Skip to main content
Erschienen in: Brain Structure and Function 4/2017

23.09.2016 | Original Article

Structural and functional alterations in the prefrontal cortex after post-weaning social isolation: relationship with species-typical and deviant aggression

verfasst von: Laszlo Biro, Mate Toth, Eszter Sipos, Biborka Bruzsik, Aron Tulogdi, Samuel Bendahan, Carmen Sandi, Jozsef Haller

Erschienen in: Brain Structure and Function | Ausgabe 4/2017

Einloggen, um Zugang zu erhalten

Abstract

Although the inhibitory control of aggression by the prefrontal cortex (PFC) is the cornerstone of current theories of aggression control, a number of human and laboratory studies showed that the execution of aggression increases PFC activity; moreover, enhanced activation was observed in aggression-related psychopathologies and laboratory models of abnormal aggression. Here, we investigated these apparently contradictory findings in the post-weaning social isolation paradigm (PWSI), an established laboratory model of abnormal aggression. When studied in the resident-intruder test as adults, rats submitted to PWSI showed increased attack counts, increased share of bites directed towards vulnerable body parts of opponents (head, throat, and belly) and reduced social signaling of attacks. These deviations from species-typical behavioral characteristics were associated with a specific reduction in the thickness of the right medial PFC (mPFC), a bilateral decrease in dendritic and glial density, and reduced vascularization on the right-hand side of the mPFC. Thus, the early stressor interfered with mPFC development. Despite these structural deficits, aggressive encounters enhanced the activation of the mPFC in PWSI rats as compared to controls. A voxel-like functional analysis revealed that overactivation was restricted to a circumscribed sub-region, which contributed to the activation of hypothalamic centers involved in the initiation of biting attacks as shown by structural equation modeling. These findings demonstrate that structural alterations and functional hyperactivity can coexist in the mPFC of rats exposed to early stressors, and suggest that the role of the mPFC in aggression control is more complex than suggested by the inhibitory control theory.
Literatur
Zurück zum Zitat Ago Y, Araki R, Tanaka T, Sasaga A, Nishiyama S, Takuma K, Matsuda T (2013) Role of social encounter-induced activation of prefrontal serotonergic systems in the abnormal behaviors of isolation-reared mice. Neuropsychopharmacology 38(8):1535–1547. doi:10.1038/npp.2013.52 CrossRefPubMedPubMedCentral Ago Y, Araki R, Tanaka T, Sasaga A, Nishiyama S, Takuma K, Matsuda T (2013) Role of social encounter-induced activation of prefrontal serotonergic systems in the abnormal behaviors of isolation-reared mice. Neuropsychopharmacology 38(8):1535–1547. doi:10.​1038/​npp.​2013.​52 CrossRefPubMedPubMedCentral
Zurück zum Zitat Aksic M, Radonjic NV, Aleksic D, Jevtic G, Markovic B, Petronijevic N, Radonjic V, Filipovic B (2013) Long-term effects of the maternal deprivation on the volume and number of neurons in the rat neocortex and hippocampus. Acta Neurobiol Exp 73(3):394–403 Aksic M, Radonjic NV, Aleksic D, Jevtic G, Markovic B, Petronijevic N, Radonjic V, Filipovic B (2013) Long-term effects of the maternal deprivation on the volume and number of neurons in the rat neocortex and hippocampus. Acta Neurobiol Exp 73(3):394–403
