Publications by authors named "Nga Y Tse"

Unlabelled: Dementia is a leading public health crisis that is projected to affect 152.8 million individuals by 2050, over half of whom will be living in the Western Pacific region. To determine the challenges and opportunities for capacity building in the region, this scoping review searched databases.

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The rate and prevalence of hallucinations in behavioural variant frontotemporal dementia is well established. The mechanisms for underlying vulnerability however are the least well described in FTD compared with other neuropsychiatric conditions, despite the presence of these features significantly complicating the diagnostic process. As such, this present study aimed to provide a detailed characterization of the neural, cognitive and behavioural profile associated with a predisposition to hallucinatory experiences in behavioural variant frontotemporal dementia.

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Youth depression has been associated with heterogenous patterns of aberrant brain connectivity. To make sense of these divergent findings, we conducted a systematic review encompassing 19 resting-state fMRI seed-to-whole-brain studies (1400 participants, comprising 795 youths with major depression and 605 matched healthy controls). We incorporated separate meta-analyses of connectivity abnormalities across the levels of the most commonly seeded brain networks (default-mode and limbic networks) and, based on recent additions to the literature, an updated meta-analysis of amygdala dysconnectivity in youth depression.

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Background: Hypothalamic dysregulation plays an established role in eating abnormalities in behavioural variant frontotemporal dementia (bvFTD) and amyotrophic lateral sclerosis (ALS). Its contribution to cognitive and behavioural impairments, however, remains unexplored.

Methods: Correlation between hypothalamic subregion atrophy and cognitive and behavioural impairments was examined in a large sample of 211 participants (52 pure ALS, 42 mixed ALS-FTD, 59 bvFTD, and 58 age- and education- matched healthy controls).

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Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are part of the same disease spectrum. While thalamic−cerebellar degeneration has been observed in C9orf72 expansion carriers, the exact subregions involved across the clinical phenotypes of the ALS−FTD spectrum remain unclear. Using MRIs from 58 bvFTD, 41 ALS−FTD and 52 ALS patients compared to 57 controls, we aimed to delineate thalamic and cerebellar subregional changes across the ALS−FTD spectrum and to contrast these profiles between cases with and without C9orf72 expansions.

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Article Synopsis
  • The study investigates schizotypal personality traits in patients with amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), noting potential links to poor psychosocial outcomes and clinical psychosis risks.
  • The research involved assessing 99 participants using a Schizotypal Personality Questionnaire and examining brain structure through voxel-based morphometry to identify grey matter volume changes.
  • Results showed that participants with ALS and FTD exhibited a range of schizotypal traits, with specific brain regions (frontal cortex, anterior cingulate, insula) linked to positive schizotypy, shedding light on shared psychiatric mechanisms across these conditions.
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  • - The study compared neuropsychiatric and non-motor symptoms (like sleep and mood issues) across different ALS types and bvFTD, highlighting apathy, disinhibition, and stereotypic behaviors as common symptoms among all groups.
  • - A total of 250 participants were assessed, and results showed that while neuropsychiatric symptoms were present in ALS patients, they were milder in those with pure ALS compared to more complex phenotypes.
  • - Factors such as age, sex, and disease progression significantly influenced the severity of symptoms, indicating that neuropsychiatric issues and mood disturbances can emerge early in ALS and worsen over time.
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The disease syndromes of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) display considerable clinical, genetic and pathological overlap, yet mounting evidence indicates substantial differences in progression and survival. To date, there has been limited examination of how profiles of brain atrophy might differ between clinical phenotypes. Here, we address this longstanding gap in the literature by assessing cortical and subcortical grey and white matter volumes on structural MRI in a large cohort of 209 participants.

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  • The study investigates how patients with behavioral variant frontotemporal dementia (bvFTD) show a preference for high-fat meals compared to those with Alzheimer's disease (AD) and healthy controls.
  • Results indicate that 85% of bvFTD participants favored high-fat meals, linking this preference to behavioral changes and functional decline in the condition.
  • Brain scans revealed that this preference is associated with atrophy in critical brain areas, suggesting that changes in dietary preferences could serve as markers for disease progression and potential treatment targets.
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Apathy is the core behavioural feature of frontotemporal dysfunction in amyotrophic lateral sclerosis (ALS). Initiation and emotional manifestations of apathy significantly affect patients and carers, particularly in terms of quality of life. As such, the primary aim of the present study was to investigate the prevalence and neural correlates of initiation, and emotional subtypes of apathy in ALS.

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Mounting evidence suggests an association between cerebellar atrophy and cognitive impairment in the main frontotemporal dementia syndromes. In contrast, whether cerebellar atrophy is present in the motor syndromes associated with frontotemporal lobar degeneration (corticobasal syndrome and progressive supranuclear palsy) and the extent of its contribution to their cognitive profile remain poorly understood. The current study aimed to comprehensively chart profiles of cognitive impairment in relation to cerebellar atrophy in 49 dementia patients (corticobasal syndrome = 33; progressive supranuclear palsy = 16) compared to 33 age-, sex- and education-matched healthy controls.

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This study assessed the effect of interval duration on the direction and magnitude of changes in cortical excitability and inhibition when applying repeated blocks of intermittent theta burst stimulation (iTBS) over motor cortex. 15 participants received three different iTBS conditions on separate days: single iTBS; repeated iTBS with a 5 minute interval (iTBS-5-iTBS); and with a 15 minute interval (iTBS-15-iTBS). Changes in cortical excitability and short-interval cortical inhibition (SICI) were assessed via motor-evoked potentials (MEPs) before and up to 60 mins following stimulation.

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