6,150 results match your criteria: "Department of Clinical Neurophysiology.[Affiliation]"

: Limited information is available on factors that affect the burden tinnitus. The aim of this study is to investigate the association between tinnitus burden and demographic, patient-specific and tinnitus characteristics. Secondly, it was examined which variables could predict a change in tinnitus burden after 12 months.

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Epilepsy care generates multiple sources of high-dimensional data, including clinical, imaging, electroencephalographic, genomic, and neuropsychological information, that are collected routinely to establish the diagnosis and guide management. Thanks to high-performance computing, sophisticated graphics processing units, and advanced analytics, we are now on the cusp of being able to use these data to significantly improve individualized care for people with epilepsy. Despite this, many clinicians, health care providers, and people with epilepsy are apprehensive about implementing Big Data and accompanying technologies such as artificial intelligence (AI).

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Ghrelin for Neuroprotection in Post-Cardiac Arrest Coma: a one-year follow-up of cognitive and psychosocial outcomes.

Eur Heart J Acute Cardiovasc Care

October 2024

Department of Clinical Neurophysiology, Technical Medical Center, University of Twente, Enschede, the Netherlands.

Background: Effective treatments to improve brain recovery after cardiac arrest are needed. Ghrelin showed efficacy in experimental models and was associated with lower neuron specific enolase levels in the clinical Ghrelin in Coma (GRECO) trial. Here we present cognitive and psychosocial outcomes at one-year follow-up.

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Biallelic variants in phosphatidylinositol glycan anchor biosynthesis, class G (PIGG) cause hypotonia, intellectual disability, seizures, and cerebellar features. We present 8 patients from 6 families with a childhood-onset motor neuropathy and neurophysiology demonstrating variable motor conduction block and temporal dispersion. All individuals had a childhood onset tremor, 5 of 8 had cerebellar involvement, and 6 of 8 had childhood febrile seizures.

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Background: Focal epilepsy is common in children and adults with mitochondrial disease. Seizures are often refractory to pharmacological treatment and, in this patient group, frequently evolve to refractory focal status epilepticus (also known as epilepsia partialis continua). Where this occurs, the long-term prognosis is poor.

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Introduction: Although motor imagery (MI) has been reported to increase motor cortical excitability, its effect on central motor conduction time (CMCT), a widely used neurophysiological diagnostic method, has not been investigated. In this study, we sought to determine the effect of MI on CMCT.

Methods: In this cross-sectional study, 21 healthy volunteers (11 females, 10 males) aged 24 to 67 years (mean age: 38.

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Article Synopsis
  • * Researchers analyzed data from over 1500 patients and found that women reported higher sleepiness on the Epworth Sleepiness Scale compared to men, with specific age-related trends observed in different patient groups.
  • * Notably, in women with narcoleptic conditions, an increase in daytime sleepiness was linked to age, while weight gain appeared later, suggesting a complex relationship that warrants further research for targeted treatment approaches.
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Network analysis of structural MRI predicts executive function in paediatric traumatic brain injury.

Neuroimage Clin

November 2024

College of Health & Life Sciences & Aston Institute of Health and Neurodevelopment, Aston University, Birmingham B4 7ET, UK; School of Psychology, Faculty of Health, Melbourne Burwood Campus, Deakin University, Geelong, Victoria, Australia.

Intro: Paediatric traumatic brain injury (pTBI) is likely to result in cognitive impairment, specifically executive dysfunction. Evidence of the neuroanatomical correlates of this executive function (EF) impairment is derived from studies that treat morphometry of brain regions as distinct, independent features, rather than as a complex network of interrelationships. Morphometric similarity captures the meso-scale organisation of the cortex as the interrelatedness of multiple macro-architectural features and presents a novel tool with which to investigate the brain post pTBI.

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Invasive neurophysiological recordings in human basal ganglia. What have we learned about non-motor behaviour?

