The alterations of degree centrality in the frontal lobe of patients with panic disorder

BackgroundWith regard to current neurobiological theories, the aim of our study was to examine possible alterations of temporal and frontal lobe volume in panic disorder (PD).MethodSeventeen in-patients with PD and a group of healthy control subjects (HC) matched for age and gender were investigated by quantitative volumetric magnetic resonance imaging (MRI). Structures of interest were: the temporal lobe, the amygdala–hippocampus complex (AHC) and the frontal lobe. In addition, a voxel-based morphometry (VBM) analysis implemented in Statistical Parametric Mapping 5 (SPM5) was used for a more detailed assessment of possible volume alterations. Modulated grey matter (GM) images were used to test our a priori hypotheses and to present the volumetric results.ResultsQuantitative volumetric MRI revealed a bilateral reduction in temporal lobe volume in patients with PD compared to HC subjects. The AHC was normal. The right frontal lobe volume was also decreased. Using VBM we detected a significant GM volume reduction in the right middle temporal gyrus [Brodmann area (BA) 21] in patients with PD. In addition, there was a reduction in GM volume in the medial part of the orbitofrontal cortex (BA 11).ConclusionsOur results of reduced temporal and frontal lobe volume in PD are in agreement with prior studies. By using a recent VBM approach we were able to assess the abnormalities more precisely. The location of GM volume reduction in the right middle temporal gyrus and medial orbitofrontal cortex lends further support to recent aetiological models of PD.

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Behavioral Manifestations of Frontal Lobe Seizures

CNS Spectrums ◽

10.1017/s1092852900000201 ◽

2009 ◽

Vol 14 (2) ◽

pp. 66-70 ◽

Cited By ~ 3

Author(s):

Silvana Riggio

Keyword(s):

Panic Disorder ◽

Psychiatric Disorder ◽

Frontal Lobe ◽

Video Monitoring ◽

Running Away ◽

Computer Tomography Scan ◽

Patient Reported ◽

Tomography Scan ◽

Frontal Lobe Seizures ◽

Bizarre Behavior

Patients with seizure of frontal lobe origin can present with bizarre behavior. At times, this bizarre behavior can be unrecognized or confused with seizure of other origin with nonepileptic events or with psychiatric disorder.I recently saw a patient who began to experience events that were characterized by terrible fear which was followed by irritability. It was as if she could not stand in place where she was at and felt like running away. She was referred to a psychiatrist who diagnosed her to have panic disorder. She was subsequently treated for panic disorder. Her symptoms did not improve; therefore, she came to see me for a second opinion. Upon asking, the patient reported that the episodes were always the same and that they lasted approximately seconds to minutes. Due to the stereotypicity of the event and a normal routine electroencephalography (EEG), we requested that she would undergo a 24-hour video-monitoring EEG. Stereotypicity can help the physician in the differential diagnosis of psychiatric disorder versus a seizure disorder. During 24-hour video-monitoring EEG, she experienced several of these events. Also, a computer tomography scan was performed, which showed a small meningioma in the orbital frontal region.

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Formation of paired helical filaments in Alzheimer's disease

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100111628 ◽

1984 ◽

Vol 42 ◽

pp. 302-303

Author(s):

J. Metuzals ◽

D. F. Clapin ◽

V. Montpetit

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Frontal Lobe ◽

Giant Axon ◽

Paired Helical Filaments ◽

Normal Brain ◽

Protein Assemblies ◽

Electron Microscopic ◽

Helical Symmetry ◽

Structural Levels

Information on the conformation of paired helical filaments (PHF) and the neurofilamentous (NF) network is essential for an understanding of the mechanisms involved in the formation of the primary lesions of Alzheimer's disease (AD): tangles and plaques. The structural and chemical relationships between the NF and the PHF have to be clarified in order to discover the etiological factors of this disease. We are investigating by stereo electron microscopic and biochemical techniques frontal lobe biopsies from patients with AD and squid giant axon preparations. The helical nature of the lesion in AD is related to pathological alterations of basic properties of the nervous system due to the helical symmetry that exists at all hierarchic structural levels in the normal brain. Because of this helical symmetry of NF protein assemblies and PHF, the employment of structure reconstruction techniques to determine the conformation, particularly the handedness of these structures, is most promising. Figs. 1-3 are frontal lobe biopsies.

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Letter Verbal Fluency in Spanish-, Basque-, and Catalan-Speaking Individuals: Does the Selection of the Letters Influence the Outcome?

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-l-18-0365 ◽

2019 ◽

Vol 62 (7) ◽

pp. 2400-2410

Author(s):

Laiene Olabarrieta-Landa ◽

Itziar Benito-Sánchez ◽

Montserrat Alegret ◽

Anna Gailhajanet ◽

Esther Landa Torre ◽

...

