RESUMO
Rhythmic synchronization of neurons is known to affect neuronal interactions. In the motor system, oscillatory power fluctuations modulate corticospinal excitability. However, previous research addressing phase-specific gain modulation in the motor system has resulted in contradictory findings. It remains unclear how many time windows of increased responsiveness each oscillatory cycle provides. Moreover, we still lack conclusive evidence as to whether the motor cortex entails an intrinsic response modulation along the rhythm cycle, as shown for spinal neurons. We investigated this question with single-pulse transcranial magnetic stimulation over the primary motor cortex at rest. Application of near-motor threshold stimuli revealed a frequency- and phase-specific gain modulation at both cortical and spinal level, independent of the spontaneous oscillatory power fluctuations at each level. We detected bilateral sensorimotor circuits in the lower beta-band (14-17 Hz) and unilateral corticospinal circuits in the upper beta-band (20-24 Hz). These findings provide novel evidence that intrinsic activity in the human motor cortex modulates input gain along the beta oscillatory cycle within distinct circuits. In accordance with periodic alternations of synchronous hyper- and depolarization, increased neuronal responsiveness occurred once per oscillatory beta cycle. This information may lead to new brain state-dependent and circuit-specific interventions for targeted neuromodulation.
Assuntos
Ritmo beta/fisiologia , Potencial Evocado Motor/fisiologia , Músculo Esquelético/fisiologia , Tratos Piramidais/fisiologia , Adolescente , Adulto , Análise por Conglomerados , Eletroencefalografia , Eletromiografia , Feminino , Antebraço/inervação , Voluntários Saudáveis , Humanos , Masculino , Estimulação Magnética Transcraniana , Adulto JovemRESUMO
Strokes and seizures have varied presentations and their differentiation may be challenging for both primary care physicians and neurologists. We present a case of a patient evaluated for acute ischemic stroke. Status epilepticus was eventually diagnosed by utilizing CT-perfusion study and EEG.
Assuntos
Estado Epiléptico/diagnóstico , Acidente Vascular Cerebral/diagnóstico , Isquemia Encefálica/diagnóstico , Circulação Cerebrovascular/fisiologia , Diagnóstico Diferencial , Eletroencefalografia , Humanos , Masculino , Pessoa de Meia-Idade , Paresia/etiologia , Distúrbios da Fala/etiologia , Estado Epiléptico/complicações , Estado Epiléptico/psicologia , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/parasitologia , Tomografia Computadorizada por Raios XRESUMO
Arterial hypertension is one of the main risk factors for cerebrovascular diseases, and antihypertensive treatment has significantly reduced their associated mortality. However, morbidity has not been reduced to a similar extent and a still increasing number of patients suffers from recurring strokes and from the disabling consequences of cerebrovascular diseases and develops progressive cognitive impairment. It is still debated to what extent antihypertensive treatment may prevent the development of cognitive dysfunction, due to the lack of a focused approach to vascular cognitive impairment, to the lack of a systematic study of the early phases of dementia, and to the use of diagnostic tests that are not sensitive and specific for a slow onset clinical condition, such as dementia. The aim of the present expert consensus report is to enlist the diagnostic tools that are currently available to assess mild cognitive impairment (MCI) and early dementia and that are sensitive and specific enough to be used in observational, longitudinal, and interventional clinical research studies, aiming to investigate the impact of antihypertensive drugs on vascular dementia (VD).
Assuntos
Anti-Hipertensivos/uso terapêutico , Transtornos Cognitivos/diagnóstico , Hipertensão/diagnóstico , Hipertensão/tratamento farmacológico , Animais , Biomarcadores , Transtornos Cognitivos/diagnóstico por imagem , Humanos , Hipertensão/diagnóstico por imagem , Imageamento por Ressonância Magnética , Testes Neuropsicológicos , Tomografia por Emissão de Pósitrons , UltrassonografiaRESUMO
OBJECTIVES: Most of existing stroke scoring systems have limited ability to evaluate patients with cerebrovascular events in the vertebrobasilar territory. We devised a new scale, the Israeli Vertebrobasilar Stroke Scale (IVBSS) in order to directly and more accurately assess clinical deficits of patients with vertebrobasilar stroke. The present study measured the reliability and validity of the IVBSS. PATIENTS AND METHODS: Forty-three patients (mean age+/-S.D., 70.9+/-8.8 years, 27 males) with vertebrobasilar stroke were evaluated with the IVBSS (11 items), the NIH Stroke Scale (NIHSS) and the disability modified Rankin Scale (mRS) by independent examiners. Interobserver agreement was rated by weighted kappa statistics for each item and the total IVBSS score. Validity was examined with Spearman rank coefficients to compare the IVBSS with NIHSS and mRS. RESULTS: Excellent reliability was demonstrated between the examiners for almost each item and the total score of the IVBSS (kappa>0.75). The total IVBSS score was strongly associated with NIHSS and mRS results (r=0.80 and 0.76, respectively; P<0.0002). CONCLUSIONS: The IVBSS is a valid instrument that allows the assessment of patients with vertebrobasilar stroke with high reliability. Further observations are warranted to determine the predictive value of the IVBSS for stroke outcome.
Assuntos
Infarto Cerebral/diagnóstico , Exame Neurológico/estatística & dados numéricos , Insuficiência Vertebrobasilar/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Avaliação da Deficiência , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Reprodutibilidade dos TestesRESUMO
The etiology and mechanisms of stroke could differ in cancer compared to non-cancer patients due to altered blood coagulability and/or non-bacterial thrombotic endocarditis (NBTE). These conditions could be either missed by using inappropriate diagnostic methods or misinterpreted. For instance, certain techniques (transthoracic echocardiography, TTE) may provide false-negative results and delay appropriate therapy. On the other hand, these patients, by having atypical findings, may challenge the differential between bacterial and sterile valvular heart disease. Cerebrovascular disease in cancer patients is often aggressive with tendency to recurrent events and rapid neurological devastation. Timely diagnosis is crucial. Current treatment approach to NBTE includes anticoagulation. We report a case of multiple embolic strokes in a patient diagnosed with lung cancer. Primary and secondary stroke prevention is discussed with relevant review of the literature.
