|Title:||Microstructural integrity of cerebral fiber tracts in hereditary spastic paraparesis with SPG11 mutation||Authors:||MING-KAI PAN
|Issue Date:||2013||Journal Volume:||34||Journal Issue:||5||Start page/Pages:||990-996||Source:||American Journal of Neuroradiology||Abstract:||
BACKGROUND AND PURPOSE: ARHSP-TCC is characterized by progressive leg spasticity, ataxia, and cognitive dysfunction. Although mutations in the human SPG11 gene were identified as responsible for ARHSP-TCC, the cerebral fiber integrity has not been assessed systemically. The objective of this study was to assess cerebral fiber integrity and its clinical significance in patients with ARHSP-TCC. MATERIALS AND METHODS: Five patients from 2 families who were clinically and genetically confirmed to have ARHSP-TCC were examined by neuropsychological evaluation and DSI of the brain. We performed voxel-based GFA analysis for global white matter evaluation, tractography-based analysis for tract-to-tract comparisons, and tract-specific analysis of the CST to evaluate microstructural integrity along the axonal direction. RESULTS: The neuropsychological evaluation revealed widespread cognitive decline across all domains. Voxel-based analysis showed global reduction of GFA in the cerebral white matter. Tractography-based analysis revealed a significant reduction of the microstructural integrity in all neural fiber types, while commissure and association fibers had more GFA reduction than projection fibers (P < .00001). Prefrontal and motor portions of the CC were most severely affected among all fiber tracts (P < .00001, P = .018). Tract-specific analysis of the CST validated a "dying-back" phenomenon (R2 = 0.68, P < .00001). CONCLUSIONS: There was a characteristic gradation in the reduction of microstructural integrity among fiber types and within the CC in patients with the SPG11 mutation. The dying-back process in CST might explain the pathogenic mechanisms for ARHSP-TCC.
|URI:||https://scholars.lib.ntu.edu.tw/handle/123456789/506174||ISSN:||0195-6108||DOI:||10.3174/ajnr.A3330||metadata.dc.subject.other:||muscle protein; SPGII protein; unclassified drug; adult; article; autosomal recessive hereditary spastic paraparesis with thin corpus callosum; brain; brain commissure; clinical article; clinical assessment; cognitive defect; controlled study; corpus callosum; corpus callosum agenesis; diagnostic test accuracy study; diffusion spectrum imaging; diffusion weighted imaging; family; female; fractional anisotropy; gene expression; gene mutation; generalized fractional anisotropy; genetic analysis; hereditary motor sensory neuropathy; human; male; motor cortex; nerve fiber; nerve projection; neuroimaging; neuropsychological test; predictive value; prefrontal cortex; pyramidal tract; tractography; voxel based morphometry; white matter; Adult; Brain; Cognition Disorders; Diffusion Tensor Imaging; Female; Genetic Predisposition to Disease; Humans; Male; Mutation; Nerve Fibers, Myelinated; Polymorphism, Single Nucleotide; Proteins; Spastic Paraplegia, Hereditary
|Appears in Collections:||藥理學科所|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.