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Alterations in spontaneous brain oscillations during stroke recovery
Amplitude or frequency alterations of spontaneous brain oscillations may reveal pathological phenomena in the brain or predict recovery from brain lesions, but the temporal evolution and the functional significance of these changes is not well known. We performed follow-up recordings of spontaneous...
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Published in: | PloS one 2013-04, Vol.8 (4), p.e61146-e61146 |
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description | Amplitude or frequency alterations of spontaneous brain oscillations may reveal pathological phenomena in the brain or predict recovery from brain lesions, but the temporal evolution and the functional significance of these changes is not well known. We performed follow-up recordings of spontaneous brain oscillations with whole-head MEG in 16 patients with first-ever stroke in the middle cerebral artery territory, affecting upper limb motor function, 1-7 days (T0), 1 month (T1), and 3 months (T2) after stroke, with concomitant clinical examination. Clinical test results improved significantly from T0 to T1 or T2. During recovery (at T1 and T2), the strength of temporo-parietal ≈ 10-Hz oscillations in the affected hemisphere (AH) was increased as compared with the unaffected hemisphere. Abnormal low-frequency magnetic activity (ALFMA) at ≈ 1 Hz in the AH was detected in the perilesional cortex in seven patients at T0. In four of these, ALFMA persisted at T2. In patients with ALFMA, the lesion size was significantly larger than in the rest of the patients, and worse clinical outcome was observed in patients with persisting ALFMA. Our results indicate that temporo-parietal ≈ 10-Hz oscillations are enhanced in the AH during recovery from stroke. Moreover, stroke causes ALFMA, which seems to persist in patients with worse clinical outcome. |
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We performed follow-up recordings of spontaneous brain oscillations with whole-head MEG in 16 patients with first-ever stroke in the middle cerebral artery territory, affecting upper limb motor function, 1-7 days (T0), 1 month (T1), and 3 months (T2) after stroke, with concomitant clinical examination. Clinical test results improved significantly from T0 to T1 or T2. During recovery (at T1 and T2), the strength of temporo-parietal ≈ 10-Hz oscillations in the affected hemisphere (AH) was increased as compared with the unaffected hemisphere. Abnormal low-frequency magnetic activity (ALFMA) at ≈ 1 Hz in the AH was detected in the perilesional cortex in seven patients at T0. In four of these, ALFMA persisted at T2. In patients with ALFMA, the lesion size was significantly larger than in the rest of the patients, and worse clinical outcome was observed in patients with persisting ALFMA. Our results indicate that temporo-parietal ≈ 10-Hz oscillations are enhanced in the AH during recovery from stroke. Moreover, stroke causes ALFMA, which seems to persist in patients with worse clinical outcome.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0061146</identifier><identifier>PMID: 23593414</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Aged, 80 and over ; Analysis of Variance ; Biology ; Brain ; Brain damage ; Brain research ; Brain Waves - physiology ; Cortex (parietal) ; Cortex (temporal) ; Electroencephalography ; Female ; Humans ; Laboratories ; Lesions ; Magnetoencephalography ; Male ; Medical imaging ; Medicine ; Middle Aged ; Middle Cerebral Artery - physiology ; Neurology ; Oscillations ; Patients ; Recovery ; Recovery of Function - physiology ; Rhythm ; Stroke ; Stroke - physiopathology ; Temporal lobe ; Territory ; Time Factors</subject><ispartof>PloS one, 2013-04, Vol.8 (4), p.e61146-e61146</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Laaksonen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Laaksonen et al 2013 Laaksonen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-b28730efa2da35759d267f1d96057df1aa44c0babb31613e6fa3b98aed0822dd3</citedby><cites>FETCH-LOGICAL-c758t-b28730efa2da35759d267f1d96057df1aa44c0babb31613e6fa3b98aed0822dd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1335051494/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1335051494?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792,74897</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23593414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Chacron, Maurice J.</contributor><creatorcontrib>Laaksonen, Kristina</creatorcontrib><creatorcontrib>Helle, Liisa</creatorcontrib><creatorcontrib>Parkkonen, Lauri</creatorcontrib><creatorcontrib>Kirveskari, Erika</creatorcontrib><creatorcontrib>Mäkelä, Jyrki P</creatorcontrib><creatorcontrib>Mustanoja, Satu</creatorcontrib><creatorcontrib>Tatlisumak, Turgut</creatorcontrib><creatorcontrib>Kaste, Markku</creatorcontrib><creatorcontrib>Forss, Nina</creatorcontrib><title>Alterations in spontaneous brain oscillations during stroke recovery</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Amplitude or frequency alterations of spontaneous brain oscillations may reveal pathological phenomena in the brain or predict recovery from brain lesions, but the temporal evolution and the functional significance of these changes is not well known. We performed follow-up recordings of spontaneous brain oscillations with whole-head MEG in 16 patients with first-ever stroke in the middle cerebral artery territory, affecting upper limb motor function, 1-7 days (T0), 1 month (T1), and 3 months (T2) after stroke, with concomitant clinical examination. Clinical test results improved significantly from T0 to T1 or T2. During recovery (at T1 and T2), the strength of temporo-parietal ≈ 10-Hz oscillations in the affected hemisphere (AH) was increased as compared with the unaffected hemisphere. Abnormal low-frequency magnetic activity (ALFMA) at ≈ 1 Hz in the AH was detected in the perilesional cortex in seven patients at T0. In four of these, ALFMA persisted at T2. In patients with ALFMA, the lesion size was significantly larger than in the rest of the patients, and worse clinical outcome was observed in patients with persisting ALFMA. Our results indicate that temporo-parietal ≈ 10-Hz oscillations are enhanced in the AH during recovery from stroke. 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We performed follow-up recordings of spontaneous brain oscillations with whole-head MEG in 16 patients with first-ever stroke in the middle cerebral artery territory, affecting upper limb motor function, 1-7 days (T0), 1 month (T1), and 3 months (T2) after stroke, with concomitant clinical examination. Clinical test results improved significantly from T0 to T1 or T2. During recovery (at T1 and T2), the strength of temporo-parietal ≈ 10-Hz oscillations in the affected hemisphere (AH) was increased as compared with the unaffected hemisphere. Abnormal low-frequency magnetic activity (ALFMA) at ≈ 1 Hz in the AH was detected in the perilesional cortex in seven patients at T0. In four of these, ALFMA persisted at T2. In patients with ALFMA, the lesion size was significantly larger than in the rest of the patients, and worse clinical outcome was observed in patients with persisting ALFMA. Our results indicate that temporo-parietal ≈ 10-Hz oscillations are enhanced in the AH during recovery from stroke. Moreover, stroke causes ALFMA, which seems to persist in patients with worse clinical outcome.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23593414</pmid><doi>10.1371/journal.pone.0061146</doi><tpages>e61146</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged, 80 and over Analysis of Variance Biology Brain Brain damage Brain research Brain Waves - physiology Cortex (parietal) Cortex (temporal) Electroencephalography Female Humans Laboratories Lesions Magnetoencephalography Male Medical imaging Medicine Middle Aged Middle Cerebral Artery - physiology Neurology Oscillations Patients Recovery Recovery of Function - physiology Rhythm Stroke Stroke - physiopathology Temporal lobe Territory Time Factors |
title | Alterations in spontaneous brain oscillations during stroke recovery |
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