2023

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10 pages, 2499 KiB

Open AccessCase Report

Refractory Hypotension in a Late-Onset Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes (MELAS) Male with m.3243 A>G Mutation: A Case Report

by Youjie Wang, Enhui Zhang, Chen Ye and Bo Wu

Brain Sci. 2023, 13(7), 1080; https://doi.org/10.3390/brainsci13071080 - 17 Jul 2023

Viewed by 1184

Abstract

(1) Introduction: Symptom spectrum can be of great diversity and heterogeneity in mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) patients in clinical practice. Here, we report a case of MELAS presenting asymptomatic refractory hypotension with m.3243 A>G mutation. (2) Case representation: A [...] Read more.

(1) Introduction: Symptom spectrum can be of great diversity and heterogeneity in mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) patients in clinical practice. Here, we report a case of MELAS presenting asymptomatic refractory hypotension with m.3243 A>G mutation. (2) Case representation: A 51-year-old male patient presented with a headache, vertigo, and difficulty in expression and understanding. The magnetic resonance imaging of the brain revealed an acute stroke-like lesion involving the left temporoparietal lobe. A definitive diagnosis of MELAS was given after the genetic test identified the chrM-3243 A>G mutation. The patient suffered recurrent stroke-like episodes in the 1-year follow-up. Notably, refractory hypotension was observed during hospitalizations, and no significant improvement in blood pressure was found after continuous use of vasopressor drugs and fluid infusion therapy. (3) Conclusions: We report a case of refractory hypotension which was unresponsive to fluid infusion therapy found in a patient with MELAS. Our case suggests that comprehensive management should be paid attention to during treatment. A further study on the pathological mechanism of the multisystem symptoms in MELAS would be beneficial to the treatment of patients. Full article

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22 pages, 7008 KiB

Open AccessFeature PaperArticle

Neuronal and Astroglial Localization of Glucocorticoid Receptor GRα in Adult Zebrafish Brain (Danio rerio)

by Evangelos Natsaridis, Panagiotis Perdikaris, Stefanos Fokos and Catherine R. Dermon

Brain Sci. 2023, 13(6), 861; https://doi.org/10.3390/brainsci13060861 - 26 May 2023

Viewed by 1454

Abstract

Glucocorticoid receptor α (GRα), a ligand-regulated transcription factor, mainly activated by cortisol in humans and fish, mediates neural allostatic and homeostatic functions induced by different types of acute and chronic stress, and systemic inflammation. Zebrafish GRα is suggested to have multiple transcriptional effects [...] Read more.

Glucocorticoid receptor α (GRα), a ligand-regulated transcription factor, mainly activated by cortisol in humans and fish, mediates neural allostatic and homeostatic functions induced by different types of acute and chronic stress, and systemic inflammation. Zebrafish GRα is suggested to have multiple transcriptional effects essential for normal development and survival, similarly to mammals. While sequence alignments of human, monkey, rat, and mouse GRs have shown many GRα isoforms, we questioned the protein expression profile of GRα in the adult zebrafish (Danio rerio) brain using an alternative model for stress-related neuropsychiatric research, by means of Western blot, immunohistochemistry and double immunofluorescence. Our results identified four main GRα-like immunoreactive bands (95 kDa, 60 kDa, 45 kDa and 35 kDa), with the 95 kDa protein showing highest expression in forebrain compared to midbrain and hindbrain. GRα showed a wide distribution throughout the antero-posterior zebrafish brain axis, with the most prominent labeling within the telencephalon, preoptic, hypothalamus, midbrain, brain stem, central grey, locus coeruleus and cerebellum. Double immunofluorescence revealed that GRα is coexpressed in TH+, β₂-AR+ and vGLUT+ neurons, suggesting the potential of GRα influences on adrenergic and glutamatergic transmission. Moreover, GRα was co-localized in midline astroglial cells (GFAP+) within the telencephalon, hypothalamus and hindbrain. Interestingly, GRα expression was evident in the brain regions involved in adaptive stress responses, social behavior, and sensory and motor integration, supporting the evolutionarily conserved features of glucocorticoid receptors in the zebrafish brain. Full article

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2022

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30 pages, 1710 KiB

Open AccessReview

Analytic Background in the Neuroscience of the Potential Project “Hippocrates”

by Irina Trofimova

Brain Sci. 2023, 13(1), 39; https://doi.org/10.3390/brainsci13010039 - 24 Dec 2022

Cited by 2 | Viewed by 2112

Abstract

This paper reviews the principles identified in analytic neuroscience that could be used in the setup of an international project, “Hippocrates” (H-project), named after the author of the endocrine theory of temperaments. The H-project can aim to summarize the findings in functional neurochemistry [...] Read more.

