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  • 1
    Online Resource
    Online Resource
    Elsevier BV ; 2000
    In:  NeuroImage Vol. 11, No. 5 ( 2000-5), p. S346-
    In: NeuroImage, Elsevier BV, Vol. 11, No. 5 ( 2000-5), p. S346-
    Type of Medium: Online Resource
    ISSN: 1053-8119
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2000
    detail.hit.zdb_id: 1471418-8
    SSG: 5,2
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  • 2
    In: NeuroImage, Elsevier BV, Vol. 11, No. 5 ( 2000-5), p. S347-
    Type of Medium: Online Resource
    ISSN: 1053-8119
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2000
    detail.hit.zdb_id: 1471418-8
    SSG: 5,2
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  • 3
    In: Cerebrovascular Diseases, S. Karger AG, Vol. 38, No. 2 ( 2014), p. 94-100
    Abstract: The purpose of this study was to evaluate cerebrovascular reactivity (CVR) of major arterial vascular territories, particularly in the contralateral hemodynamically unaffected hemisphere, in patients with unilateral internal carotid artery (ICA) steno-occlusive disease compared to control subjects with risk factors for cerebrovascular disease. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 In this retrospective observational study, twenty-seven patients with right-sided unilateral ICA steno-occlusive disease (age range, 25 to 91 years; 17 males) and twenty-one patients with left-sided unilateral ICA steno-occlusive disease (age range, 24 to 83 years; 14 males) and 41 control subjects were studied. CVR was quantitated as the change in blood oxygen level dependent (BOLD) MRI signal (as a surrogate of cerebral blood flow), in response to a consistently applied step change in the arterial partial pressure of carbon dioxide (PaCO 〈 sub 〉 2 〈 /sub 〉 ). The CVR of each major arterial vascular territory was assessed in the ipsilateral hemodynamically affected hemisphere and compared to the corresponding territory in the contralateral hemisphere. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 In patients, a significant reduction in CVR was observed in the ipsilateral anterior circulation compared to that of the corresponding territory on the contralateral side (0.027 ± 0.083 vs. 0.109 ± 0.066% BOLD change/ & #x200B;mm Hg, p 〈 0.0001) and to controls (0.195 ± 0.054% BOLD change/mm Hg, p 〈 0.0001). The CVR of the contralateral anterior circulation was reduced on average by 50% compared to controls (p 〈 0.0001). 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 The implication of these findings is that unilateral carotid stenosis affects the vascular reserve of both sides of the brain compared to control subjects. This indicates that the collateral blood flow support from the contralateral to the ipsilateral hemisphere comes at a cost of reduced reserve capacity in the contralateral hemisphere. The findings suggest that there may be a reduction in functional hyperemia associated with neuronal activation, not only affecting the hemisphere ipsilateral to an occlusion, but also the hemisphere contralateral to an occlusion. It remains to be determined if ‘stealing' from the ‘rich' to support the ‘poor' has clinical consequences over the long term.
    Type of Medium: Online Resource
    ISSN: 1015-9770 , 1421-9786
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2014
    detail.hit.zdb_id: 1482069-9
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  • 4
    In: Hippocampus, Wiley, Vol. 14, No. 6 ( 2004-01), p. 752-762
    Abstract: Recent neuroimaging studies report preferential hippocampal engagement during autobiographical memory (AM) retrieval. Although the basis of this preferential activation remains unclear, it may be related to the temporal specificity, recency, or recollective qualities of AMs, such as detail, emotionality, and personal significance. Typically, however, these variables are confounded, and thus we sought to investigate the contributions of each to hippocampal activation during AM retrieval. We conducted an event‐related functional magnetic resonance imaging (fMRI) study in which participants retrieved temporally specific AMs and general, repeated AMs, and rated each for level of detail, emotion, or personal significance. These ratings, as well as the recency of AMs, were used in parametric modulation analyses to identify brain regions that correlated positively with ratings, independent of recency, and vice versa. Retrieval of AMs activated a number of regions, including the hippocampus. No differences in hippocampal activation were evident between specific and general AM retrieval, suggesting that temporal specificity, on its own, is not a key modulator of hippocampal activation. Activation of the left hippocampus during specific AM retrieval did vary with the level of detail, personal significance, and at a subthreshold level, emotionality, when the effect of recency was covaried out. Further, during general AM retrieval, all three recollective qualities modulated activity in the right hippocampus. Although the recency of specific AMs modulated hippocampal activation bilaterally, this effect dissipated in the left hippocampus when detail or emotionality was included as a covariate, and was no longer present in either hippocampus when personal significance was taken into account. Our results suggest that recollective qualities are important predictors of hippocampal engagement during AM retrieval independent of factors such as recency. These findings are consistent with theories of hippocampal function that emphasize its role in the recollection of multifaceted autobiographical experiences. © 2004 Wiley‐Liss, Inc.
