Skip to main content
Erschienen in: Experimental Brain Research 3/2006

01.11.2006 | Research Article

Bilateral basal ganglia activation associated with sensorimotor adaptation

verfasst von: R. D. Seidler, D. C. Noll, P. Chintalapati

Erschienen in: Experimental Brain Research | Ausgabe 3/2006

Einloggen, um Zugang zu erhalten

Abstract

Sensorimotor adaptation tasks can be classified into two types. When subjects adapt movements to visual feedback perturbations such as in prism lens adaptation, they perform kinematic adaptations. When subjects adapt movements to force field perturbations such as with robotic manipulanda, they perform kinetic adaptations. Neuroimaging studies have shown basal ganglia involvement in kinetic adaptations, but have found little evidence of basal ganglia involvement in kinematic adaptations, despite reports of deficits in patients with diseases of the basal ganglia, such as Parkinson’s and Huntington’s disease, in these. In an effort to resolve such apparent discrepancy, we used FMRI to focus on the first few minutes of practice during kinematic adaptation. Human subjects adapted to visuomotor rotations in the context of a joystick aiming task while lying supine in a 3.0 T MRI scanner. As demonstrated previously, early adaptive processes were associated with BOLD activation in the cerebellum and the sensory and motor cortical regions. A novel finding of this study was bilateral basal ganglia activation. This suggests that, at least for early learning, the neural correlates of kinematic adaptation parallel those of other types of skill learning. We observed activation in the right globus pallidus and putamen, along with the right prefrontal, premotor and parietal cortex, which may support spatial cognitive processes of adaptation. We also observed activation in the left globus pallidus and caudate nucleus, along with the left premotor and supplementary motor cortex, which may support the sensorimotor processes of adaptation. These results are the first to demonstrate a clear involvement of basal ganglia activation in this type of kinematic motor adaptation.
Literatur
Zurück zum Zitat Bock O (1992) Adaptation of aimed arm movements to sensorimotor discordance: evidence for direction-independent gain control. Behav Brain Res 51:41–50PubMed Bock O (1992) Adaptation of aimed arm movements to sensorimotor discordance: evidence for direction-independent gain control. Behav Brain Res 51:41–50PubMed
Zurück zum Zitat Bock O, Abeele S, Eversheim U (2003) Human adaptation to rotated vision: interplay of a continuous and a discrete process. Exp Brain Res 152:528–532PubMedCrossRef Bock O, Abeele S, Eversheim U (2003) Human adaptation to rotated vision: interplay of a continuous and a discrete process. Exp Brain Res 152:528–532PubMedCrossRef
Zurück zum Zitat Bock O, Burghoff M (1997) Visuo-motor adaptation: evidence for a distributed amplitude control system. Behav Brain Res 89:267–273PubMedCrossRef Bock O, Burghoff M (1997) Visuo-motor adaptation: evidence for a distributed amplitude control system. Behav Brain Res 89:267–273PubMedCrossRef
Zurück zum Zitat Boulet C, Lemay M, Bedard MA, Chouinard MJ, Chouinard S, Richer F (2005) Early Huntington’s disease affects movements in transformed sensorimotor mappings. Brain Cogn 57:236–243PubMedCrossRef Boulet C, Lemay M, Bedard MA, Chouinard MJ, Chouinard S, Richer F (2005) Early Huntington’s disease affects movements in transformed sensorimotor mappings. Brain Cogn 57:236–243PubMedCrossRef
Zurück zum Zitat Brown LL, Schneider JS, Lidsky TI (1997) Sensory and cognitive functions of the basal ganglia. Curr Opin Neurobiol 7:157–163PubMedCrossRef Brown LL, Schneider JS, Lidsky TI (1997) Sensory and cognitive functions of the basal ganglia. Curr Opin Neurobiol 7:157–163PubMedCrossRef