Assuntos
Carcinoma Pulmonar de Células não Pequenas/complicações , Doenças das Valvas Cardíacas/etiologia , Neoplasias Pulmonares/complicações , Acidente Vascular Cerebral/etiologia , Idoso , Carcinoma Pulmonar de Células não Pequenas/diagnóstico , Ecocardiografia Transesofagiana/métodos , Doenças das Valvas Cardíacas/diagnóstico , Humanos , Neoplasias Pulmonares/diagnóstico , Imageamento por Ressonância Magnética/métodos , Masculino , Exame Físico/métodos , Recidiva , Acidente Vascular Cerebral/diagnósticoRESUMO
Coronary artery bypass grafting (CABG) is a worldwide used myocardial revascularization procedure, which despite the modern advantages still has a spectrum of complications. The relatively old age of the patients who undergo CABG and their widespread atherosclerotic disease are possible reasons for vascular sequels particularly those leading to neurological dysfunction. Immediate, early and late cognitive decline is a known- and well-defined outcome of CABG. Whereas a lot of data was collected through the last years regarding to neuropsychological dysfunction after CABG, nevertheless etiology and mechanisms of this phenomenon remain unresolved and they are probably multifactorial. Meticulously preoperative assessment of those patients with a potential risk of adverse neurocognitive outcomes can help clinicians to select the mode of revascularization and to better counsel patients about the risks and benefits of surgery versus more conservative kinds of treatment.
Assuntos
Transtornos Cognitivos/patologia , Demência Vascular/patologia , Doença de Alzheimer/epidemiologia , Doença de Alzheimer/patologia , Vasos Sanguíneos/patologia , Encéfalo/patologia , Circulação Cerebrovascular/fisiologia , Transtornos Cognitivos/epidemiologia , Transtornos Cognitivos/fisiopatologia , Demência Vascular/epidemiologia , Demência Vascular/fisiopatologia , HumanosAssuntos
Isquemia Encefálica/metabolismo , Hiperglicemia/metabolismo , Acidente Vascular Cerebral/metabolismo , Animais , Isquemia Encefálica/complicações , Humanos , Hiperglicemia/complicações , Hiperglicemia/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Modelos Animais , Fatores de Risco , Acidente Vascular Cerebral/etiologiaRESUMO
OBJECTIVES AND BACKGROUND: The purpose of this study was to determine the effectiveness and vascular response of a pimecrolimus drug eluting stent and a combination (pimecrolimus + paclitaxel) stent as compared with bare metal controls in the porcine coronary model. METHODS AND RESULTS: In the first phase of the study, cobalt chromium stents were loaded with an erodible polymer and either a slow release or a fast release formulation of pimecrolimus. Thirty stents (metal, n = 10; pimecrolimus slow, n = 10; pimecrolimus fast, n = 10) were implanted in the coronary arteries of 10 pigs. At 30 days, neointimal proliferation and inflammation were both significantly less in the pimecrolimus fast release group as compared with the bare metal controls. Endothelialization was complete and equal in all three groups of stents. In the second phase of the study, stents were loaded with an erodible polymer with alternating reservoirs of paclitaxel and pimecrolimus. Twenty stents (8 control stents and 12 dual stents) were implanted in the coronary arteries of seven pigs. At 30 days, neointimal proliferation was significantly less in the dual drug group as compared with the bare metal controls. Endothelialization was complete in both groups of stents, suggesting complete healing of the arteries. CONCLUSIONS: In a 30-day porcine stent model, pimecrolimus inhibits neointimal proliferation as compared with bare metal stents. Also, the proof of concept of a dual drug eluting stent was established showing both safety and efficacy.
Assuntos
Implante de Prótese Vascular/instrumentação , Materiais Revestidos Biocompatíveis , Reestenose Coronária/prevenção & controle , Vasos Coronários/patologia , Paclitaxel/farmacologia , Stents , Tacrolimo/análogos & derivados , Animais , Antineoplásicos Fitogênicos/farmacologia , Inibidores de Calcineurina , Proliferação de Células/efeitos dos fármacos , Angiografia Coronária , Reestenose Coronária/diagnóstico por imagem , Reestenose Coronária/patologia , Vasos Coronários/efeitos dos fármacos , Modelos Animais de Doenças , Combinação de Medicamentos , Seguimentos , Oclusão de Enxerto Vascular/prevenção & controle , Imunossupressores/farmacologia , Suínos , Tacrolimo/farmacologia , Resultado do Tratamento , Túnica Íntima/efeitos dos fármacos , Túnica Íntima/patologiaRESUMO
Sexual dysfunction is common in Parkinson's disease (PD). We investigated the premorbid and present sexual functioning of 75 people with PD (32 women and 43 men). Women reported difficulties with arousal (87.5%), with reaching orgasm (75.0%), with low sexual desire (46.9%), and wih sexual dissatisfaction (37.5%). Men reported erectile dysfunction (68.4%), sexual dissatisfaction (65.1%), premature ejaculation (40.6%), and difficulties reaching orgasm (39.5%). Premorbid sexual dysfunction may contribute to cessation of sexual activity during the course of the disease (among 23.3% men and 21.9% women). Associated illnesses, use of medications, and advanced stage of PD contributed to sexual dysfunction.