Exploring the impact of the interthalamic adhesion on human cognition: insights from healthy subjects and thalamic stroke patients.

Autor: Vidal JP; CerCo (Brain and Cognition Research Center), CNRS, Paul Sabatier University, Toulouse, France. julie.vidal@univ-tlse3.fr.; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France. julie.vidal@univ-tlse3.fr., Rachita K; Neurology Department, Purpan Hospital, Toulouse University Hospital Center, Toulouse, France., Servais A; CerCo (Brain and Cognition Research Center), CNRS, Paul Sabatier University, Toulouse, France., Péran P; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France., Pariente J; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France.; Neurology Department, Purpan Hospital, Toulouse University Hospital Center, Toulouse, France., Bonneville F; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France.; Neurology Department, Purpan Hospital, Toulouse University Hospital Center, Toulouse, France., Albucher JF; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France.; Neurology Department, Purpan Hospital, Toulouse University Hospital Center, Toulouse, France., Danet L; ToNiC (Toulouse NeuroImaging Center), INSERM, Paul Sabatier University, Toulouse, France.; Neurology Department, Purpan Hospital, Toulouse University Hospital Center, Toulouse, France., Barbeau EJ; CerCo (Brain and Cognition Research Center), CNRS, Paul Sabatier University, Toulouse, France.
Jazyk: angličtina
Zdroj: Journal of neurology [J Neurol] 2024 Sep; Vol. 271 (9), pp. 5985-5996. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1007/s00415-024-12566-z
Abstrakt: The interthalamic adhesion (IA) is a structure that connects the median borders of both thalami. Its anatomical variants and functions remain poorly studied. The main objective of this study was to explore the role of the IA on cognition. 42 healthy subjects and 40 patients with chronic isolated thalamic strokes underwent a neuroimaging and a neuropsychological assessment. The presence, absence, or lesion of the IA and its anatomical variants were evaluated. 76% of participants had an IA, with a higher prevalence among women (92%) than men (61%). The presence or absence of an IA did not affect the neuropsychological performance of healthy subjects nor did the type of IA variant. Across all the tests and when compared to healthy subjects using a Bayesian rmANOVA, patients exhibiting more cognitive impairments were those without an IA (n = 10, BF 10  = 10,648), while those with an IA were more preserved (n = 18, BF 10  = 157). More specifically, patients without an IA performed more poorly in verbal memory or the Stroop task versus healthy subjects. This was not explained by age, laterality of the infarct, volume or localization of the lesion. Patients with a lesioned IA (n = 12) presented a similar trend to patients without an IA, which could however be explained by a greater volume of lesions. The IA does not appear to play a major role in cognition in healthy subjects, but could play a compensatory role in patients with thalamic lesions.
(© 2024. The Author(s).)
Databáze: MEDLINE
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