This paper reviews the principles identified in analytic neuroscience that could be used in the setup of an international project, “Hippocrates” (H-project), named after the author of the endocrine theory of temperaments. The H-project can aim to summarize the findings in functional neurochemistry of consistent behavioural patterns (CBPs) in health (such as temperament traits) and psychopathology (symptoms of psychiatric disorders); to have systematically structured neurochemical investigations; to have an analysis of CBPs that include all ranges of behavioural histories and to have these modules complemented by regional contrasts related to climate, diets and other bio-environmental factors. The review highlights the benefits of constructivism and illustrates the contrast between constructivism and current approaches in terms of analytic and methodological aspects. (1) “Where” the neurochemical biomarkers should be measured: the review expands the range of needed measurements to out-of-brain systems, including environmental factors, and explores the concept of Specialized Extended Phenotype. (2) “What” should be measured but is missing: the review points to the need for measurement of the “Throw & Catch” neurochemical relays; behavioural and neuronal events contributing to the consistency of the CBPs but not documented in measurements. (3) Structuring the H-project’s setup: the paper briefly describes a proposed earlier neurochemical framework, Functional Ensemble of Temperament that that accommodates the neurochemical continuum between temperament and symptoms of psychiatric disorders. This framework is in line with documented “Throw & Catch” neurochemical relays and can also be used to organize data about the personal and professional history of an individual. Full article

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19 pages, 3385 KiB

Open AccessFeature PaperArticle

Learning by Exposure in the Visual System

by Bogdan F. Iliescu

Brain Sci. 2022, 12(4), 508; https://doi.org/10.3390/brainsci12040508 - 17 Apr 2022

Cited by 2 | Viewed by 1783 | Correction

Abstract

It is increasingly being understood that perceptual learning involves different types of plasticity. Thus, whereas the practice-based improvement in the ability to perform specific tasks is believed to rely on top-down plasticity, the capacity of sensory systems to passively adapt to the stimuli [...] Read more.

It is increasingly being understood that perceptual learning involves different types of plasticity. Thus, whereas the practice-based improvement in the ability to perform specific tasks is believed to rely on top-down plasticity, the capacity of sensory systems to passively adapt to the stimuli they are exposed to is believed to rely on bottom-up plasticity. However, top-down and bottom-up plasticity have never been investigated concurrently, and hence their relationship is not well understood. To examine whether passive exposure influences perceptual performance, we asked subjects to test their orientation discrimination performance around and orthogonal to the exposed orientation axes, at an exposed and an unexposed location while oriented sine-wave gratings were presented in a fixed position. Here we report that repetitive passive exposure to oriented sequences that are not linked to a specific task induces a persistent, bottom-up form of learning that is stronger than top-down practice learning and generalizes across complex stimulus dimensions. Importantly, orientation-specific exposure learning led to a robust improvement in the discrimination of complex stimuli (shapes and natural scenes). Our results indicate that long-term sensory adaptation by passive exposure should be viewed as a form of perceptual learning that is complementary to practice learning in that it reduces constraints on speed and generalization. Full article

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15 pages, 827 KiB

Open AccessSystematic Review

Brain Correlates of the Alcohol Use Disorder Pharmacotherapy Response: A Systematic Review of Neuroimaging Studies

by Luiza Florence, Dângela Layne Silva Lassi, Guilherme T. Kortas, Danielle R. Lima, Cintia de Azevedo-Marques Périco, Arthur G. Andrade, Julio Torales, Antonio Ventriglio, Domenico De Berardis, João P. De Aquino and João M. Castaldelli-Maia

Brain Sci. 2022, 12(3), 386; https://doi.org/10.3390/brainsci12030386 - 14 Mar 2022

Cited by 4 | Viewed by 3923

Abstract

Background: Although Alcohol Use Disorder (AUD) is highly prevalent worldwide, treating this condition remains challenging. Further, potential treatments for AUD do not fully address alcohol-induced neuroadaptive changes. Understanding the effects of pharmacotherapies for AUD on the human brain may lead to tailored, more [...] Read more.

