Neuroanatomy of a neurobehavioral disturbance in the left anterior thalamic infarction
Background and purposeCognitive and behavioural symptoms represent primary clinical manifestations of anterior thalamic infarcts (ATIs) in the tuberothalamic artery territory. The aim of the study is to understand the pathomechanism of cognitive and behavioural disturbances in left ATI (LATI).Method...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2011-11, Vol.82 (11), p.1195-1200 |
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| creator | Nishio, Yoshiyuki Hashimoto, Mamoru Ishii, Kazunari Mori, Etsuro |
| description | Background and purposeCognitive and behavioural symptoms represent primary clinical manifestations of anterior thalamic infarcts (ATIs) in the tuberothalamic artery territory. The aim of the study is to understand the pathomechanism of cognitive and behavioural disturbances in left ATI (LATI).Methods6 patients with isolated LATIs were investigated using neuropsychological assessments, MRI stereotactic lesion localisation and positron emission tomography.ResultsThe patients were characterised clinically by verbal memory impairment, language disturbances dominated by anomia and word-finding difficulty and apathy. The ventral anterior nucleus (VA) proper, magnocellular VA (VAmc), ventral lateral anterior nucleus (VLa), ventral lateral posterior nucleus (VLp) and mammillothalamic tract were involved in all patients. Compared with healthy controls, the regional cerebral blood flow was lower in the thalamus, the dorsolateral, medial and orbital frontal lobes, the anterior temporal lobe, the inferior parietal lobule and the occipital lobe of the left hemisphere.ConclusionsThe authors propose that the Papez circuit disruption at the mammillothalamic tract and possibly thalamomedial temporal disconnection at the VA region is responsible for memory impairment and that the thalamo-anterior temporal disconnection is associated with language disturbance in LATI, respectively. |
| doi_str_mv | 10.1136/jnnp.2010.236463 |
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The aim of the study is to understand the pathomechanism of cognitive and behavioural disturbances in left ATI (LATI).Methods6 patients with isolated LATIs were investigated using neuropsychological assessments, MRI stereotactic lesion localisation and positron emission tomography.ResultsThe patients were characterised clinically by verbal memory impairment, language disturbances dominated by anomia and word-finding difficulty and apathy. The ventral anterior nucleus (VA) proper, magnocellular VA (VAmc), ventral lateral anterior nucleus (VLa), ventral lateral posterior nucleus (VLp) and mammillothalamic tract were involved in all patients. Compared with healthy controls, the regional cerebral blood flow was lower in the thalamus, the dorsolateral, medial and orbital frontal lobes, the anterior temporal lobe, the inferior parietal lobule and the occipital lobe of the left hemisphere.ConclusionsThe authors propose that the Papez circuit disruption at the mammillothalamic tract and possibly thalamomedial temporal disconnection at the VA region is responsible for memory impairment and that the thalamo-anterior temporal disconnection is associated with language disturbance in LATI, respectively.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.2010.236463</identifier><identifier>PMID: 21515557</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Aged ; amnesia ; Biological and medical sciences ; Brain Mapping - methods ; Cerebral Infarction - diagnosis ; Cerebral Infarction - physiopathology ; cognition ; Cognition Disorders - diagnosis ; Cognition Disorders - physiopathology ; Diencephalic amnesia ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Intelligence ; Language Disorders - diagnosis ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Memory ; Memory Disorders - diagnosis ; Middle Aged ; Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus ; MRI ; Neuroanatomy ; Neurology ; Neuropsychological Tests ; Neuropsychology ; Orthopedic surgery ; PET ; Positron-Emission Tomography - methods ; Research Paper ; semantic ; Semantics ; subcortical ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; thalamocortical ; Thalamus - anatomy & histology ; Thalamus - physiopathology ; vascular dementia ; Vascular diseases and vascular malformations of the nervous system ; Vertebrates: digestive system</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2011-11, Vol.82 (11), p.1195-1200</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2011 (c) 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b625t-829faa849174949a19f08a84e2b066512e122ce4afa2158bf29c4bf1dca28f5e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnnp.bmj.com/content/82/11/1195.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://jnnp.bmj.com/content/82/11/1195.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,780,784,885,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24606687$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21515557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishio, Yoshiyuki</creatorcontrib><creatorcontrib>Hashimoto, Mamoru</creatorcontrib><creatorcontrib>Ishii, Kazunari</creatorcontrib><creatorcontrib>Mori, Etsuro</creatorcontrib><title>Neuroanatomy of a neurobehavioral disturbance in the left anterior thalamic infarction</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Background and purposeCognitive and behavioural symptoms represent primary clinical manifestations of anterior thalamic infarcts (ATIs) in the tuberothalamic artery territory. The aim of the study is to understand the pathomechanism of cognitive and behavioural disturbances in left ATI (LATI).Methods6 patients with isolated LATIs were investigated using neuropsychological assessments, MRI stereotactic lesion localisation and positron emission tomography.ResultsThe patients were characterised clinically by verbal memory impairment, language disturbances dominated by anomia and word-finding difficulty and apathy. The ventral anterior nucleus (VA) proper, magnocellular VA (VAmc), ventral lateral anterior nucleus (VLa), ventral lateral posterior nucleus (VLp) and mammillothalamic tract were involved in all patients. Compared with healthy controls, the regional cerebral blood flow was lower in the thalamus, the dorsolateral, medial and orbital frontal lobes, the anterior temporal lobe, the inferior parietal lobule and the occipital lobe of the left hemisphere.ConclusionsThe authors propose that the Papez circuit disruption at the mammillothalamic tract and possibly thalamomedial temporal disconnection at the VA region is responsible for memory impairment and that the thalamo-anterior temporal disconnection is associated with language disturbance in LATI, respectively.