MRI Analysis of Cerebellar and Vestibular Developmental Phenotypes in Gbx2 Conditional Knockout Mice
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Effect of Rtms Over the Medial Cerebellum on Positive and Negative Symptoms and Cognitive Dysmetria in Subjects with Treatment Refractory Schizophrenia
Effect of rTMS over the Medial Cerebellum on Positive and Negative Symptoms and Cognitive Dysmetria in subjects with treatment refractory Schizophrenia Robert J. Buchanan, M.D. Zoltan Nadasdy, Ph.D. James Underhill, Psy.D. Seton Brain and Spine Institute UT Austin Department of Psychology and The Neuroscience Institute. Protocol Document Date: August 23, 2013 NCT02242578 Effect of rTMS over the Medial Cerebellum on Positive and Negative Symptoms and Cognitive Dysmetria in subjects with treatment refractory Schizophrenia Robert J. Buchanan, M.D. Zoltan Nadasdy, Ph.D. James Underhill, Psy.D. Seton Brain and Spine Institute UT Austin Department of Psychology and The Neuroscience Institute. Hypotheses: 1) Cerebellar stimulation will cause activation of thalamic and frontal cortical networks associated with attentional processes. These attentional processes are a component of the “distracted” affect of schizophrenia (part of both positive and negative symptoms). 2) Cerebellar stimulation will cause activation of the reticular activating system (RAS), and this will allow the “mutism”, which is a negative symptom, to be partially improved. Purpose of Study, Anticipated Benefits The etiology of negative symptoms in schizophrenia which includes social withdrawal, affective flattening, poor motivation, and apathy is poorly understood. Symptomatic treatment of these negative symptoms with medications and psychotherapy are almost non-existent, whereas treatment of the positive symptoms (hallucinations and delusions) has been more effective with psychotropic medications. New methods of treating negative symptoms are needed. Background and Significance There is increasing evidence from neuropsychological and imaging studies that cerebellar function is relevant not only to motor coordination, but equally to cognition and behavior (M. Rapoport et al 2000). -
The Cerebellum in Sagittal Plane-Anatomic-MR Correlation: 2
667 The Cerebellum in Sagittal Plane-Anatomic-MR Correlation: 2. The Cerebellar Hemispheres Gary A. Press 1 Thin (5-mm) sagittal high-field (1 .5-T) MR images of the cerebellar hemispheres James Murakami2 display (1) the superior, middle, and inferior cerebellar peduncles; (2) the primary white Eric Courchesne2 matter branches to the hemispheric lobules including the central, anterior, and posterior Dean P. Berthoty1 quadrangular, superior and inferior semilunar, gracile, biventer, tonsil, and flocculus; Marjorie Grafe3 and (3) several finer secondary white-matter branches to individual folia within the lobules. Surface features of the hemispheres including the deeper fissures (e.g., hori Clayton A. Wiley3 1 zontal, posterolateral, inferior posterior, and inferior anterior) and shallower sulci are John R. Hesselink best delineated on T1-weighted (short TRfshort TE) and T2-weighted (long TR/Iong TE) sequences, which provide greatest contrast between CSF and parenchyma. Correlation of MR studies of three brain specimens and 11 normal volunteers with microtome sections of the anatomic specimens provides criteria for identifying confidently these structures on routine clinical MR. MR should be useful in identifying, localizing, and quantifying cerebellar disease in patients with clinical deficits. The major anatomic structures of the cerebellar vermis are described in a companion article [1). This communication discusses the topographic relationships of the cerebellar hemispheres as seen in the sagittal plane and correlates microtome sections with MR images. Materials, Subjects, and Methods The preparation of the anatomic specimens, MR equipment, specimen and normal volunteer scanning protocols, methods of identifying specific anatomic structures, and system of This article appears in the JulyI August 1989 issue of AJNR and the October 1989 issue of anatomic nomenclature are described in our companion article [1]. -
Basal Ganglia & Cerebellum