Zurück zum Zitat Canavan AGM, Passingham RE, Marsden CE, Quinn N, Wyke M, Polkey CE (1990) Prism adaptation and other tasks involving spatial abilities in patients with Parkinson’s disease, patients with frontal lobe lesions, and patients with unilateral temporal lobectomies. Neuropsychologia 28:969–984PubMedCrossRef Canavan AGM, Passingham RE, Marsden CE, Quinn N, Wyke M, Polkey CE (1990) Prism adaptation and other tasks involving spatial abilities in patients with Parkinson’s disease, patients with frontal lobe lesions, and patients with unilateral temporal lobectomies. Neuropsychologia 28:969–984PubMedCrossRef
Zurück zum Zitat Clower DM, Hoffman JM, Votaw JR, Faber TL, Woods RP, Alexander GE (1996) Role of posterior parietal cortex in the recalibration of visually guided reaching. Nature 383:618–621PubMedCrossRef Clower DM, Hoffman JM, Votaw JR, Faber TL, Woods RP, Alexander GE (1996) Role of posterior parietal cortex in the recalibration of visually guided reaching. Nature 383:618–621PubMedCrossRef
Zurück zum Zitat Contreras-Vidal JL, Buch ER (2003) Effects of Parkinson’s disease on visuomotor adaptation. Exp Brain Res 150:25–32PubMed Contreras-Vidal JL, Buch ER (2003) Effects of Parkinson’s disease on visuomotor adaptation. Exp Brain Res 150:25–32PubMed
Zurück zum Zitat Cunningham HA, Welch RB (1994) Multiple concurrent visual-motor mappings: implications for models of adaptation. J Exp Psychol Hum Percept Perform 20:987–999PubMedCrossRef Cunningham HA, Welch RB (1994) Multiple concurrent visual-motor mappings: implications for models of adaptation. J Exp Psychol Hum Percept Perform 20:987–999PubMedCrossRef
Zurück zum Zitat Doyon J, Benali H (2005) Reorganization and plasticity in the adult brain during learning of motor skills. Curr Opin Neurobiol 15:161–167PubMedCrossRef Doyon J, Benali H (2005) Reorganization and plasticity in the adult brain during learning of motor skills. Curr Opin Neurobiol 15:161–167PubMedCrossRef
Zurück zum Zitat Doyon J, Penhune V, Ungerleider LG (2003) Distinct contribution of the cortico-striatal and cortico-cerebellar systems to motor skill learning. Neuropsychologia 41:252–262PubMedCrossRef Doyon J, Penhune V, Ungerleider LG (2003) Distinct contribution of the cortico-striatal and cortico-cerebellar systems to motor skill learning. Neuropsychologia 41:252–262PubMedCrossRef
Zurück zum Zitat Dum RP, Strick PL (2002) Motor areas in the frontal lobe of the primate. Physiol Behav 77:677–682PubMedCrossRef Dum RP, Strick PL (2002) Motor areas in the frontal lobe of the primate. Physiol Behav 77:677–682PubMedCrossRef
Zurück zum Zitat Eliassen JC, Souza T, Sanes JN (2001) Human brain activation accompanying explicitly directed movement sequence learning. Exp Brain Res 141:269–280PubMedCrossRef Eliassen JC, Souza T, Sanes JN (2001) Human brain activation accompanying explicitly directed movement sequence learning. Exp Brain Res 141:269–280PubMedCrossRef
Zurück zum Zitat Evans AC, Kamber M, Collins DL, Macdonald D (1994) An MRI-based probabilistic atlas of neuroanatomy. In: Shorvon S, Fish D, Andermann F, Bydder GM, Stefan H (eds) Magnetic resonance scanning and epilepsy. NATO ASI Series A, Life Sciences, vol 264. Plenum Press, New York, pp263–274 Evans AC, Kamber M, Collins DL, Macdonald D (1994) An MRI-based probabilistic atlas of neuroanatomy. In: Shorvon S, Fish D, Andermann F, Bydder GM, Stefan H (eds) Magnetic resonance scanning and epilepsy. NATO ASI Series A, Life Sciences, vol 264. Plenum Press, New York, pp263–274
