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Assessing Cortical Cerebral Microinfarcts on High Resolution MR Images
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Functional deficits induced by cortical microinfarcts.

Philipp M Summers1, David A Hartmann1, Edward S Hui2

  • 11 Department of Neurosciences, Medical University of South Carolina, Charleston, SC, USA.

Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism
|January 17, 2017
PubMed
Summary
This summary is machine-generated.

Tiny cerebral microinfarcts cause widespread brain dysfunction, impacting brain function far beyond visible damage. This study reveals how these small injuries contribute to cognitive impairment in vascular dementia.

Keywords:
Microinfarctsmicrocirculationneurovascular couplingtwo-photon microscopyvascular cognitive impairment

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Area of Science:

  • Neuroscience
  • Vascular Biology
  • Medical Imaging

Background:

  • Cerebral microinfarcts are linked to cognitive impairment.
  • The extent of functional disruption by microinfarcts is not fully understood.
  • Microinfarcts represent a small percentage of total brain volume.

Purpose of the Study:

  • To investigate if microinfarcts cause functional deficits beyond visible tissue damage.
  • To quantify the extent of functional disruption caused by microinfarcts.
  • To explore the persistence of these functional deficits.

Main Methods:

  • Utilized a mouse model with targeted photothrombosis to induce single microinfarcts.
  • Employed in vivo structural and diffusion MRI for acute microinfarct core detection.
  • Used c-Fos assays and in vivo hemodynamic imaging to assess neuronal activity and blood flow.
  • Validated MRI findings with post-mortem neuronal viability stains.

Main Results:

  • In vivo MRI accurately identified acute microinfarct cores.
  • Functional deficits, including impaired neuronal activity and hemodynamics, were observed in viable tissue surrounding microinfarcts.
  • The volume of functionally impaired tissue was estimated to be at least 12-fold larger than the microinfarct core.
  • Hemodynamic deficits persisted for at least 14 days, suggesting lasting neuronal circuitry or neurovascular coupling issues.

Conclusions:

  • Microinfarcts disrupt brain function in areas significantly larger than the visible lesion.
  • These widespread functional deficits contribute to cognitive impairment seen in vascular dementia.
  • Understanding the broader impact of microinfarcts is crucial for developing effective treatments for cognitive decline.