7 Tesla MRI demonstrates vascular pathology in Baló’s concentric sclerosis

Baló’s concentric sclerosis (BCS) is an inflammatory demyelinating disease related to multiple sclerosis; its underlying pathology remains unclear. At 7 T MRI in a 19-year-old female BCS patient, microhaemorrhages and ectatic veins were found in T2 hyperintense regions, features which have not been previously reported in conjunction with BCS, and these findings may support the view that vascular pathology plays a role in BCS. MRS data suggest that neuron loss and lipid turnover still took place months after a remission. Plasma exchange was effective in treating a relapse with severe motor deficits, and the off-label use of natalizumab was successful in maintaining remission in this patient.

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7 Tesla MRI of Balo's concentric sclerosis versus multiple sclerosis lesions

Annals of Clinical and Translational Neurology ◽

10.1002/acn3.572 ◽

2018 ◽

Vol 5 (8) ◽

pp. 900-912 ◽

Cited By ~ 4

Author(s):

Janina R. Behrens ◽

Julia Wanner ◽

Joseph Kuchling ◽

Lennard Ostendorf ◽

Lutz Harms ◽

...

Keyword(s):

Multiple Sclerosis ◽

7 Tesla ◽

7 Tesla Mri ◽

Baló’S Concentric Sclerosis

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Association of the Non-Motor Burden with Patterns of Striatal Dopamine Loss in de novo Parkinson’s Disease

Journal of Parkinson s Disease ◽

10.3233/jpd-202127 ◽

2020 ◽

Vol 10 (4) ◽

pp. 1541-1549

Author(s):

Seok Jong Chung ◽

Sangwon Lee ◽

Han Soo Yoo ◽

Yang Hyun Lee ◽

Hye Sun Lee ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

De Novo ◽

Early Stage ◽

Striatal Dopamine ◽

Motor Deficits ◽

Dopamine Depletion ◽

Severe Motor ◽

Severe Group ◽

Striatal Dopamine Depletion

Background: Striatal dopamine deficits play a key role in the pathogenesis of Parkinson’s disease (PD), and several non-motor symptoms (NMSs) have a dopaminergic component. Objective: To investigate the association between early NMS burden and the patterns of striatal dopamine depletion in patients with de novo PD. Methods: We consecutively recruited 255 patients with drug-naïve early-stage PD who underwent 18F-FP-CIT PET scans. The NMS burden of each patient was assessed using the NMS Questionnaire (NMSQuest), and patients were divided into the mild NMS burden (PDNMS-mild) (NMSQuest score <6; n = 91) and severe NMS burden groups (PDNMS-severe) (NMSQuest score >9; n = 90). We compared the striatal dopamine transporter (DAT) activity between the groups. Results: Patients in the PDNMS-severe group had more severe parkinsonian motor signs than those in the PDNMS-mild group, despite comparable DAT activity in the posterior putamen. DAT activity was more severely depleted in the PDNMS-severe group in the caudate and anterior putamen compared to that in the PDMNS-mild group. The inter-sub-regional ratio of the associative/limbic striatum to the sensorimotor striatum was lower in the PDNMS-severe group, although this value itself lacked fair accuracy for distinguishing between the patients with different NMS burdens. Conclusion: This study demonstrated that PD patients with severe NMS burden exhibited severe motor deficits and relatively diffuse dopamine depletion throughout the striatum. These findings suggest that the level of NMS burden could be associated with distinct patterns of striatal dopamine depletion, which could possibly indicate the overall pathological burden in PD.

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Balo’s Concentric Sclerosis Mimicking Tumor on Magnetic Resonance Imaging in a Young Patient

Clinical Medicine Insights Case Reports ◽

10.1177/1179547621989673 ◽

2021 ◽

Vol 14 ◽

pp. 117954762198967

Author(s):

Van Trung Hoang ◽

Cong Thao Trinh ◽

Hoang Anh Thi Van ◽

Thanh Tam Thi Nguyen ◽

Vichit Chansomphou ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Demyelinating Disease ◽

Management Strategies ◽

Resonance Imaging ◽

Mri Findings ◽

Demyelinating Lesions ◽

Baló’S Concentric Sclerosis ◽

Magnetic Resonance Imaging Mri ◽

Subcortical Regions

Balo’s concentric sclerosis (BCS) is a rare demyelinating disease known as Multiple Sclerosis (MS) lesion type III. It is a disease of the white matter of the brain characterized by a round lesion with variable concentric myelinated and demyelinated layers, appearing as “onion bulb.” We present a case of BCS and discuss the imaging findings and management strategies of this disease. A 26-y-old male developed headache, weakness, and numbness of limbs. Magnetic resonance imaging (MRI) showed concentric lamellar like demyelinating lesions at the subcortical regions. The patient’s neurological symptoms were consistent with the MRI findings.

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A probabilistic atlas of the human ventral tegmental area (VTA) based on 7 Tesla MRI data

Brain Structure and Function ◽

10.1007/s00429-021-02231-w ◽

2021 ◽

Vol 226 (4) ◽

pp. 1155-1167 ◽

Cited By ~ 1

Author(s):

Anne C. Trutti ◽

Laura Fontanesi ◽

Martijn J. Mulder ◽

Pierre-Louis Bazin ◽

Bernhard Hommel ◽

...

Keyword(s):

Ventral Tegmental Area ◽

Region Of Interest ◽

Reward Processing ◽

7 Tesla ◽

Subcortical Structures ◽

7 Tesla Mri ◽

Subcortical Nuclei ◽

Ventral Tegmental ◽

The Brain

AbstractFunctional magnetic resonance imaging (fMRI) BOLD signal is commonly localized by using neuroanatomical atlases, which can also serve for region of interest analyses. Yet, the available MRI atlases have serious limitations when it comes to imaging subcortical structures: only 7% of the 455 subcortical nuclei are captured by current atlases. This highlights the general difficulty in mapping smaller nuclei deep in the brain, which can be addressed using ultra-high field 7 Tesla (T) MRI. The ventral tegmental area (VTA) is a subcortical structure that plays a pivotal role in reward processing, learning and memory. Despite the significant interest in this nucleus in cognitive neuroscience, there are currently no available, anatomically precise VTA atlases derived from 7 T MRI data that cover the full region of the VTA. Here, we first provide a protocol for multimodal VTA imaging and delineation. We then provide a data description of a probabilistic VTA atlas based on in vivo 7 T MRI data.

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