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1.
Psychol Res ; 88(3): 837-851, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37878155

RESUMO

The Spatial-Numerical Association of Response Codes (SNARC) effect consists in faster left-/right-key responses to small/large numbers. (Bächtold et al., Neuropsychologia 36:731-735, 1998) reported the reversal of this effect after eliciting the context of a clockface-where small numbers are represented on the right and large numbers on the left. The present study investigates how the salience of a particular spatial-numerical context, which reflects the level of activation of the context in working memory, can alter Spatial Numerical Associations (SNAs). Four experiments presented the clockface as context and gradually increased its salience using different tasks. In the first two experiments (low salience), the context was presented at the beginning of the experiment and its retrieval was not required to perform the tasks (i.e., random number generation in Experiment 1, magnitude classification and parity judgement in Experiment 2). Results revealed regular left-to-right SNAs, unaffected by the context. In Experiment 3 (medium salience), participants performed magnitude classification and parity judgement (primary task), and a Go/No-go (secondary task) which required the retrieval of the context. Neither the SNARC effect nor a reversed-SNARC emerged, suggesting that performance was affected by the context. Finally, in Experiment 4 (high salience), the primary task required participants to classify numbers based on their position on the clockface. Results revealed a reversed SNARC, as in (Bächtold et al., Neuropsychologia 36:731-735, 1998). In conclusion, SNARC is disrupted when the context is retrieved in a secondary task, but its reversal is observed only when the context is relevant for the primary task.


Assuntos
Julgamento , Percepção Espacial , Humanos , Tempo de Reação/fisiologia , Percepção Espacial/fisiologia , Julgamento/fisiologia , Memória de Curto Prazo
2.
Brain Cogn ; 166: 105955, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36709638

RESUMO

Congenital heart disease (CHD) is associated with various neurocognitive deficits, particularly targeting executive functions (EFs), of which random number generation (RNG) is one indicator. RNG has, however, never been investigated in CHD. We administered the Mental Dice Task (MDT) to 67 young adults with CHD and 55 healthy controls. This 1-minute-task requires the generation of numbers 1 to 6 in a random sequence. RNG performance was correlated with a global EF score. Participants underwent MRI to examine structural-volumetric correlates of RNG. Compared to controls, CHD patients showed increased backward counting, reflecting deficient inhibition of automatized behavior. They also lacked a small-number bias (higher frequency of small relative to large numbers). RNG performance was associated with global EF scores in both groups. In CHD patients, MRI revealed an inverse association of counting bias with most of the volumetric measurements and the amount of small numbers was positively associated with corpus callosum volume, suggesting callosal involvement in the "pseudoneglect in number space". In conclusion, we found an impaired RNG performance in CHD patients, which is associated with brain volumetric measures. RNG, reportedly resistant to learning effects, may be an ideal task for the longitudinal assessment of EFs in patients with CHD.


Assuntos
Disfunção Cognitiva , Cardiopatias Congênitas , Humanos , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Função Executiva , Estudos de Casos e Controles
3.
Neurosurg Focus ; 54(4): E3, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-37004134

RESUMO

OBJECTIVE: Acute hydrocephalus is a frequent complication after aneurysmal subarachnoid hemorrhage (aSAH). Among patients needing CSF diversion, some cannot be weaned. Little is known about the comparative neurological, neuropsychological, and health-related quality-of-life (HRQOL) outcomes in patients with successful and unsuccessful CSF weaning. The authors aimed to assess outcomes of patients by comparing those with successful and unsuccessful CSF weaning; the latter was defined as occurring in patients with permanent CSF diversion at 3 months post-aSAH. METHODS: The authors included prospectively recruited alert (i.e., Glasgow Coma Scale score 13-15) patients with aSAH in this retrospective study from six Swiss neurovascular centers. Patients underwent serial neurological (National Institutes of Health Stroke Scale), neuropsychological (Montreal Cognitive Assessment), disability (modified Rankin Scale), and HRQOL (EuroQol-5D) examinations at < 72 hours, 14-28 days, and 3 months post-aSAH. RESULTS: Of 126 included patients, 54 (42.9%) developed acute hydrocephalus needing CSF diversion, of whom 37 (68.5%) could be successfully weaned and 17 (31.5%) required permanent CSF diversion. Patients with unsuccessful weaning were older (64.5 vs 50.8 years, p = 0.003) and had a higher rate of intraventricular hemorrhage (52.9% vs 24.3%, p = 0.04). Patients who succeed in restoration of physiological CSF dynamics improve on average by 2 points on the Montreal Cognitive Assessment between 48-72 hours and 14-28 days, whereas those in whom weaning fails worsen by 4 points (adjusted coefficient 6.80, 95% CI 1.57-12.04, p = 0.01). They show better neuropsychological recovery between 48-72 hours and 3 months, compared to patients in whom weaning fails (adjusted coefficient 7.60, 95% CI 3.09-12.11, p = 0.02). Patients who receive permanent CSF diversion (ventriculoperitoneal shunt) show significant neuropsychological improvement thereafter, catching up the delay in neuropsychological improvement between 14-28 days and 3 months post-aSAH. Neurological, disability, and HRQOL outcomes at 3 months were similar. CONCLUSIONS: These results show a temporary but clinically meaningful cognitive benefit in the first weeks after aSAH in successfully weaned patients. The resolution of this difference over time may be due to the positive effects of permanent CSF diversion and underlines its importance. Patients who do not show progressive neuropsychological improvement after weaning should be considered for repeat CT imaging to rule out chronic (untreated) hydrocephalus.


