PMID- 28131178 OWN - NLM STAT- MEDLINE DCOM- 20170602 LR - 20171210 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 373 DP - 2017 Feb 15 TI - Cortical control of vertical and horizontal saccades in progressive supranuclear palsy: An exploratory fMRI study. PG - 157-166 LID - S0022-510X(16)30842-5 [pii] LID - 10.1016/j.jns.2016.12.049 [doi] AB - Progressive supranuclear palsy (PSP) is a neurodegenerative disorder showing predominant brainstem involvement, characterized by marked slowing of rapid eye movements (saccades), particularly along the vertical plane. While the contribution of the brainstem damage for the saccadic disturbance in PSP has been extensively studied, much less is known about its cortical and subcortical pathomechanisms. We measured reflexive (prosaccades) and voluntary (antisaccades) saccades in the vertical and horizontal plane in PSP patients (n=8) and controls (n=10) in an eye tracking study, followed by the measurement of blood oxygenation-level dependent (BOLD) activation (PSP, n=6; controls, n=10) during similar saccade paradigms. Behaviorally, PSP patients evidenced slower and lower amplitude prosaccades (horizontal and vertical) and lower amplitude antisaccades (vertical) than controls. Functionally, patients showed decreased frontostriatal BOLD activation during prosaccades (horizontal and vertical) and antisaccades (vertical), relative to controls. Additionally, PSP patients showed less default mode network (DMN) deactivation than controls for all types of saccades. Within groups, controls showed no BOLD differences between horizontal and vertical prosaccades while PSP patients demonstrated greater DMN deactivation during vertical prosaccades. Both groups evidenced greater DMN deactivation during vertical antisaccades when compared to their horizontal counterpart and patients further showed relative frontostriatal BOLD hypoactivity during vertical antisaccades. We found fMRI evidence of frontostriatal hypoactivity in PSP patients relative to controls, especially during vertical saccades. These new findings highlight the impact of cortical impairment in saccadic disturbance of PSP. CI - Copyright (c) 2016 Elsevier B.V. All rights reserved. FAU - Lemos, J AU - Lemos J AD - Neurology Department, Coimbra University Hospital Center, Coimbra, Portugal. Electronic address: merrin72@hotmail.com. FAU - Pereira, D AU - Pereira D AD - Neuroradiology Department, Coimbra University Hospital Center, Coimbra, Portugal; Institute of Nuclear Sciences Applied to Health (ICNAS), Institute for Biomedical Imaging and Life Sciences (CNC.IBILI), Coimbra, Portugal. FAU - Almendra, L AU - Almendra L AD - Neurology Department, Coimbra University Hospital Center, Coimbra, Portugal. FAU - Rebelo, D AU - Rebelo D AD - Institute of Nuclear Sciences Applied to Health (ICNAS), Institute for Biomedical Imaging and Life Sciences (CNC.IBILI), Coimbra, Portugal. FAU - Patricio, M AU - Patricio M AD - Laboratory of Biostatistics and Medical Informatics, Health/Institute for Biomedical Imaging and Life Sciences, Faculty of Medicine, University of Coimbra, Coimbra, Portugal. FAU - Castelhano, J AU - Castelhano J AD - Institute of Nuclear Sciences Applied to Health (ICNAS), Institute for Biomedical Imaging and Life Sciences (CNC.IBILI), Coimbra, Portugal. FAU - Cunha, G AU - Cunha G AD - Neuroradiology Department, Coimbra University Hospital Center, Coimbra, Portugal; Institute of Nuclear Sciences Applied to Health (ICNAS), Institute for Biomedical Imaging and Life Sciences (CNC.IBILI), Coimbra, Portugal. FAU - Januario, C AU - Januario C AD - Neurology Department, Coimbra University Hospital Center, Coimbra, Portugal; Faculty of Medicine, Coimbra University, Coimbra, Portugal. FAU - Cunha, L AU - Cunha L AD - Neurology Department, Coimbra University Hospital Center, Coimbra, Portugal; Faculty of Medicine, Coimbra University, Coimbra, Portugal. FAU - Freire, A AU - Freire A AD - Neurology Department, Coimbra University Hospital Center, Coimbra, Portugal; Faculty of Medicine, Coimbra University, Coimbra, Portugal. FAU - Castelo-Branco, M AU - Castelo-Branco M AD - Institute of Nuclear Sciences Applied to Health (ICNAS), Institute for Biomedical Imaging and Life Sciences (CNC.IBILI), Coimbra, Portugal; Faculty of Medicine, Coimbra University, Coimbra, Portugal. LA - eng PT - Journal Article DEP - 20161227 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - S88TT14065 (Oxygen) SB - IM MH - Aged MH - Aged, 80 and over MH - Brain Mapping MH - Cerebral Cortex/diagnostic imaging/*physiopathology MH - Cerebrovascular Circulation/physiology MH - Eye Movement Measurements MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neural Pathways/diagnostic imaging/physiopathology MH - Neuropsychological Tests MH - Oxygen/blood MH - Saccades/*physiology MH - Supranuclear Palsy, Progressive/diagnostic imaging/*physiopathology OTO - NOTNLM OT - Basal ganglia OT - Eye movement measurements OT - Functional MRI OT - Progressive supranuclear palsy OT - Saccades EDAT- 2017/01/31 06:00 MHDA- 2017/06/03 06:00 CRDT- 2017/01/30 06:00 PHST- 2016/06/22 00:00 [received] PHST- 2016/11/25 00:00 [revised] PHST- 2016/12/23 00:00 [accepted] PHST- 2017/01/30 06:00 [entrez] PHST- 2017/01/31 06:00 [pubmed] PHST- 2017/06/03 06:00 [medline] AID - S0022-510X(16)30842-5 [pii] AID - 10.1016/j.jns.2016.12.049 [doi] PST - ppublish SO - J Neurol Sci. 2017 Feb 15;373:157-166. doi: 10.1016/j.jns.2016.12.049. Epub 2016 Dec 27.