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  1. Article: Brain MRI Biomarkers in Isolated Rapid Eye Movement Sleep Behavior Disorder: Where Are We? A Systematic Review.

    Grimaldi, Stephan / Guye, Maxime / Bianciardi, Marta / Eusebio, Alexandre

    Brain sciences

    2023  Volume 13, Issue 10

    Abstract: The increasing number of MRI studies focused on prodromal Parkinson's Disease (PD) demonstrates a strong interest in identifying early biomarkers capable of monitoring neurodegeneration. In this systematic review, we present the latest information ... ...

    Abstract The increasing number of MRI studies focused on prodromal Parkinson's Disease (PD) demonstrates a strong interest in identifying early biomarkers capable of monitoring neurodegeneration. In this systematic review, we present the latest information regarding the most promising MRI markers of neurodegeneration in relation to the most specific prodromal symptoms of PD, namely isolated rapid eye movement (REM) sleep behavior disorder (iRBD). We reviewed structural, diffusion, functional, iron-sensitive, neuro-melanin-sensitive MRI, and proton magnetic resonance spectroscopy studies conducted between 2000 and 2023, which yielded a total of 77 relevant papers. Among these markers, iron and neuromelanin emerged as the most robust and promising indicators for early neurodegenerative processes in iRBD. Atrophy was observed in several regions, including the frontal and temporal cortices, limbic cortices, and basal ganglia, suggesting that neurodegenerative processes had been underway for some time. Diffusion and functional MRI produced heterogeneous yet intriguing results. Additionally, reduced glymphatic clearance function was reported. Technological advancements, such as the development of ultra-high field MRI, have enabled the exploration of minute anatomical structures and the detection of previously undetectable anomalies. The race to achieve early detection of neurodegeneration is well underway.
    Language English
    Publishing date 2023-09-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci13101398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Molecular Imaging in CANVAS: A Contribution for Differential Diagnosis?

    Horowitz, Tatiana / Guedj, Eric / Eusebio, Alexandre / Fluchère, Frédérique / Azulay, Jean-Philippe / Delmont, Emilien / Grimaldi, Stephan

    Movement disorders clinical practice

    2024  

    Abstract: Background: Phenotypes of CANVAS are increasingly diversified, including bradykinesia and dysautonomia, so that its primary differential diagnoses are multiple system atrophy-cerebellar type (MSA-c), and spinocerebellar ataxia type 3 (SCA3). This case ... ...

    Abstract Background: Phenotypes of CANVAS are increasingly diversified, including bradykinesia and dysautonomia, so that its primary differential diagnoses are multiple system atrophy-cerebellar type (MSA-c), and spinocerebellar ataxia type 3 (SCA3). This case series aims to highlight key molecular imaging findings in CANVAS.
    Cases: We report a case series of six patients with CANVAS who underwent nuclear medicine examinations in our center and 13 patients from the literature. These include
    Conclusions: In CANVAS,
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Case Reports
    ISSN 2330-1619
    ISSN (online) 2330-1619
    DOI 10.1002/mdc3.14041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Mixture of Chemicals Found in Human Amniotic Fluid Disrupts Brain Gene Expression and Behavior in

    Leemans, Michelle / Spirhanzlova, Petra / Couderq, Stephan / Le Mével, Sébastien / Grimaldi, Alexis / Duvernois-Berthet, Evelyne / Demeneix, Barbara / Fini, Jean-Baptiste

    International journal of molecular sciences

    2023  Volume 24, Issue 3

    Abstract: Thyroid hormones (TH) are essential for normal brain development, influencing neural cell differentiation, migration, and synaptogenesis. Multiple endocrine-disrupting chemicals (EDCs) are found in the environment, raising concern for their potential ... ...