Zurück zum Zitat Beiderbeck DI, Reber SO, Havasi A, Bredewold R, Veenema AH, Neumann ID (2012) High and abnormal forms of aggression in rats with extremes in trait anxiety–involvement of the dopamine system in the nucleus accumbens. Psychoneuroendocrinology 37(12):1969–1980. doi:10.1016/j.psyneuen.2012.04.011 CrossRefPubMed Beiderbeck DI, Reber SO, Havasi A, Bredewold R, Veenema AH, Neumann ID (2012) High and abnormal forms of aggression in rats with extremes in trait anxiety–involvement of the dopamine system in the nucleus accumbens. Psychoneuroendocrinology 37(12):1969–1980. doi:10.​1016/​j.​psyneuen.​2012.​04.​011 CrossRefPubMed
Zurück zum Zitat Blair RJ (2010) Psychopathy, frustration, and reactive aggression: the role of ventromedial prefrontal cortex. Br J Psychol (London, England: 1953) 101(Pt 3):383–399. doi:10.1348/000712609x418480 Blair RJ (2010) Psychopathy, frustration, and reactive aggression: the role of ventromedial prefrontal cortex. Br J Psychol (London, England: 1953) 101(Pt 3):383–399. doi:10.​1348/​000712609x418480​
Zurück zum Zitat Contreras-Rodriguez O, Pujol J, Batalla I, Harrison BJ, Soriano-Mas C, Deus J, Lopez-Sola M, Macia D, Pera V, Hernandez-Ribas R, Pifarre J, Menchon JM, Cardoner N (2015) Functional connectivity bias in the prefrontal cortex of psychopaths. Biol Psychiatry 78(9):647–655. doi:10.1016/j.biopsych.2014.03.007 CrossRefPubMed Contreras-Rodriguez O, Pujol J, Batalla I, Harrison BJ, Soriano-Mas C, Deus J, Lopez-Sola M, Macia D, Pera V, Hernandez-Ribas R, Pifarre J, Menchon JM, Cardoner N (2015) Functional connectivity bias in the prefrontal cortex of psychopaths. Biol Psychiatry 78(9):647–655. doi:10.​1016/​j.​biopsych.​2014.​03.​007 CrossRefPubMed
Zurück zum Zitat Dalley JW, Theobald DE, Pereira EA, Li PM, Robbins TW (2002) Specific abnormalities in serotonin release in the prefrontal cortex of isolation-reared rats measured during behavioural performance of a task assessing visuospatial attention and impulsivity. Psychopharmacology 164(3):329–340. doi:10.1007/s00213-002-1215-y CrossRefPubMed Dalley JW, Theobald DE, Pereira EA, Li PM, Robbins TW (2002) Specific abnormalities in serotonin release in the prefrontal cortex of isolation-reared rats measured during behavioural performance of a task assessing visuospatial attention and impulsivity. Psychopharmacology 164(3):329–340. doi:10.​1007/​s00213-002-1215-y CrossRefPubMed
Zurück zum Zitat Davidson RJ, Putnam KM, Larson CL (2000) Dysfunction in the neural circuitry of emotion regulation–a possible prelude to violence. Science 289(5479):591–594CrossRefPubMed Davidson RJ, Putnam KM, Larson CL (2000) Dysfunction in the neural circuitry of emotion regulation–a possible prelude to violence. Science 289(5479):591–594CrossRefPubMed
Zurück zum Zitat Dinn WM, Harris CL (2000) Neurocognitive function in antisocial personality disorder. Psychiatry Res 97(2–3):173–190CrossRefPubMed Dinn WM, Harris CL (2000) Neurocognitive function in antisocial personality disorder. Psychiatry Res 97(2–3):173–190CrossRefPubMed
Zurück zum Zitat Ermer E, Cope LM, Nyalakanti PK, Calhoun VD, Kiehl KA (2013) Aberrant paralimbic gray matter in incarcerated male adolescents with psychopathic traits. J Am Acad Child Adoles Psychiatry 52(1):94–103 e103. doi:10.1016/j.jaac.2012.10.013 Ermer E, Cope LM, Nyalakanti PK, Calhoun VD, Kiehl KA (2013) Aberrant paralimbic gray matter in incarcerated male adolescents with psychopathic traits. J Am Acad Child Adoles Psychiatry 52(1):94–103 e103. doi:10.​1016/​j.​jaac.​2012.​10.​013
Zurück zum Zitat Gilbert R, Widom CS, Browne K, Fergusson D, Webb E, Janson S (2009) Burden and consequences of child maltreatment in high-income countries. Lancet (London, England) 373(9657):68–81. doi:10.1016/s0140-6736(08)61706-7 Gilbert R, Widom CS, Browne K, Fergusson D, Webb E, Janson S (2009) Burden and consequences of child maltreatment in high-income countries. Lancet (London, England) 373(9657):68–81. doi:10.​1016/​s0140-6736(08)61706-7