1/2/2019 This power point is made available as an educational resource or study aid for your use only. This presentation may not be duplicated for others and should not be redistributed or posted anywhere on the internet or on any personal websites. Your use of this resource is with the acknowledgment and acceptance of those restrictions. Basal Ganglia & Cerebellum – a quick overview MHD-Neuroanatomy – Neuroscience Block Gregory Gruener, MD, MBA, MHPE Vice Dean for Education, SSOM Professor, Department of Neurology LUHS a member of Trinity Health Outcomes you want to accomplish Basal ganglia review Define and identify the major divisions of the basal ganglia List the major basal ganglia functional loops and roles List the components of the basal ganglia functional “circuitry” and associated neurotransmitters Describe the direct and indirect motor pathways and relevance/role of the substantia nigra compacta 1 1/2/2019 Basal Ganglia Terminology Striatum Caudate nucleus Nucleus accumbens Putamen Globus pallidus (pallidum) internal segment (GPi) external segment (GPe) Subthalamic nucleus Substantia nigra compact part (SNc) reticular part (SNr) Basal ganglia “circuitry” • BG have no major outputs to LMNs – Influence LMNs via the cerebral cortex • Input to striatum from cortex is excitatory – Glutamate is the neurotransmitter • Principal output from BG is via GPi + SNr – Output to thalamus, GABA is the neurotransmitter • Thalamocortical projections are excitatory – Concerned with motor “intention” • Balance of excitatory & inhibitory inputs to striatum, determine whether thalamus is suppressed BG circuits are parallel loops • Motor loop – Concerned with learned movements • Cognitive loop – Concerned with motor “intention” • Limbic loop – Emotional aspects of movements • Oculomotor loop – Concerned with voluntary saccades (fast eye-movements) 2 1/2/2019 Basal ganglia “circuitry” Cortex Striatum Thalamus GPi + SNr Nolte. -
Crossed Cerebellar Atrophy in Patients with Precocious Destructive Brain Insults
ORIGINAL CONTRIBUTION Crossed Cerebellar Atrophy in Patients With Precocious Destructive Brain Insults Ricardo A. Teixeira, MD; Li M. Li, MD, PhD; Sergio L. M. Santos, MD; Veronica A. Zanardi, MD, PhD; Carlos A. M. Guerreiro, MD, PhD; Fernando Cendes, MD, PhD Objective: To analyze the frequency and pathogenetic ciated with the extent of the supratentorial lesion (6 from factors of crossed cerebellar atrophy (CCA) in adult pa- group A, 1 from group B, and none from group C; tients with epilepsy secondary to destructive brain in- PϽ.001). Status epilepticus was present in 6 patients from sults of early development. group A and in none from the other groups. There was an association between the antecedent of status epilep- Methods: We studied 51 adult patients with epilepsy ticus and CCA (PϽ.001). All patients had atrophy of the and precocious destructive lesions. Patients were cerebral peduncle ipsilateral to the supratentorial lesion divided into 3 groups according to the topographic dis- and 4 had contralateral atrophy of the middle cerebellar tribution of their lesions on magnetic resonance imag- peduncle. The duration of epilepsy was not associated ing: group A, hemispheric (n=9); group B, main arterial with the presence of CCA (P=.20). territory (n=25); and group C, arterial border zone (n=17). We evaluated the presence of CCA visually and Conclusions: Our data suggest that in patients with epi- with cerebellar volumetric measurement, correlating it lepsy and destructive insults early in life, the extent of with the clinical data. Other features shown on mag- the supratentorial lesion as well as the antecedent of sta- netic resonance imaging, such as the thalamus, brain- tus epilepticus play a major role in the pathogenesis of stem, and middle cerebellar peduncle, were also care- CCA. -
Molar Tooth Sign of the Midbrain-Hindbrain Junction
American Journal of Medical Genetics 125A:125–134 (2004) Molar Tooth Sign of the Midbrain–Hindbrain Junction: Occurrence in Multiple Distinct Syndromes Joseph G. Gleeson,1* Lesley C. Keeler,1 Melissa A. Parisi,2 Sarah E. Marsh,1 Phillip F. Chance,2 Ian A. Glass,2 John M. Graham Jr,3 Bernard L. Maria,4 A. James Barkovich,5 and William B. Dobyns6** 1Division of Pediatric Neurology, Department of Neurosciences, University of California, San Diego, California 2Division of Genetics and Development, Children’s Hospital and Regional Medical Center, University of Washington, Washington 3Medical Genetics Birth Defects Center, Ahmanson Department of Pediatrics, Cedars-Sinai Medical Center, UCLA School of Medicine, Los Angeles, California 4Department of Child Health, University of Missouri, Missouri 5Departments of Radiology, Pediatrics, Neurology, Neurosurgery, University of California, San Francisco, California 6Department of Human Genetics, University of Chicago, Illinois The Molar Tooth Sign (MTS) is defined by patients with these variants of the MTS will an abnormally deep interpeduncular fossa; be essential for localization and identifica- elongated, thick, and mal-oriented superior tion of mutant genes. ß 2003 Wiley-Liss, Inc. cerebellar peduncles; and absent or hypo- plastic cerebellar vermis that together give KEY WORDS: Joubert; molar tooth; Va´ r- the appearance of a ‘‘molar tooth’’ on axial adi–Papp; OFD-VI; COACH; brain MRI through the junction of the mid- Senior–Lo¨ ken; Dekaban– brain and hindbrain (isthmus region). It was Arima; cerebellar vermis; first described in Joubert syndrome (JS) hypotonia; ataxia; oculomo- where it is present in the vast majority of tor apraxia; kidney cysts; patients with this diagnosis. -