Eur J Neurosci

November 2024

Mental Health and Neuroscience Research Institute, Faculty of Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

Article Synopsis
  • Research using microelectrode recordings in animals has advanced our understanding of both healthy and malfunctioning deep brain structures.
  • Translating these findings to humans is crucial for improving knowledge of subcortical functions and their role in diseases.
  • Recent studies have expanded beyond motor functions in the basal ganglia to explore limbic and cognitive processes, highlighting the importance of non-motor activities.
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Multiple sclerosis (MS) is a central nervous system disease involving gray and white matters. Transcranial magnetic stimulation (TMS) and magnetic resonance imaging (MRI) could help identify potential markers of disease evolution, disability, and treatment response. This work evaluates the relationship between intracortical inhibition and facilitation, motor cortex lesions, and corticospinal tract (CST) integrity.

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Goal And Aims: Performance evaluation of automatic sleep staging on two-channel subcutaneous electroencephalography.

Focus Technology: UNEEG medical's 24/7 electroencephalography SubQ (the SubQ device) with deep learning model U-SleepSQ.

Reference Method/technology: Manually scored hypnograms from polysomnographic recordings.

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  • Cerebral small vessel disease (SVD) can lead to various cerebrovascular issues, but research on sex differences in SVD is limited.
  • This study analyzed data from over 20,000 patients with acute ischemic stroke to examine whether the presence and severity of cerebral microbleeds (CMB) and other SVD markers differ between males and females.
  • Results showed that males had more frequent CMB while females had fewer lacunes but higher severe white matter hyperintensities, indicating distinct SVD characteristics based on sex.
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During ongoing narratives, event boundaries trigger processes relevant for subsequent memory. Previous work has shown that novel, unrelated input presented at an event boundary can retroactively interfere with short-term retention of the preceding event. This interference was attributed to a perturbation of offset-related processes taking place within seconds after encoding and supporting the binding of elements into a coherent event memory.

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Objective: To assess whether the antiseizure medication levetiracetam may improve cognition in individuals with Alzheimer's disease who have not previously experienced a seizure.

Methods: We performed a randomized, double-blind, placebo-controlled crossover pilot study in individuals with mild-to-moderate Alzheimer's disease. Electroencephalography was performed at baseline and those with active epileptiform discharges were excluded.

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Article Synopsis
  • Cortical spreading depression (CSD) significantly impacts cerebral blood flow, and high-field fMRI can effectively measure these changes.
  • The study aimed to understand how visual stimulus-induced blood oxygen level-dependent (BOLD) responses are altered during spontaneous migraine aura attacks in six participants.
  • Findings revealed that auras with somatosensory symptoms showed bilateral BOLD response changes in the somatosensory cortex, indicating a complex relationship between aura manifestations and brain activity.
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Brain metabolic response to repetitive transcranial magnetic stimulation to lesion network in cervical dystonia.

Brain Stimul

December 2024

Turku Brain and Mind Center, Clinical Neurosciences, University of Turku, Turku, Finland; Neurocenter, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku University Hospital, Turku, Finland; Department of Clinical Neurophysiology, University of Turku, Finland.

Article Synopsis
  • A previous study found a specific brain network linked to cervical dystonia (CD), pointing out its potential for treatment, especially with non-invasive techniques like repetitive transcranial magnetic stimulation (rTMS).
  • The study aimed to evaluate how stimulating the somatosensory cortex (S1) affects brain metabolism in CD patients versus healthy controls, using methods like [F]FDG-PET to measure changes.
  • Results showed that cTBS significantly increased metabolism in the S1 and brainstem of CD patients, suggesting abnormal sensory function in CD and supporting future therapeutic trials using this stimulation method.
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Multi-modal MRI for objective diagnosis and outcome prediction in depression.

Neuroimage Clin

November 2024

Department of Electrical Engineering, Eindhoven University of Technology, Groene Loper 19, 5612 AE Eindhoven, the Netherlands; Department of Research and Development, Epilepsy Centre Kempenhaeghe, Sterkselseweg 65, 5590 AB Heeze, the Netherlands.

