Selective activation of central thalamic fiber pathway facilitates behavioral performance in healthy non-human primates

Central thalamic deep brain stimulation (CT-DBS) is an investigational therapy to treat enduring cognitive dysfunctions in structurally brain injured (SBI) patients. However, the mechanisms of CT-DBS that promote restoration of cognitive functions are unknown, and the heterogeneous etiology and recovery profiles of SBI patients contribute to variable outcomes when using conventional DBS strategies,which may result in off-target effects due to activation of multiple pathways. To disambiguate the effects of stimulation of two adjacent thalamic pathways, we modeled and experimentally compared conventional and novel ‘field-shaping’ methods of CT-DBS within the central thalamus of healthy non-human primates (NHP) as they performed visuomotor tasks. We show that selective activation of the medial dorsal thalamic tegmental tract (DTTm), but not of the adjacent centromedian-parafascicularis (CM-Pf) pathway, results in robust behavioral facilitation. Our predictive modeling approach in healthy NHPs directly informs ongoing and future clinical investigations of conventional and novel methods of CT-DBS for treating cognitive dysfunctions in SBI patients, for whom no therapy currently exists.

Revision of the French Terebellidae sensu stricto (Annelida, Terebelliformia), with descriptions of nine new species

This work is the last of four papers of the Spaghetti Project, aiming to revise the species of terebellids, a.k.a. “spaghetti” worms, present in the European French waters. In this last paper the Terebellidae, sensu stricto, from French waters are revised based, on material available in the French marine stations, type materials stored in the MNHN collection and newly collected specimens. Nine new species are described using both morphological and molecular tools: Eupolymnia gili n. sp., E. lacazei n. sp., E. meissnerae n. sp., Lanice kellyslateri n. sp., Paramphitrite dragovabeci n. sp., Pista labruneae n. sp., P. miosseci n. sp., P. sauriaui n. sp., and Terebella banksyi n. sp. European species of Eupolymnia are distinguished mainly by the shape of the lateral lobes and the size of the branchial stems. The two species belonging to Lanice genus are distinguished by the fusion of the first ventral shields, the shape of both noto- and neuropodia, and the pigmentation of the upper lip. The two species of Paramphitrite are distinguished by the presence or absence of a medial dorsal gap between the pairs of branchiae, by the shape of the lateral lobes and the presence or absence of a nephridial papilla on segment 4. The different species of Pista are distinguished by the number of pairs of branchiae, the shape of the lateral lobes and uncini. Finally, the two species of Terebella are distinguished by the number of segments with nephridial and genital papillae and the segments on which the branchiae occur. An identification key for European species of Terebellidae sensu stricto is also provided.

In vivo evidence for the unique kinetics of evoked dopamine release in the patch and matrix compartments of the striatum

The neurochemical transmitter dopamine (DA) is implicated in a number of diseases states, including Parkinson’s disease, schizophrenia, and drug abuse. DA terminal fields in the dorsal striatum and core region of the nucleus accumbens in the rat brain are organized as heterogeneous domains exhibiting fast and slow kinetic of DA release. The rates of dopamine release are significantly and substantially faster in the fast domains relative to the slow domains. The striatum is composed of a mosaic of spatial compartments known as the striosomes (patches) and the matrix. Extensive literature exists on the spatial organization of the patch and matrix compartments and their functions. However, little is known about these compartments as they relate to fast and slow kinetic DA domains observed by fast scan cyclic voltammetry (FSCV). Thus, we combined high spatial resolution of FSCV with detailed immunohistochemical analysis of these architectural compartments (patch and matrix) using fluorescence microscopy. Our findings demonstrated a direct correlation between patch compartments with fast domain DA kinetics and matrix compartments to slow domain DA kinetics. We also investigated the kinetic domains in two very distinct sub-regions in the striatum, the lateral dorsal striatum (LDS) and the medial dorsal striatum (MDS). The lateral dorsal striatum as opposed to the medial dorsal striatum is mainly governed by fast kinetic DA domains. These finding are highly relevant as they may hold key promise in unraveling the fast and slow kinetic DA domains and their physiological significance. Graphical abstract

