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Diffusion tensor imaging and voxel based morphometry study in amyotrophic lateral sclerosis: relationships with motor disability.

Abstract : The aim of this study was to investigate the extent of cortical and subcortical lesions in amyotrophic lateral sclerosis (ALS) using, in combination, voxel based diffusion tensor imaging (DTI) and voxel based morphometry (VBM). We included 15 patients with definite or probable ALS and 25 healthy volunteers. Patients were assessed using the revised ALS Functional Rating Scale (ALSFRS-R). In patients, reduced fractional anisotropy was found in bilateral corticospinal tracts, the left insula/ventrolateral premotor cortex, the right parietal cortex and the thalamus, which correlated with the ALSFRS-R. Increased mean diffusivity (MD) was found bilaterally in the motor cortex, the ventrolateral premotor cortex/insula, the hippocampal formations and the right superior temporal gyrus, which did not correlate with the ALSFRS-R. VBM analysis showed no changes in white matter but widespread volume decreases in grey matter in several regions exhibiting MD abnormalities. In ALS patients, our results show that subcortical lesions extend beyond the corticospinal tract and are clinically relevant.
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https://www.hal.inserm.fr/inserm-00170039
Contributor : Lionel Thivard <>
Submitted on : Thursday, September 6, 2007 - 5:59:25 PM
Last modification on : Wednesday, October 14, 2020 - 4:06:05 AM
Long-term archiving on: : Friday, April 9, 2010 - 1:38:42 AM

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Lionel Thivard, Pierre-François Pradat, Stéphane Lehéricy, Luce Lacomblez, Didier Dormont, et al.. Diffusion tensor imaging and voxel based morphometry study in amyotrophic lateral sclerosis: relationships with motor disability.. Journal of Neurology, Neurosurgery and Psychiatry, BMJ Publishing Group, 2007, 78 (8), pp.889-92. ⟨10.1136/jnnp.2006.101758⟩. ⟨inserm-00170039⟩

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