Article Synopsis
  • The study examines the challenges in effectively treating major depressive disorder (MDD) due to subjective clinical assessments and a lack of reliable quantitative measures, proposing that MRI-derived objective biomarkers could enhance diagnosis and outcome predictions.
  • Researchers aim to develop multi-modal predictors using various MRI techniques from a combined dataset of MDD patients and healthy controls, tackling both diagnosis and treatment outcomes simultaneously.
  • Initial findings indicate that diffusion tensor imaging (DTI) features outperformed other MRI modalities for both diagnosing MDD and predicting treatment outcomes, suggesting a potential for improved clinical decision-making.
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Article Synopsis
  • The study aimed to identify new markers for narcolepsy type 1 (NT1) by analyzing different phases of the Multiple Sleep Latency Test (MSLT), focusing on sleep-wake instability and patterns during wakefulness.
  • Researchers extracted 163 features related to sleepiness and microsleep from 177 patients with NT1, NT2, and other hypersomnia types, using automated analysis methods.
  • Results showed that NT1 could be effectively distinguished from NT2, Idiopathic Hypersomnia, and Subjective Hypersomnia primarily using 'Lights On' features, indicating potential new markers for diagnosing and understanding NT1.
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Impact of background input on memory consolidation.

Sci Rep

October 2024

Department of Clinical Neurophysiology, University of Twente, Enschede, PO Box 217 7500AE, The Netherlands.

Article Synopsis
  • Memory consolidation is the process by which the hippocampus replays new information to transfer it to the neocortex for long-term storage, primarily during slow-wave sleep.
  • During this phase, low cholinergic tone and low external input are crucial, as high cholinergic tone can hinder this process by reducing network excitability.
  • Experiments using cortical neuronal networks showed that excessive background stimulation disrupts memory formation and consolidation, highlighting the importance of maintaining low background input for effective memory consolidation during slow-wave sleep.
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  • Methotrexate (MTX) is a common medicine for rheumatoid arthritis, but it may affect how well people’s immune systems respond to vaccines and infections.
  • In a study, researchers looked at how MTX treatment affected immune responses in patients who received a COVID-19 vaccine compared to healthy people and others not on MTX.
  • They found that while many immune cells were similar between patients and controls, those on MTX had fewer activated CD4 T cells, leading to slower antibody responses after vaccination.
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The cerebral blood flow, CBF, is an important clinical parameter in neuro-intensive care. The possibility to continuously monitor CBF, computed from referential ICP, rICP (calculated from measured intracranial pressure, ICP, and central venous pressure, CVP) and venous outflow resistance, Rv, could importantly improve patient care. For the CBF(1) method the pulsative part of CBF (with rICP increase due to vascular volume increase) gives the venous outflow resistance, Rv.

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Objective: Acute intermittent porphyria (AIP) is a rare metabolic disorder caused by haploinsufficiency of hepatic porphobilinogen deaminase (PBGD), the third enzyme of the heme biosynthesis. Individuals with AIP experience neurovisceral attacks closely associated with hepatic overproduction of potentially neurotoxic heme precursors.

Design: We replicated AIP in non-human primates (NHPs) through selective knockdown of the hepatic gene and evaluated the safety and therapeutic efficacy of human PBGD (hPBGD) mRNA rescue.

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Fragmented network bursts (NBs) are observed as a phenotypic driver in many patient-derived neuronal networks on multi-electrode arrays (MEAs), but the pathophysiological mechanisms underlying this phenomenon are unknown. Here, we used our previously developed biophysically detailed in silico model to investigate these mechanisms. Fragmentation of NBs in our model simulations occurred only when the level of short-term synaptic depression (STD) was enhanced, suggesting that STD is a key player.

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Background And Purpose: Most patients with isolated rapid eye movement sleep behaviour disorder (iRBD) progress to a parkinsonian alpha-synucleinopathy. However, time to phenoconversion shows great variation. The aim of this study was to investigate whether cholinergic and dopaminergic dysfunction in iRBD patients was associated with impending phenoconversion.

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