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Reduced signal intensity on MR images of thalamus and putamen in multiple sclerosis: increased iron content?

High-field-strength (1.5-T) MR imaging was used to evaluate 47 patients with definite multiple sclerosis and 42 neurologically normal control patients. Abnormal, multiple foci of increased signal intensity on T2-weighted images, most prominent in the periventricular white matter, were apparent in 43 of 47 MS patients and in two of 42 control patients. A previously undescribed finding of relatively decreased signal intensity most evident in the putamen and thalamus on T2-weighted images was seen in 25 of 42 MS patients and correlated with the degree of white-matter abnormality. In the normal control patients a prominently decreased signal intensity was noted in the globus pallidus, as compared with the putamen or thalamus, correlating closely with the distribution of ferric iron as determined in normal Perls'-stained autopsy brains. The decreased signal intensity (decreased T2) is due to ferritin, which causes local magnetic field inhomogeneities and is proportional to the square of the field strength. The decreased T2 in the thalamus and striatum in MS may be related to abnormally increased iron accumulation in these locales with the underlying mechanism remaining speculative.

Adult↗

Germinomas of the basal ganglia and thalamus: MR findings and a comparison between MR and CT.

OBJECTIVE: The purpose of this study was to describe the MR imaging appearance of germinomas in the basal ganglia and thalamus and to compare the MR findings with CT findings. MATERIALS AND METHODS: Eleven MR studies of 10 patients with pathologically proved germinomas in the basal ganglia or thalamus were retrospectively reviewed. In nine of the 10, the MR findings were compared with CT findings. All patients were male, and all except one were in their second decade of life. All the tumors were located in paraventricular areas. RESULTS: Most of the tumors were 4-7 cm in diameter. MR images showed that the tumors were mostly cystic in five patients, mostly solid with cystic components in four, and solid without cystic components in one. The solid portion mostly was isointense relative to the cerebral cortex for all MR pulse sequences. The cystic portion was hyperintense relative to CSF on T1- and T2-weighted images. MR images showed intratumoral hemorrhage in seven patients. It appeared as an area of hyperintensity on T1- and T2-weighted images in five patients and as a fluid-fluid level with marked hypointensity on T2-weighted images in two. Hemorrhage was not visualized on CT scans in any patient. Flecked or amorphous calcifications visualized on CT scans in two patients were hardly detectable on MR images. Peritumoral edema was usually minimal. CT scans and MR images obtained after injection of contrast material both showed heterogeneous and dense enhancement in the solid portions of the tumors. CONCLUSION: MR images of germinoma in the basal ganglia and thalamus show a large paraventricular mass. Cystic areas, focal hemorrhages, and minimal surrounding edema are common. Unlike CT, MR imaging allows characterization of intratumoral hemorrhage.

Adolescent↗

Increased regional cerebral blood flow in the contralateral thalamus after successful motor cortex stimulation in a patient with poststroke pain.

The mechanisms underlying poststroke pain have not been clearly identified. Although motor cortex stimulation (MCS) sometimes reduces poststroke pain successfully, the exact mechanism is not yet known. For further investigation of the neural pathways involved in the processing of poststroke pain and in pain reduction by MCS, the authors used positron emission tomography (PET) scanning to determine significant changes in regional cerebral blood flow (rCBF). This 58-year-old right-handed man suffered from right-sided poststroke pain for which he underwent implantation of a stimulation electrode in the right motor cortex. After 30 minutes of stimulation, his pain was remarkably reduced (Visual Analog Scale scores decreased 8 to 1) and he felt warmth in his left arm. The rCBF was studied using PET scanning with 15O-labeled water when the patient was in the following states: before MCS (painful condition, no stimulation) and after successful MCS (painless condition, no stimulation). The images were analyzed using statistical parametric mapping software. State-dependent differences in global blood flow were covaried using analysis of covariance. Comparisons of the patient's rCBF in the painful condition with that in the painless condition revealed significant rCBF increases in the left rectus gyrus (BA11), left superior frontal lobe (BA9), left anterior cingulate gyms (BA32), and the left thalamus (p < 0.05, corrected). On the other hand, there were significant decreases in rCBF in the right superior temporal gyrus (BA22, p < 0.01, corrected) and the left middle occipital gyrus (BA19, p < 0.05, corrected). The efficacy of MCS was mainly related to increased synaptic activity in the thalamus, whereas the activations in the rectus gyrus, anterior cingulate gyrus, and superior frontal cortex as well as the inactivation of the superior temporal lobe may be related to emotional processes. This is the first report in which the contralateral thalamus was significantly activated and pain relief was achieved using MCS.

