Neuroanatomical Characteristics Associated With Response to Deep Brain Stimulation of the Nucleus Basalis of Meynert for Alzheimer's Disease

被引：47

作者：

Baldermann, Juan Carlos ^{[1
]}

Hardenacke, Katja ^{[1
]}

Hu, Xiaochen ^{[1
]}

Koester, Phillip ^{[1
]}

Horn, Andreas ^{[2
]}

Freund, Hans-Joachim ^{[3
]}

Zilles, Karl ^{[4
,5
]}

Sturm, Volker ^{[6
]}

Visser-Vandewalle, Veerle ^{[6
]}

Jessen, Frank ^{[1
,7
]}

Maintz, David ^{[8
]}

Kuhn, Jens ^{[1
]}

机构：

[1] Univ Cologne, Med Fac, Dept Psychiat & Psychotherapy, Kerpener Str 62, D-50937 Cologne, Germany

[2] Charite Univ Med CVK, Dept Neurol, Berlin, Germany

[3] Univ Dusseldorf, Dept Neuroanat, Dusseldorf, Germany

[4] Res Ctr Juelich, Inst Neurosci & Med, Julich, Germany

[5] Rhein Westfal TH Aachen, Univ Hosp Psychiat Psychotherapy & Psychosomat, Aachen, Germany

[6] Univ Cologne, Dept Stereotact & Funct Neurosurg, Cologne, Germany

[7] German Ctr Neurodegenerat Dis DZNE, Bonn, Germany

[8] Univ Cologne, Dept Radiol, Cologne, Germany

来源：

NEUROMODULATION | 2018年 / 21卷 / 02期

关键词：

Alzheimer's disease; cortical thickness; deep brain stimulation; Nucleus basalis of Meynert; FOREBRAIN ATROPHY; DEMENTIA; PATTERNS; TARGET;

D O I：

10.1111/ner.12626

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

ObjectivesFirst reports on the application of deep brain stimulation (DBS) of the Nucleus basalis of Meynert (NBM) showed feasibility and safety of the intervention in patients with Alzheimers disease. However, clinical effects vary and the mechanisms of actions are still not well understood. The aim of this study was to characterize neuroimaging changes that are associated with the responsiveness to the treatment. Materials and MethodsWe examined preoperative T1-weighted MR images of ten patients with Alzheimer's disease (AD) treated with DBS of the NBM and correlated the clinical outcome with volumetric differences of cortical thickness. Subsequently, we sought to identify brain regions that carry out the clinical effects by correlating the outcome with streamlines connected to the volume of activated tissue. Clinical assessments at baseline, 6 and 12 months after the intervention included the AD Assessment Scale as well as the mini mental status examination. ResultsA fronto-parieto-temporal pattern of cortical thickness was found to be associated with beneficial outcome. Modulation of streamlines connected to left parietal and opercular cortices was associated with better response to the intervention. ConclusionOur results indicate that patients with less advanced atrophy may profit from DBS of the NBM. We conclude that beneficial effects of the intervention are related to preserved fronto-parieto-temporal interplay.

引用

页码：184 / 190

页数：7

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