Zurück zum Zitat Eversheim U, Bock O (2001) Evidence for processing stages in skill acquisition: a dual-task study. Learn Mem 8:183–189PubMedCrossRef Eversheim U, Bock O (2001) Evidence for processing stages in skill acquisition: a dual-task study. Learn Mem 8:183–189PubMedCrossRef
Zurück zum Zitat Friedman HR, Goldman-Rakic PS (1994) Coactivation of prefrontal cortex and inferior parietal cortex in working memory tasks revealed by 2DG functional mapping in the rhesus monkey. J Neurosci 14:2775–2788PubMed Friedman HR, Goldman-Rakic PS (1994) Coactivation of prefrontal cortex and inferior parietal cortex in working memory tasks revealed by 2DG functional mapping in the rhesus monkey. J Neurosci 14:2775–2788PubMed
Zurück zum Zitat Friston KJ, Holmes AP, Worsely K, Poline J, Frith CD, Frackowiak RS (1995) Statistical parametric maps in functional imaging: a general linear approach. Hum Brain Mapp 2:189–210CrossRef Friston KJ, Holmes AP, Worsely K, Poline J, Frith CD, Frackowiak RS (1995) Statistical parametric maps in functional imaging: a general linear approach. Hum Brain Mapp 2:189–210CrossRef
Zurück zum Zitat Ghahramani Z, Wolpert DM (1997) Modular decomposition in visuomotor learning. Nature 386:392–395PubMedCrossRef Ghahramani Z, Wolpert DM (1997) Modular decomposition in visuomotor learning. Nature 386:392–395PubMedCrossRef
Zurück zum Zitat Ghilardi M, Ghez C, Dhawan V, Moeller J, Mentis M, Nakamura T, Antonini A, Eidelberg D (2000) Patterns of regional brain activation associated with different forms of motor learning. Brain Res 871:127–145PubMedCrossRef Ghilardi M, Ghez C, Dhawan V, Moeller J, Mentis M, Nakamura T, Antonini A, Eidelberg D (2000) Patterns of regional brain activation associated with different forms of motor learning. Brain Res 871:127–145PubMedCrossRef
Zurück zum Zitat Grafton ST, Hazeltine E, Ivry RB (1998) Abstract and effector-specific representations of motor sequences identified with PET. J Neurosci 18:9420–9428PubMed Grafton ST, Hazeltine E, Ivry RB (1998) Abstract and effector-specific representations of motor sequences identified with PET. J Neurosci 18:9420–9428PubMed
Zurück zum Zitat Grefkes C, Ritzl A, Zilles K, Fink GR (2004) Human medial intraparietal cortex subserves visuomotor coordinate transformation. Neuroimage 23:1494–1506PubMedCrossRef Grefkes C, Ritzl A, Zilles K, Fink GR (2004) Human medial intraparietal cortex subserves visuomotor coordinate transformation. Neuroimage 23:1494–1506PubMedCrossRef
Zurück zum Zitat Hoover JE, Strick PL (1993) Multiple output channels in the basal ganglia. Science 259:819–821PubMedCrossRef Hoover JE, Strick PL (1993) Multiple output channels in the basal ganglia. Science 259:819–821PubMedCrossRef
Zurück zum Zitat Huynh H, Feldt LS (1970) Conditions under which the mean square ratios in repeated measures designs have exact F-distributions. J Am Stat Assoc 65:1582–1589CrossRef Huynh H, Feldt LS (1970) Conditions under which the mean square ratios in repeated measures designs have exact F-distributions. J Am Stat Assoc 65:1582–1589CrossRef
Zurück zum Zitat Imamizu H, Miyauchi S, Tamada T, Sasaki Y, Takino R, Putz B, Yoshioka T, Kawato M (2000) Human cerebellar activity reflecting an acquired internal model of a new tool. Nature 403:192–195PubMedCrossRef Imamizu H, Miyauchi S, Tamada T, Sasaki Y, Takino R, Putz B, Yoshioka T, Kawato M (2000) Human cerebellar activity reflecting an acquired internal model of a new tool. Nature 403:192–195PubMedCrossRef