Cerebral Hemorrhage↗

Abolition of spindle oscillations and 3-Hz absence seizurelike activity in the thalamus by using high-frequency stimulation: potential mechanism of action.

OBJECT: The mechanism of action whereby high-frequency stimulation (HFS) in the thalamus ameliorates tremor and epilepsy is unknown. The authors studied the effects of HFS on thalamocortical relay neurons in a ferret in vitro slice preparation to test the hypothesis that HFS abolishes synchronized oscillations by neurotransmitter release. METHODS: Intracellular and extracellular electrophysiological recordings were made in thalamic slices. The neurons in the thalamic slice spontaneously generated spindle oscillations, and treatment with picrotoxin, a gamma-aminobutyric acid A receptor antagonist, resulted in 3- to 4-Hz absence seizurelike activity. High-frequency stimulation (stimulation parameters: 10-1000-microA amplitude; l00-microsec pulse width; 100-Hz frequency; 1-60 seconds) was applied using a concentric bipolar stimulating electrode placed adjacent to the recording electrodes. High-frequency stimulation within the thalamus generated inhibitory and excitatory postsynaptic potentials, membrane depolarization, an increase in action potential firing during the stimulation period, and abolished the spindle oscillations in the thalamocortical relay neurons. High-frequency stimulation applied to 20-microM picrotoxin-treated slices eliminated the 3- to 4-Hz absence seizurelike activity. CONCLUSIONS: High-frequency stimulation eliminates spontaneous spindle oscillations and picrotoxin-induced absence seizurelike activity in thalamic slices by synaptic neurotransmitter release; thus, HFS may abolish synchronous oscillatory activities such as those that generate tremor and seizures. Paradoxically, HFS, which is excitatory, and surgical lesions of the ventrointermedius thalamus, which are presumably inhibitory, both suppress tremors. This paradox is resolved by recognizing that HFS-mediated neurotransmitter release and thalamic surgery both disrupt the circuit generating tremor or seizure, albeit by different mechanisms.

Action Potentials↗

Unusual acute encephalitis involving the thalamus: imaging features.

OBJECTIVE: To describe the brain CT and MR imaging findings of unusual acute encephalitis involving the thalamus. MATERIALS AND METHODS: We retrospectively reviewed the medical records and CT and/or MR imaging findings of six patients with acute encephalitis involving the thalamus. CT (n=6) and MR imaging (n=6) were performed during the acute and/or convalescent stage of the illness. RESULTS: Brain CT showed brain swelling (n=2), low attenuation of both thalami (n=1) or normal findings (n=3). Initial MR imaging indicated that in all patients the thalamus was involved either bilaterally (n=5) or unilaterally (n=1). Lesions were also present in the midbrain (n=5), medial temporal lobe (n=4), pons (n=3), both hippocampi (n=3) the insular cortex (n=2), medulla (n=2), lateral temporal lobe cortex (n=1), both cingulate gyri (n=1), both basal ganglia (n=1), and the left hemispheric cortex (n=1). CONCLUSION: These CT or MR imaging findings of acute encephalitis of unknown etiology were similar to a combination of those of Japanese encephalitis and herpes simplex encephalitis. In order to document the specific causative agents which lead to the appearance of these imaging features, further investigation is required.

Acute Disease↗

[Proliferative potentials of Xenopus laevis tadpole and toad optic thalamus nerve tissue cells following injury].

After the injury of the thalamus right hemisphere in tadpoles and young frogs X. laevis, 3H-thymidine incorporated in the cells of the thalamus ventricular zone, but not in the middle and large neurons of the type of neurons of the trigeminal nerve mesencephalic nucleus and the large ganglion cells of VI and VIII layers of the thalamus cortex. The brain trauma in tadpoles resulted in the activation of cell proliferation in the ventricular zone, whereas in young frogs the proliferation of glyocytes was activated. The relation of the proliferative reaction of certain types of brain cells to the trauma to the loss of ability for brain regeneration is discussed.

Animals↗

Growth-associated protein 43 is located in type I corticothalamic terminals in the cat visual thalamus.