    Abstract Thyroid hormones (TH) are essential for normal brain development, influencing neural cell differentiation, migration, and synaptogenesis. Multiple endocrine-disrupting chemicals (EDCs) are found in the environment, raising concern for their potential effects on TH signaling and the consequences on neurodevelopment and behavior. While most research on EDCs investigates the effects of individual chemicals, human health may be adversely affected by a mixture of chemicals. The potential consequences of EDC exposure on human health are far-reaching and include problems with immune function, reproductive health, and neurological development. We hypothesized that embryonic exposure to a mixture of chemicals (containing phenols, phthalates, pesticides, heavy metals, and perfluorinated, polychlorinated, and polybrominated compounds) identified as commonly found in the human amniotic fluid could lead to altered brain development. We assessed its effect on TH signaling and neurodevelopment in an amphibian model (
    MeSH term(s) Humans ; Animals ; Xenopus laevis/metabolism ; Amniotic Fluid/metabolism ; Thyroid Hormones/metabolism ; Brain/metabolism ; Endocrine Disruptors/pharmacology ; Gene Expression ; Larva/metabolism
    Chemical Substances Thyroid Hormones ; Endocrine Disruptors
    Language English
    Publishing date 2023-01-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms24032588
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  4. Article ; Online: A Mixture of Chemicals Found in Human Amniotic Fluid Disrupts Brain Gene Expression and Behavior in Xenopus laevis

    Michelle Leemans / Petra Spirhanzlova / Stephan Couderq / Sébastien Le Mével / Alexis Grimaldi / Evelyne Duvernois-Berthet / Barbara Demeneix / Jean-Baptiste Fini

    International Journal of Molecular Sciences, Vol 24, Iss 2588, p

    2023  Volume 2588

    Abstract: Thyroid hormones (TH) are essential for normal brain development, influencing neural cell differentiation, migration, and synaptogenesis. Multiple endocrine-disrupting chemicals (EDCs) are found in the environment, raising concern for their potential ... ...

    Abstract Thyroid hormones (TH) are essential for normal brain development, influencing neural cell differentiation, migration, and synaptogenesis. Multiple endocrine-disrupting chemicals (EDCs) are found in the environment, raising concern for their potential effects on TH signaling and the consequences on neurodevelopment and behavior. While most research on EDCs investigates the effects of individual chemicals, human health may be adversely affected by a mixture of chemicals. The potential consequences of EDC exposure on human health are far-reaching and include problems with immune function, reproductive health, and neurological development. We hypothesized that embryonic exposure to a mixture of chemicals (containing phenols, phthalates, pesticides, heavy metals, and perfluorinated, polychlorinated, and polybrominated compounds) identified as commonly found in the human amniotic fluid could lead to altered brain development. We assessed its effect on TH signaling and neurodevelopment in an amphibian model ( Xenopus laevis ) highly sensitive to thyroid disruption. Fertilized eggs were exposed for eight days to either TH (thyroxine, T 4 10 nM) or the amniotic mixture (at the actual concentration) until reaching stage NF47, where we analyzed gene expression in the brains of exposed tadpoles using both RT-qPCR and RNA sequencing. The results indicate that whilst some overlap on TH-dependent genes exists, T 4 and the mixture have different gene signatures. Immunohistochemistry showed increased proliferation in the brains of T 4 -treated animals, whereas no difference was observed for the amniotic mixture. Further, we demonstrated diminished tadpoles’ motility in response to T 4 and mixture exposure. As the individual chemicals composing the mixture are considered safe, these results highlight the importance of examining the effects of mixtures to improve risk assessment.
    Keywords thyroid hormones ; endocrine disruption ; neurodevelopment ; Xenopus laevis ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Single Photon Emission Computed Tomography/Positron Emission Tomography Molecular Imaging for Parkinsonism: A Fast-Developing Field.

    Verger, Antoine / Grimaldi, Stephan / Ribeiro, Maria-Joao / Frismand, Solène / Guedj, Eric

    Annals of neurology

    2021  Volume 90, Issue 5, Page(s) 711–719

    Abstract: The early differential diagnosis of Parkinson disease and atypical parkinsonism is a major challenge. The use of single photon emission computed tomography (SPECT)/positron emission tomography (PET) molecular imaging to investigate parkinsonism is a fast- ...