Zurück zum Zitat Inoue K, Kawashima R, Satoh K, Kinomura S, Goto R, Sugiura M, Ito M, Fukuda H (1997) Activity in the parietal area during visuomotor learning with optical rotation. Neuroreport 18:3979–3983CrossRef Inoue K, Kawashima R, Satoh K, Kinomura S, Goto R, Sugiura M, Ito M, Fukuda H (1997) Activity in the parietal area during visuomotor learning with optical rotation. Neuroreport 18:3979–3983CrossRef
Zurück zum Zitat Inoue K, Kawashima R, Satoh K, Kinomura S, Sugiura M, Goto R, Ito M, Fukuda H (2000) A PET study of visuomotor learning under optical rotation. Neuroimage 11:505–516PubMedCrossRef Inoue K, Kawashima R, Satoh K, Kinomura S, Sugiura M, Goto R, Ito M, Fukuda H (2000) A PET study of visuomotor learning under optical rotation. Neuroimage 11:505–516PubMedCrossRef
Zurück zum Zitat Jonides J, Smith EE, Koeppe RA, Awh E, Minoshima S, Mintun MA (1993) Spatial working memory in humans as revealed by PET. Nature 363:623–625PubMedCrossRef Jonides J, Smith EE, Koeppe RA, Awh E, Minoshima S, Mintun MA (1993) Spatial working memory in humans as revealed by PET. Nature 363:623–625PubMedCrossRef
Zurück zum Zitat Kelly RM, Strick PL (2004) Macro-architecture of basal ganglia loops with the cerebral cortex: use of rabies virus to reveal multisynaptic circuits. Prog Brain Res 143:449–459PubMed Kelly RM, Strick PL (2004) Macro-architecture of basal ganglia loops with the cerebral cortex: use of rabies virus to reveal multisynaptic circuits. Prog Brain Res 143:449–459PubMed
Zurück zum Zitat Krakauer JW, Ghilardi MF, Mentis M, Barnes A, Veytsman M, Eidelberg D, Ghez C (2004) Differential cortical and subcortical activations in learning rotations and gains for reaching: a PET study. J Neurophysiol 91:924–933PubMedCrossRef Krakauer JW, Ghilardi MF, Mentis M, Barnes A, Veytsman M, Eidelberg D, Ghez C (2004) Differential cortical and subcortical activations in learning rotations and gains for reaching: a PET study. J Neurophysiol 91:924–933PubMedCrossRef
Zurück zum Zitat Krakauer JW, Pine ZM, Ghilardi MF, Ghez C (2000) Learning of visuomotor transformations for vectorial planning of reaching trajectories. J Neurosci 20:8916–8924PubMed Krakauer JW, Pine ZM, Ghilardi MF, Ghez C (2000) Learning of visuomotor transformations for vectorial planning of reaching trajectories. J Neurosci 20:8916–8924PubMed
Zurück zum Zitat Krebs HI, Brashers-Krug T, Rauch SL, Savage CR, Hogan N, Rubin RH, Fischman AJ, Alpert NM (1998) Robot-aided functional imaging: application to a motor learning study. Hum Brain Mapp 6:59–72PubMedCrossRef Krebs HI, Brashers-Krug T, Rauch SL, Savage CR, Hogan N, Rubin RH, Fischman AJ, Alpert NM (1998) Robot-aided functional imaging: application to a motor learning study. Hum Brain Mapp 6:59–72PubMedCrossRef
Zurück zum Zitat Laforce R Jr, Doyon J (2002) Differential role for the striatum and cerebellum in response to novel movements using a motor learning paradigm. Neuropsychologia 40:512–517PubMedCrossRef Laforce R Jr, Doyon J (2002) Differential role for the striatum and cerebellum in response to novel movements using a motor learning paradigm. Neuropsychologia 40:512–517PubMedCrossRef
Zurück zum Zitat McKiernan KA, Kaufman JN, Kucera-Thompson J, Binder JR (2003) A parametric manipulation of factors affecting task-induced deactivation in functional neuroimaging. J Cogn Neurosci 15:394–408PubMedCrossRef McKiernan KA, Kaufman JN, Kucera-Thompson J, Binder JR (2003) A parametric manipulation of factors affecting task-induced deactivation in functional neuroimaging. J Cogn Neurosci 15:394–408PubMedCrossRef
Zurück zum Zitat Middleton FA, Strick PL (2000) Basal ganglia output and cognition: evidence from anatomical, behavioral, and clinical studies. Brain Cogn 42:183–200PubMedCrossRef Middleton FA, Strick PL (2000) Basal ganglia output and cognition: evidence from anatomical, behavioral, and clinical studies. Brain Cogn 42:183–200PubMedCrossRef