Assuntos
Hidrocefalia , Hemorragia Subaracnóidea , Humanos , Hemorragia Subaracnóidea/complicações , Hemorragia Subaracnóidea/cirurgia , Estudos Retrospectivos , Suíça , Desmame , Hidrocefalia/cirurgia , Hidrocefalia/complicações
4.
Cereb Cortex ; 31(9): 4024-4037, 2021 07 29.
Artigo em Inglês | MEDLINE | ID: mdl-33872347

RESUMO

Genetic, molecular, and physical forces together impact brain morphogenesis. The early impact of deficient midline crossing in agenesis of the Corpus Callosum (ACC) on prenatal human brain development and architecture is widely unknown. Here we analyze the changes of brain structure in 46 fetuses with ACC in vivo to identify their deviations from normal development. Cases of complete ACC show an increase in the thickness of the cerebral wall in the frontomedial regions and a reduction in the temporal, insular, medial occipital and lateral parietal regions, already present at midgestation. ACC is associated with a more symmetric configuration of the temporal lobes and increased frequency of atypical asymmetry patterns, indicating an early morphomechanic effect of callosal growth on human brain development affecting the thickness of the pallium along a ventro-dorsal gradient. Altered prenatal brain architecture in ACC emphasizes the importance of conformational forces introduced by emerging interhemispheric connectivity on the establishment of polygenically determined brain asymmetries.


Assuntos
Agenesia do Corpo Caloso/patologia , Encéfalo/embriologia , Feto/patologia , Lateralidade Funcional , Adulto , Agenesia do Corpo Caloso/diagnóstico por imagem , Encéfalo/crescimento & desenvolvimento , Encéfalo/patologia , Córtex Cerebral/embriologia , Córtex Cerebral/crescimento & desenvolvimento , Córtex Cerebral/patologia , Corpo Caloso/embriologia , Corpo Caloso/crescimento & desenvolvimento , Corpo Caloso/patologia , Feminino , Feto/diagnóstico por imagem , Idade Gestacional , Humanos , Imageamento por Ressonância Magnética , Gravidez , Diagnóstico Pré-Natal , Estudos Retrospectivos , Lobo Temporal/embriologia , Lobo Temporal/crescimento & desenvolvimento , Lobo Temporal/patologia
5.
Cereb Cortex ; 31(8): 3713-3722, 2021 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-33772541

RESUMO

Knowledge about structural brain asymmetries of human fetuses with body lateralization defects-congenital diseases in which visceral organs are partially or completely incorrectly positioned-can improve our understanding of the developmental origins of hemispheric brain asymmetry. This study investigated structural brain asymmetry in 21 fetuses, which were diagnosed with different types of lateralization defects; 5 fetuses with ciliopathies and 26 age-matched healthy control cases, between 22 and 34 gestational weeks of age. For this purpose, a database of 4007 fetal magnetic resonance imagings (MRIs) was accessed and searched for the corresponding diagnoses. Specific temporal lobe brain asymmetry indices were quantified using in vivo, super-resolution-processed MR brain imaging data. Results revealed that the perisylvian fetal structural brain lateralization patterns and asymmetry indices did not differ between cases with lateralization defects, ciliopathies, and normal controls. Molecular mechanisms involved in the definition of the right/left body axis-including cilium-dependent lateralization processes-appear to occur independently from those involved in the early establishment of structural human brain asymmetries. Atypically inverted early structural brain asymmetries are similarly rare in individuals with lateralization defects and may have a complex, multifactorial, and neurodevelopmental background with currently unknown postnatal functional consequences.


