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[PMID]: | 28455103 |
[Au] Autor: | Williams CAL; Panerai RB; Robinson TG; Haunton VJ |
[Ad] Endereço: | University of Leicester, Department of Cardiovascular Sciences, Leicester, UK. Electronic address: calw1@student.le.ac.uk. |
[Ti] Título: | Transcranial Doppler ultrasonography in the assessment of neurovascular coupling responses to cognitive examination in healthy controls: A feasibility study. |
[So] Source: | J Neurosci Methods;284:57-62, 2017 Jun 01. | [Is] ISSN: | 1872-678X |
[Cp] País de publicação: | Netherlands |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: We tested the hypothesis that paradigms from the Addenbrooke's Cognitive Examination (ACE-III), including those that had not been studied using TCD previously (novel) versus those which had been (established), would elicit changes in CBF velocity (CBFv). NEW METHOD: Healthy subjects were studied with bilateral transcranial Doppler (TCD), beat-to-beat blood pressure (Finapres), continuous electrocardiogram (ECG), and end-tidal CO (nasal capnography). After a 5-min baseline recording, cognitive tests of the ACE-III were presented to subjects, covering attention (SUB7, subtracting 7 from 100 sequentially), language (REP, repeating words and phrases), fluency (N-P, naming words), visuospatial (DRAW, clock-drawing), and memory (MEM, recalling name and address). An event marker noted question timing. RESULTS: Forty bilateral data sets were obtained (13 males, 37 right-hand dominant) with a median age of 31 years (IQR 22-52). Population normalized mean peak CBFv% in the dominant and non-dominant hemispheres, respectively, were: SUB7 (11.3±9.6%, 11.2±10.5%), N-P (12.7±11.7%, 11.5±12.0%), REP (12.9±11.7%, 11.6±11.6%), DRAW (13.3±11.7%, 13.2±15.4%) and MEM (13.2±10.3%, 12.0±10.1%). There was a significant difference between the dominant and non-dominant CBFv responses (p<0.008), but no difference between the amplitude of responses. COMPARISON WITH EXISTING METHODS: For established paradigms, our results are in excellent agreement to what has been found previously in the middle cerebral artery. CONCLUSIONS: Cognitive paradigms derived from the ACE-III led to significant lateralised changes in CBFv that were not distinct for novel paradigms. Further work is needed to assess the potential of paradigms to improve the interpretation of cognitive assessments in patients at risk of mild cognitive impairment. |
[Mh] Termos MeSH primário: |
Velocidade do Fluxo Sanguíneo/fisiologia Encéfalo/diagnóstico por imagem Encéfalo/fisiologia Circulação Cerebrovascular/fisiologia Cognição/fisiologia Acoplamento Neurovascular/fisiologia Ultrassonografia Doppler Transcraniana/métodos
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[Mh] Termos MeSH secundário: |
Adulto Mapeamento Encefálico/métodos Estudos de Viabilidade Feminino Seres Humanos Interpretação de Imagem Assistida por Computador/métodos Masculino Projetos Piloto Reprodutibilidade dos Testes Sensibilidade e Especificidade
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[Pt] Tipo de publicação: | EVALUATION STUDIES; JOURNAL ARTICLE |
[Em] Mês de entrada: | 1803 |
[Cu] Atualização por classe: | 180309 |
[Lr] Data última revisão:
| 180309 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170430 |
[St] Status: | MEDLINE |
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