A Mechanism of Rapidly Reversible Cerebral Ventricular Enlargement Independent of Tissue Atrophy

作者: Natalie M Zahr , Dirk Mayer , Torsten Rohlfing , Juan Orduna , Richard Luong

DOI: 10.1038/NPP.2013.11

关键词:

摘要: Ventricular enlargement, a common in vivo marker of aging, disease, and insult, is presumed to reflect atrophy surrounding brain regions. Pathological mechanisms underlying ventricular however, are likely specific the condition under investigation. Here, multimodal imaging, incorporating structural magnetic resonance imaging (MRI), MR spectroscopy (MRS), diffusion weighted (DWI), was used rats exposed binge ethanol (EtOH) provide insight into mechanism reversible enlargement. During intoxication, MRI revealed expansion ventricles, but volume changes dorsal or ventral hippocampi, caudate-putamen, thalamus were not detectible. MRS whole-brain parenchyma showed decreases N-acetylasparate (NAA) tissue water T2, increases choline-containing compounds (Cho). DWI decreased diffusivity selective thalamus. All parameters returned baseline with 7 days recovery. Rapid recovery absence detectable reductions regions adjacent ventricles argue against as expansion. Decreased T2 thalamic suggest lower content role for both NAA Cho, osmolytes proposed. Together, these data support model fluid redistribution during acute EtOH intoxication account rapid changes.

参考文章(52)
Trovarelli G, Montanini I, De Medio Ge, The influence of CDP-choline on brain lipid metabolism during ischemia. Il Farmaco; edizione scientifica. ,vol. 37, pp. 663- ,(1982)
Daren C. Jackson, William Irwin, Kevin Dabbs, Jack J. Lin, Jana E. Jones, David A. Hsu, Carl E. Stafstrom, Michael Seidenberg, Bruce P. Hermann, Ventricular enlargement in new-onset pediatric epilepsies. Epilepsia. ,vol. 52, pp. 2225- 2232 ,(2011) , 10.1111/J.1528-1167.2011.03323.X
Erin D. Bigler, William L. Maxwell, Neuroimaging and neuropathology of TBI. NeuroRehabilitation. ,vol. 28, pp. 63- 74 ,(2011) , 10.3233/NRE-2011-0633
Johan Bengzon, Paul Mohapel, Christine T. Ekdahl, Olle Lindvall, Neuronal apoptosis after brief and prolonged seizures. Progress in Brain Research. ,vol. 135, pp. 111- 119 ,(2002) , 10.1016/S0079-6123(02)35011-8
Y H Lien, J I Shapiro, L Chan, Effects of hypernatremia on organic brain osmoles. Journal of Clinical Investigation. ,vol. 85, pp. 1427- 1435 ,(1990) , 10.1172/JCI114587
Conrad E Johanson, John A Duncan, Petra M Klinge, Thomas Brinker, Edward G Stopa, Gerald D Silverberg, Multiplicity of cerebrospinal fluid functions: New challenges in health and disease Cerebrospinal Fluid Research. ,vol. 5, pp. 10- 10 ,(2008) , 10.1186/1743-8454-5-10
Burton M. Altura, Bella T. Altura, Alcohol, the cerebral circulation and strokes Alcohol. ,vol. 1, pp. 325- 331 ,(1984) , 10.1016/0741-8329(84)90056-9