Assuntos
Encéfalo/anormalidades , Encéfalo/embriologia , Feto/anormalidades , Lateralidade Funcional/fisiologia , Adulto , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico/métodos , Cílios/fisiologia , Estudos de Coortes , Feminino , Feto/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Gravidez , Terminologia como Assunto
6.
Cardiol Young ; 32(5): 694-701, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-34294187

RESUMO

BACKGROUND: While there is evidence that cognitive impairment of children with congenital heart disease (CHD) may persist into adolescence, little is known about the spectrum of neurocognitive functioning of young adults with this disorder. The aim of this study was to assess neurocognitive functioning in a population of young adults with different types of CHD. METHODS: Cross-sectional cohort study in young adults with CHD and a group-matched healthy control group. We assessed neurocognitive and general intellectual functioning with a comprehensive battery of standardised neuropsychological tests. In addition to task-based assessments, questionnaire data of executive dysfunctions in everyday life were measured with the Behaviour Rating Inventory of Executive Function - Adult Version. RESULTS: A total of 67 patients (55% men) with CHD and 55 healthy controls (51% men) were included for analysis. Mean age at assessment was 26.9 (3.68) and 26.0 (3.32) years, respectively. The CHD group performed poorer in the domains of Executive Functions, Memory, Attention & Speed, and general intellectual functioning. Patients with a CHD of severe complexity were more affected than patients with simple or moderate complexity. Behaviour Rating Inventory of Executive Function - Adult Version scores indicated that patients' self-rated deficits in behaviour regulation in everyday life was higher compared with healthy controls. CONCLUSION: Our findings indicate lower neurocognitive functioning in young adults with a CHD, particularly in those with severe defect complexity. In view of the potentially enhanced risk for cerebrovascular and neurodegenerative disease in this patient group as reported in the literature, systematic longitudinal monitoring of cognitive functioning is recommended.


Assuntos
Cardiopatias Congênitas , Doenças Neurodegenerativas , Adolescente , Estudos de Casos e Controles , Criança , Estudos Transversais , Função Executiva , Feminino , Cardiopatias Congênitas/complicações , Cardiopatias Congênitas/psicologia , Humanos , Masculino , Testes Neuropsicológicos , Adulto Jovem
7.
Radiology ; 300(2): 423-430, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34032511

RESUMO

Background Fetal MRI-based differential diagnosis of congenital lung malformations is difficult because of the paucity of well-described imaging markers. Purpose To characterize the hyperintense bronchus sign (HBS) in in vivo fetal MRI of congenital lung malformation cases. Materials and Methods In this retrospective two-center study, fetal MRI scans obtained in fetuses with congenital lung malformations at US (January 2002 to September 2018) were reviewed for the HBS, a tubular or branching hyperintense structure within a lung lesion on T2-weighted images. The frequency of the HBS and respective gestational ages in weeks and days were analyzed. Areas under the curve (AUCs), 95% CIs, and P values of the HBS regarding airway obstruction, as found in histopathologic and postnatal CT findings as the reference standards, were calculated for different gestational ages. Results A total of 177 fetuses with congenital lung malformations (95 male fetuses) and 248 fetal MRI scans obtained at a median gestational age of 25.6 weeks (interquartile range, 8.9 weeks) were included. The HBS was found in 79% (53 of 67) of fetuses with bronchial atresia, 71% (39 of 55) with bronchopulmonary sequestration (BPS), 43% (three of seven) with hybrid lesion, 15% (six of 40) with congenital cystic adenomatoid malformation, and 13% (one of eight) with bronchogenic cyst at a median gestational age of 24.9 weeks (interquartile range, 9.7 weeks). HBS on MRI scans at any gestational age had an AUC of 0.76 (95% CI: 0.70, 0.83; P = .04) for the presence of isolated or BPS-associated airway obstruction at histopathologic analysis and postnatal CT. The AUC of HBS on fetal MRI scans obtained until gestational age of 26 weeks (AUC, 0.83; 95% CI: 0.75, 0.91; P < .001) was significantly higher (P = .045) than that for fetal MRI scans obtained after gestational age 26 weeks (AUC, 0.69; 95% CI: 0.57, 0.80; P = .004). Conclusion The hyperintense bronchus sign is a frequently detectable feature at fetal MRI and is associated with airway obstruction particularly before gestational age 26 weeks. © RSNA, 2021 Online supplemental material is available for this article. See also the editorial by Dubinsky in this issue.