Pure isolated medial talonavicular joint dislocation following low-energy trauma: a case report

Midtarsal dislocations are relatively rare injuries secondary to high-energy trauma and are typically accompanied by disruption of ligamentous structures and fractures of the midfoot. We herein present a case of a pure isolated medial swivel dislocation of the talonavicular joint (TNJ) that was sustained following low-energy trauma without an associated fracture. A 78-year-old woman visited our emergency department with severe pain in the midfoot area of the right foot without neurovascular deficits. She had sustained this injury after severe ankle inversion while going downstairs. Plain radiographs of the right foot showed that the navicular was dislocated medially on the talus; no other malalignments were present. Three-dimensional computed tomography revealed dislocation of the TNJ, but no other tarsal or midtarsal bone fractures or dislocations. A medial dorsal incision was made to expose the TNJ. The dorsal talonavicular ligament was ruptured and interposed between the navicular and talus. The ligament was removed and the TNJ was reduced. The clinical outcome at the 1-year follow-up was satisfactory with no limitations in daily activities. In summary, we have reported an extremely rare case of a pure isolated medial TNJ dislocation in which the interposed dorsal talonavicular ligament served as an obstacle to reduction.

Stable thalamocortical learning between medial-dorsal thalamus and cortical attractor networks captures cognitive flexibility

Primates and rodents are able to continually acquire, adapt, and transfer knowledge and skill, and lead to goal-directed behavior during their lifespan. For the case when context switches slowly, animals learn via slow processes. For the case when context switches rapidly, animals learn via fast processes. We build a biologically realistic model with modules similar to a distributed computing system. Specifically, we are emphasizing the role of thalamocortical learning on a slow time scale between the prefrontal cortex (PFC) and medial dorsal thalamus (MD). Previous work [1] has already shown experimental evidence supporting classification of cell ensembles in the medial dorsal thalamus, where each class encodes a different context. However, the mechanism by which such classification is learned is not clear. In this work, we show that such learning can be self-organizing in the manner of an automaton (a distributed computing system), via a combination of Hebbian learning and homeostatic synaptic scaling. We show that in the simple case of two contexts, the network with hierarchical structure can do context-based decision making and smooth switching between different contexts. Our learning rule creates synaptic competition [2] between the thalamic cells to create winner-take-all activity. Our theory shows that the capacity of such a learning process depends on the total number of task-related hidden variables, and such a capacity is limited by system size N. We also theoretically derived the effective functional connectivity as a function of an order parameter dependent on the thalamo-cortical coupling structure.Significance StatementAnimals need to adapt to dynamically changing environments and make decisions based on changing contexts. Here we propose a combination of neural circuit structure with learning mechanisms to account for such behaviors. Specifically, we built a reservoir computing network improved by a Hebbian learning rule together with a synaptic scaling learning mechanism between the prefrontal cortex and the medial-dorsal (MD) thalamus. This model shows that MD thalamus is crucial in such context-based decision making. I also make use of dynamical mean field theory to predict the effective neural circuit. Furthermore, theoretical analysis provides a prediction that the capacity of such a network increases with the network size and the total number of tasks-related latent variables.

Dual-incision minimally invasive fasciotomy of the anterior and peroneal compartments for chronic exertional compartment syndrome of the lower leg

To evaluate the risk of iatrogenic injury when using a dual-incision minimally invasive technique to decompress the anterior and peroneal compartments of the lower leg. Forty lower extremities from 20 adult cadavers, embalmed with Thiel’s method, were subject to fasciotomy of the anterior and peroneal compartment using a dual-incision minimally invasive fasciotomy. The first incision was made 12 cm proximal to the lateral malleolus to identify and protect the superficial peroneal nerve (SPN). The second incision was made at the mid-point of the Fibula (half-way between the fibular head and the lateral malleolus). Release of the anterior and peroneal compartments was successful in all specimens. Two nerve injuries of the superficial peroneal nerve were reported. More precisely, in these cases the medial dorsal cutaneous nerve got injured during the fascial opening of the extensor compartment. Two incision minimally invasive fasciotomy to decompress the anterior and peroneal compartments of the lower leg appears to be safe with regard to the results of this study.