RESUMO
OBJECTIVE: To determine whether memory loss in patients with multiple sclerosis (MS) results from faulty encoding or retrieval, we correlated extent of T2-weighted lesion involvement with brain activation patterns on fMRI scans obtained while patients performed a verbal episodic memory task. METHODS: We performed a neurologic examination, neuropsychological testing, and an event-related fMRI scan on 36 patients with relapsing-remitting MS. In addition, we obtained T2-weighted structural MRI scans to measure lesion volume. We performed a regression analysis to examine the association between lesion volume and regional brain activation. RESULTS: Increasing lesion volume correlated with increasing magnitude of brain activation, primarily in the left frontal and parietal association cortices. Significant correlations of function with lesion volume were primarily observed during the memory retrieval phase of the task. CONCLUSIONS: These results extend previous fMRI studies in multiple sclerosis (MS) by demonstrating an association between greater disease burden and increased neural recruitment during episodic memory. In addition, the stronger correlations observed between lesion volume and brain activation during retrieval than encoding would suggest that retrieval processes are more affected by MS-related cerebral pathology.
Assuntos
Encéfalo/patologia , Encéfalo/fisiopatologia , Transtornos da Memória/diagnóstico , Transtornos da Memória/fisiopatologia , Esclerose Múltipla/fisiopatologia , Adulto , Mapeamento Encefálico , Avaliação da Deficiência , Feminino , Lobo Frontal/patologia , Lobo Frontal/fisiopatologia , Lateralidade Funcional/fisiologia , Humanos , Aprendizagem/fisiologia , Imageamento por Ressonância Magnética , Masculino , Memória/fisiologia , Transtornos da Memória/etiologia , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Vias Neurais/patologia , Vias Neurais/fisiopatologia , Testes Neuropsicológicos , Lobo Parietal/patologia , Lobo Parietal/fisiopatologiaAssuntos
Comportamento Animal/fisiologia , Contração Muscular , Fenômenos Fisiológicos do Sistema Nervoso , Células Receptoras Sensoriais/fisiologia , Animais , Aplysia , Ingestão de Alimentos , Potenciais Evocados , Gânglios/fisiologia , Humanos , Interneurônios/fisiologia , Neurônios Motores/fisiologia , Inibição Neural , Estimulação Luminosa , Reflexo/fisiologia , Comportamento Estereotipado/fisiologia , Tato/fisiologiaRESUMO
1. Central neuronal mechanisms of siphon withdrawal in Aplysia were studied for the first time in intact, freely behaving animals by means of population recordings from implanted whole-nerve cuff electrodes. Intracellular follow-up studies were then conducted when the same animal was reduced to a semi-intact preparation. 2. Background spontaneous activity in the siphon nerve consisted of low-frequency firing of a population of efferent units containing identified siphon motoneurons. 3. Spontaneous patterned bursts of efferent activity occurred irregularly and were associated with all-or-nothing contractions of the parapodia, gill, and siphon. Spontaneous bursts were due to centrally generated activity in the interneuron II (INT II) network, an oscillatory network with endogenous pacemaker properties. 4. In intact animals, even weak tactile stimuli to the siphon typically triggered an INTII burst shortly after the stimulus-locked efferent activity. Thus, the stimulus can phase-advance the INT II oscillator. In semi-intact preparations, short-latency INT II bursts were triggered less less frequently and required more intense stimuli. 5. With weak to moderate-intensity stimuli in intact animals, the presence of short-latency triggered INT II bursts largely determined the duration of the siphon component and amplitude of the gill component of the withdrawal reflex. 6. When stimuli were repeated over a range of interstimulus intervals (from 60 to 1 min), the likelihood of triggering a short-latency INT II burst die not change systematically. Thus, the ability of the siphon stimulus to stably entrain the all-or-none INT II component over a wide range of intervals will interact behaviorally with the decrement of the monosynaptic component of the reflex with repetition.