Publications by authors named "Karsten Witt"

Article Synopsis
  • Transcutaneous auricular vagus nerve stimulation (taVNS) is a non-invasive method that influences brain activity, particularly affecting a certain area called the locus coeruleus (LC), but its optimal usage and results remain unclear.
  • A study involving 29 healthy young participants compared the effects of short (3.4 seconds) and long (30 seconds) taVNS on various measures, including saliva, pupil responses, and EEG data, in a double-blind, sham-controlled design.
  • Results showed that longer stimulation raised salivary alpha-amylase levels, while shorter stimulation led to slower reaction times and more errors in cognitive tasks, suggesting complex and unexpected effects of taVNS on brain function.
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Background And Objective: Cognitive impairment and dementia as well as affective disorders are common and debilitating syndromes that develop in people with Parkinson's disease (PwPD). The authors summarized recommendations for the 2023 updated German guidelines on "Parkinson's disease" from the German Neurological Society (DGN), focusing on the diagnosis and treatment of these disorders.

Methods: The recommendations were based on literature reviews, other relevant guidelines, and expert opinions.

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Article Synopsis
  • Impulse control disorders, psychosis, and delirium are issues that can happen to people with Parkinson's disease, and new guidelines have been made to help doctors treat these conditions.
  • Doctors should check patients on dopamine agonists for symptoms of impulse control disorders and adjust their medications as needed.
  • The guidelines also suggest that doctors should use both medication and other therapies to help manage psychosis and delirium in Parkinson's patients.
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Background: Cognitive reserve (CR) is considered a protective factor for cognitive function and may explain interindividual differences of cognitive performance given similar levels of neurodegeneration, e.g., in Alzheimer´s disease.

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Article Synopsis
  • Acute ischemic stroke can make it hard for people to hear sounds coming from different directions, as it reduces blood flow to parts of the brain.
  • In a study, doctors checked how patients with strokes performed on hearing tasks during different times after their stroke, finding mixed results on how well they could locate the sounds.
  • Some patients got better at locating sounds over time, while others got worse, showing that everyone recovers differently after a stroke, so treatment plans should be based on each person's needs.
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Background: Spreading depolarization describes a near-complete electrical discharge with altered local cerebral blood flow. It is described in association with acute and chronic diseases like hemorrhagic stroke or migraine. Moyamoya vasculopathy is a chronic, progressive cerebrovascular disorder leading to cerebral hypoperfusion, hemodynamically insufficient basal collateralization, and increased cortical microvascularization.

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Adaptive control has been studied in Parkinson's disease mainly in the context of proactive control and with mixed results. We compared reactive- and proactive control in 30 participants with Parkinson's disease to 30 age matched healthy control participants. The electroencephalographic activity of the participants was recorded over 128 channels while they performed a numerical Stroop task, in which we controlled for confounding stimulus-response learning.

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Dopamine exerts antinociceptive effects on pain in PD at cortical and spinal levels, whereas only cortical effects have been described for DBS, so far. By assessing the nociceptive flexion reflex (NFR) threshold at medication on, and DBS ON and OFF in two patients, we showed that DBS additionally decreases spinal nociception.

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Background: Cognitive decline is a major factor for the deterioration of the quality of life in patients suffering from Parkinson's disease (PD). Recently, it was reported that cognitive training (CT) in PD patients with mild cognitive impairment (PD-MCI) led to an increase of physical activity (PA) accompanied by improved executive function (EF). Moreover, PA has been shown to alter positively brain function and cognitive abilities in PD.

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Article Synopsis
  • Parkinson's disease (PD) can change how people talk and understand emotions.
  • Researchers studied brain images of people with PD and healthy individuals while they named pictures to see how emotions affected their speech.
  • They found that the brain networks for speech in PD patients were less connected and organized, and emotional distractions caused their brains to react differently than the healthy group.
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Introduction: Cognitive impairment in Parkinson's disease (PD), especially in patients with mild cognitive impairment (PD-MCI), coincides with less physical activity. Cognitive trainings (CT) have been found to promote laboratory environment-based movement. Knowledge about their effect in natural home-based environment, reflecting everyday function, is sparse.