</description><subject>Aged</subject><subject>amnesia</subject><subject>Biological and medical sciences</subject><subject>Brain Mapping - methods</subject><subject>Cerebral Infarction - diagnosis</subject><subject>Cerebral Infarction - physiopathology</subject><subject>cognition</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - physiopathology</subject><subject>Diencephalic amnesia</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Intelligence</subject><subject>Language Disorders - diagnosis</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory</subject><subject>Memory Disorders - diagnosis</subject><subject>Middle Aged</subject><subject>Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus</subject><subject>MRI</subject><subject>Neuroanatomy</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Orthopedic surgery</subject><subject>PET</subject><subject>Positron-Emission Tomography - methods</subject><subject>Research Paper</subject><subject>semantic</subject><subject>Semantics</subject><subject>subcortical</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Psychology</topic><topic>Humans</topic><topic>Intelligence</topic><topic>Language Disorders - diagnosis</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Memory</topic><topic>Memory Disorders - diagnosis</topic><topic>Middle Aged</topic><topic>Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus</topic><topic>MRI</topic><topic>Neuroanatomy</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Neuropsychology</topic><topic>Orthopedic surgery</topic><topic>PET</topic><topic>Positron-Emission Tomography - methods</topic><topic>Research Paper</topic><topic>semantic</topic><topic>Semantics</topic><topic>subcortical</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>thalamocortical</topic><topic>Thalamus - anatomy & histology</topic><topic>Thalamus - physiopathology</topic><topic>vascular dementia</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vertebrates: digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishio, Yoshiyuki</creatorcontrib><creatorcontrib>Hashimoto, Mamoru</creatorcontrib><creatorcontrib>Ishii, Kazunari</creatorcontrib><creatorcontrib>Mori, Etsuro</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishio, Yoshiyuki</au><au>Hashimoto, Mamoru</au><au>Ishii, Kazunari</au><au>Mori, Etsuro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuroanatomy of a neurobehavioral disturbance in the left anterior thalamic infarction</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>82</volume><issue>11</issue><spage>1195</spage><epage>1200</epage><pages>1195-1200</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Background and purposeCognitive and behavioural symptoms represent primary clinical manifestations of anterior thalamic infarcts (ATIs) in the tuberothalamic artery territory. The aim of the study is to understand the pathomechanism of cognitive and behavioural disturbances in left ATI (LATI).Methods6 patients with isolated LATIs were investigated using neuropsychological assessments, MRI stereotactic lesion localisation and positron emission tomography.ResultsThe patients were characterised clinically by verbal memory impairment, language disturbances dominated by anomia and word-finding difficulty and apathy. The ventral anterior nucleus (VA) proper, magnocellular VA (VAmc), ventral lateral anterior nucleus (VLa), ventral lateral posterior nucleus (VLp) and mammillothalamic tract were involved in all patients. Compared with healthy controls, the regional cerebral blood flow was lower in the thalamus, the dorsolateral, medial and orbital frontal lobes, the anterior temporal lobe, the inferior parietal lobule and the occipital lobe of the left hemisphere.ConclusionsThe authors propose that the Papez circuit disruption at the mammillothalamic tract and possibly thalamomedial temporal disconnection at the VA region is responsible for memory impairment and that the thalamo-anterior temporal disconnection is associated with language disturbance in LATI, respectively.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>21515557</pmid><doi>10.1136/jnnp.2010.236463</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged amnesia Biological and medical sciences Brain Mapping - methods Cerebral Infarction - diagnosis Cerebral Infarction - physiopathology cognition Cognition Disorders - diagnosis Cognition Disorders - physiopathology Diencephalic amnesia Female Fundamental and applied biological sciences. Psychology Humans Intelligence Language Disorders - diagnosis Magnetic Resonance Imaging - methods Male Medical sciences Memory Memory Disorders - diagnosis Middle Aged Mouth. Exocrine and endocrine salivary glands. Teeth. Esophagus MRI Neuroanatomy Neurology Neuropsychological Tests Neuropsychology Orthopedic surgery PET Positron-Emission Tomography - methods Research Paper semantic Semantics subcortical Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases thalamocortical Thalamus - anatomy & histology Thalamus - physiopathology vascular dementia Vascular diseases and vascular malformations of the nervous system Vertebrates: digestive system |
| title | Neuroanatomy of a neurobehavioral disturbance in the left anterior thalamic infarction |
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