4.6 Article

Subthalamotomy in cervical dystonia:: A case study of lesion location and clinical outcome

期刊

MOVEMENT DISORDERS
卷 23, 期 12, 页码 1751-1756

出版社

WILEY-LISS
DOI: 10.1002/mds.22088

关键词

cervical dystonia; subthalamotomy; subthalamic nucleus; stereotaxy; magnetic resonance imaging

向作者/读者索取更多资源

Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation. (C) 2008 Movement Disorder Society.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Neurosciences

Data-Driven Classification of Spectral Profiles Reveals Brain Region-Specific Plasticity in Blindness

Christina Lubinus, Joan Orpella, Anne Keitel, Helene Gudi-Mindermann, Andreas K. Engel, Brigitte Roeder, Johanna M. Rimmele

Summary: Research has shown that congenital blindness can result in changes in neural spectral profiles in visual, auditory, and right frontal areas, possibly related to adaptive auditory and higher cognitive processing. Additionally, occipital alpha rhythms are closely correlated with microstructural white matter properties across the posterior parts of the brain, suggesting selective modulation of spectral profiles by visual deprivation reflecting structural and functional adaptation.

CEREBRAL CORTEX (2021)

Article Neurosciences

Coupling of gamma band activity to sleep spindle oscillations - a combined EEG/MEG study

Frederik D. Weber, Gernot G. Supp, Jens G. Klinzing, Matthias Moelle, Andreas K. Engel, Jan Born

Summary: The study found that there is a temporal relationship between spindles and gamma activity, but the phase of this coupling varies across different spindles. This suggests that spindles might help synchronize gamma activity occurring in larger cortical networks and link local memory processing between distributed networks.

NEUROIMAGE (2021)

Article Neurosciences

Non-rhythmic temporal prediction involves phase resets of low-frequency delta oscillations

Jonathan Daume, Peng Wang, Alexander Maye, Dan Zhang, Andreas K. Engel

Summary: The study found that phase alignments of neural oscillations are stronger in sensory, parietal, and frontal brain areas when participants are engaged in a temporal prediction task. This alignment correlates with prediction performance in the cerebellum and visual cortex, suggesting that low-frequency neural oscillations underlie temporal predictions in a non-rhythmic visual and crossmodal context.

NEUROIMAGE (2021)

Article Neurosciences

Preparatory delta phase response is correlated with naturalistic speech comprehension performance

Jiawei Li, Bo Hong, Guido Nolte, Andreas K. Engel, Dan Zhang

Summary: The study aimed to identify the neural signatures of preparatory processing of upcoming speech by analyzing the delta and alpha band phase responses. The results showed distinct neural signatures for attentional modulation through TRF-based amplitude responses, revealing how the brain gets prepared to process upcoming speech in a naturalistic context.

COGNITIVE NEURODYNAMICS (2022)

Article Clinical Neurology

tACS phase-specifically biases brightness perception of flickering light

Marina Fiene, Jan-Ole Radecke, Jonas Misselhorn, Malte Sengelmann, Christoph S. Herrmann, Till R. Schneider, Bettina C. Schwab, Andreas K. Engel

Summary: The study found that modulating the temporal pattern of neural excitability in the visual cortex through transcranial alternating current stimulation can affect human brightness perception of rhythmic visual stimuli. The results show that brightness perception is modulated depending on the phase shift between sensory and electrical stimulation, and the modulatory effects depend on neural phase stability.

BRAIN STIMULATION (2022)

Article Neurosciences

Combined Subthalamic and Nigral Stimulation Modulates Temporal Gait Coordination and Cortical Gait-Network Activity in Parkinson's Disease

Jonas R. Wagner, Miriam Schaper, Wolfgang Hamel, Manfred Westphal, Christian Gerloff, Andreas K. Engel, Christian K. E. Moll, Alessandro Gulberti, Monika Poetter-Nerger

Summary: The study demonstrates that STN+SN DBS is more effective than conventional STN DBS in improving gait impairment in Parkinson's disease patients. The cortical activity of patients during resting and effective stepping shows excessive synchronization in certain frequency bands, which is reduced by DBS. Different patterns of cortical activity are observed during freezing episodes with STN DBS and STN+SN DBS.

FRONTIERS IN HUMAN NEUROSCIENCE (2022)

Editorial Material Computer Science, Artificial Intelligence

Editorial: Cross-Modal Learning: Adaptivity, Prediction and Interaction

Jianwei Zhang, Stefan Wermter, Fuchun Sun, Changshui Zhang, Andreas K. Engel, Brigitte Roeder, Xiaolan Fu, Gui Xue

FRONTIERS IN NEUROROBOTICS (2022)

Article Neurosciences

Speaker-listener neural coupling reveals a right-lateralized mechanism for non-native speech-in-noise comprehension

Zhuoran Li, Bo Hong, Daifa Wang, Guido Nolte, Andreas K. Engel, Dan Zhang

Summary: As the world becomes increasingly globalized, non-native language communication is in higher demand; however, the presence of background noise in everyday life poses a significant challenge to non-native speech comprehension. This study used an interbrain approach based on functional near-infrared spectroscopy (fNIRS) to investigate how individuals adapt to comprehend non-native speech information in noisy environments. The findings demonstrated a significant neural coupling in the right hemisphere between listeners and speakers during the processing of non-native speech. Furthermore, certain neural couplings in the listener's right superior temporal gyrus, the right middle temporal gyrus, and the right postcentral gyrus were positively correlated with individual comprehension performance at the strongest noise level.