Zurück zum Zitat Middleton FA, Strick PL (2002) Basal-ganglia ‘projections’ to the prefrontal cortex of the primate. Cereb Cortex 12:926–935PubMedCrossRef Middleton FA, Strick PL (2002) Basal-ganglia ‘projections’ to the prefrontal cortex of the primate. Cereb Cortex 12:926–935PubMedCrossRef
Zurück zum Zitat Nakahara H, Doya K, Hikosaka O (2001) Parallel cortico-basal ganglia mechanisms for acquisition and execution of visuomotor sequences—a computational approach. J Cogn Neurosci 13:626–647PubMedCrossRef Nakahara H, Doya K, Hikosaka O (2001) Parallel cortico-basal ganglia mechanisms for acquisition and execution of visuomotor sequences—a computational approach. J Cogn Neurosci 13:626–647PubMedCrossRef
Zurück zum Zitat Noll DC, Cohen JD, Meyer CH, Schneider W (1995) Spiral K-space MR imaging of cortical acitvation. J Magn Reson Imaging 5:49–56PubMed Noll DC, Cohen JD, Meyer CH, Schneider W (1995) Spiral K-space MR imaging of cortical acitvation. J Magn Reson Imaging 5:49–56PubMed
Zurück zum Zitat Ojakangas CL, Ebner TJ (1992) Purkinje cell complex and simple spike changes during a voluntary arm movement learning task in the monkey. J Neurophysiol 68:2222–2236PubMed Ojakangas CL, Ebner TJ (1992) Purkinje cell complex and simple spike changes during a voluntary arm movement learning task in the monkey. J Neurophysiol 68:2222–2236PubMed
Zurück zum Zitat Picard N, Strick PL (1996) Motor areas of the medial wall: a review of their location and functional activation. Cereb Cortex 6:342–353PubMed Picard N, Strick PL (1996) Motor areas of the medial wall: a review of their location and functional activation. Cereb Cortex 6:342–353PubMed
Zurück zum Zitat Pine ZM, Krakauer JW, Gordon J, Ghez C (1996) Learning of scaling factors and reference axes for reaching movements. Neuroreport 7:2357–2361PubMed Pine ZM, Krakauer JW, Gordon J, Ghez C (1996) Learning of scaling factors and reference axes for reaching movements. Neuroreport 7:2357–2361PubMed
Zurück zum Zitat Raichle ME, MacLeod AM, Snyder AZ, Powers WJ, Gusnard DA, Shulman GL (2001) A default mode of brain function. Proc Natl Acad Sci 98:676–682PubMedCrossRef Raichle ME, MacLeod AM, Snyder AZ, Powers WJ, Gusnard DA, Shulman GL (2001) A default mode of brain function. Proc Natl Acad Sci 98:676–682PubMedCrossRef
Zurück zum Zitat Richter W, Somorjai R, Summers R, Jarmasz M, Menon RS, Gati JS et al (2000) Motor area activity during mental rotation studied by time-resolved single-trial fMRI. J Cogn Neurosci 12:310–320PubMedCrossRef Richter W, Somorjai R, Summers R, Jarmasz M, Menon RS, Gati JS et al (2000) Motor area activity during mental rotation studied by time-resolved single-trial fMRI. J Cogn Neurosci 12:310–320PubMedCrossRef
Zurück zum Zitat Schmahmann JD, Doyon J, Toga A, Evans A, Petrides M (2000) MRI atlas of the human cerebellum. Academic Press, San Diego Schmahmann JD, Doyon J, Toga A, Evans A, Petrides M (2000) MRI atlas of the human cerebellum. Academic Press, San Diego
Zurück zum Zitat Seidler RD, Noll DC, Thiers G (2004) Feedforward and feedback processes in motor control. Neuroimage 22:1775–1783PubMedCrossRef Seidler RD, Noll DC, Thiers G (2004) Feedforward and feedback processes in motor control. Neuroimage 22:1775–1783PubMedCrossRef
Zurück zum Zitat Seidler RD, Purushotham A, Kim S-G, Ugurbil K, Willingham D, Ashe J (2002) Cerebellum activation associated with performance change but not motor learning. Science 296:2043–2046PubMedCrossRef Seidler RD, Purushotham A, Kim S-G, Ugurbil K, Willingham D, Ashe J (2002) Cerebellum activation associated with performance change but not motor learning. Science 296:2043–2046PubMedCrossRef