Zurück zum Zitat Halász J, Liposits Z, Kruk MR, Haller J (2002) Neural background of glucocorticoid dysfunction-induced abnormal aggression in rats: involvement of fear- and stress-related structures. Eur J Neurosci 15(3):561–569CrossRefPubMed Halász J, Liposits Z, Kruk MR, Haller J (2002) Neural background of glucocorticoid dysfunction-induced abnormal aggression in rats: involvement of fear- and stress-related structures. Eur J Neurosci 15(3):561–569CrossRefPubMed
Zurück zum Zitat Haller J, Harold G, Sandi C, Neumann ID (2014) Effects of adverse early-life events on aggression and anti-social behaviours in animals and humans. J Neuroendocrinol 26(10):724–738. doi:10.1111/jne.12182 CrossRefPubMed Haller J, Harold G, Sandi C, Neumann ID (2014) Effects of adverse early-life events on aggression and anti-social behaviours in animals and humans. J Neuroendocrinol 26(10):724–738. doi:10.​1111/​jne.​12182 CrossRefPubMed
Zurück zum Zitat Herpertz SC, Sass H (2000) Emotional deficiency and psychopathy. Behav Sci Law 18(5):567–580CrossRefPubMed Herpertz SC, Sass H (2000) Emotional deficiency and psychopathy. Behav Sci Law 18(5):567–580CrossRefPubMed
Zurück zum Zitat Hirono N, Mega MS, Dinov ID, Mishkin F, Cummings JL (2000) Left frontotemporal hypoperfusion is associated with aggression in patients with dementia. Arch Neurol 57(6):861–866CrossRefPubMed Hirono N, Mega MS, Dinov ID, Mishkin F, Cummings JL (2000) Left frontotemporal hypoperfusion is associated with aggression in patients with dementia. Arch Neurol 57(6):861–866CrossRefPubMed
Zurück zum Zitat Holm S (1979) A simple sequentially rejective multiple test procedure. Scand J Stat 6:65–70 Holm S (1979) A simple sequentially rejective multiple test procedure. Scand J Stat 6:65–70
Zurück zum Zitat Kruk MR, Van der Poel AM, Meelis W, Hermans J, Mostert PG, Mos J, Lohman AH (1983) Discriminant analysis of the localization of aggression-inducing electrode placements in the hypothalamus of male rats. Brain Res 260(1):61–79CrossRefPubMed Kruk MR, Van der Poel AM, Meelis W, Hermans J, Mostert PG, Mos J, Lohman AH (1983) Discriminant analysis of the localization of aggression-inducing electrode placements in the hypothalamus of male rats. Brain Res 260(1):61–79CrossRefPubMed
Zurück zum Zitat Kumar S, Hultman R, Hughes D, Michel N, Katz BM, Dzirasa K (2014) Prefrontal cortex reactivity underlies trait vulnerability to chronic social defeat stress. Nature Commun 5:4537. doi:10.1038/ncomms5537 Kumar S, Hultman R, Hughes D, Michel N, Katz BM, Dzirasa K (2014) Prefrontal cortex reactivity underlies trait vulnerability to chronic social defeat stress. Nature Commun 5:4537. doi:10.​1038/​ncomms5537
Zurück zum Zitat Liu XB, Jones EG (1996) Localization of alpha type II calcium calmodulin-dependent protein kinase at glutamatergic but not gamma-aminobutyric acid (GABAergic) synapses in thalamus and cerebral cortex. Proc Natl Acad Sci USA 93(14):7332–7336CrossRefPubMedPubMedCentral Liu XB, Jones EG (1996) Localization of alpha type II calcium calmodulin-dependent protein kinase at glutamatergic but not gamma-aminobutyric acid (GABAergic) synapses in thalamus and cerebral cortex. Proc Natl Acad Sci USA 93(14):7332–7336CrossRefPubMedPubMedCentral
