Altered callosal function in cerebral microangiopathy
Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with res...
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| Published in | Journal of neurology Vol. 257; no. 4; pp. 590 - 597 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer-Verlag
01.04.2010
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0340-5354 1432-1459 1432-1459 |
| DOI | 10.1007/s00415-009-5379-9 |
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| Abstract | Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with respect to the extent of CMA. Callosal function was tested by a bimanual tapping task and by analysis of the ipsilateral silent period (iSP) and the transcallosal conduction time (TCT) using transcranial magnetic stimulation. Results were correlated to the extent of CMA measured by cranial magnetic resonance imaging (cMRI) in 44 patients with CMA compared to 10 control subjects. The extent of CMA was quantified by a cMRI score. Additionally, callosal atrophy was quantified by cMRI morphometry. Frequency of pathological iSP findings or disturbed bimanual tapping was significantly correlated to a higher CMA score. Moreover, the extent of CMA was significantly correlated to the degree of callosal atrophy. It is concluded that CMA considerably affects callosal pathways, possibly by chronic demyelination of callosal fibres. As the extent of CMA and atrophy of the corpus callosum is correlated to callosal dysfunction, analysis of the iSP can be used to assess the clinical impact of CMA detected by cMRI. |
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| AbstractList | Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with respect to the extent of CMA. Callosal function was tested by a bimanual tapping task and by analysis of the ipsilateral silent period (iSP) and the transcallosal conduction time (TCT) using transcranial magnetic stimulation. Results were correlated to the extent of CMA measured by cranial magnetic resonance imaging (cMRI) in 44 patients with CMA compared to 10 control subjects. The extent of CMA was quantified by a cMRI score. Additionally, callosal atrophy was quantified by cMRI morphometry. Frequency of pathological iSP findings or disturbed bimanual tapping was significantly correlated to a higher CMA score. Moreover, the extent of CMA was significantly correlated to the degree of callosal atrophy. It is concluded that CMA considerably affects callosal pathways, possibly by chronic demyelination of callosal fibres. As the extent of CMA and atrophy of the corpus callosum is correlated to callosal dysfunction, analysis of the iSP can be used to assess the clinical impact of CMA detected by cMRI.Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with respect to the extent of CMA. Callosal function was tested by a bimanual tapping task and by analysis of the ipsilateral silent period (iSP) and the transcallosal conduction time (TCT) using transcranial magnetic stimulation. Results were correlated to the extent of CMA measured by cranial magnetic resonance imaging (cMRI) in 44 patients with CMA compared to 10 control subjects. The extent of CMA was quantified by a cMRI score. Additionally, callosal atrophy was quantified by cMRI morphometry. Frequency of pathological iSP findings or disturbed bimanual tapping was significantly correlated to a higher CMA score. Moreover, the extent of CMA was significantly correlated to the degree of callosal atrophy. It is concluded that CMA considerably affects callosal pathways, possibly by chronic demyelination of callosal fibres. As the extent of CMA and atrophy of the corpus callosum is correlated to callosal dysfunction, analysis of the iSP can be used to assess the clinical impact of CMA detected by cMRI. Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with respect to the extent of CMA. Callosal function was tested by a bimanual tapping task and by analysis of the ipsilateral silent period (iSP) and the transcallosal conduction time (TCT) using transcranial magnetic stimulation. Results were correlated to the extent of CMA measured by cranial magnetic resonance imaging (cMRI) in 44 patients with CMA compared to 10 control subjects. The extent of CMA was quantified by a cMRI score. Additionally, callosal atrophy was quantified by cMRI morphometry. Frequency of pathological iSP findings or disturbed bimanual tapping was significantly correlated to a higher CMA score. Moreover, the extent of CMA was significantly correlated to the degree of callosal atrophy. It is concluded that CMA considerably affects callosal pathways, possibly by chronic demyelination of callosal fibres. As the extent of CMA and atrophy of the corpus callosum is correlated to callosal dysfunction, analysis of the iSP can be used to assess the clinical impact of CMA detected by cMRI.