CEREBRAL CORTEX (2023)

Editorial Material Neurosciences

Editorial: Sensorimotor Foundations of Social Cognition

Andreas K. Engel, Paul F. M. J. Verschure, Danica Kragic, Daniel Polani, Alfred O. Effenberg, Peter Koenig

FRONTIERS IN HUMAN NEUROSCIENCE (2022)

Article Biochemical Research Methods

Training the spatially-coded SSVEP BCI on the fly

Alexander Maye, Marvin Mutz, Andreas K. Engel

Summary: The spatially-coded SSVEP BCI uses the retinotopic map in the human visual pathway to infer gaze direction, providing advantages of reducing visual fatigue and improving user comfort. By incorporating a feedback channel, the BCI is able to accumulate valid training data while solving a spatial navigation task. The results show that the spatially-coded BCI achieves an average accuracy of 69 +/- 15% initially, which improves to 87 +/- 9% after multiple task completions.

JOURNAL OF NEUROSCIENCE METHODS (2022)

Article Neurosciences

Topological reorganization of brain network might contribute to the resilience of cognitive functioning in mildly disabled relapsing remitting multiple sclerosis

Arzu Ceylan Has Silemek, Guido Nolte, Jana Poettgen, Andreas K. Engel, Christoph Heesen, Stefan M. Gold, Jan-Patrick Stellmann

Summary: This study aimed to explore the longitudinal reorganization of brain networks in multiple sclerosis (MS) patients over a period of 2 years, and analyze its association with cognition. The results showed a decline in hub connectivity and global connectivity at a structural level in MS patients, while the hub connectivity in the default-mode network was preserved. In addition, the network models based on functional MRI and magnetoencephalography were similar to diffusion tensor imaging, but had weaker associations with cognition in MS patients.

JOURNAL OF NEUROSCIENCE RESEARCH (2023)

Editorial Material Behavioral Sciences

Dynamic functional connectivity: causative or epiphenomenal?

Andreas K. Engel, Christian Gerloff

Summary: Dynamic coupling of neural signals is a distinct feature of brain networks, and its impact on network functions is still a topic of debate. By conducting experiments using intervention techniques, answers to this longstanding question may be within reach.

TRENDS IN COGNITIVE SCIENCES (2022)

Article Clinical Neurology

Subthalamic and nigral neurons are differentially modulated during parkinsonian gait

Alessandro Gulberti, Jonas R. Wagner, Martin A. Horn, Jacob H. Reuss, Miriam Heise, Johannes A. Koeppen, Hans O. Pinnschmidt, Manfred Westphal, Andreas K. Engel, Christian Gerloff, Andrew Sharott, Wolfgang Hamel, Christian K. E. Moll, Monika Poetter-Nerger

Summary: In this study, the role of subthalamic and nigral neurons in the control of parkinsonian gait was assessed using intraoperative microelectrode recordings. The results suggest that subthalamic nucleus neurons are involved in motor aspects of gait control, while substantia nigra neurons are associated with attentional aspects.
Article Computer Science, Artificial Intelligence

Coordinating human-robot collaboration by EEG-based human intention prediction and vigilance control

Jianzhi Lyu, Alexander Maye, Michael Goerner, Philipp Ruppel, Andreas K. Engel, Jianwei Zhang

Summary: In human-robot collaboration scenarios, ensuring human safety is crucial, which limits the speed and torque of robot drives. Maintaining safe working distances and coordinating tasks efficiently is especially important for complex tasks with flexible human behavior. In this study, a brain-computer interface technique is employed to predict impending actions based on the human's overt attention, improving collaboration efficiency and safety distance.

FRONTIERS IN NEUROROBOTICS (2022)

Article Neurosciences

Leading and following: Noise differently affects semantic and acoustic processing during naturalistic speech comprehension

Xinmiao Zhang, Jiawei Li, Zhuoran Li, Bo Hong, Tongxiang Diao, Xin Ma, Guido Nolte, Andreas K. Engel, Dan Zhang

Summary: This study investigated the neural tracking of acoustic and semantic speech information during speech comprehension in noisy environments. The results showed that the neural responses to both acoustic and semantic features of speech were relatively stable regardless of the level of noise. In particular, the study revealed robust leading responses to speech semantics, suggesting a possible predictive mechanism for maintaining reliable speech comprehension in noisy environments.

NEUROIMAGE (2023)

暂无数据