    Type of Medium: Online Resource
    ISSN: 1050-9631 , 1098-1063
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2004
    detail.hit.zdb_id: 1498049-6
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  • 5
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2000
    In:  Nature Neuroscience Vol. 3, No. 3 ( 2000-3), p. 277-283
    In: Nature Neuroscience, Springer Science and Business Media LLC, Vol. 3, No. 3 ( 2000-3), p. 277-283
    Type of Medium: Online Resource
    ISSN: 1097-6256 , 1546-1726
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2000
    detail.hit.zdb_id: 1494955-6
    SSG: 12
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  • 6
    Online Resource
    Online Resource
    Elsevier BV ; 1998
    In:  Pediatric Neurology Vol. 19, No. 5 ( 1998-11), p. 337-342
    In: Pediatric Neurology, Elsevier BV, Vol. 19, No. 5 ( 1998-11), p. 337-342
    Type of Medium: Online Resource
    ISSN: 0887-8994
    Language: English
    Publisher: Elsevier BV
    Publication Date: 1998
    detail.hit.zdb_id: 2014321-7
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  • 7
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2020-11-12)
    Abstract: Ethanol poisoning is endemic the world over. Morbidity and mortality depend on blood ethanol levels which in turn depend on the balance between its rates of absorption and clearance. Clearance of ethanol is mostly at a constant rate via enzymatic metabolism. We hypothesized that isocapnic hyperpnea (IH), previously shown to be effective in acceleration of clearance of vapour anesthetics and carbon monoxide, would also accelerate the clearance of ethanol. In this proof-of-concept pilot study, five healthy male subjects were brought to a mildly elevated blood ethanol concentration (~ 0.1%) and ethanol clearance monitored during normal ventilation and IH on different days. IH increased elimination rate of ethanol in proportion to blood levels, increasing the elimination rate more than three-fold. Increased veno-arterial ethanol concentration differences during IH verified the efficacy of ethanol clearance via the lung. These data indicate that IH is a nonpharmacologic means to accelerate the elimination of ethanol by superimposing first order elimination kinetics on underlying zero order liver metabolism. Such kinetics may prove useful in treating acute severe ethanol intoxication.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2615211-3
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  • 8
    In: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, Cambridge University Press (CUP), Vol. 47, No. 3 ( 2020-05), p. 366-373
    Abstract: Ralentissement de la réponse cérébrovasculaire dans le lobe temporal et le cortex pariétal chez des patients atteints de la maladie d’Alzheimer . Contexte : Des travaux de recherche récents suggèrent désormais que la réactivité cérébrovasculaire (RCV), en plus d’être altérée dans le cas de patients atteints de la maladie d’Alzheimer (MA), pourrait renforcer la composante neurovasculaire de cette maladie. Il n’empêche que notre compréhension des liens entre l’ampleur de la RCV, la rapidité d’une réponse cérébrovasculaire et la progression de la MA demeure limitée. Cela est particulièrement vrai dans le cas de patients aux prises avec des troubles cognitifs légers (TCL), lesquels sont reconnus comme étant des affections intermédiaires entre le vieillissement normal et la démence. L’objectif de cette étude est donc de se pencher sur les cas de patients atteints de MA et de TCL en établissant des mesures répétables et précises de la fonction cérébrovasculaire, à savoir l’ampleur et la rapidité de la réponse cérébrovasculaire (τ) à une stimulation vasoactive dans les principales régions de dysfonctionnement vasculaire associées à la MA. Méthodes : Au total, 33 sujets âgés de 52 à 83 ans, 20 étant des hommes, ont été recrutés de façon prospective. La RCV et la réponse cérébrovasculaire (τ) ont été évaluées au moyen d’IRM