Background: Although Alcohol Use Disorder (AUD) is highly prevalent worldwide, treating this condition remains challenging. Further, potential treatments for AUD do not fully address alcohol-induced neuroadaptive changes. Understanding the effects of pharmacotherapies for AUD on the human brain may lead to tailored, more effective treatments, and improved individual clinical outcomes. Objectives: We systematically reviewed the literature for studies investigating pharmacotherapies for AUD that included neuroimaging-based treatment outcomes. We searched the PubMed, Scielo, and PsycINFO databases up to January 2021. Study eligibility criteria, participants, and interventions: Eligible studies included those investigating pharmacotherapies for AUD and employing functional magnetic resonance imaging (fMRI), positron emission tomography (PET), single-photon emission computed tomography (SPECT), and/or proton magnetic resonance spectroscopy (H-MRS). Study appraisal and synthesis methods: Two independent reviewers screened studies’ titles and abstracts for inclusion. Data extraction forms were shared among all the authors to standardize data collection. We gathered information on the following variables: sample size; mean age; sociodemographic and clinical characteristics; alcohol use status; study design and methodology; main neuroimaging findings and brain-regions of interest (i.e., brain areas activated by alcohol use and possible pharmacological interactions); and limitations of each study. Results: Out of 177 studies selected, 20 studies provided relevant data for the research topic. Findings indicate that: (1) Acamprosate and gabapentin may selectively modulate limbic regions and the anterior cingulate cortex; (2) Naltrexone and disulfiram effects may involve prefrontal, premotor, and cerebellar regions; (3) Pharmacotherapies acting on glutamate and GABA neurotransmission involve primarily areas underpinning reward and negative affective states, and; (4) Pharmacotherapies acting on opioid and dopamine systems may affect areas responsible for the cognitive and motor factors of AUD. Limitations: Most of the studies were focused on naltrexone. A small number of studies investigated the action of disulfiram and gabapentin, and no neuroimaging studies investigated topiramate. In addition, the time between medication and neuroimaging scans varied widely across studies. Conclusions: We identified key-brain regions modulated by treatments available for AUD. Some of the regions modulated by naltrexone are not specific to the brain reward system, such as the parahippocampal gyrus (temporal lobe), parietal and occipital lobes. Other treatments also modulate not specific regions of the reward system, but play a role in the addictive behaviors, including the insula and dorsolateral prefrontal cortex. The role of these brain regions in mediating the AUD pharmacotherapy response warrants investigation in future research studies. Full article

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2021

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23 pages, 1583 KiB

Open AccessArticle

Reporting Data on Auditory Brainstem Responses (ABR) in Rats: Recommendations Based on Review of Experimental Protocols and Literature

by Ewa Domarecka, Mahmut Tayyar Kalcioglu, Ahmet Mutlu, Abdulkadir Özgür, Jasper Smit, Heidi Olze and Agnieszka J. Szczepek

Brain Sci. 2021, 11(12), 1596; https://doi.org/10.3390/brainsci11121596 - 30 Nov 2021

Cited by 5 | Viewed by 3328

Abstract

Research in hearing science is accelerating, and a wealth of data concerning auditory brainstem responses (ABR) in various animal models is published in peer-reviewed journals every year. Recently, we reviewed studies using ABR measurements in tinnitus rat models. We found significant discrepancies in [...] Read more.

Research in hearing science is accelerating, and a wealth of data concerning auditory brainstem responses (ABR) in various animal models is published in peer-reviewed journals every year. Recently, we reviewed studies using ABR measurements in tinnitus rat models. We found significant discrepancies in the outcomes of these studies, some due to different research approaches and others due to different methodologies. Thus, the present work aimed to collect comprehensive information on all factors influencing ABR recordings in rats and compile recommendations on ABR data reporting. A questionnaire with queries about animal husbandry, transfer, handling, and the exact test conditions before, during, and after ABR recordings was sent to 125 researchers who published the relevant studies between 2015 and 2021. Eighteen researchers provided detailed answers on factors related to ABR measurements. Based on the analysis of the returned questionnaires, we identified three domains reflecting animal-, equipment-, and experiment-dependent factors that might influence the ABR outcome, thus requiring reporting in published research. The analysis of survey results led to the compilation of recommendations for reporting ABR outcomes supported by a literature review. Following these recommendations should facilitate comparative and meta-analyses of ABR results provided by various research groups. Full article

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13 pages, 1306 KiB

Open AccessArticle

White Matter Lesions as Possible Predictors of Audiological Performance in Adults after Cochlear Implantation

by Steffen Knopke, Hans-Christian Bauknecht, Stefan Gräbel, Sophia Marie Häußler, Agnieszka J. Szczepek and Heidi Olze

Brain Sci. 2021, 11(5), 600; https://doi.org/10.3390/brainsci11050600 - 08 May 2021

Cited by 3 | Viewed by 2317

Abstract

The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI [...] Read more.

The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI (67.3 ± 8.7 years; 20 men, 29 women) older than 50 at the time of implantation. The differences in the predictive value between two age groups, 50–70 year-olds (mid-age; n = 26) and over 70-year-olds (elderly; n = 23), were analyzed. The patients were evaluated using speech perception (SP) measured in quiet (Freiburg monosyllabic test; FMT) and noise (Oldenburg sentence test; OLSA). The subjective hearing ability was assessed using Oldenburg inventory (OI). The Fazekas PVWM score predicted postoperative speech perception two years after CI in the mid-age population. The periventricular white matter lesions (PVWM) could explain 27.4% of the speech perception (FMT) variance. Our findings support the hypothesis about the influence of pre-existing WMLs on CI outcome. We recommend the evaluation of Fazekas score as a predictive factor for post-implantation hearing ability. Full article

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17 pages, 2409 KiB

Open AccessArticle

Intensity of Respiratory Cortical Arousals Is a Distinct Pathophysiologic Feature and Is Associated with Disease Severity in Obstructive Sleep Apnea Patients

by Katharina Bahr, Vincent Geisler, Tilman Huppertz, Sergiu Groppa, Christoph Matthias, Haralampos Gouveris and Muthuraman Muthuraman

Brain Sci. 2021, 11(3), 282; https://doi.org/10.3390/brainsci11030282 - 25 Feb 2021

Cited by 15 | Viewed by 2517

Abstract

Background: We investigated whether the number, duration and intensity of respiratory arousals (RA) on C3-electroencephalographic (EEG) recordings correlate with polysomnography (PSG)-related disease severity in obstructive sleep apnea (OSA) patients. We also investigated if every patient might have an individual RA microstructure pattern, independent [...] Read more.