Assuntos
Obstrução das Vias Respiratórias/diagnóstico por imagem , Brônquios/diagnóstico por imagem , Brônquios/embriologia , Pulmão/diagnóstico por imagem , Pulmão/embriologia , Imageamento por Ressonância Magnética/métodos , Diagnóstico Pré-Natal/métodos , Cisto Broncogênico/congênito , Cisto Broncogênico/diagnóstico por imagem , Sequestro Broncopulmonar/diagnóstico por imagem , Malformação Adenomatoide Cística Congênita do Pulmão/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Idade Gestacional , Humanos , Masculino , Gravidez , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
8.
Calcif Tissue Int ; 109(2): 190-202, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33837801

RESUMO

Quantitative backscattered electron imaging is an established method to map mineral content distributions in bone and to determine the bone mineralization density distribution (BMDD). The method we applied was initially validated for a scanning electron microscope (SEM) equipped with a tungsten hairpin cathode (thermionic electron emission) under strongly defined settings of SEM parameters. For several reasons, it would be interesting to migrate the technique to a SEM with a field emission electron source (FE-SEM), which, however, would require to work with different SEM parameter settings as have been validated for DSM 962. The FE-SEM has a much better spatial resolution based on an electron source size in the order of several 100 nanometers, corresponding to an about [Formula: see text] to [Formula: see text] times smaller source area compared to thermionic sources. In the present work, we compare BMDD between these two types of instruments in order to further validate the methodology. We show that a transition to higher pixel resolution (1.76, 0.88, and 0.57 µm) results in shifts of the BMDD peak and BMDD width to higher values. Further the inter-device reproducibility of the mean calcium content shows a difference of up to 1 wt% Ca, while the technical variance of each device can be reduced to [Formula: see text] wt% Ca. Bearing in mind that shifts in calcium levels due to diseases, e.g., high turnover osteoporosis, are often in the range of 1 wt% Ca, both the bone samples of the patients as well as the control samples have to be measured on the same SEM device. Therefore, we also constructed new reference BMDD curves for adults to be used for FE-SEM data comparison.


Assuntos
Osso e Ossos , Elétrons , Adulto , Densidade Óssea , Calcificação Fisiológica , Humanos , Reprodutibilidade dos Testes
9.
Cereb Cortex ; 30(9): 5038-5048, 2020 07 30.
Artigo em Inglês | MEDLINE | ID: mdl-32377685

RESUMO

The subplate (SP) is a transient structure of the human fetal brain that becomes the most prominent layer of the developing pallium during the late second trimester. It is important in the formation of thalamocortical and cortico-cortical connections. The SP is vulnerable in perinatal brain injury and may play a role in complex neurodevelopmental disorders, such as schizophrenia and autism. Nine postmortem fetal human brains (19-24 GW) were imaged on a 3 Tesla MR scanner and the T2-w images in the frontal and temporal lobes were compared, in each case, with the histological slices of the same brain. The brains were confirmed to be without any brain pathology. The purpose of this study was to demonstrate that the superficial SP (sSP) and deep SP (dSP) can be discriminated on postmortem MR images. More specifically, we aimed to clarify that the observable, thin, hyperintense layer below the cortical plate in the upper SP portion on T2-weighted MR images has an anatomical correspondence to the histologically established sSP. Therefore, the distinction between the sSP and dSP layers, using clinically available MR imaging methodology, is possible in postmortem MRI and can help in the imaging interpretation of the fetal cerebral layers.


Assuntos
Encéfalo/embriologia , Feto/embriologia , Autopsia , Humanos , Imageamento por Ressonância Magnética/métodos
10.
Psychopathology ; 54(6): 298-304, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34515236

RESUMO

INTRODUCTION: Increased efforts in neuroscience try to understand mental disorders as brain disorders. In the present study, we investigate how common a neuroreductionist inclination is among highly educated people. In particular, we shed light on implicit presuppositions of mental disorders little is known about in the public, exemplified here by the case of body integrity dysphoria (BID) that is considered a mental disorder for the first time in ICD-11. METHODS: Identically graphed, simulated data of mind-brain correlations were shown in 3 contexts with presumably different presumptions about causality. 738 highly educated lay people rated plausibility of causality attribution from the brain to mind and from mind to the brain for correlations between brain structural properties and mental phenomena. We contrasted participants' plausibility ratings of causality in the contexts of commonly perceived brain lesion-induced behavior (aphasia), behavior-induced training effects (piano playing), and a newly described mental disorder (BID). RESULTS: The findings reveal the expected context-dependent modulation of causality attributions in the contexts of aphasia and piano playing. Furthermore, we observed a significant tendency to more readily attribute causal inference from the brain to mind than vice versa with respect to BID. CONCLUSION: In some contexts, exemplified here by aphasia and piano playing, unidirectional causality attributions may be justified. However, with respect to BID, we critically discuss presumably unjustified neuroreductionist inclinations under causal uncertainty. Finally, we emphasize the need for a presupposition-free approach in psychiatry.