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Article Synopsis
  • - The study explores how aging affects the structure of the cerebellum, highlighting that most research has focused on other parts of the brain, leaving a gap in understanding cerebellar changes due to age.
  • - Researchers analyzed healthy participants under 70 using advanced non-linear methods and specialized tools to examine the cerebellum, comparing data from 24 older participants with 25 younger ones.
  • - Findings show a decline in gray matter volume in specific areas of the older participants' cerebellum, particularly regions linked to cognitive functions and non-motor networks, suggesting that these changes occur before age 70.
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Stroke-induced lesions at different locations in the brain can affect various aspects of binaural hearing, including spatial perception. Previous studies found impairments in binaural hearing, especially in patients with temporal lobe tumors or lesions, but also resulting from lesions all along the auditory pathway from brainstem nuclei up to the auditory cortex. Currently, structural magnetic resonance imaging (MRI) is used in the clinical treatment routine of stroke patients.

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Introduction: In acute ischemic stroke, progressive impairment of cerebral autoregulation (CA) is frequent and associated with unfavorable outcomes. Easy assessment of cerebral blood flow and CA in stroke units bedside tools like near-infrared spectroscopy (NIRS) might improve early detection of CA deterioration. This study aimed to assess dynamic CA with multichannel CW-NIRS in acute ischemic stroke (AIS) patients compared to agematched healthy controls.

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Walking on natural terrain while performing a dual-task, such as typing on a smartphone is a common behavior. Since dual-tasking and terrain change gait characteristics, it is of interest to understand how altered gait is reflected by changes in gait-associated neural signatures. A study was performed with 64-channel electroencephalography (EEG) of healthy volunteers, which was recorded while they walked over uneven and even terrain outdoors with and without performing a concurrent task (self-paced button pressing with both thumbs).

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Background: Cervical dystonia (CD) is characterized by involuntary contractions of the cervical muscles. Data on long-term effectiveness of deep brain stimulation (DBS) are rare. The aim of this study was to evaluate the longitudinal ten years treatment efficacy of DBS in the globus pallidus internus (GPI).

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Electric and magnetic stimulation of the human brain can be used to excite or inhibit neurons. Numerous methods have been designed over the years for this purpose with various advantages and disadvantages that are the topic of this review. Deep brain stimulation (DBS) is the most direct and focal application of electric impulses to brain tissue.

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Hypersexuality in medicated patients with PD is caused by an increased influence of motivational drive areas and a decreased influence of inhibitory control areas due to dopaminergic medication. In this pilot study, we test a newly developed paradigm investigating the influence of dopaminergic medication on brain activation elicited by sexual pictures with and without inhibitory contextual framing. Twenty PD patients with and without hypersexuality were examined with fMRI either OFF or ON standardized dopaminergic medication.

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Speech production relies on the interplay of different brain regions. Healthy aging leads to complex changes in speech processing and production. Here, we investigated how the whole-brain functional connectivity of healthy elderly individuals differs from that of young individuals.

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Article Synopsis
  • The study aimed to explore if imagining handwriting and circle drawing activates the same brain regions as actually performing these tasks using fMRI.
  • Eighteen right-handed participants were tested on their handwriting and drawing movements in both sitting and lying positions, with kinematic data collected on aspects like speed and pressure.
  • Results showed that while there was significant overlap in brain activity during imagined and executed tasks, actual writing led to greater activation in specific motor control areas, suggesting that writing is more automated in healthy individuals.
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Article Synopsis
  • Dystonia is a challenging condition with limited treatment options, but deep brain stimulation (DBS) targeting the internal pallidum shows promise for symptom relief.
  • A study involving 80 patients explored optimal DBS electrode placements and identified different effective stimulation sites for cervical and generalized dystonia, linking these sites to specific brain structures.
  • The findings indicate that while different neural pathways are involved in treating cervical versus generalized dystonia, both conditions share a common brain network that integrates connectivity to the cerebellum and somatomotor cortex.
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Introduction: Objective of this study was to examine if the Interlocking Finger Test (ILFT) is a suitable bedside screening test for visuospatial functions and/or dementia in Parkinson's disease (PD) patients aiming to facilitate the diagnosis of a dementia syndrome associated with posterior cortical and temporal lobe dysfunction according to the dual syndrome hypothesis (frontostriatal vs. posterior cortical cognitive impairment).

Methods: Forty-seven PD patients were assessed with the ILFT and an extensive cognitive test battery.

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Compared to functional magnetic resonance imaging (fMRI), functional near infrared spectroscopy (fNIRS) has several advantages that make it particularly interesting for neurofeedback (NFB). A pre-requisite for NFB applications is that with fNIRS, signals from the brain region of interest can be measured. This study focused on the supplementary motor area (SMA).

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