Background: We investigated whether the number, duration and intensity of respiratory arousals (RA) on C3-electroencephalographic (EEG) recordings correlate with polysomnography (PSG)-related disease severity in obstructive sleep apnea (OSA) patients. We also investigated if every patient might have an individual RA microstructure pattern, independent from OSA-severity. Methods: PSG recordings of 20 OSA patients (9 female; age 27–80 years) were analyzed retrospectively. Correlation coefficients were calculated between RA microstructure (duration, EEG-intensity) and RA number and respiratory disturbance index (RDI), oxygen desaturation index (ODI) and arousal index (AI). Intraclass correlations (ICC) for both RA duration and intensity were calculated. Sleep stage-specific and apnea- and hypopnea-specific analyses were also done. The probability distributions of duration and intensity were plotted, interpolated with a kernel which fits the distribution. A Bayesian posterior distribution analysis and pair-wise comparisons of each patient with all other 19 patients were performed. Results: Of the analyzed 2600 RA, strong positive correlations were found between average RA intensity and both RDI and AI. The number of PSG-recorded RA was strongly positively correlated with RDI. Significant correlations between average RA intensity in REM, NREM2 and NREM3 sleep stages and total ODI were identified. No sleep stage-specific correlations of arousal microstructure with age, sex, RDI or AI were identified. Although between-subjects ICC values were <0.25, within-subject ICC values were all >0.7 (all p < 0.05). While apnea-related RA duration did not differ from hypopnea-related RA duration, RA intensity was significantly higher (p = 0.00135) in hypopneas than in apneas. A clear individual pattern of arousal duration for each patient was made distinct. For arousal intensity, a Gaussian distribution was identified in most patients. The Bayesian statistics regarding the arousal microstructure showed significant differences between each pair of patients. Conclusions: Each individual patient with OSA might have an individual pattern of RA intensity and duration indicating a distinct individual pathophysiological feature. Arousal intensity was significantly higher in hypopneic than in apneic events and may be related causally to the diminished (compared to apneas) respiratory distress associated with hypopneas. RA intensity in REM, NREM2 and NREM3 strongly correlated with ODI. Full article

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2020

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9 pages, 1538 KiB

Open AccessArticle

Motor Cortical Activity during Observing a Video of Real Hand Movements versus Computer Graphic Hand Movements: An MEG Study

by Yu-Wei Hsieh, Meng-Ta Lee, Yu-Hsuan Lin, Li-Ling Chuang, Chih-Chi Chen and Chia-Hsiung Cheng

Brain Sci. 2021, 11(1), 6; https://doi.org/10.3390/brainsci11010006 - 23 Dec 2020

Cited by 5 | Viewed by 2125

Abstract

Both action observation (AO) and virtual reality (VR) provide visual stimuli to trigger brain activations during the observation of actions. However, the mechanism of observing video movements performed by a person’s real hand versus that performed by a computer graphic hand remains uncertain. [...] Read more.

Both action observation (AO) and virtual reality (VR) provide visual stimuli to trigger brain activations during the observation of actions. However, the mechanism of observing video movements performed by a person’s real hand versus that performed by a computer graphic hand remains uncertain. We aimed to investigate the differences in observing the video of real versus computer graphic hand movements on primary motor cortex (M1) activation by magnetoencephalography. Twenty healthy adults completed 3 experimental conditions: the resting state, the video of real hand movements (VRH), and the video of computer graphic hand movements (CGH) conditions with the intermittent electrical stimuli simultaneously applied to the median nerve by an electrical stimulator. The beta oscillatory activity (~20 Hz) in the M1 was collected, lower values indicating greater activations. To compare the beta oscillatory activities among the 3 conditions, the Friedman test with Bonferroni correction (p-value < 0.017 indicating statistical significance) were used. The beta oscillatory activities of the VRH and CGH conditions were significantly lower than that of the resting state condition. No significant difference in the beta oscillatory activity was found between the VRH and CGH conditions. Observing hand movements in a video performed by a real hand and those by a computer graphic hand evoked comparable M1 activations in healthy adults. This study provides some neuroimaging support for the use of AO and VR in rehabilitation, but no differential activations were found. Full article