Zurück zum Zitat Madeira MD, Pereira A, Cadete-Leite A, Paula-Barbosa MM (1990) Estimates of volumes and pyramidal cell numbers in the prelimbic subarea of the prefrontal cortex in experimental hypothyroid rats. J Anat 171:41–56PubMedPubMedCentral Madeira MD, Pereira A, Cadete-Leite A, Paula-Barbosa MM (1990) Estimates of volumes and pyramidal cell numbers in the prelimbic subarea of the prefrontal cortex in experimental hypothyroid rats. J Anat 171:41–56PubMedPubMedCentral
Zurück zum Zitat Marquez C, Poirier GL, Cordero MI, Larsen MH, Groner A, Marquis J, Magistretti PJ, Trono D, Sandi C (2013) Peripuberty stress leads to abnormal aggression, altered amygdala and orbitofrontal reactivity and increased prefrontal MAOA gene expression. Translational psychiatry 3:e216. doi:10.1038/tp.2012.144 CrossRefPubMedPubMedCentral Marquez C, Poirier GL, Cordero MI, Larsen MH, Groner A, Marquis J, Magistretti PJ, Trono D, Sandi C (2013) Peripuberty stress leads to abnormal aggression, altered amygdala and orbitofrontal reactivity and increased prefrontal MAOA gene expression. Translational psychiatry 3:e216. doi:10.​1038/​tp.​2012.​144 CrossRefPubMedPubMedCentral
Zurück zum Zitat Menegola M, Misonou H, Vacher H, Trimmer JS (2008) Dendritic A-type potassium channel subunit expression in CA1 hippocampal interneurons. Neuroscience 154(3):953–964CrossRefPubMedPubMedCentral Menegola M, Misonou H, Vacher H, Trimmer JS (2008) Dendritic A-type potassium channel subunit expression in CA1 hippocampal interneurons. Neuroscience 154(3):953–964CrossRefPubMedPubMedCentral
Zurück zum Zitat New AS, Hazlett EA, Newmark RE, Zhang J, Triebwasser J, Meyerson D, Lazarus S, Trisdorfer R, Goldstein KE, Goodman M, Koenigsberg HW, Flory JD, Siever LJ, Buchsbaum MS (2009) Laboratory induced aggression: a positron emission tomography study of aggressive individuals with borderline personality disorder. Biol Psychiatry 66(12):1107–1114. doi:10.1016/j.biopsych.2009.07.015 CrossRefPubMedPubMedCentral New AS, Hazlett EA, Newmark RE, Zhang J, Triebwasser J, Meyerson D, Lazarus S, Trisdorfer R, Goldstein KE, Goodman M, Koenigsberg HW, Flory JD, Siever LJ, Buchsbaum MS (2009) Laboratory induced aggression: a positron emission tomography study of aggressive individuals with borderline personality disorder. Biol Psychiatry 66(12):1107–1114. doi:10.​1016/​j.​biopsych.​2009.​07.​015 CrossRefPubMedPubMedCentral
Zurück zum Zitat Pascual R, Zamora-Leon SP (2007) Chronic (-)-deprenyl administration attenuates dendritic developmental impairment induced by early social isolation in the rat. Dev Neurosci 29(3):261–267. doi:10.1159/000096413 CrossRefPubMed Pascual R, Zamora-Leon SP (2007) Chronic (-)-deprenyl administration attenuates dendritic developmental impairment induced by early social isolation in the rat. Dev Neurosci 29(3):261–267. doi:10.​1159/​000096413 CrossRefPubMed
Zurück zum Zitat Paxinos G, Franklin KBG (2001) The mouse brain in stereotaxic coordinates, 2nd edn. Academic Press, San Diego Paxinos G, Franklin KBG (2001) The mouse brain in stereotaxic coordinates, 2nd edn. Academic Press, San Diego
Zurück zum Zitat Paxinos G, Watson C (1998) The rat brain in stereotaxic coordinates, 4th edn. Academic Press, San Diego Paxinos G, Watson C (1998) The rat brain in stereotaxic coordinates, 4th edn. Academic Press, San Diego
Zurück zum Zitat Raine A, Lencz T, Bihrle S, LaCasse L, Colletti P (2000) Reduced prefrontal gray matter volume and reduced autonomic activity in antisocial personality disorder. Arch Gen Psychiatry 57(2):119–127 (discussion 128–119) Raine A, Lencz T, Bihrle S, LaCasse L, Colletti P (2000) Reduced prefrontal gray matter volume and reduced autonomic activity in antisocial personality disorder. Arch Gen Psychiatry 57(2):119–127 (discussion 128–119)