    Abstract The early differential diagnosis of Parkinson disease and atypical parkinsonism is a major challenge. The use of single photon emission computed tomography (SPECT)/positron emission tomography (PET) molecular imaging to investigate parkinsonism is a fast-developing field. Imaging biomarker research may potentially lead to more accurate disease detection, enabling earlier diagnosis and treatment. This review summarizes recent SPECT/PET advances in radiopharmaceuticals and imaging technologies/analyses that improve the diagnosis of neurodegenerative parkinsonism. We are currently witnessing a turning point in the field. Integrating molecular imaging as a diagnostic technique represents an opportunity to reassess the strategies for diagnosing neurodegenerative parkinsonism. ANN NEUROL 2021;90:711-719.
    MeSH term(s) Biomarkers/analysis ; Humans ; Molecular Imaging/methods ; Parkinsonian Disorders/diagnosis ; Parkinsonian Disorders/physiopathology ; Positron-Emission Tomography/methods ; Radiopharmaceuticals/pharmacology ; Tomography, Emission-Computed, Single-Photon/methods
    Chemical Substances Biomarkers ; Radiopharmaceuticals
    Language English
    Publishing date 2021-08-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80362-5
    ISSN 1531-8249 ; 0364-5134
    ISSN (online) 1531-8249
    ISSN 0364-5134
    DOI 10.1002/ana.26187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Deep Brain Stimulation-Withdrawal Syndrome in Parkinson's Disease: Risk Factors and Pathophysiological Hypotheses of a Life-Threatening Emergency.

    Grimaldi, Stephan / Eusebio, Alexandre / Carron, Romain / Regis, Jean-Marie / Velly, Lionel / Azulay, Jean-Philippe / Witjas, Tatiana

    Neuromodulation : journal of the International Neuromodulation Society

    2022  Volume 26, Issue 2, Page(s) 424–434

    Abstract: Background and objectives: Subthalamic nucleus deep brain stimulation (DBS) is the most common therapeutic surgical procedure for patients with Parkinson's disease with motor fluctuations, dyskinesia, or tremor. Routine follow-up of patients allows ... ...

    Abstract Background and objectives: Subthalamic nucleus deep brain stimulation (DBS) is the most common therapeutic surgical procedure for patients with Parkinson's disease with motor fluctuations, dyskinesia, or tremor. Routine follow-up of patients allows clinicians to anticipate replacement of the DBS battery reaching the end of its life. Patients who experience a sudden stop of the DBS battery experience a rapid worsening of symptoms unresponsive to high dose of levodopa, in a life-threatening phenomenon called "DBS-withdrawal syndrome." In the current context of the COVID-19 pandemic, in which many surgeries are being deprogrammed, it is of utmost importance to determine to what extent DBS battery replacement surgeries should be considered an emergency. In this study, we attempt to identify risk factors of DBS-withdrawal syndrome and provide new insights about pathophysiological hypotheses. We then elaborate on the optimal approach to avoid and manage such a situation.
    Materials and methods: We conducted a systematic review of the literature on the subject and reported the cases of 20 patients (including five from our experience) with DBS-withdrawal syndrome, comparing them with 15 undisturbed patients (including three from our experience), all having undergone neurostimulation discontinuation.
    Results: A long disease duration at battery removal and many years of DBS therapy are the main potential identified risk factors (p < 0.005). In addition, a trend for older age at the event and higher Unified Parkinson's Disease Rating Scale motor score before initial DBS implantation (evaluated in OFF-drug condition) was found (p < 0.05). We discuss several hypotheses that might explain this phenomenon, including discontinued functioning of the thalamic-basal ganglia loop due to DBS-stimulation cessation in a context in which cortical-basal ganglia loop had lost its cortical input, and possible onset of a severe bradykinesia through the simultaneous occurrence of an alpha and high-beta synchronized state.
    Conclusions: The patients' clinical condition may deteriorate rapidly, be unresponsive to high dose of levodopa, and become life-threatening. Hospitalization is suggested for clinical monitoring. In the context of the current COVID-19 pandemic, it is important to widely communicate the replacement of DBS batteries reaching the end of their life. More importantly, in cases in which the battery has stopped, there should be no delay in performing replacement as an emergent surgery.
    MeSH term(s) Humans ; Parkinson Disease/therapy ; Parkinson Disease/drug therapy ; Levodopa/adverse effects ; Deep Brain Stimulation/adverse effects ; Deep Brain Stimulation/methods ; Pandemics ; Treatment Outcome ; COVID-19
    Chemical Substances Levodopa (46627O600J)
    Language English
    Publishing date 2022-11-04
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 1500372-3
    ISSN 1525-1403 ; 1094-7159
    ISSN (online) 1525-1403
    ISSN 1094-7159
    DOI 10.1016/j.neurom.2022.09.008
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  7. Article ; Online: Autoimmune Encephalitis Concomitant with SARS-CoV-2 Infection: Insight from