Assuntos
Neurociências , Encéfalo/diagnóstico por imagem , Causalidade , Humanos , Neuroimagem , Incerteza
11.
Neuroimage ; 210: 116553, 2020 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-31972277

RESUMO

The periventricular crossroads have been described as transient structures of the fetal brain where major systems of developing fibers intersect. The triangular parietal crossroad constitutes one major crossroad region. By combining in vivo and post-mortem fetal MRI with histological and immunohistochemical methods, we aimed to characterize these structures. Data from 529 in vivo and 66 post-mortem MRI examinations of fetal brains between gestational weeks (GW) 18-39 were retrospectively reviewed. In each fetus, the area adjacent to the trigone of the lateral ventricles at the exit of the posterior limb of the internal capsule (PLIC) was assessed with respect to signal intensity, size, and shape on T2-weighted images. In addition, by using in vivo diffusion tensor imaging (DTI), the main fiber pathways that intersect in these areas were identified. In order to explain the in vivo features of the parietal crossroads (signal intensity and developmental profile), we analyzed 23 post-mortem fetal human brains, between 16 and â€‹40 GW of age, processed by histological and immunohistochemical methods. The parietal crossroads were triangular-shaped areas with the base in the continuity of the PLIC, adjacent to the germinal matrix and the trigone of the lateral ventricles, with the tip pointing toward the subplate. These areas appeared hyperintense to the subplate, and corresponded to a convergence zone of the developing external capsule, the PLIC, and the fronto-occipital association fibers. They were best detected between GW 25-26, and, at term, they became isointense to the adjacent structures. The immunohistochemical results showed a distinct cellular, fibrillar, and extracellular matrix arrangement in the parietal crossroads, depending on the stage of development, which influenced the MRI features. The parietal crossroads are transient, but important structures in white matter maturation and their damage may be indicative of a poor prognosis for a fetus with regard to neurological development. In addition, impairment of this region may explain the complex neurodevelopmental deficits in preterm infants with periventricular hypoxic/ischemic or inflammatory lesions.


Assuntos
Imageamento por Ressonância Magnética/métodos , Vias Neurais , Neuroimagem/métodos , Diagnóstico Pré-Natal/métodos , Telencéfalo , Substância Branca , Autopsia , Imagem de Tensor de Difusão/métodos , Feminino , Feto , Idade Gestacional , Humanos , Imuno-Histoquímica , Cápsula Interna/anatomia & histologia , Cápsula Interna/diagnóstico por imagem , Cápsula Interna/enzimologia , Vias Neurais/anatomia & histologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/embriologia , Gravidez , Telencéfalo/anatomia & histologia , Telencéfalo/diagnóstico por imagem , Telencéfalo/embriologia , Substância Branca/anatomia & histologia , Substância Branca/diagnóstico por imagem , Substância Branca/embriologia
12.
J Int Neuropsychol Soc ; 26(7): 645-653, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32098636

RESUMO

OBJECTIVE: There is an ongoing debate on the potential negative effect of contact sport participation on long-term neurocognitive performance due to inherent exposure to concussive and subconcussive head impacts. The aim of the present study was to investigate whether cognitive ageing is exacerbated in elite soccer players compared to the general population. METHOD: Neurocognitive performance in 6 domains was compared between 240 elite soccer players and a normative sample from the general population (n = 585) using the computerised test battery CNS Vital Signs. We used two-way factorial ANOVA to analyse the interaction between age groups (15-19, 20-29, 30-39, 40-49 years) and study population (female soccer players vs. norm sample) in their effects on neurocognitive performance. RESULTS: We found no significant interaction effect of age group and study population in five of six test domains. For processing speed, the effect of age was more pronounced in female soccer players (F = 16.89, p = .002). Further, there was a clear main effect of study population on neurocognitive performance with generally better scores in soccer players. CONCLUSIONS: Elite female soccer players generally performed better than the norm sample on tests of cognitive function, and further, cognitive ageing effects were similar in elite soccer players and controls in all but one domain. A lifespan approach may facilitate insightful future research regarding questions related to long-term neurocognitive health in contact sport athletes.