Zurück zum Zitat Sagvolden T (2006) The alpha-2A adrenoceptor agonist guanfacine improves sustained attention and reduces overactivity and impulsiveness in an animal model of Attention-Deficit/Hyperactivity Disorder (ADHD). Behav Brain Funct BBF 2:41. doi:10.1186/1744-9081-2-41 CrossRefPubMed Sagvolden T (2006) The alpha-2A adrenoceptor agonist guanfacine improves sustained attention and reduces overactivity and impulsiveness in an animal model of Attention-Deficit/Hyperactivity Disorder (ADHD). Behav Brain Funct BBF 2:41. doi:10.​1186/​1744-9081-2-41 CrossRefPubMed
Zurück zum Zitat Sanada LS, Sato KL, Machado NL, Carmo Ede C, Sluka KA, Fazan VP (2014) Cortex glial cells activation, associated with lowered mechanical thresholds and motor dysfunction, persists into adulthood after neonatal pain. Int J Dev Neurosci Off J Int Soc Dev Neurosci 35:55–63. doi:10.1016/j.ijdevneu.2014.03.008 CrossRef Sanada LS, Sato KL, Machado NL, Carmo Ede C, Sluka KA, Fazan VP (2014) Cortex glial cells activation, associated with lowered mechanical thresholds and motor dysfunction, persists into adulthood after neonatal pain. Int J Dev Neurosci Off J Int Soc Dev Neurosci 35:55–63. doi:10.​1016/​j.​ijdevneu.​2014.​03.​008 CrossRef
Zurück zum Zitat Schneider F, Habel U, Kessler C, Posse S, Grodd W, Muller-Gartner HW (2000) Functional imaging of conditioned aversive emotional responses in antisocial personality disorder. Neuropsychobiology 42(4):192–201CrossRefPubMed Schneider F, Habel U, Kessler C, Posse S, Grodd W, Muller-Gartner HW (2000) Functional imaging of conditioned aversive emotional responses in antisocial personality disorder. Neuropsychobiology 42(4):192–201CrossRefPubMed
Zurück zum Zitat Siegel A, Roeling TA, Gregg TR, Kruk MR (1999) Neuropharmacology of brain-stimulation-evoked aggression. Neurosci Biobehav Rev 23(3):359–389CrossRefPubMed Siegel A, Roeling TA, Gregg TR, Kruk MR (1999) Neuropharmacology of brain-stimulation-evoked aggression. Neurosci Biobehav Rev 23(3):359–389CrossRefPubMed
Zurück zum Zitat Spivey JM, Shumake J, Colorado RA, Conejo-Jimenez N, Gonzalez-Pardo H, Gonzalez-Lima F (2009) Adolescent female rats are more resistant than males to the effects of early stress on prefrontal cortex and impulsive behavior. Dev Psychobiol 51(3):277–288. doi:10.1002/dev.20362 CrossRefPubMedPubMedCentral Spivey JM, Shumake J, Colorado RA, Conejo-Jimenez N, Gonzalez-Pardo H, Gonzalez-Lima F (2009) Adolescent female rats are more resistant than males to the effects of early stress on prefrontal cortex and impulsive behavior. Dev Psychobiol 51(3):277–288. doi:10.​1002/​dev.​20362 CrossRefPubMedPubMedCentral
Zurück zum Zitat Tebartz van Elst L, Hesslinger B, Thiel T, Geiger E, Haegele K, Lemieux L, Lieb K, Bohus M, Hennig J, Ebert D (2003) Frontolimbic brain abnormalities in patients with borderline personality disorder: a volumetric magnetic resonance imaging study. Biol Psychiatry 54(2):163–171CrossRefPubMed Tebartz van Elst L, Hesslinger B, Thiel T, Geiger E, Haegele K, Lemieux L, Lieb K, Bohus M, Hennig J, Ebert D (2003) Frontolimbic brain abnormalities in patients with borderline personality disorder: a volumetric magnetic resonance imaging study. Biol Psychiatry 54(2):163–171CrossRefPubMed
Zurück zum Zitat Tiihonen J, Rossi R, Laakso MP, Hodgins S, Testa C, Perez J, Repo-Tiihonen E, Vaurio O, Soininen H, Aronen HJ, Kononen M, Thompson PM, Frisoni GB (2008) Brain anatomy of persistent violent offenders: more rather than less. Psychiatry Res 163(3):201–212. doi:10.1016/j.pscychresns.2007.08.012 CrossRefPubMed Tiihonen J, Rossi R, Laakso MP, Hodgins S, Testa C, Perez J, Repo-Tiihonen E, Vaurio O, Soininen H, Aronen HJ, Kononen M, Thompson PM, Frisoni GB (2008) Brain anatomy of persistent violent offenders: more rather than less. Psychiatry Res 163(3):201–212. doi:10.​1016/​j.​pscychresns.​2007.​08.​012 CrossRefPubMed
