ; 34(4): 587-602, 2016 05 24.
Artículo en Inglés | MEDLINE | ID: mdl-27232951

RESUMEN

PURPOSE: The aim of the present study was to assess, in healthy individuals, the impact of M1-M1 tDCS on primary motor cortex excitability using transcranial magnetic stimulation and sensorimotor metabolite concentration using 1H-MRS. METHODS: For both experiments, each participant received the three following interventions (20 min tDCS, 1 mA): left-anodal/right-cathodal, left-cathodal/right-anodal, sham. The effects of tDCS were assessed via motor evoked potentials (experiment 1) and metabolite concentrations (experiment 2) immediately after and 12 minutes following the end of stimulation and compared to baseline measurement. RESULTS: No effect of M1-M1 tDCS on corticospinal excitability was found. Similarly, M1-M1 tDCS did not significantly modulate metabolite concentrations. High inter-subject variability was noted. Response rate analysis showed a tendency towards inhibition following left-anodal/right-cathodal tDCS in 50% of participants and increased GABA levels in 45% of participants. CONCLUSION: In line with recent studies showing important inter-subject variability following M1-supraorbital tDCS, the present data show that M1-M1 stimulation is also associated with large response variability. The absence of significant effects suggests that current measures may lack sensitivity to assess changes in M1 neurophysiology and metabolism associated with M1-M1 tDCS.


Asunto(s)
Potenciales Evocados Motores/fisiología , Ácido Glutámico/metabolismo , Corteza Motora/fisiología , Tractos Piramidales/fisiología , Estimulación Transcraneal de Corriente Directa/métodos , Ácido gamma-Aminobutírico/metabolismo , Adulto , Femenino , Humanos , Masculino , Corteza Motora/diagnóstico por imagen , Corteza Motora/metabolismo , Espectroscopía de Protones por Resonancia Magnética , Estimulación Magnética Transcraneal , Adulto Joven
13.
J Vis Exp ; (93): e51631, 2014 Nov 19.
Artículo en Inglés | MEDLINE | ID: mdl-25490453

RESUMEN

Transcranial direct current stimulation (tDCS) is a neuromodulation technique that has been increasingly used over the past decade in the treatment of neurological and psychiatric disorders such as stroke and depression. Yet, the mechanisms underlying its ability to modulate brain excitability to improve clinical symptoms remains poorly understood. To help improve this understanding, proton magnetic resonance spectroscopy ((1)H-MRS) can be used as it allows the in vivo quantification of brain metabolites such as γ-aminobutyric acid (GABA) and glutamate in a region-specific manner. In fact, a recent study demonstrated that (1)H-MRS is indeed a powerful means to better understand the effects of tDCS on neurotransmitter concentration. This article aims to describe the complete protocol for combining tDCS (NeuroConn MR compatible stimulator) with (1)H-MRS at 3 T using a MEGA-PRESS sequence. We will describe the impact of a protocol that has shown great promise for the treatment of motor dysfunctions after stroke, which consists of bilateral stimulation of primary motor cortices. Methodological factors to consider and possible modifications to the protocol are also discussed.


Asunto(s)
Corteza Motora/metabolismo , Espectroscopía de Protones por Resonancia Magnética/métodos , Estimulación Transcraneal de Corriente Directa/métodos , Estimulación Eléctrica/instrumentación , Estimulación Eléctrica/métodos , Ácido Glutámico/metabolismo , Humanos , Espectroscopía de Protones por Resonancia Magnética/instrumentación , Ácido gamma-Aminobutírico/metabolismo
14.
Clin Neurophysiol ; 125(7): 1371-9, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24462505

RESUMEN

OBJECTIVE: Recent studies have shown, in asymptomatic concussed athletes, metabolic disruption in the primary motor cortex (M1) and abnormal intracortical inhibition lasting for more than six months. The present study aims to assess if these neurochemical and neurophysiological alterations are persistent and linked to M1 cortical thickness. METHODS: Sixteen active football players who sustained their last concussion, on average, three years prior to testing and 14 active football players who never sustained a concussion were recruited for a single session of proton magnetic resonance spectroscopy ((1)H-MRS) and transcranial magnetic stimulation (TMS). Measures of M1 and whole brain cortical thickness were acquired, and (1)H-MRS data were acquired from left M1 using a MEGA-PRESS sequence. Cortical silent period (CSP) and long-interval intracortical inhibition (LICI) were measured with TMS applied over left M1. RESULTS: No significant group differences were observed for metabolic concentrations, TMS measures, and cortical thickness. However, whereas GABA and glutamate levels were positively correlated in control athletes, this relationship was absent in concussed athletes. CONCLUSION: These data suggest the general absence of neurophysiologic, neurometabolic and neuroanatomical disruptions in M1 three years following the last concussive event. However, correlational analyses suggest the presence of a slight metabolic imbalance between GABA and glutamate concentrations in the primary motor cortex of concussed athletes. SIGNIFICANCE: The present study highlights the importance of multimodal assesments of the impacts of sport concussions.


Asunto(s)
Traumatismos en Atletas/diagnóstico , Traumatismos en Atletas/metabolismo , Conmoción Encefálica/diagnóstico , Conmoción Encefálica/metabolismo , Fútbol Americano/lesiones , Corteza Motora/metabolismo , Corteza Motora/patología , Mapeo Encefálico , Fútbol Americano/fisiología , Ácido Glutámico/metabolismo , Humanos , Imagen por Resonancia Magnética , Masculino , Encuestas y Cuestionarios , Estimulación Magnética Transcraneal , Índices de Gravedad del Trauma , Adulto Joven , Ácido gamma-Aminobutírico/metabolismo
15.
Schizophr Bull ; 39(4): 797-806, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22267533

RESUMEN

Clinical evidence and structural neuroimaging studies linked cerebellar deficits to cognitive-related symptoms in schizophrenia. Yet, in functional neuroimaging literature to date, the role of the cerebellum in schizophrenia was not explored in a systematic fashion. Here, we reviewed 234 functional magnetic resonance imaging studies indexed by PubMed and published in 1997-2010 that had at least one group of schizophrenia patients, used blood oxygenation level dependent contrast and the general linear model to assess neuronal activity. We quantified presence/absence of cerebellar findings and the frequency of hypo- and hyperactivations (ie, less or more activity in patients relative to healthy controls). We used peaks of activations reported in these studies to build a topographical representation of group differences on a cerebellar map. Cerebellar activity was reported in patients in 41.02% of the articles, with more than 80% of these dedicated to cognitive, emotional, and executive processes in schizophrenia. Almost two-thirds of group comparisons resulted in cerebellar hypoactivation, with a frequency that presented an inverted U shape across different age categories. The majority of the hypoactivation foci were located in the medial portion of the anterior lobe and the lateral hemispheres (lobules IV-V) of the cerebellum. Even though most experimental manipulations did not target explicitly the cerebellum's functions in schizophrenia, the cerebellar findings are frequent and cerebellar hypoactivations predominant. Therefore, although the cerebellum seems to play an important functional role in schizophrenia, the lack of reporting and interpretation of these data may hamper the full understanding of the disorder.


Asunto(s)
Cerebelo/fisiopatología , Trastornos del Conocimiento/fisiopatología , Emociones , Destreza Motora , Esquizofrenia/fisiopatología , Trastornos del Conocimiento/etiología , Femenino , Neuroimagen Funcional , Humanos , Imagen por Resonancia Magnética , Masculino , Esquizofrenia/complicaciones
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