Assuntos
Atletas/psicologia , Envelhecimento Cognitivo/psicologia , Futebol/psicologia , Adolescente , Adulto , Concussão Encefálica/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Adulto Jovem
13.
Cereb Cortex ; 29(11): 4709-4724, 2019 12 17.
Artigo em Inglês | MEDLINE | ID: mdl-30722016

RESUMO

To uncover the ontogenesis of the human indusium griseum (IG), 28 post-mortem fetal human brains, 12-40 postconceptional weeks (PCW) of age, and 4 adult brains were analyzed immunohistochemically and compared with post-mortem magnetic resonance imaging (MRI) of 28 fetal brains (14-41 PCW). The morphogenesis of the IG occurred between 12 and 15 PCW, transforming the bilateral IG primordia into a ribbon-like cortical lamina. The histogenetic transition of sub-laminated zones into the three-layered cortical organization occurred between 15 and 35 PCW, concomitantly with rapid cell differentiation that occurred from 18 to 28 PCW and the elaboration of neuronal connectivity during the entire second half of gestation. The increasing number of total cells and neurons in the IG at 25 and 35 PCW confirmed its continued differentiation throughout this period. High-field 3.0 T post-mortem MRI enabled visualization of the IG at the mid-fetal stage using T2-weighted sequences. In conclusion, the IG had a distinct histogenetic differentiation pattern than that of the neighboring intralimbic areas of the same ontogenetic origin, and did not show any signs of regression during the fetal period or postnatally, implying a functional role of the IG in the adult brain, which is yet to be disclosed.


Assuntos
Lobo Límbico/citologia , Lobo Límbico/embriologia , Neurônios/citologia , Neurônios/fisiologia , Contagem de Células , Diferenciação Celular , Feminino , Técnicas Histológicas , Humanos , Imageamento por Ressonância Magnética , Masculino
14.
Neurol Sci ; 41(4): 817-824, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31802342

RESUMO

BACKGROUND: Although most aneurysmal subarachnoid hemorrhage (aSAH) patients suffer from neuropsychological disabilities, outcome estimation is commonly based only on functional disability scales such as the modified Rankin Scale (mRS). Moreover, early neuropsychological screening tools are not used routinely. OBJECTIVE: To study whether two simple neuropsychological screening tools identify neuropsychological deficits (NPDs), among aSAH patients categorized with favorable outcome (mRS 0-2) at discharge. METHODS: We reviewed 170 consecutive aSAH patients that were registered in a prospective institutional database. We included all patients graded by the mRS at discharge, and who had additionally been evaluated by a neuropsychologist and/or occupational therapist using the Montreal Cognitive Assessment (MoCA) and/or Rapid Evaluation of Cognitive Function (ERFC). The proportion of patients with scores indicative of NPDs in each test were reported, and spearman correlation tests calculated the coefficients between the both neuropsychological test results and the mRS. RESULTS: Of the 42 patients (24.7%) that were evaluated by at least one neuropsychological test, 34 (81.0%) were rated mRS 0-2 at discharge. Among these 34 patients, NPDs were identified in 14 (53.9%) according to the MoCA and 8 (66.7%) according to the ERFC. The mRS score was not correlated with the performance in the MoCA or ERFC. CONCLUSION: The two screening tools implemented here frequently identified NPDs among aSAH patients that were categorized with favorable outcome according to the mRS. Our results suggest that MoCA or ERFC could be used to screen early NPDs in favorable outcome patients, who in turn might benefit from early neuropsychological rehabilitation.


Assuntos
Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/etiologia , Aneurisma Intracraniano/complicações , Testes Neuropsicológicos , Avaliação de Resultados em Cuidados de Saúde , Índice de Gravidade de Doença , Hemorragia Subaracnóidea/complicações , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos/normas , Hemorragia Subaracnóidea/etiologia
15.
Radiology ; 292(1): 159-169, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31084478