Growth-associated protein 43 (GAP 43) is a presynaptic protein that has been proposed to be involved in synaptic plasticity. To determine the location of GAP 43 within the synaptic circuitry of the thalamus, immunocytochemical staining for GAP 43 was examined in a relay nucleus, the dorsal lateral geniculate nucleus (dLGN), and two association nuclei, the pulvinar nucleus and the lateral subdivision of the lateral posterior (LP) nucleus. In the dLGN, moderate neuropil staining was seen in the A laminae, and denser staining was found in the interlaminar zones and the C laminae. Uniform dense staining of the neuropil was found in both the pulvinar and LP nuclei. At the ultrastructural level, the GAP 43 staining was restricted to small-diameter myelinated axons, thin unmyelinated fibers, and small terminals that contained densely packed round vesicles (RS profiles) and made asymmetric synaptic contacts with small-caliber dendrites in the extraglomerular neuropil. The distribution of immunocytochemical label within the visual thalamus suggests that GAP 43 is confined to type I corticothalamic terminals and axons that originate from extrastriate cortical areas. These results also suggest that in both relay and association nuclei GAP 43 may be used to augment the cortical control of thalamic activity. In addition, these results underscore the distinction between the small type I corticothalamic terminals, which appear to contain GAP 43 throughout the visual thalamus, and the large type II corticothalamic terminals that, like the type II retinal terminals in the dLGN, do not contain GAP 43.

Animals↗

Two types of interneurons in the cat visual thalamus are distinguished by morphology, synaptic connections, and nitric oxide synthase content.

The distribution of the neuronal form of the nitric oxide-synthesizing enzyme, brain nitric oxide synthase (BNOS), was examined in the cat thalamus by using immunocytochemical techniques. BNOS was found in both cells and fibers throughout the visual thalamus. BNOS-stained cells were found consistently in the C laminae of the lateral geniculate nucleus (LGN), the pulvinar nucleus, and the lateral posterior nucleus (LP). In the A laminae of the LGN, variable numbers of BNOS-stained cells also could be detected. BNOS-stained cells were identified as a subset of interneurons because they all stained for glutamic acid decarboxylase (GAD), but not all GAD-stained cells contained BNOS. The average soma area of BNOS-stained cells was slightly greater than the average soma area of GAD-stained cells. BNOS-stained cells display a distinctive dendritic morphology, which is consistent with previous descriptions of class V neurons (Updyke [1979] J. Comp. Neurol. 186:603-619); they have widespread but fairly sparse arbors of thin, somewhat beaded dendrites. BNOS-stained cells participate in a distinct synaptic circuitry. Although many GAD-stained profiles are filled with vesicles and participate in complex synaptic arrangements, known as glomeruli, BNOS-stained dendrites contain small clusters of vesicles and form dendrodendritic contacts in the extraglomerular neuropil. Thus, there appear to be at least two types of gamma-aminobutyric acidergic interneurons in the visual thalamus of the cat. Interneurons that do not contain BNOS (class III morphology) may exert their effects primarily within synaptic glomeruli (Hamos et al. [1985] Nature 317:618-621), whereas interneurons that contain BNOS (class V morphology) contribute primarily to the extraglomerular neuropil.

Animals↗

Electroencephalographic study of iron-induced chronic focal cortical epilepsy in rat: propagation of cortical epileptic activity to substantia nigra and thalamus.

Cortical epileptic focus was produced by an intracortical injection of FeCl3 in rat cerebral cortex using standard techniques. How after its onset in the cortical focus, the epileptiform activity evolved with time in the thalamus and substantia nigra has been determined. To study the propagation of the epileptiform activity, the local EEG and multiple unit action potentials were recorded from these structures simultaneously with the cortical epileptiform EEG. The results showed that in thalamus and substantia nigra epileptiform activity appeared simultaneously with that in the cortical focus. Intensity of epileptic activity in thalamus and substantia nigra on the whole increased in parallel with that in the cortical focus. The results suggest that the thalamic and nigral epileptiform activity may reinforce the cortical epileptiform activity.

Animals↗

[Regional cerebral blood flow of the basal ganglia and thalamus measured using Xe-CT].

Cerebral blood flow (CBF) images obtained using Xe-CT have a much higher spatial resolution than SPECT or PET images. The regional CBF (rCBF) of deep brain regions, the basal ganglia and thalamus, was able to be measured using Xe-CT in 6 subjects. Average rCBF was 87.1 +/- 20.7 ml/100 g/min in the caudate nucleus, 83.5 +/- 15.8 ml/100 g/min in the putamen, 50.0 +/- 8.7 ml/100 g/min in the globus pallidus and 88.9 +/- 12.4 ml/100 g/min in the thalamus. The average rCBF value of the globus pallidus was lower than the values of the caudate nucleus, putamen and thalamus. These observations may be explained by reduced cellularity of the globus pallidus in comparison to the other regions. SPECT and PET are not able to clearly demonstrate the globus pallidus on CBF images. However, precise rCBF values can be measured in the globus pallidus using Xe-CT.