Bilateral Cerebellar Dysfunctions in a Unilateral Meso-Diencephalic Lesion
J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.44.4.361 on 1 April 1981. Downloaded from Journal of Neurology, Neurosurgery, and Psychiatry, 1981, 44, 361-363 Short report Bilateral cerebellar dysfunctions in a unilateral meso-diencephalic lesion D VON CRAMON From the Max-Planck-Institute for Psychiatry, Munich, Germany SUMMARY The clinical syndrome of a 65-year-old patient with a slit-shaped right-sided meso- diencephalic lesion was analysed. A cerebellar syndrome with limb-kinetic ataxia, intention tremor and hypotonicity in all extremities as well as ataxic dysarthria was found. The disruption of the two cerebello-(rubro)-thalamic pathways probably explained the signs of bilateral cere- bellar dysfunction. The uncrossed ascending limb of the right, and the crossed one of the left brachium conjunctivum may have been damaged by the unilateral lesion extending between caudal midbrain and dorsal thalamus. Protected by copyright. Most of the fibres which constitute the superior general hospital where neurological examination cerebellar peduncle leave the cerebellum and showed bilateral miosis, convergent strabism, vertical originate in cells of the dentate nucleus but also gaze paresis on upward gaze with gaze-paretic nystag- arise from neurons of the globose and emboli- mus, flaccid sensori-motor hemiparesis with increased stretch reflexes and Babinski sign on the left side, forme nuclei. The crossed ascending fibres of the and dysmetric movements of the right upper extremity. brachia conjunctiva constitute the major outflow The CT scan showed an acute haemorrhage in the from the cerebellum, they form the cerebello- right mesodiencephalic area. On 19 February 1979 (rubro)-thalamic and dentato-thalamic tracts.' the patient was admitted to our department. -
Anatomy of Cerebellum Rajasekhar Sajja Srinivasa Siva Naga
Chapter Anatomy of Cerebellum Rajasekhar Sajja Srinivasa Siva Naga Abstract The cerebellum receives inputs from spinal cord, cerebrum, brainstem, and sensory systems of the body and controls the motor system of the body. The Cerebellum harmonizes the voluntary motor activities such as maintenance of posture and equilibrium, and coordination of voluntary muscular activity including learning of the motor behaviours. Cerebellum occupies posterior cranial fossa, and it is relatively a small part of the brain. It weighs about one tenth of the total brain. Cerebellar lesions do not cause motor or cognitive impairment. However, they cause slowing of movements, tremors, lack of equilibrium/balance. Complex motor action becomes shaky and faltering. Keywords: Cerebellum, Spinocerebellar ataxia, Cortex, Medulla, Peduncles, Nuclei 1. Introduction The Cerebellum is the largest part of the hindbrain and develops from the alar plates (rhombic lips) of the metencephalon. It lies between the temporal and occipital lobes of cerebrum and the brainstem in the posterior cranial fossa. It is attached to the posterior surface of the brainstem by three large white fibre bundles. It is attached to the midbrain by superior cerebel- lar peduncle, pons by middle cerebellar peduncle, and medulla by inferior cerebellar peduncle. Cerebellum is concerned with three primary functions: a) coordination of voluntary motor functions of the body initiated by the cerebral cortex at an uncon- scious level, b) maintenance of balance, and posture, c) Maintenance of muscle tone. It receives and integrates the sensory inputs from the cerebrum and the spinal cord necessary for a planning and smooth coordination of the movements [1]. Cerebellar lesions result in irregular and uncoordinated, awkward intentional muscle movements. -
Cerebellum and Thalamus Glioblastoma Multicêntrico Originado Em Dois Locais Incomuns: Cerebelo E Tálamo