RESUMO

Background The cortical plate (future cortex) is readily identifiable in utero at MRI. However, MRI evaluation of the remaining brain layers is limited by the poor T2 contrast between the subplate and the underlying intermediate zone (IZ). Purpose To compare the delineation of fetal brain lamination between T2-weighted single-shot fast spin-echo (SSFSE) and echo-planar imaging (EPI) fluid-attenuated inversion recovery (FLAIR) images, and to quantify differences in the depiction of brain layering between the two sequences. Materials and Methods Consecutive fetal brain MRI examinations performed between January 2014 and March 2018 with T2-weighted SSFSE and EPI-FLAIR images were reviewed. Two neuroradiologists evaluated the visibility of brain layers by using a three-point grading system, and findings were compared by using the sign test. One rater performed region-of-interest analysis in the cortical plate (CP), subplate (gyral crest and sulcal bottom), and IZ. Signal intensity (SI) ratios between adjacent brain compartments were calculated and compared by using the paired t test. Reader agreement was assessed by using weighted κ values. Results A total of 259 MRI examinations (mean gestational age [GA], 26.9 weeks ± 5.6) were included in the qualitative analysis, and 72 MRI examinations (mean GA, 27.4 weeks ± 5.5) were included in the quantitative analysis. Subplate identification on EPI-FLAIR images was superior to that on T2-weighted SSFSE images (subplate visualization [complete + partial]: frontal lobe, n = 243 vs n = 117; temporal lobe, n = 244 vs n = 137; parietal lobe n = 240 vs n = 93; and occipital lobe, n = 241 vs n = 97, respectively; P < .001), with higher interrater reliability (κ = 0.91-0.95 for EPI-FLAIR images and 0.80-0.87 for T2-weighted SSFSE images). SI ratios between the IZ and subplate were significantly higher on EPI-FLAIR images in all lobes (EPI-FLAIR images: 1.6-2.1; T2-weighted SSFSE images:1.2-1.2; P < .001). Subplate-to-CP ratios were not statistically significant between the two sequences (EPI-FLAIR:1.8-2.4; T2-weighted SSFSE: 2.0-2.2; P < .001). Conclusion The echo-planar fluid-attenuated inversion recovery sequence improves visualization of fetal brain lamination compared with the T2-weighted single-shot fast spin-echo sequence, as established by quantitative and qualitative methods. © RSNA, 2019 Online supplemental material is available for this article. See also the editorial by Rossi in this issue.


Assuntos
Córtex Cerebral/anatomia & histologia , Córtex Cerebral/embriologia , Imagem Ecoplanar/métodos , Imageamento por Ressonância Magnética/métodos , Estudos de Coortes , Feminino , Humanos , Gravidez , Valores de Referência , Reprodutibilidade dos Testes , Estudos Retrospectivos
16.
Eur Radiol ; 29(4): 2127-2136, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30315420

RESUMO

OBJECTIVES: To evaluate the feasibility and reproducibility of superb microvascular imaging (SMI) of the neonatal brain and to describe normal imaging features. METHODS: We performed transcranial ultrasound with SMI in 19 healthy term-born neonates. SMI was done according to a structured examination protocol, using two linear 18 MHz and 14 MHz transducers. Superficial and deep scans were acquired in the coronal and sagittal planes, using the left and right superior frontal gyri as anatomical landmarks. All SMI views were imaged by monochrome and colour SMI and evaluated with respect to visibility of extrastriatal (i.e. cortical and medullary) and striatal microvessels. RESULTS: We have described normal morphologic features of intraparenchymal brain microvasculature as "short parallel" cortical vessels, "smoothly curved" medullary vessels, and deep striatal vessels. In general, SMI performance was better on coronal views than on sagittal views. On superficial coronal scans, cortical microvessels were identifiable in 90-100%, medullary microvessels in 95-100%. On deep scans, cortical and medullary microvessels were visible in all cases, while striatal microvessels were identifiable in 71% of cases. CONCLUSIONS: Cerebral SMI ultrasound is feasible and well-reproducible and provides a novel non-invasive imaging tool for the assessment of intraparenchymal brain microvasculature (extrastriatal and striatal microvessels) in neonates without the use of contrast. KEY POINTS: • Superb microvascular imaging (SMI) of the neonatal brain is feasible and reproducible. • SMI depicts extrastriatal and striatal microvessels. • SMI detects two types of extrastriatal microvessels: cortical and medullary.


Assuntos
Artérias Cerebrais/diagnóstico por imagem , Microvasos/diagnóstico por imagem , Ultrassonografia Doppler Transcraniana/métodos , Feminino , Humanos , Recém-Nascido , Masculino , Estudos Prospectivos , Reprodutibilidade dos Testes
17.
Psychol Res ; 83(4): 698-709, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30159671

RESUMO

Our understanding of mind wandering (MW) has dramatically increased over the past decade. Studies have shown that in the vast majority of cases, MW is directed to times other than the present, and a bias toward the future has been reported (prospective bias). The processing of time is not independent of the processing of space: humans represent time along a spatial continuum, on a "mental time line" (MTL). In cultures with a left to right reading/writing system, the MTL expands from left to right. Capitalizing on these findings, here we aimed at investigating the effects of visuo-spatial processing on the temporal orientation of spontaneous MW, and specifically we asked whether we could steer the temporal focus of MW towards the past or the future, by experimentally inducing a leftward and a rightward orienting of attention, respectively. To this aim, we experimentally manipulated the spatial orientation demands associated with the focal task in two independent groups, with a leftward orienting of attention (left-pointing arrows, LA group) and a rightward orienting of attention (right-pointing arrows, RA group). We found that the temporal orientation of MW critically depended on the spatial orientation demands of the task: specifically, the proportion of spontaneous past-oriented MW episodes was higher under the induction of a leftward orienting attention (LA group) than under the induction of a rightward orienting attention (RA group). The opposite pattern was found for spontaneous future-oriented MW episodes. Possible mechanisms involved in this effect and their implications for research on MW and spontaneous cognition are discussed.