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5 pages, 189 KiB

Open AccessEditorial

Emotional Dysregulation in Adolescents: Implications for the Development of Severe Psychiatric Disorders, Substance Abuse, and Suicidal Ideation and Behaviors

by Domenico De Berardis, Michele Fornaro, Laura Orsolini, Antonio Ventriglio, Federica Vellante and Massimo Di Giannantonio

Brain Sci. 2020, 10(9), 591; https://doi.org/10.3390/brainsci10090591 - 26 Aug 2020

Cited by 38 | Viewed by 9299

Abstract

Well-tuned emotional regulation is fundamental for human life and psychological well-being. Negative physiological emotions are counterbalanced by positive ones, and this equilibrium is the mainstay of human physiological affective states. However, this mechanism may sometimes become dysfunctional when negative emotions are not correctly [...] Read more.

Well-tuned emotional regulation is fundamental for human life and psychological well-being. Negative physiological emotions are counterbalanced by positive ones, and this equilibrium is the mainstay of human physiological affective states. However, this mechanism may sometimes become dysfunctional when negative emotions are not correctly counterbalanced, causing maladaptive behaviors, especially during adolescence. A very interesting review by Young et al. was recently published (Brain Sci.2019, 9(4), 76) and stimulated us to reflect on this topic. The screening for emotional disturbances and dysregulation in adolescents must be included in all the preventive and interventional programs aimed to achieve both physical and psychological well-being of the population and early intervention should be provided in order to avoid progression toward clinically relevant psychiatric disorders in late adolescence and adulthood. Full article

17 pages, 3070 KiB

Open AccessArticle

Time Window of Perturbation-Induced Response Triggered by Ankle Motion and Body Sway above the Ankle

by Koichi Hiraoka, Toru Kuramitsu, Naoki Nii, Miyuki Osumi and Nana Tanaka

Brain Sci. 2020, 10(4), 230; https://doi.org/10.3390/brainsci10040230 - 11 Apr 2020

Viewed by 2659

Abstract

We determined the precise time windows of the electromyographic (EMG) response components triggered by ankle motion and by body sway above the ankle. A support surface under the feet of healthy young adult participants in the quiet stance was moved in translation. The [...] Read more.

We determined the precise time windows of the electromyographic (EMG) response components triggered by ankle motion and by body sway above the ankle. A support surface under the feet of healthy young adult participants in the quiet stance was moved in translation. The EMG response component triggered by body displacement above the ankle began at 95–100 ms and ended 145–155 ms after the onset of the support surface translation. The EMG response triggered by ankle dorsiflexion began at 35–50 ms and ended 110–115 ms after the onset of the translation in the soleus muscle, indicating that the response component began at a time similar to the short-latency response. In contrast, the response component in the gastrocnemius muscle began noticeably after that. The EMG response triggered by ankle dorsiflexion began at 75–85 ms and ended 125–135 ms after the onset of the translation in the gastrocnemius muscle. Our findings indicate that the threshold of the early response component to the somatic sensation of the ankle motion in the soleus muscle is lower than that in the gastrocnemius muscle. The response component triggered by the ankle motion continued long after the end of ankle dorsiflexion, indicating that the early component is mediated not only by the monosynaptic stretch reflex pathway but also by the polysynaptic pathway. Full article

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12 pages, 732 KiB

Open AccessArticle

The Effect of Mental Fatigue on Neuromuscular Function is Similar in Young and Older Women

by Amanda J. Morris and Anita D. Christie

Brain Sci. 2020, 10(4), 191; https://doi.org/10.3390/brainsci10040191 - 25 Mar 2020

Cited by 13 | Viewed by 2821

Abstract

The purpose of this study was to examine the effect of a mentally fatiguing task on neuromuscular function in young and older women. Neuromuscular measures were obtained prior to and following 20 min of a mentally fatiguing task. Maximal force output significantly decreased [...] Read more.

The purpose of this study was to examine the effect of a mentally fatiguing task on neuromuscular function in young and older women. Neuromuscular measures were obtained prior to and following 20 min of a mentally fatiguing task. Maximal force output significantly decreased after the mental fatigue task (p = 0.02) and this was not different between age groups (p = 0.32). Increases in cortical silent period duration approached significance in both young and older groups (p = 0.06), suggesting that mental fatigue may cause increased cortical inhibition. Measures of peripheral neuromuscular function (contractile properties of the muscle, M-wave) did not change (p ≥ 0.09), suggesting that changes in force production with mental fatigue are more likely due to supraspinal than peripheral mechanisms. These findings provide further evidence of an interaction between mental fatigue and physical function. Full article

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14 pages, 695 KiB

Open AccessArticle

Leg Dominance Effects on Postural Control When Performing Challenging Balance Exercises

by Arunee Promsri, Thomas Haid, Inge Werner and Peter Federolf

Brain Sci. 2020, 10(3), 128; https://doi.org/10.3390/brainsci10030128 - 25 Feb 2020

Cited by 44 | Viewed by 6282

Abstract

Leg dominance reflects the preferential use of one leg over another and is typically attributed to asymmetries in the neural circuitry. Detecting leg dominance effects on motor behavior, particularly during balancing exercises, has proven difficult. The current study applied a principal component analysis [...] Read more.