    Grimaldi, Stephan / Lagarde, Stanislas / Harlé, Jean-Robert / Boucraut, José / Guedj, Eric

    Journal of nuclear medicine : official publication, Society of Nuclear Medicine

    2020  Volume 61, Issue 12, Page(s) 1726–1729

    Abstract: We report the case of a 72-y-old man with concomitant autoimmune encephalitis and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient presented with subacute cerebellar syndrome and myoclonus several days after general ... ...

    Abstract We report the case of a 72-y-old man with concomitant autoimmune encephalitis and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient presented with subacute cerebellar syndrome and myoclonus several days after general infectious symptoms began.
    MeSH term(s) Aged ; Autoantibodies/metabolism ; COVID-19/complications ; COVID-19/diagnostic imaging ; COVID-19/immunology ; COVID-19/therapy ; Encephalitis/complications ; Fluorodeoxyglucose F18 ; Hashimoto Disease/complications ; Humans ; Male ; Neurons/immunology ; Positron-Emission Tomography
    Chemical Substances Autoantibodies ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
    Keywords covid19
    Language English
    Publishing date 2020-07-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80272-4
    ISSN 1535-5667 ; 0097-9058 ; 0161-5505 ; 0022-3123
    ISSN (online) 1535-5667
    ISSN 0097-9058 ; 0161-5505 ; 0022-3123
    DOI 10.2967/jnumed.120.249292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Increased Sodium Concentration in Substantia Nigra in Early Parkinson's Disease: A Preliminary Study With Ultra-High Field (7T) MRI.

    Grimaldi, Stephan / El Mendili, Mohamed Mounir / Zaaraoui, Wafaa / Ranjeva, Jean-Philippe / Azulay, Jean-Philippe / Eusebio, Alexandre / Guye, Maxime

    Frontiers in neurology

    2021  Volume 12, Page(s) 715618

    Abstract: Pathophysiology of idiopathic Parkinson's disease (iPD) is complex and still misunderstood. At a time when treatments with disease-modifying potential are being developed, identification of early markers of neurodegeneration is essential. Intracerebral ... ...

    Abstract Pathophysiology of idiopathic Parkinson's disease (iPD) is complex and still misunderstood. At a time when treatments with disease-modifying potential are being developed, identification of early markers of neurodegeneration is essential. Intracerebral sodium accumulation could be one of them. Indeed, it may be in relation to the mitochondrial dysfunction that early exists in iPD. For the first time, we used brain sodium (
    Language English
    Publishing date 2021-09-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2021.715618
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  9. Article ; Online: Early atypical signs and insula hypometabolism predict survival in multiple system atrophy.

    Grimaldi, Stephan / Boucekine, Mohamed / Witjas, Tatiana / Fluchere, Frederique / Azulay, Jean-Philippe / Guedj, Eric / Eusebio, Alexandre

    Journal of neurology, neurosurgery, and psychiatry

    2021  

    Abstract: Objective: We aim to search for predictors of survival among clinical and brain : Methods: We included patients with a 'probable' MSA diagnosis for whom a clinical evaluation and a brain PET were performed early in the course of the disease (median 3 ...