Keyword(s):

Frontal Lobe ◽

Verbal Fluency ◽

Native Language ◽

Spanish Speakers ◽

Crucial Step ◽

Verbal Fluency Test ◽

Performance Differences ◽

Frontal Lobe Functioning ◽

Selection Of ◽

Fluency Test

Purpose The aim of this study was to compare Basque and Catalan bilinguals' performance on the letter verbal fluency test and determine whether significant differences are present depending on the letters used and the language of administration. Method The sample consisted of 87 Spanish monolinguals, 139 Basque bilinguals, and 130 Catalan bilinguals from Spain. Participants completed the letter verbal fluency test using the letters F, A, S, M, R, P, and E. Results Bilinguals scored higher on the letter verbal fluency test when they were tested in Spanish than in Basque or Catalan. No performance differences were found according to native language or dialects within Basque participants. Catalans with Spanish as their native language scored lower on the letter F compared to those who grew up speaking Catalan and Spanish. The suggested letters to use with Basque speakers are A, E, and B; the suggested letters to use with Catalan speakers are P, F, and M; and the suggested letters to use with Spanish speakers are M, R, and P. Conclusion Selecting appropriate stimuli depending on the language of testing is the first crucial step to assess verbal fluency and thus possible frontal lobe functioning impairment.

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Event-related desynchronization of cortical rhythms during a voluntary movement in frontal lobe epilepsy

Electroencephalography and Clinical Neurophysiology ◽

10.1016/s0013-4694(97)88717-6 ◽

1997 ◽

Vol 103 (1) ◽

pp. 155

Author(s):

P Derambure

Keyword(s):

Frontal Lobe ◽

Voluntary Movement ◽

Frontal Lobe Epilepsy ◽

Event Related Desynchronization ◽

Cortical Rhythms

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Flow of symbolic visual information from retina to calcarine cortex to frontal lobe to vocalization

Electroencephalography and Clinical Neurophysiology ◽

10.1016/s0013-4694(97)87958-1 ◽

1997 ◽

Vol 103 (1) ◽

pp. 13 ◽

Cited By ~ 1

Author(s):

R Cracco

Keyword(s):

Frontal Lobe ◽

Visual Information ◽

Calcarine Cortex

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Identifying Patterns in Complex Field Data

Zeitschrift für Psychologie ◽

10.1027/2151-2604/a000310 ◽

2017 ◽

Vol 225 (3) ◽

pp. 268-284 ◽

Cited By ~ 1

Author(s):

Andrew J. White ◽

Dieter Kleinböhl ◽

Thomas Lang ◽

Alfons O. Hamm ◽

Alexander L. Gerlach ◽

...

Keyword(s):

Heart Rate ◽

Panic Disorder ◽

Latent Class ◽

Treatment Protocol ◽

Situational Factors ◽

Self Report ◽

Complex Field ◽

Cluster Assignment ◽

Experimental Conditions ◽

Conventional Analysis

Abstract. Ambulatory assessment methods are well suited to examine how patients with panic disorder and agoraphobia (PD/A) undertake situational exposure. But under complex field conditions of a complex treatment protocol, the variability of data can be so high that conventional analytic approaches based on group averages inadequately describe individual variability. To understand how fear responses change throughout exposure, we aimed to demonstrate the incremental value of sorting HR responses (an index of fear) prior to applying averaging procedures. As part of their panic treatment, 85 patients with PD/A completed a total of 233 bus exposure exercises. Heart rate (HR), global positioning system (GPS) location, and self-report data were collected. Patients were randomized to one of two active treatment conditions (standard exposure or fear-augmented exposure) and completed multiple exposures in four consecutive exposure sessions. We used latent class cluster analysis (CA) to cluster heart rate (HR) responses collected at the start of bus exposure exercises (5 min long, centered on bus boarding). Intra-individual patterns of assignment across exposure repetitions were examined to explore the relative influence of individual and situational factors on HR responses. The association between response types and panic disorder symptoms was determined by examining how clusters were related to self-reported anxiety, concordance between HR and self-report measures, and bodily symptom tolerance. These analyses were contrasted with a conventional analysis based on averages across experimental conditions. HR responses were sorted according to form and level criteria and yielded nine clusters, seven of which were interpretable. Cluster assignment was not stable across sessions or treatment condition. Clusters characterized by a low absolute HR level that slowly decayed corresponded with low self-reported anxiety and greater self-rated tolerance of bodily symptoms. Inconsistent individual factors influenced HR responses less than situational factors. Applying clustering can help to extend the conventional analysis of highly variable data collected in the field. We discuss the merits of this approach and reasons for the non-stereotypical pattern of cluster assignment across exposures.

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