J Bras Patol Med Lab, v. 49, n. 2, p. 134-138, abril 2013 CASE REPORT Multicentric glioblastoma arising in two unusual sites: cerebellum and thalamus Glioblastoma multicêntrico originado em dois locais incomuns: cerebelo e tálamo Eduardo Cambruzzi1; Karla Lais Pêgas2; Mariana Fernandez Simão3; Guilherme Stüker3 ABSTRACT Multicentric glioblastomas (MGBM) arising in infra/supratentorial regions are uncommon lesions. The authors report a case of MGBM in a 61 year-old female patient, who presented a sudden onset of left hemiplegia. The magnetic resonance imaging (MRI) showed two expansive large lesions affecting cerebellum and thalamus, with strong contrast enhancement. The patient underwent resection of the cerebellar lesion. Microscopy revealed a high grade glial neoplasm exhibiting high mitotic index, areas of necrosis and microvascular proliferation. The neoplastic cells showed positive immunoexpression for glial fibrillary acidic protein (GFAP). The morphological findings were consistent with glioblastoma (GBM). The patient was referred to radiotherapy, with discrete signs of tumor regression after a 60-day clinical follow-up. Key words: glioblastoma; central nervous system neoplasms; pathology; brain neoplasms; cerebellum; thalamus. INTRODUCTION CASE REPORT Glioblastomas (GBM) are the most frequent primary brain tumors, A 61 year-old female patient was admitted at the emergency accounting for approximately 12%-15% of all intracranial neoplasms service presenting a sudden onset of left hemiplegia. On physical and 60%-75% of astrocytic tumors(8, 10, 14). The process affects mainly examination, the other organs and systems did not show any adults with a peak incidence within 45 and 75 years of age. Most GBM changes, as there was no previous history of relevant disease. -
Occurrence of Long-Term Depression in the Cerebellar Flocculus During Adaptation of Optokinetic Response Takuma Inoshita, Tomoo Hirano*
SHORT REPORT Occurrence of long-term depression in the cerebellar flocculus during adaptation of optokinetic response Takuma Inoshita, Tomoo Hirano* Department of Biophysics, Graduate School of Science, Kyoto University, Sakyo-ku, Japan Abstract Long-term depression (LTD) at parallel fiber (PF) to Purkinje cell (PC) synapses has been considered as a main cellular mechanism for motor learning. However, the necessity of LTD for motor learning was challenged by demonstration of normal motor learning in the LTD-defective animals. Here, we addressed possible involvement of LTD in motor learning by examining whether LTD occurs during motor learning in the wild-type mice. As a model of motor learning, adaptation of optokinetic response (OKR) was used. OKR is a type of reflex eye movement to suppress blur of visual image during animal motion. OKR shows adaptive change during continuous optokinetic stimulation, which is regulated by the cerebellar flocculus. After OKR adaptation, amplitudes of quantal excitatory postsynaptic currents at PF-PC synapses were decreased, and induction of LTD was suppressed in the flocculus. These results suggest that LTD occurs at PF-PC synapses during OKR adaptation. DOI: https://doi.org/10.7554/eLife.36209.001 Introduction The cerebellum plays a critical role in motor learning, and a type of synaptic plasticity long-term *For correspondence: depression (LTD) at parallel fiber (PF) to Purkinje cell (PC) synapses has been considered as a primary [email protected]. cellular mechanism for motor learning (Ito, 1989; Hirano, 2013). However, the hypothesis that LTD ac.jp is indispensable for motor learning was challenged by demonstration of normal motor learning in Competing interests: The rats in which LTD was suppressed pharmacologically or in the LTD-deficient transgenic mice authors declare that no (Welsh et al., 2005; Schonewille et al., 2011). -
Pathogenesis of Chiari Malformation: a Morphometric Study of the Posterior Cranial Fossa
Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa Misao Nishikawa, M.D., Hiroaki Sakamoto, M.D., Akira Hakuba, M.D., Naruhiko Nakanishi, M.D., and Yuichi Inoue, M.D. Departments of Neurosurgery and Radiology, Osaka City University Medical School, Osaka, Japan To investigate overcrowding in the posterior cranial fossa as the pathogenesis of adult-type Chiari malformation, the authors studied the morphology of the brainstem and cerebellum within the posterior cranial fossa (neural structures consisting of the midbrain, pons, cerebellum, and medulla oblongata) as well as the base of the skull while taking into consideration their embryological development. Thirty patients with Chiari malformation and 50 normal control subjects were prospectively studied using neuroimaging. To estimate overcrowding, the authors used a "volume ratio" in which volume of the posterior fossa brain (consisting of the midbrain, pons, cerebellum, and medulla oblongata within the posterior cranial fossa) was placed in a ratio with the