Assuntos
Atenção/fisiologia , Orientação Espacial/fisiologia , Orientação/fisiologia , Tempo de Reação/fisiologia , Percepção Espacial/fisiologia , Processamento Espacial/fisiologia , Pensamento/fisiologia , Adolescente , Adulto , Feminino , Humanos , Itália , Masculino , Estudos Prospectivos , Adulto Jovem
18.
Cogn Neuropsychol ; 35(8): 458-470, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30497331

RESUMO

Space, numbers and time share similar processing mechanisms mediated by parietal cortex. In parallel to the spatial representation of numbers along a horizontal line, temporal information is mapped on a horizontal axis with short intervals (and the past) represented to the left of long intervals (and the future). Little is known about the representation of time in the presence of visuo-spatial deficits. We here report two experiments on the comparative judgment of time. Experiment 1 required patients with left-sided neglect to indicate which of two consecutively presented silent intervals was longer. Their judgments were better if the first interval was longer and they judged the first interval longer on trials in which the two intervals were equally long. These results were not present in right-hemispheric damaged patients without neglect and healthy controls. They are in line with a previously reported finding in a single patient with neglect, but not readily compatible with findings of neglect patients' comparative length judgments. In Experiment 2, healthy participants' performance on an identical task improved for trials with a first-longer interval after caloric vestibular stimulation (CVS) of the right ear with warm water.


Assuntos
Julgamento , Percepção Espacial/fisiologia , Percepção do Tempo/fisiologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos da Percepção
19.
PLoS Comput Biol ; 13(4): e1005408, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28406953

RESUMO

Random Item Generation tasks (RIG) are commonly used to assess high cognitive abilities such as inhibition or sustained attention. They also draw upon our approximate sense of complexity. A detrimental effect of aging on pseudo-random productions has been demonstrated for some tasks, but little is as yet known about the developmental curve of cognitive complexity over the lifespan. We investigate the complexity trajectory across the lifespan of human responses to five common RIG tasks, using a large sample (n = 3429). Our main finding is that the developmental curve of the estimated algorithmic complexity of responses is similar to what may be expected of a measure of higher cognitive abilities, with a performance peak around 25 and a decline starting around 60, suggesting that RIG tasks yield good estimates of such cognitive abilities. Our study illustrates that very short strings of, i.e., 10 items, are sufficient to have their complexity reliably estimated and to allow the documentation of an age-dependent decline in the approximate sense of complexity.


Assuntos
Comportamento , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Humanos , Pessoa de Meia-Idade , Análise e Desempenho de Tarefas , Adulto Jovem
20.
Brain Cogn ; 122: 34-44, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29428805

RESUMO

Line bisection studies generally find a left-to-right shift in bisection bias with increasing distance between the observer and the target line, which may be explained by hemispheric differences in the processing of proximo-distal information. In the present study, the segregation between near and far space was further characterized across the motor system and contextual cues. To this aim, 20 right-handed participants were required to perform a manual bisection task of simple lines presented at three different distances (60, 90, 120 cm). Importantly, the horizontal spatial location of the line was manipulated along with the viewing distance to investigate more deeply the hemispheric engagement in the transition from near to far space. As the motoric component of the manual task producing activations of left premotor and motor areas may be partially responsible for the observed transition, participants were also involved in an ocular bisection task. Further, participants were required to bisect Judd variants of the target lines, which are known to elicit a Müller-Lyer-type illusion. Since the Judd illusion depends on areas in the ventral visual stream, we predicted that line bisections of Judd-type lines would be unaffected by viewing distance. Results showed that manual bisection of simple lines was modulated separately by viewing distance and the hemispace of presentation, with this pattern being similar for ocular bisection. Critically, bisections in the Judd illusion task were not modulated by viewing distance, whether performed by hand or by eye. Overall, these findings support the hypothesis that the right hemisphere plays a dominant role in the processing of space close to the body. They also present novel evidence for a general reduction of this dominance at farther distances, whether hand motor actions are involved or not. Finally, our study documents a dissociation between the processing of pure visuospatial information and that of a visual illusion as a function of viewing distance, supporting more generally the dorsal/near space and the ventral/far space segregation.


Assuntos
Lateralidade Funcional/fisiologia , Ilusões/psicologia , Percepção Espacial/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
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