Negative motor networks: Electric cortical stimulation and diffusion tensor imaging
Autor: | Hime Suzuki, Yuto Suzuki, Ayaka Sasagawa, Tomoyoshi Kuribara, Aya Kanno, Tsukasa Hirano, Rintaro Yokoyama, Satoko Ochi, Nobuhiro Mikuni, Rei Enatsu, Masayasu Arihara |
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Rok vydání: | 2019 |
Předmět: |
Stimulation
behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Neural Pathways Medicine Arcuate fasciculus Humans 030212 general & internal medicine Motor area business.industry Superior longitudinal fasciculus Precentral gyrus Commissure Electric Stimulation Frontal Lobe medicine.anatomical_structure Diffusion Tensor Imaging nervous system Neurology Temporal Regions Neurology (clinical) Epilepsies Partial Nerve Net business Neuroscience 030217 neurology & neurosurgery Diffusion MRI |
Zdroj: | Revue neurologique. 176(7-8) |
ISSN: | 0035-3787 |
Popis: | Introduction This study investigated the networks of Negative motor areas (NMAs) using electric cortical stimulation and diffusion tensor imaging (DTI). Methods Twelve patients with intractable focal epilepsy, in which NMAs were identified by electrical cortical stimulation, were enrolled in this study. Electric stimulation at 50 Hz was applied to the electrodes during motor tasks to identify the NMAs. DTI was used to identify the subcortical fibers originating from the NMAs found by electrical stimulation. Results NMAs were found in lateral frontal areas (premotor area (PM) and precentral gyrus) in all 12 patients, in pre-supplementary motor areas (pre-SMAs) in four patients, and in posterior parietal cortices (PPCs) in four. DTI detected fibers connecting to the ipsilateral PMs, PPCs and temporal regions via U-fibers, superior longitudinal fasciculus (SLF), and arcuate fasciculus (AF) from the lateral frontal NMAs. Pre-SMA-NMAs had connections with ipsilateral PMs and contralateral pre-SMAs via the frontal aslant tract and transcallosal commissural fibers, and PPC-NMAs with ipsilateral PMs via SLF and AF. Conclusion This study found the characteristic cortical network of each NMA, and especially revealed new insight of pre-SMA-NMA and PPC NMA. These NMAs might be associated with different mechanism of negative motor response. |
Databáze: | OpenAIRE |
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