Methanol Poisoning as an Acute Toxicological Basal Ganglia Lesion Model: Evidence from Brain Volumetry and Cognition

Autor: Tobias Kober, Bénédicte Maréchal, Irena Liskova, Daniela Pelclova, Z. Seidl, Jiří Klempíř, Hana Brožová, Sergey Zakharov, Kateřina Bukačová, Ondrej Bezdicek, Kamila Poláková, Evžen Růžička, Manuela Vaneckova, Michal Miovský, Josef Mana
Rok vydání: 2019
Předmět:
Zdroj: Alcoholism: Clinical and Experimental Research. 43:1486-1497
ISSN: 1530-0277
0145-6008
DOI: 10.1111/acer.14077
Popis: BACKGROUND Acute methanol poisoning leads to optic neuropathy and necrotic lesions of basal ganglia (BG) and subcortical white matter. Survivors of methanol poisoning exhibit long-term executive and memory deficits. Associations between brain volumetry parameters and cognitive sequelae of methanol poisoning are not known. The aim of our study was to identify long-term associations between the cognitive performance of survivors of methanol poisoning and the volume of the brain structures that are selectively vulnerable to methanol. METHODS We conducted a cross-sectional follow-up study on a sample of patients (n = 33, age 50 ± 14 years, 82% males) who survived acute methanol poisoning during methanol mass poisoning outbreak from September 2012 till January 2013 in the Czech Republic. A battery of neuropsychological tests and brain magnetic resonance imaging were included in the clinical examination protocol. Specific brain structures (putamen, globus pallidus, nucleus caudatus, and frontal white matter) were selected as regions of interest, and their volumes were estimated using the MorphoBox prototype software. RESULTS In robust multiple regression models, sustained visual attention performance (as assessed by Trail Making Test and Prague Stroop Test) was positively associated with BG structures and frontal white matter volumes (Wald = 9.03 to 85.50, p
Databáze: OpenAIRE