Adult↗

Acute 4-aminopyridine seizures increase the regional cerebral blood flow in the thalamus and neocortex, but not in the entire allocortex of the mouse brain.

Systemic injections of 4-aminopyridine precipitate epileptiform generalized seizures characterized mainly by shivering of the body, tail movements and tonic-clonic convulsions in rats and mice. However, only few details are known as concerns which brain regions are possibly affected and stimulated by the compound. The aim of the present study was to investigate the changes in regional cerebral blood flow in mice by using the lipophilic compound technetium-99m-hexamethyl-propyleneamineoxime (99mTc-HMPAO). Whilst the uptake of 99mTc-HMPAO was increased significantly in the neocortex and thalamus following the induction of acute 4-aminopyridine seizures, no such changes were observed in the allocortex of the mice. The increases in uptake in the neocortex and thalamus were completely prevented by carbamazepine (which abolished the symptoms of the seizure, too). The primary involvement of the neocortex and thalamus points to the importance of thalamocortical circuits in the precipitation and maintenance of experimental 4-aminopyridine convulsions.

4-Aminopyridine↗

Effects of nerve growth factor on antioxidative system in the thalamus of MPTP treated Wistar rats.

1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced parkinsonism is one of the most useful models for the study of that disease. It has been suggested that MPTP-induced neurotoxicity may involve the production of reactive oxygen species. MPTP was applied intracerebrally, unilaterally, in the striatum in single dose of 0.09 g/kg b.w. The second group was treated both with MPTP and nerve growth factor (NGF) in dose of 7 ng/ml. NGF was applied immediately after the neurotoxin. Control group was treated with 0.9% saline solution in the same manner. Animals were decapitated 7 days after the treatment. In the group treated with MPTP, the activity of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) was decreased in ipsilateral thalamus, compared to control values as well as to the contralateral thalamus. In the same structures superoxide anion production was increased, compared to controls. Following the application of both MPTP and NGF, the activity of SOD and GSH-Px remained on control values, while the superoxide anion content was decreased, compared to controls. These results indicate a temporal and spatial propagation of oxidative stress and spread protective effects of NGF on the thalamus, the structure that is distant, but very tightly connected with striatum, the place of direct neurotoxic damage.

1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine↗

Functional MRI activity in the thalamus and occipital cortex of anesthetized dogs induced by monocular and binocular stimulation.

The neuroanatomy of the mammalian visual system has received considerable attention through electrophysiological study of cats and non-human primates, and through neuroimaging of humans. Canine neuroanatomy, however, has received much less attention, limiting our understanding of canine vision and visual pathways. As an early step in applying blood oxygenation level dependant (BOLD) functional magnetic resonance imaging (fMRI) for veterinary use, we compared visual activity in the thalamus and occipital cortex of anesthetized dogs presented with binocular and monocular visual stimuli. Activity in the left and right thalamus and occipital cortex during monocular stimulation was also compared. Six beagles were presented with a vertical grating visual stimulus and scanned at 4 Tesla. Each dog was scanned twice under each of 3 anesthetic protocols (isoflurane, propofol, and fentanyl/midazolam). We found: 1) significant BOLD activation in the lateral geniculate nucleus (LGN) of the thalamus and the occipital cortex; 2) a significantly larger area of activation in the LGN during monocular stimulation than during binocular stimulation; and 3) that activity in the hemisphere contralateral to the stimulus was not significantly greater than that ipsilateral to it.

Anesthetics↗

[The nucleus of the posterior pallial commissure in Lacerta sicula (Rafinesque) and its ontogenetic connection to the thalamus].

The nucleus of the posterior pallial commissure of Lacerta sicula originates between the 11th and 18day of incubation. During this time, the developing nucleus shows a distinct and wellformed cellular connection with the rostral, dorsally lying ventral thalamus. The whole connecting nuclear mass lies close to the matrix of the diencephalic and telencephalic ventricle and the connecting foramen interventriculare. It is evident that cells which originate from the the ventral thalamus are possibly delivered to the telencephalic nucleus of the posterior pallial commissure. The cellular connection between thalamus and hemisphere ruptures between the 18th and 19th day of incubation as a result of growth displacement and is no longer visible in later stages.

