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1.
Zh Nevrol Psikhiatr Im S S Korsakova ; 117(9. Vyp. 2): 4-9, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29213031

RESUMO

AIM: To compare neuronet restructuring in focal and generalized epilepsy. MATERIAL AND METHODS: Seventy-seven patients, aged from 18 to 65 years, with the diagnosis of epilepsy, including 63 patients with focal epilepsy and 14 with generalized epilepsy, were examined. A control group included 23 healthy people. Neuronet restructuring was studied using fMRI. RESULTS AND CONCLUSION: According to resting state fMRI, there were between-group differences in spatial organization (activity map) of the brain structures as well as in the results of cross-correlation analysis of interaction maps of resting-state networks. It has been concluded that functional restructuring in connectomes in focal and generalized epilepsy have the opposite patterns of disorganization (toward increase or decrease) in most structures studied though there are structures with the same direction of connectivity changes.


Assuntos
Mapeamento Encefálico , Encéfalo , Epilepsias Parciais , Epilepsia Generalizada , Adolescente , Adulto , Idoso , Encéfalo/patologia , Epilepsias Parciais/patologia , Epilepsia Generalizada/patologia , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Adulto Jovem
2.
Zh Nevrol Psikhiatr Im S S Korsakova ; 117(9. Vyp. 2): 75-79, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29213043

RESUMO

This article presents a clinical case of a 29-year-old patient with 'Double cortex syndrome' with epilepsy, intellectual and mental disorders. Subcortical band heterotopia is a rare disorder of neuronal migration. Such patients typically present with epilepsy and variable degrees of mental retardation and behavioral and intellectual disturbances. The main diagnostic method is magnetic resonance imaging (MRI).


Assuntos
Lissencefalias Clássicas e Heterotopias Subcorticais em Banda , Epilepsia , Deficiência Intelectual , Adulto , Córtex Cerebral , Lissencefalias Clássicas e Heterotopias Subcorticais em Banda/complicações , Lissencefalias Clássicas e Heterotopias Subcorticais em Banda/diagnóstico por imagem , Epilepsia/etiologia , Humanos , Deficiência Intelectual/etiologia , Imageamento por Ressonância Magnética
3.
Artigo em Russo | MEDLINE | ID: mdl-28884712

RESUMO

AIM: To study apathetic depression first diagnosed at late age and identify its relation to cognitive and social dysfunction as well as to morphological and functional changes in the brain. MATERIAL AND METHODS: Thirty-two patients at the age above 60 years with newly diagnosed depressive episode and 15 healthy age-matched volunteers were included in the study. All patients were divided into two groups by the score on the Apathy scale (AS): >14 - depression with apathy (n=21), <14 - depression without apathy (n=11). Patients were examined using psychometric methods (HAMD, GDS, AS, SHAPS, SF-36, MoCA-test), neuroimaging (MRI scanner with a magnetic field strength of 1.5 Tesla - EXCEL ART Vantage Atlas-X, Toshiba, Japan) and statistical data analysis. RESULTS AND CONCLUSION: Apathy component in clinical depression reflects a tendency towards the increase in depression severity and cognitive deterioration that results in the substantial lowering of quality of life and correlates with cerebrovascular changes, decrease in gray and white matter volume and mean cortical thickness of large hemispheres.


Assuntos
Apatia/fisiologia , Transtornos Cognitivos/diagnóstico , Depressão/diagnóstico , Transtorno Depressivo/diagnóstico , Idoso , Encéfalo/patologia , Encéfalo/fisiopatologia , Transtornos Cognitivos/patologia , Transtornos Cognitivos/fisiopatologia , Transtornos Cognitivos/psicologia , Depressão/patologia , Depressão/fisiopatologia , Depressão/psicologia , Transtorno Depressivo/fisiopatologia , Transtorno Depressivo/psicologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Índice de Gravidade de Doença
4.
Artigo em Russo | MEDLINE | ID: mdl-28635717

RESUMO

Apathy is a common comorbid condition in neurologic and somatic disorders (Alzheimer's disease, Parkinson's disease, multiple sclerosis, frontotemporal dementia, senile dementia, HIV) and a symptom of many psychiatric disorders. Neurophysiologic research in this area aims to examine the specific features to differentiate the apathy from main disorder. This paper reviews neuroimaging studies of functional abnormalities in apathy.


Assuntos
Doença de Alzheimer/diagnóstico por imagem , Apatia , Neuroimagem , Doença de Alzheimer/complicações , Humanos , Doença de Parkinson/complicações
5.
Zh Nevrol Psikhiatr Im S S Korsakova ; 115(11): 117-123, 2015.
Artigo em Russo | MEDLINE | ID: mdl-27030831

RESUMO

The introduction of new instrumental methods, in particular neuroimaging techniques, in academic studies and clinical practice allowed to identify neuroanatomical and functional correlates of different clinical syndromes. Authors summarized the results of magnetic-resonance tomography (MRI) and one-photon emission computed tomography (OPECT) studies of apathy of old-age developed in the structure of different neurological and mental diseases. The literature over that last two decades was reviewed


Assuntos
Envelhecimento/patologia , Apatia , Encéfalo/patologia , Imageamento por Ressonância Magnética/métodos , Neuroimagem/métodos , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Fatores Etários , Humanos , Transtornos Mentais/patologia , Doenças do Sistema Nervoso/patologia
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