Zurück zum Zitat Seidler RD, Purushotham A, Kim S, Ugurbil K, Willingham D, Ashe J (2005) Neural correlates of encoding and expression in implicit sequence learning. Exp Brain Res 165:114–124PubMedCrossRef Seidler RD, Purushotham A, Kim S, Ugurbil K, Willingham D, Ashe J (2005) Neural correlates of encoding and expression in implicit sequence learning. Exp Brain Res 165:114–124PubMedCrossRef
Zurück zum Zitat Shadmehr R, Holcomb HH (1997) Neural correlates of motor memory consolidation. Science 277:821–825PubMedCrossRef Shadmehr R, Holcomb HH (1997) Neural correlates of motor memory consolidation. Science 277:821–825PubMedCrossRef
Zurück zum Zitat Shadmehr R, Holcomb HH (1999) Inhibitory control of competing motor memories. Exp Brain Res 126:235–251PubMedCrossRef Shadmehr R, Holcomb HH (1999) Inhibitory control of competing motor memories. Exp Brain Res 126:235–251PubMedCrossRef
Zurück zum Zitat Shadmehr R, Mussa-Ivaldi FA (1994) Adaptive representation of dynamics during learning of a motor task. J Neurosci 14:3208–3224PubMed Shadmehr R, Mussa-Ivaldi FA (1994) Adaptive representation of dynamics during learning of a motor task. J Neurosci 14:3208–3224PubMed
Zurück zum Zitat Talairach J, Tournoux P (1988) Co-planar stereotaxic atlas of the human brain. 3-dimensional proportional system: an approach to cerebral imaging (translated by Mark Rayport). Thieme, New York Talairach J, Tournoux P (1988) Co-planar stereotaxic atlas of the human brain. 3-dimensional proportional system: an approach to cerebral imaging (translated by Mark Rayport). Thieme, New York
Zurück zum Zitat Teasdale N, Bard C, Fleury M, Young D, Proteau L (1993) Determining movement onsets from temporal series. J Mot Behav 25:97–106PubMedCrossRef Teasdale N, Bard C, Fleury M, Young D, Proteau L (1993) Determining movement onsets from temporal series. J Mot Behav 25:97–106PubMedCrossRef
Zurück zum Zitat Welch RB, Choe CS, Heinrich DR (1974) Evidence for a three-component model of prism adaptation. J Exp Psychol 103:700–705PubMedCrossRef Welch RB, Choe CS, Heinrich DR (1974) Evidence for a three-component model of prism adaptation. J Exp Psychol 103:700–705PubMedCrossRef
Zurück zum Zitat Winter DA (1990) Biomechanics and motor control of human movement. 2nd edn. Wiley, New York Winter DA (1990) Biomechanics and motor control of human movement. 2nd edn. Wiley, New York
Zurück zum Zitat Woods RP, Grafton ST, Holmes CJ, Cherry SR, Mazziotta JC (1998) Automated image registration I. General methods and intrasubject registration. J Comput Assist Tomogr 22:139–152PubMedCrossRef Woods RP, Grafton ST, Holmes CJ, Cherry SR, Mazziotta JC (1998) Automated image registration I. General methods and intrasubject registration. J Comput Assist Tomogr 22:139–152PubMedCrossRef
Metadaten
Titel
Bilateral basal ganglia activation associated with sensorimotor adaptation
verfasst von
R. D. Seidler
D. C. Noll
P. Chintalapati
Publikationsdatum
01.11.2006
Verlag
Springer-Verlag
Erschienen in
Experimental Brain Research / Ausgabe 3/2006
Print ISSN: 0014-4819
Elektronische ISSN: 1432-1106
DOI
https://doi.org/10.1007/s00221-006-0571-y

Weitere Artikel der Ausgabe 3/2006

Experimental Brain Research 3/2006 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Sozialer Aufstieg verringert Demenzgefahr

24.05.2024 Demenz Nachrichten

Ein hohes soziales Niveau ist mit die beste Versicherung gegen eine Demenz. Noch geringer ist das Demenzrisiko für Menschen, die sozial aufsteigen: Sie gewinnen fast zwei demenzfreie Lebensjahre. Umgekehrt steigt die Demenzgefahr beim sozialen Abstieg.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.