Leg dominance reflects the preferential use of one leg over another and is typically attributed to asymmetries in the neural circuitry. Detecting leg dominance effects on motor behavior, particularly during balancing exercises, has proven difficult. The current study applied a principal component analysis (PCA) on kinematic data, to assess bilateral asymmetry on the coordinative structure (hypothesis H1) or on the control characteristics of specific movement components (hypothesis H2). Marker-based motion tracking was performed on 26 healthy adults (aged 25.3 ± 4.1 years), who stood unipedally on a multiaxial unstable board, in a randomized order, on their dominant and non-dominant leg. Leg dominance was defined as the kicking leg. PCA was performed to determine patterns of correlated segment movements (“principal movements” PM_ks). The control of each PM_k was characterized by assessing its acceleration (second-time derivative). Results were inconclusive regarding a leg-dominance effect on the coordinative structure of balancing movements (H1 inconclusive); however, different control (p = 0.005) was observed in PM₃, representing a diagonal plane movement component (H2 was supported). These findings supported that leg dominance effects should be considered when assessing or training lower-limb neuromuscular control and suggest that specific attention should be given to diagonal plane movements. Full article

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2019

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13 pages, 1838 KiB

Open AccessArticle

Should the Minimal Intervention Principle Be Considered When Investigating Dual-Tasking Effects on Postural Control?

by Felix Wachholz, Federico Tiribello, Arunee Promsri and Peter Federolf

Brain Sci. 2020, 10(1), 1; https://doi.org/10.3390/brainsci10010001 - 19 Dec 2019

Cited by 17 | Viewed by 4109

Abstract

Dual-tasking charges the sensorimotor system with performing two tasks simultaneously. Center of pressure (COP) analysis reveals the postural control that is altered during dual-tasking, but may not reveal the underlying neural mechanisms. In the current study, we hypothesized that the minimal intervention principle [...] Read more.

Dual-tasking charges the sensorimotor system with performing two tasks simultaneously. Center of pressure (COP) analysis reveals the postural control that is altered during dual-tasking, but may not reveal the underlying neural mechanisms. In the current study, we hypothesized that the minimal intervention principle (MIP) provides a concept by which dual-tasking effects on the organization and prioritization of postural control can be predicted. Postural movements of 23 adolescents (age 12.7 ± 1.3; 8 females) and 15 adults (26.9 ± 2.3) were measured in a bipedal stance with eyes open, eyes closed and eyes open while performing a dual-task using a force plate and 39 reflective markers. COP data was analyzed by calculating the mean velocity, standard deviation and amplitude of displacement. Kinematic data was examined by performing a principal component analysis (PCA) and extracting postural movement components. Two variables were determined to investigate changes in amplitude (aVar_k) and in control (N_k) of the principal movement components. Results in aVar_k and in N_k agreed well with the predicted dual-tasking effects. Thus, the current study corroborates the notion that the MIP should be considered when investigating postural control under dual-tasking conditions. Full article

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17 pages, 2111 KiB

Open AccessArticle

The Influence of Subclinical Neck Pain on Neurophysiological and Behavioral Measures of Multisensory Integration

by Antonia M. Karellas, Paul Yielder, James J. Burkitt, Heather S. McCracken and Bernadette A. Murphy

Brain Sci. 2019, 9(12), 362; https://doi.org/10.3390/brainsci9120362 - 09 Dec 2019

Cited by 3 | Viewed by 2910

Abstract

Multisensory integration (MSI) is necessary for the efficient execution of many everyday tasks. Alterations in sensorimotor integration (SMI) have been observed in individuals with subclinical neck pain (SCNP). Altered audiovisual MSI has previously been demonstrated in this population using performance measures, such as [...] Read more.

Multisensory integration (MSI) is necessary for the efficient execution of many everyday tasks. Alterations in sensorimotor integration (SMI) have been observed in individuals with subclinical neck pain (SCNP). Altered audiovisual MSI has previously been demonstrated in this population using performance measures, such as reaction time. However, neurophysiological techniques have not been combined with performance measures in the SCNP population to determine differences in neural processing that may contribute to these behavioral characteristics. Electroencephalography (EEG) event-related potentials (ERPs) have been successfully used in recent MSI studies to show differences in neural processing between different clinical populations. This study combined behavioral and ERP measures to characterize MSI differences between healthy and SCNP groups. EEG was recorded as 24 participants performed 8 blocks of a simple reaction time (RT) MSI task, with each block consisting of 34 auditory (A), visual (V), and audiovisual (AV) trials. Participants responded to the stimuli by pressing a response key. Both groups responded fastest to the AV condition. The healthy group demonstrated significantly faster RTs for the AV and V conditions. There were significant group differences in neural activity from 100–140 ms post-stimulus onset, with the control group demonstrating greater MSI. Differences in brain activity and RT between individuals with SCNP and a control group indicate neurophysiological alterations in how individuals with SCNP process audiovisual stimuli. This suggests that SCNP alters MSI. This study presents novel EEG findings that demonstrate MSI differences in a group of individuals with SCNP. Full article