Animals↗

Degranulation of mast cells in the rat thalamus.

Brain mast cells are selectively concentrated in the thalamus of many mammalian species. We here describe by light and electron microscopy in the normal thalamus of adult rats the features of mast cell degranulation, which indicate an active release of the mediators stored in their intracellular granules. The state of activity of thalamic mast cells in basal conditions was found to range from the release of a few granules to a massive degranulation, and the latter process was much less frequent than a partial degranulation. Mast cells were subdivided in three categories (fully granulated, partially or massively degranulated) on the basis of their cytoplasmic features revealed by acidic toluidine blue staining; the fully granulated cells were found to represent only 23 % of thalamic mast cells. This strategy of evaluation could be of help in the comparison of the functional correlates of mast cells in different conditions and experimental paradigms. However, we also demonstrated with image analysis a continuum of the variation of staining intensity of granulated and degranulating mast cells, without a sharp subdivision into different categories. Therefore our results reveal that the vast majority of mast cells are active in the thalamus in basal conditions, and that image analysis can provide an objective index of the activity of these cells.

Animals↗

New intrathalamic pathways allowing modality-related and cross-modality switching in the dorsal thalamus.

Transmission through the dorsal thalamus involves nuclei that convey different aspects of sensory or motor information. Cells in the dorsal thalamus are strongly inhibited by the GABAergic cells of the thalamic reticular nucleus (TRN). Here we show that stimulation of cells in specific dorsal thalamic nuclei evokes robust IPSCs or IPSPs in other specific dorsal thalamic nuclei and vice versa. These IPSCs are GABA(A) receptor-mediated currents and are consistent with the activation of disynaptic intrathalamic pathways mediated by TRN. Thus, cells engaged in sensory analyses in the ventrobasal complex or the medial division of the posterior complex can interact with cells responsive to sensory events in the caudal intralaminar nuclei, whereas cells engaged in motor analyses in the ventrolateral nucleus can interact with cells responsive to motor events in the rostral intralaminar nuclei. Furthermore, sensory event-related cells in the caudal intralaminar nuclei can interact with motor event-related cells in the rostral intralaminar nuclei. In addition, single cells in one dorsal thalamic nucleus can receive convergent inhibitory inputs after stimulation of cells in two or more other dorsal thalamic nuclei, and TRN-mediated inhibitory inputs can momentarily switch off tonic firing of action potentials in dorsal thalamic cells. Our findings provide the first direct evidence for a rich network of intrathalamic pathways that allows modality-related and cross-modality inhibitory modulation between dorsal thalamic nuclei. Moreover, TRN-mediated switching between dorsal thalamic nuclei could provide a mechanism for the selection of competing transmissions of sensory and/or motor information through the dorsal thalamus.

Action Potentials↗

Manual and automated measurement of the whole thalamus and mediodorsal nucleus using magnetic resonance imaging.

The thalamus is an important relay structure in the brain that may be relevant to a variety of brain diseases. It is divided into multiple subnuclei with different cortical connections. The medial dorsal (MD) nucleus is particularly important because it forms key connections with the prefrontal cortex. The current study reports precise and efficient methods for measuring the whole thalamus and the MD with MRI that have a high degree of interrater reliability. A multispectral image acquisition and novel image processing technique were used to improve structure visibility. The tricolor image assigns a color to each of the T1, T2, and PD weighted images, represented by red, green, and blue, respectively. The manually defined regions were then used to train an artificial neural network (ANN) to automatically define both the whole thalamus and the MD. The ANN provides an efficient automated method, making studies using larger sample sizes more feasible.

Aged↗

[Thalamocortical dynamics: how do the thalamus and the neocortex communicate during the processing of information?].

INTRODUCTION AND DEVELOPMENT: The thalamus is the gateway to the neocortex. Most of the information that reaches the neocortex is transmitted through thalamocortical fibres. The neocortex, in turn, sends massive feedback to the thalamus through corticothalamic fibres. The sensory input reaches the thalamus by means of the primary sensory fibres. When the properties of these pathways are explored, they are found to present specific response characteristics. These studies have generally been conducted during anaesthesia or other quiescent states. Yet when the properties of these synaptic connections are explored in the active states typical of information processing, their responses are substantially different. CONCLUSION: These changes appear to be necessary to set the pathways of the thalamocortical system in a state of sensory input processing and, therefore, could account for the transformations that take place in order to sustain attentional and perceptive processes.

Action Potentials↗