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10.1097/WNR.0000000000000362

http://scihub22266oqcxt.onion/10.1097/WNR.0000000000000362
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C4415522!4415522 !25830491
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suck abstract from ncbi


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pmid25830491
      Neuroreport 2015 ; 26 (7 ): 411-5
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  • Brainstem morphological changes in Alzheimer s disease #MMPMID25830491
  • Lee JH ; Ryan J ; Andreescu C ; Aizenstein H ; Lim HK
  • Neuroreport 2015[May]; 26 (7 ): 411-5 PMID25830491 show ga
  • As brainstem nuclei are interconnected with several cortical structures and regulate several autonomic, cognitive, and behavioral functions, it might be important to place the brainstem within an important pathologic core in the progression of Alzheimer's disease (AD). Although there have been several postmortem studies reporting neuropathological alterations of the brainstem in AD, there has been no in-vivo structural neuroimaging study of the brainstem in the patients with AD. The aim of this study was to investigate differences in the brainstem volume and shape between patients with AD and elderly normal controls. Fifty AD patients (the Clinical Dementia Rating Scale ? 1) and 50 normal controls were recruited, and the brainstem volumes and deformations were compared between the AD and the controls. Patients with AD showed significant total volume [(mean ± SD) 21007 ± 1640?mm] reduction in the brainstem compared with the controls [(mean ± SD) 22530 ± 1750?mm] (P<0.001). In addition, AD patients showed significant brainstem deformations in the upper posterior brainstem corresponding to the midbrain compared with the healthy individuals (false discovery rate corrected P<0.05). This study is the first to explore brainstem volume change and deformations in AD. These structural changes in the midbrain areas might be at the core of the underlying neurobiological mechanisms of brainstem dysfunction with relevance to their various cognitive and behavioral symptoms such as memory impairment, sleep, and emotional disturbance in AD. However, further longitudinal studies might be needed to confirm these findings.
  • |Aged [MESH]
  • |Aging/pathology [MESH]
  • |Alzheimer Disease/*pathology [MESH]
  • |Brain Stem/*pathology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Image Processing, Computer-Assisted [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Male [MESH]
  • |Organ Size [MESH]


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