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12 pages, 5377 KiB

Open AccessArticle

Electrical Stimulation in the Claustrum Area Induces a Deepening of Isoflurane Anesthesia in Rat

by Bogdan Pavel, Fabien Menardy, Diana Rotaru, Alexandru Catalin Paslaru, Camelia Acatrinei, Leon Zagrean, Daniela Popa and Ana-Maria Zagrean

Brain Sci. 2019, 9(11), 304; https://doi.org/10.3390/brainsci9110304 - 01 Nov 2019

Cited by 7 | Viewed by 4159

Abstract

The role of the claustrum in consciousness and vigilance states was proposed more than two decades ago; however, its role in anesthesia is not yet understood, and this requires more investigation. The aim of our study was to assess the impact of claustrum [...] Read more.

The role of the claustrum in consciousness and vigilance states was proposed more than two decades ago; however, its role in anesthesia is not yet understood, and this requires more investigation. The aim of our study was to assess the impact of claustrum electrical stimulation during isoflurane anesthesia in adult rats. The claustrum in the left hemisphere was electrically stimulated using a bipolar tungsten electrode inserted stereotaxically. In order to monitor the anesthetic depth, the electrocorticogram (ECoG) was recorded before, during, and after claustrum stimulation using frontal and parietal epidural electrodes placed over the left hemisphere. After reaching stabilized slow-wave isoflurane anesthesia, twenty stimuli, each of one second duration with ten seconds interstimulus duration, were applied. ECoG analysis has shown that, after a delay from the beginning of stimulation, the slow-wave ECoG signal changed to a transient burst suppression (BS) pattern. Our results show that electrical stimulation of the claustrum area during slow-wave isoflurane anesthesia induces a transitory increase in anesthetic depth, documented by the appearance of a BS ECoG pattern, and suggests a potential role of claustrum in anesthesia. Full article

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17 pages, 1541 KiB

Open AccessArticle

Do EEG and Startle Reflex Modulation Vary with Self-Reported Aggression in Response to Violent Images?

by Sajeev Kunaharan, Sean Halpin, Thiagarajan Sitharthan and Peter Walla

Brain Sci. 2019, 9(11), 298; https://doi.org/10.3390/brainsci9110298 - 30 Oct 2019

Cited by 3 | Viewed by 4204

Abstract

Increased violence and aggressive tendencies are a problem in much of the world and are often symptomatic of many other neurological and psychiatric conditions. Among clinicians, current methods of diagnosis of problem aggressive behaviour rely heavily on the use of self-report measures as [...] Read more.

Increased violence and aggressive tendencies are a problem in much of the world and are often symptomatic of many other neurological and psychiatric conditions. Among clinicians, current methods of diagnosis of problem aggressive behaviour rely heavily on the use of self-report measures as described by the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) and International Classification of Diseases 10th revision (ICD-10). This approach does not place adequate emphasis on objective measures that are potentially sensitive to processes not feeding into subjective self-report. Numerous studies provide evidence that attitudes and affective content can be processed without leading to verbalised output. This exploratory study aimed to determine whether individuals in the normal population, grouped by self-reported aggression, differed in subjective versus objective affective processing. Participants (N = 52) were grouped based on their responses to the Buss–Durkee Hostility Inventory. They were then presented with affect-inducing images while brain event-related potentials (ERPs) and startle reflex modulation (SRM) were recorded to determine non-language-based processes. Explicit valence and arousal ratings for each image were taken to determine subjective affective effects. Results indicated no significant group differences for explicit ratings and SRM. However, ERP results demonstrated significant group differences between the ‘pleasant’ and ‘violent’ emotion condition in the frontal, central and parietal areas across both hemispheres. These findings suggest that parts of the brain process affective stimuli different to what conscious appraisal comes up with in participants varying in self-reported aggression. Full article

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13 pages, 2903 KiB

Open AccessArticle

Different Representation Procedures Originated from Multivariate Temporal Pattern Analysis of the Behavioral Response to Pain in Wistar Rats Tested in a Hot-Plate under Morphine

by Maurizio Casarrubea, Stefania Aiello, Andrea Santangelo, Giuseppe Di Giovanni and Giuseppe Crescimanno

Brain Sci. 2019, 9(9), 233; https://doi.org/10.3390/brainsci9090233 - 12 Sep 2019

Cited by 2 | Viewed by 2977

Abstract

Temporal pattern analysis is an advanced multivariate technique able to investigate the structure of behavior by unveiling the existence of statistically significant constraints among the interval length separating events in sequence. If on the one hand, such an approach allows investigating the behavioral [...] Read more.