détectant le signal BOLD ( blood oxygen level-dependent ) à l’occasion d’une stimulation standardisée de dioxyde de carbone. Des résultats se rapportant à deux régions d’intérêt (lobe temporal et cortex pariétal) ont été obtenus à partir d’images anatomiques et du logiciel d’imagerie FreeSurfer. Résultats : Sur ces 33 sujets recrutés, 3 d’entre eux ont fini par être exclus. Sur ces 30 sujets, 6 étaient atteints d’une forme précoce de MA, 11 étaient aux prises avec des TCL alors que 13 autres ont intégré notre groupe de témoins en santé. À la suite d’une analyse correctrice de covariance à sens unique pour l’âge et pour des scores évaluant la sévérité de cas de microangiopathie et d’une correction de Bonferroni a posteriori , la réponse cérébrovasculaire (τ) s’est avérée sensiblement plus élevée dans le groupe de patients atteints de la MA en comparaison avec nos témoins en santé, et ce, qu’il s’agisse du lobe temporal (p = 0,03) et du cortex pariétal (p = 0,01). Conclusion : Les résultats de cette étude suggèrent en somme que la MA est associée à un ralentissement de la réponse cérébrovasculaire dans le lobe temporal et dans le cortex pariétal.
    Type of Medium: Online Resource
    ISSN: 0317-1671 , 2057-0155
    RVK:
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2577275-2
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  • 9
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 39, No. 7 ( 2008-07), p. 1993-1998
    Abstract: Background and Purpose— Age-related white matter disease (leukoaraiosis) clusters in bands in the centrum semiovale, about the occipital and frontal horns of the lateral ventricles, in the corpus callosum, and internal capsule. Cerebrovascular anatomy suggests that some of these locations represent border zones between arterial supply territories. We hypothesized that there are zones of reduced cerebrovascular reserve (susceptible to selective reductions in blood flow, ie, steal phenomenon) in the white matter of young, healthy subjects, the physiological correlate of these anatomically defined border zones. Furthermore, we hypothesized that these zones spatially correspond with the regions where the elderly develop leukoaraiosis. Methods— Twenty-eight healthy volunteers underwent functional MR mapping of the cerebrovascular response to hypercapnia. We studied 18 subjects by blood oxygen level-dependent MRI and 10 subjects by arterial spin labeling MRI. We controlled both end-tidal p co 2 and p o 2 . All functional data was registered in Montreal Neurological Institute space and generated composite blood oxygen level-dependent MR and arterial spin labeling MR maps of cerebrovascular reserve. We compared these maps with frequency maps of leukoaraiosis published previously. Results— Composite maps demonstrated significant (90% CI excluding the value zero) steal phenomenon in the white matter. This steal was induced by relatively small changes in end-tidal p co 2 . It occurred precisely in those locations where elderly patients develop leukoaraiosis. Conclusions— This steal phenomenon likely represents the physiological correlate of the previously anatomically defined internal border zones. Spatial concordance with white matter changes in the elderly raises the possibility that this steal phenomenon may have a pathogenetic role.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2008
    detail.hit.zdb_id: 1467823-8
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  • 10
    Online Resource
    Online Resource
    AME Publishing Company ; 2021
    In:  Quantitative Imaging in Medicine and Surgery Vol. 11, No. 11 ( 2021-11), p. 4530-4542
    In: Quantitative Imaging in Medicine and Surgery, AME Publishing Company, Vol. 11, No. 11 ( 2021-11), p. 4530-4542
    Type of Medium: Online Resource
    ISSN: 2223-4292 , 2223-4306
    Language: Unknown
    Publisher: AME Publishing Company
    Publication Date: 2021
    detail.hit.zdb_id: 2653586-5
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