Zurück zum Zitat Van De Werd HJ, Uylings HB (2008) The rat orbital and agranular insular prefrontal cortical areas: a cytoarchitectonic and chemoarchitectonic study. Brain Struct Funct 212(5):387–401. doi:10.1007/s00429-007-0164-y CrossRef Van De Werd HJ, Uylings HB (2008) The rat orbital and agranular insular prefrontal cortical areas: a cytoarchitectonic and chemoarchitectonic study. Brain Struct Funct 212(5):387–401. doi:10.​1007/​s00429-007-0164-y CrossRef
Zurück zum Zitat van Praag H, Lucero MJ, Yeo GW, Stecker K, Heivand N, Zhao C, Yip E, Afanador M, Schroeter H, Hammerstone J, Gage FH (2007) Plant-derived flavanol (-)epicatechin enhances angiogenesis and retention of spatial memory in mice. J Neurosci Off J Soc Neurosci 27(22):5869–5878. doi:10.1523/jneurosci.0914-07.2007 CrossRef van Praag H, Lucero MJ, Yeo GW, Stecker K, Heivand N, Zhao C, Yip E, Afanador M, Schroeter H, Hammerstone J, Gage FH (2007) Plant-derived flavanol (-)epicatechin enhances angiogenesis and retention of spatial memory in mice. J Neurosci Off J Soc Neurosci 27(22):5869–5878. doi:10.​1523/​jneurosci.​0914-07.​2007 CrossRef
Zurück zum Zitat Vollm B, Richardson P, McKie S, Reniers R, Elliott R, Anderson IM, Williams S, Dolan M, Deakin B (2010) Neuronal correlates and serotonergic modulation of behavioural inhibition and reward in healthy and antisocial individuals. J Psychiatr Res 44(3):123–131. doi:10.1016/j.jpsychires.2009.07.005 CrossRefPubMed Vollm B, Richardson P, McKie S, Reniers R, Elliott R, Anderson IM, Williams S, Dolan M, Deakin B (2010) Neuronal correlates and serotonergic modulation of behavioural inhibition and reward in healthy and antisocial individuals. J Psychiatr Res 44(3):123–131. doi:10.​1016/​j.​jpsychires.​2009.​07.​005 CrossRefPubMed
Zurück zum Zitat Wang YC, Ho UC, Ko MC, Liao CC, Lee LJ (2012) Differential neuronal changes in medial prefrontal cortex, basolateral amygdala and nucleus accumbens after postweaning social isolation. Brain Struct Funct 217(2):337–351. doi:10.1007/s00429-011-0355-4 CrossRefPubMed Wang YC, Ho UC, Ko MC, Liao CC, Lee LJ (2012) Differential neuronal changes in medial prefrontal cortex, basolateral amygdala and nucleus accumbens after postweaning social isolation. Brain Struct Funct 217(2):337–351. doi:10.​1007/​s00429-011-0355-4 CrossRefPubMed
Zurück zum Zitat Wolansky T, Pagliardini S, Greer JJ, Dickson CT (2007) Immunohistochemical characterization of substance P receptor (NK(1)R)-expressing interneurons in the entorhinal cortex. J Comp Neurol 502(3):427–441CrossRefPubMed Wolansky T, Pagliardini S, Greer JJ, Dickson CT (2007) Immunohistochemical characterization of substance P receptor (NK(1)R)-expressing interneurons in the entorhinal cortex. J Comp Neurol 502(3):427–441CrossRefPubMed
Metadaten
Titel
Structural and functional alterations in the prefrontal cortex after post-weaning social isolation: relationship with species-typical and deviant aggression
verfasst von
Laszlo Biro
Mate Toth
Eszter Sipos
Biborka Bruzsik
Aron Tulogdi
Samuel Bendahan
Carmen Sandi
Jozsef Haller
Publikationsdatum
23.09.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Brain Structure and Function / Ausgabe 4/2017
Print ISSN: 1863-2653
Elektronische ISSN: 1863-2661
DOI
https://doi.org/10.1007/s00429-016-1312-z

Weitere Artikel der Ausgabe 4/2017

Brain Structure and Function 4/2017 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Update Neurologie

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