Temporal pattern analysis is an advanced multivariate technique able to investigate the structure of behavior by unveiling the existence of statistically significant constraints among the interval length separating events in sequence. If on the one hand, such an approach allows investigating the behavioral response to pain in its most intimate and inner features, on the other hand, due to the meaning of the studies on pain, it is of relevant importance that the results utilize intuitive and easily comprehensible ways of representation. The aim of this paper is to show various procedures useful to represent the results originating from the multivariate T-pattern analysis of the behavioral response to pain in Wistar rats tested in a hot-plate and IP injected morphine or saline as a control. Full article

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11 pages, 480 KiB

Open AccessArticle

Management of Sickle Cell Disease Pain among Adolescent and Pediatric Patients

by Samar Abdo, Khawla Q. Nuseir, Ahmad A. Altarifi, Moussa Barqawi, Nehad M. Ayoub and Tareq L. Mukkatash

Brain Sci. 2019, 9(8), 182; https://doi.org/10.3390/brainsci9080182 - 30 Jul 2019

Cited by 4 | Viewed by 4315

Abstract

Management of sickle cell pain in adolescent and pediatric patients is inadequate, and the employment of proper management guidelines and practices are highly variable among different regions and populations. APPT, the multidimensional adolescent pediatric pain tool, promotes optimal pain management and introduces best [...] Read more.

Management of sickle cell pain in adolescent and pediatric patients is inadequate, and the employment of proper management guidelines and practices are highly variable among different regions and populations. APPT, the multidimensional adolescent pediatric pain tool, promotes optimal pain management and introduces best practical guidelines for pain management. The goal of this study is to assess pain and pain management among young patients diagnosed with sickle cell disease (SCD) by introducing the APPT as a tool for pain management, and analyze factors contributing to pain management. Information relevant to demographic data, SCD characteristics, APPT assessment, and satisfaction of patients regarding pain management were collected using a structured questionnaire. Results showed that SCD is highly associated with gender (p = 0.022), consanguinity (p = 0.012), and number of surgeries (p = 0.013). Most patients (58.9%) indicated the involvement of more than six body areas affected during pain crisis. Severe pain was described by more than half the patients (55.6%), while moderate pain was reported by 31.1%. Most patients described their pain by sensory, affective, and temporal words. The number of painful areas, pain intensity, and use of descriptive pain words was correlated and interpreted by age, BMI, school absence, and number of surgeries. Results of this study could provide guidance to healthcare providers to improve current practices for SCD pain management in order to improve health outcomes and patients’ satisfaction. Full article

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12 pages, 3331 KiB

Open AccessArticle

Relationship between Ischemic Stroke and Pulse Rate Variability as a Surrogate of Heart Rate Variability

by Ajay K. Verma, Parshuram N. Aarotale, Parastoo Dehkordi, Jau-Shin Lou and Kouhyar Tavakolian

Brain Sci. 2019, 9(7), 162; https://doi.org/10.3390/brainsci9070162 - 10 Jul 2019

Cited by 12 | Viewed by 4997

Abstract

Autonomic reflex ascertains cardiovascular homeostasis during standing. Impaired autonomic reflex could lead to dizziness and falls while standing; this is prevalent in stroke survivors. Pulse rate variability (PRV) has been utilized in the literature in lieu of heart rate variability (HRV) for ambulatory [...] Read more.

Autonomic reflex ascertains cardiovascular homeostasis during standing. Impaired autonomic reflex could lead to dizziness and falls while standing; this is prevalent in stroke survivors. Pulse rate variability (PRV) has been utilized in the literature in lieu of heart rate variability (HRV) for ambulatory and portable monitoring of autonomic reflex predominantly in young, healthy individuals. Here, we compared the PRV with gold standard HRV for monitoring autonomic reflex in ischemic stroke survivors. Continuous blood pressure and electrocardiography were acquired from ischemic stroke survivors (64 ± 1 years) and age-matched controls (65 ± 2 years) during a 10-minute sit-to-stand test. Beat-by-beat heart period (represented by RR and peak-to-peak (PP) intervals), systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse arrival time (PAT), an indicator of arterial stiffness, were derived. Time and frequency domain HRV (from RR intervals) and PRV (from PP intervals) metrics were extracted. PAT was lower (248 ± 7 ms vs. 270 ± 8 ms, p < 0.05) suggesting higher arterial stiffness in stroke survivors compared to controls during standing. Further, compared to controls, the agreement between HRV and PRV was impaired in stroke survivors while standing. The study outcomes suggest that caution should be exercised when considering PRV as a surrogate of HRV for monitoring autonomic cardiovascular control while standing in stroke survivors. Full article

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