Unraveling corticobasal syndrome and alien limb syndrome with structural brain imaging
Standard
Unraveling corticobasal syndrome and alien limb syndrome with structural brain imaging. / Albrecht, Franziska; Mueller, Karsten; Ballarini, Tommaso; Lampe, Leonie; Diehl-Schmid, Janine; Fassbender, Klaus; Fliessbach, Klaus; Jahn, Holger; Jech, Robert; Kassubek, Jan; Kornhuber, Johannes; Landwehrmeyer, Bernhard; Lauer, Martin; Ludolph, Albert C; Lyros, Epameinondas; Prudlo, Johannes; Schneider, Anja; Synofzik, Matthis; Wiltfang, Jens; Danek, Adrian; Otto, Markus; Schroeter, Matthias L; FTLD consortium.
in: CORTEX, Jahrgang 117, 08.2019, S. 33-40.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Unraveling corticobasal syndrome and alien limb syndrome with structural brain imaging
AU - Albrecht, Franziska
AU - Mueller, Karsten
AU - Ballarini, Tommaso
AU - Lampe, Leonie
AU - Diehl-Schmid, Janine
AU - Fassbender, Klaus
AU - Fliessbach, Klaus
AU - Jahn, Holger
AU - Jech, Robert
AU - Kassubek, Jan
AU - Kornhuber, Johannes
AU - Landwehrmeyer, Bernhard
AU - Lauer, Martin
AU - Ludolph, Albert C
AU - Lyros, Epameinondas
AU - Prudlo, Johannes
AU - Schneider, Anja
AU - Synofzik, Matthis
AU - Wiltfang, Jens
AU - Danek, Adrian
AU - Otto, Markus
AU - Schroeter, Matthias L
AU - FTLD consortium
N1 - Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
PY - 2019/8
Y1 - 2019/8
N2 - Alien limb phenomenon is a rare syndrome associated with a feeling of non-belonging and disowning toward one's limb. In contrast, anarchic limb phenomenon leads to involuntary but goal-directed movements. Alien/anarchic limb phenomena are frequent in corticobasal syndrome (CBS), an atypical parkinsonian syndrome characterized by rigidity, akinesia, dystonia, cortical sensory deficit, and apraxia. The structure-function relationship of alien/anarchic limb was investigated in multi-centric structural magnetic resonance imaging (MRI) data. Whole-group and single-subject comparisons were made in 25 CBS and eight CBS-alien/anarchic limb patients versus controls. Support vector machine was used to see if CBS with and without alien/anarchic limb could be distinguished by structural MRI patterns. Whole-group comparison of CBS versus controls revealed asymmetric frontotemporal atrophy. CBS with alien/anarchic limb syndrome versus controls showed frontoparietal atrophy including the supplementary motor area contralateral to the side of the affected limb. Exploratory analysis identified frontotemporal regions encompassing the pre-/and postcentral gyrus as compromised in CBS with alien limb syndrome. Classification of CBS patients yielded accuracies of 79%. CBS-alien/anarchic limb syndrome was differentiated from CBS patients with an accuracy of 81%. Predictive differences were found in the cingulate gyrus spreading to frontomedian cortex, postcentral gyrus, and temporoparietoocipital regions. We present the first MRI-based group analysis on CBS-alien/anarchic limb. Results pave the way for individual clinical syndrome prediction and allow understanding the underlying neurocognitive architecture.
AB - Alien limb phenomenon is a rare syndrome associated with a feeling of non-belonging and disowning toward one's limb. In contrast, anarchic limb phenomenon leads to involuntary but goal-directed movements. Alien/anarchic limb phenomena are frequent in corticobasal syndrome (CBS), an atypical parkinsonian syndrome characterized by rigidity, akinesia, dystonia, cortical sensory deficit, and apraxia. The structure-function relationship of alien/anarchic limb was investigated in multi-centric structural magnetic resonance imaging (MRI) data. Whole-group and single-subject comparisons were made in 25 CBS and eight CBS-alien/anarchic limb patients versus controls. Support vector machine was used to see if CBS with and without alien/anarchic limb could be distinguished by structural MRI patterns. Whole-group comparison of CBS versus controls revealed asymmetric frontotemporal atrophy. CBS with alien/anarchic limb syndrome versus controls showed frontoparietal atrophy including the supplementary motor area contralateral to the side of the affected limb. Exploratory analysis identified frontotemporal regions encompassing the pre-/and postcentral gyrus as compromised in CBS with alien limb syndrome. Classification of CBS patients yielded accuracies of 79%. CBS-alien/anarchic limb syndrome was differentiated from CBS patients with an accuracy of 81%. Predictive differences were found in the cingulate gyrus spreading to frontomedian cortex, postcentral gyrus, and temporoparietoocipital regions. We present the first MRI-based group analysis on CBS-alien/anarchic limb. Results pave the way for individual clinical syndrome prediction and allow understanding the underlying neurocognitive architecture.
M3 - SCORING: Journal article
C2 - 30927559
VL - 117
SP - 33
EP - 40
JO - CORTEX
JF - CORTEX
SN - 0010-9452
ER -