this is for holding javascript data
Cheryl Richards edited Pathophysiology.md
about 8 years ago
Commit id: de9e159b54e045c936a8d2b955818274270a2b5f
deletions | additions
diff --git a/Pathophysiology.md b/Pathophysiology.md
index 9ae1907..6ff4c5b 100644
--- a/Pathophysiology.md
+++ b/Pathophysiology.md
...
Researchers have used a variety of experimental paradigms to study motor response inhibition since tic expression seems related to motor inhibition difficulties. In healthy adults, performances on a stop-signal task and a continuous performance task were examined using positron emission tomography to measure striatal D1- and D2-type receptor availability \citep{25878272}. Stop-signal reaction time was negatively correlated with both D1- and D2-type receptor availability in both the associative striatum and the sensory motor striatum. Neither D1- nor D2-type receptor availability was associated with performance on the continuous performance task, suggesting that the stop-signal and continuous performance tasks are associated with different neurochemical mechanisms related to motor response inhibition.
A review examined
TS task-based fMRI studies in
TS, TS including studies of
premonitory urges, tic
suppression and suppression, voluntary motor
execution execution, voluntary motor inhibition, and tic severity \citep{26402403}. Free-ticcing conditions (four studies) most commonly activated the left cerebellum, right cingulum,
left middle frontal gyrus, the Rolandic operculum, right pallidum, right SMA and thalamus.
Two A summary of studies
examined the neural regions associated with tic generation. Only the left middle frontal gyrus was activated during both tic generation and tic suppression. On examining studies of motor response inhibition studies revealed that on NoGo trials TS subjects exhibited greater activation in the bilateral prefrontal cortex, thalamus and
caudate while caudate. In contrast, on voluntary motor execution
was associated with tasks greater activation in
TS subjects was seen in the left prefrontal cortex, right cingulum, and the anterior portion of the SMA.
The Tic severity ratings were correlated with greater activation of the right dorsal premotor and the
SMA were identified as the regions with activity correlated with tic severity ratings across studies. SMA. The premotor cortices of the medial wall (SMA/anterior cingulate cortex) were found to be involved across task types. The thalamus was involved in all types of studies except for self-produced movements. The authors also briefly summarize
remaining the the many issues
for related to neuroimaging
studies. studies such as the associated comorbidities, medication effects, the need for longitudinal studies, and the confounding effect of ticcing during scanning.
A whole-brain analysis of cortical gray matter found reduced gray matter thickness in the insula and sensorimotor cortex for TS children and young adults compared to a matched control group \citep{26538289}. Premonitory Urge for Tics Scale scores were negatively correlated with grey matter thickness in these areas. These results demonstrate the value of examining neural substrates associated with premonitory urges separately from those associated with tic generation.