volume of the posterior fossa cranium encircled by bony and tentorial structures. Compared to the control group, in the Chiari group there was a significantly larger volume ratio, the two occipital enchondral parts (the exocciput and supraocciput) were significantly smaller, and the tentorium was pronouncedly steeper. There was no significant difference in the posterior fossa brain volume or in the axial lengths of the hindbrain (the brainstem and cerebellum). In six patients with basilar invagination the medulla oblongata was herniated, all three occipital enchondral parts (the basiocciput, exocciput, and supraocciput) were significantly smaller than in the control group, and the volume ratio was significantly larger than that in the Chiari group without basilar invagination. -
Cerebellar Histology & Circuitry
Cerebellar Histology & Circuitry Histology > Neurological System > Neurological System CEREBELLAR HISTOLOGY & CIRCUITRY SUMMARY OVERVIEW Gross Anatomy • The folding of the cerebellum into lobes, lobules, and folia allows it to assume a tightly packed, inconspicuous appearance in the posterior fossa. • The cerebellum has a vast surface area, however, and when stretched, it has a rostrocaudal expanse of roughly 120 centimeters, which allows it to hold an estimated one hundred billion granule cells — more cells than exist within the entire cerebral cortex. - It is presumed that the cerebellum's extraordinary cell count plays an important role in the remarkable rehabilitation commonly observed in cerebellar stroke. Histology Two main classes of cerebellar nuclei • Cerebellar cortical neurons • Deep cerebellar nuclei CEREBELLAR CORTICAL CELL LAYERS Internal to external: Subcortical white matter Granule layer (highly cellular) • Contains granule cells, Golgi cells, and unipolar brush cells. Purkinje layer 1 / 9 • Single layer of large Purkinje cell bodies. • Purkinje cells project a fine axon through the granule cell layer. - Purkinje cells possess a large dendritic system that arborizes (branches) extensively and a single fine axon. Molecular layer • Primarily comprises cell processes but also contains stellate and basket cells. DEEP CEREBELLAR NUCLEI From medial to lateral: Fastigial Globose Emboliform Dentate The globose and emboliform nuclei are also known as the interposed nuclei • A classic acronym for the lateral to medial organization of the deep nuclei is "Don't Eat Greasy Food," for dentate, emboliform, globose, and fastigial. NEURONS/FUNCTIONAL MODULES • Fastigial nucleus plays a role in the vestibulo- and spinocerebellum. • Interposed nuclei are part of the spinocerebellum. • Dentate nucleus is part of the pontocerebellum. -
Evidence for Genetically Distinct Direct and Indirect Spinocerebellar Pathways Mediating
bioRxiv preprint doi: https://doi.org/10.1101/2020.08.17.254607; this version posted August 18, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 Manuscript Title: Evidence for genetically distinct direct and indirect spinocerebellar pathways mediating 2 proprioception. 3 Abbreviated Title: Direct and indirect spinocerebellar pathways. 4 Author names and affiliations: 5 Iliodora V. Pop1, Felipe Espinosa1, Megan Goyal1, Bishakha Mona1, Mark A. Landy1, Osita W. Ogujiofor1, 6 Kevin M. Dean2, Channabasavaiah B. Gurumurthy3, 4, Helen C. Lai1 7 1 Dept. of Neuroscience, UT Southwestern Medical Center, Dallas, TX 75390 8 2 Dept. of Cell Biology, UT Southwestern Medical Center, Dallas, TX 75390 9 3 Mouse Genome Engineering Core Facility, University of Nebraska Medical Center, Omaha, NE 68198 10 4 Department of Pharmacology and Experimental Neuroscience, College of Medicine, University of 11 Nebraska Medical Center, Omaha, NE 68198 12 Corresponding author: Helen C. Lai, [email protected]. 13 Number of Pages: 42 Number of words for Abstract: 246 14 Number of Figures: 8 Number of words for Introduction: 1155 15 Number of Tables: 0 Number of words for Discussion: 2366 16 Number of Multimedia: 6 Number of 3D Models: 0 17 Acknowledgments: This work was supported by R01MH120131 and R34NS121873 to K.M.D., 18 R35HG010719 and R21GM129559 to C.B.G., and R01NS100741 to H.C.L. We thank Lin Gan for the 19 Atoh1Cre/+ knock-in mouse, Martyn Goulding for the Cdx2::FLPo mouse, Mark Behlke and Sarah Jacobi 20 from Integrated DNA Technologies for providing pre-production megamers, Rebecca Seal for the Vglut1 21 ISH probe, Qiufu Ma for the Vglut2 ISH probe, Thomas Jessell for the Gdnf ISH probe, Heankel Cantu 22 Oliveros and Wei Xu for the LentiFugE-Cre virus, Christine Ochoa for technical assistance, Neuroscience 23 Microscopy Facility which is supported by the UTSW Neuroscience Dept.