[PUBLICATION ABSTRACT] Callosal dysfunction is known to be evident in a variety of neurodegenerative and inflammatory diseases of the central nervous system. Cerebral microangiopathy (CMA) may also affect callosal pathways by chronic demyelination. The aim of the present study was to investigate callosal function with respect to the extent of CMA. Callosal function was tested by a bimanual tapping task and by analysis of the ipsilateral silent period (iSP) and the transcallosal conduction time (TCT) using transcranial magnetic stimulation. Results were correlated to the extent of CMA measured by cranial magnetic resonance imaging (cMRI) in 44 patients with CMA compared to 10 control subjects. The extent of CMA was quantified by a cMRI score. Additionally, callosal atrophy was quantified by cMRI morphometry. Frequency of pathological iSP findings or disturbed bimanual tapping was significantly correlated to a higher CMA score. Moreover, the extent of CMA was significantly correlated to the degree of callosal atrophy. It is concluded that CMA considerably affects callosal pathways, possibly by chronic demyelination of callosal fibres. As the extent of CMA and atrophy of the corpus callosum is correlated to callosal dysfunction, analysis of the iSP can be used to assess the clinical impact of CMA detected by cMRI. |
| Author | Wolters, Alexander Grossmann, Annette Kunesch, Erwin Walter, Uwe Benecke, Reiner Wittstock, Matthias |
| Author_xml | – sequence: 1 givenname: Matthias surname: Wittstock fullname: Wittstock, Matthias email: matthias.wittstock@med.uni-rostock.de organization: Human Cortical Physiology Laboratory, Department of Neurology, University of Rostock – sequence: 2 givenname: Annette surname: Grossmann fullname: Grossmann, Annette organization: Institute for Diagnostic and Interventional Radiology, University of Rostock – sequence: 3 givenname: Erwin surname: Kunesch fullname: Kunesch, Erwin organization: Human Cortical Physiology Laboratory, Department of Neurology, University of Rostock, Department of Neurology, Regional Hospital Mainkofen – sequence: 4 givenname: Uwe surname: Walter fullname: Walter, Uwe organization: Human Cortical Physiology Laboratory, Department of Neurology, University of Rostock – sequence: 5 givenname: Reiner surname: Benecke fullname: Benecke, Reiner organization: Human Cortical Physiology Laboratory, Department of Neurology, University of Rostock – sequence: 6 givenname: Alexander surname: Wolters fullname: Wolters, Alexander organization: Human Cortical Physiology Laboratory, Department of Neurology, University of Rostock |
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| CitedBy_id | crossref_primary_10_1007_s00429_015_1110_z crossref_primary_10_7759_cureus_35332 crossref_primary_10_1155_2013_351680 crossref_primary_10_5812_ans_62599 crossref_primary_10_1016_j_sleep_2015_07_009 crossref_primary_10_1016_j_neubiorev_2014_03_008 |
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| Keywords | Ipsilateral silent period Cerebral microangiopathy Transcranial magnetic stimulation Magnetic resonance imaging Corpus callosum Nervous system diseases Central nervous system Cardiovascular disease Silent period Nuclear magnetic resonance imaging Encephalon Vascular disease Microangiopathy |
| Language | English |
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| SubjectTerms | Aged Aged, 80 and over Analysis of Variance Atrophy Biological and medical sciences Brain Diseases - pathology Brain Diseases - physiopathology Brain Mapping Corpus Callosum - pathology Corpus Callosum - physiopathology Electromyography - methods Evoked Potentials, Motor - physiology Female Gait Humans Investigations Ischemia Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medical sciences Medicine Medicine & Public Health Middle Aged Nerve Fibers, Myelinated - pathology Neural Pathways - pathology Neural Pathways - physiopathology Neurology Neuroradiology Neurosciences Original Communication Pathology Stroke - complications Transcranial magnetic stimulation Transcranial Magnetic Stimulation - methods Vascular diseases and vascular malformations of the nervous system |
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| Title | Altered callosal function in cerebral microangiopathy |
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