    Abstract Objective: We aim to search for predictors of survival among clinical and brain
    Methods: We included patients with a 'probable' MSA diagnosis for whom a clinical evaluation and a brain PET were performed early in the course of the disease (median 3 years, IQR 2-5). A retrospective analysis was conducted using standardised data collection. Brain PET metabolism was characterised using the Automated Anatomical Labelling Atlas. A Cox model was applied to look for factors influencing survival. Kaplan-Meier method estimated the survival rate. We proposed to develop a predictive 'risk score', categorised into low-risk and high-risk groups, using significant variables entered in multivariate Cox regression analysis.
    Results: Eighty-five patients were included. The overall median survival was 8 years (CI 6.64 to 9.36). Poor prognostic factors were orthostatic hypotension (HR=6.04 (CI 1.58 to 23.12), p=0.009), stridor (HR=3.41 (CI 1.31 to 8.87), p=0.012) and glucose PET hypometabolism in the left insula (HR=0.78 (CI 0.66 to 0.92), p=0.004). Good prognostic factors were time to diagnosis (HR=0.68 (CI 0.54 to 0.86), p=0.001) and use of selective serotonin reuptake inhibitor (SSRI) (HR=0.17 (CI 0.06 to 0.46), p<0.001). The risk score revealed a 5-year gap separating the median survival of the two groups obtained (5 years vs 10 years; HR=5.82 (CI 2.94 to 11.49), p<0.001).
    Conclusion: The clinical prognosis factors we have described support published studies. Here, we also suggest that brain PET is of interest for prognosis assessment and in particular in the search for left insula hypometabolism. Moreover, SSRIs are a potential drug candidate to slow the progression of the disease.
    Language English
    Publishing date 2021-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 3087-9
    ISSN 1468-330X ; 0022-3050
    ISSN (online) 1468-330X
    ISSN 0022-3050
    DOI 10.1136/jnnp-2020-324823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Adult H3K27M mutated thalamic glioma patients display a better prognosis than unmutated patients.

    Grimaldi, Stéphan / Harlay, Vincent / Appay, Romain / Bequet, Céline / Petrirena, Grégorio / Campello, Chantal / Barrié, Maryline / Autran, Didier / Boissonneau, Sébastien / Graillon, Thomas / Figarella-Branger, Dominique / Nanni, Isabelle / Chinot, Olivier / Tabouret, Emeline

    Journal of neuro-oncology

    2022  Volume 156, Issue 3, Page(s) 615–623

    Abstract: Background: Adult thalamic gliomas are a rare entity whose management is challenging for physicians. The aim of this study is to describe the characteristics and prognostic factors of thalamic gliomas in adult patients.: Methods: We retrospectively ... ...

    Abstract Background: Adult thalamic gliomas are a rare entity whose management is challenging for physicians. The aim of this study is to describe the characteristics and prognostic factors of thalamic gliomas in adult patients.
    Methods: We retrospectively analyzed the clinical, neuro-radiological, histological, and molecular characteristics of all cases of adult thalamic glioma in our regional center.
    Results: We included 38 adult patients. Median age at diagnosis was 56.5 years old (range, 24-80). Median KPS at diagnosis was 70%. Two-thirds of patients presented with tumor necrosis on MRI. Bithalamic lesions were present in four patients. The median volume of enhancement associated with lesions was relatively small (14 mm
    Conclusion: Thalamic adult glioma differs from bithalamic glioma in children with regards to its clinical, radiological and molecular profiles. Long-term survival is observed in young patients with limited symptoms and H3K27M mutation. A larger prospective cohort is needed to validate these findings.
    MeSH term(s) Adult ; Brain Neoplasms/genetics ; Brain Neoplasms/therapy ; Glioma/genetics ; Glioma/therapy ; Histones/genetics ; Humans ; Mutation ; Prognosis ; Retrospective Studies ; Thalamus/pathology
    Chemical Substances Histones
    Language English
    Publishing date 2022-01-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604875-4
    ISSN 1573-7373 ; 0167-594X
    ISSN (online) 1573-7373
    ISSN 0167-594X
    DOI 10.1007/s11060-022-03943-7
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