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Updated: Feb 9, 2026

Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
Corticosteroids and the brain.
Marian Joëls1,2
1Department of Translational NeuroscienceBrain Center Rudolf Magnus, University Medical Center Utrecht, University of Utrecht, Utrecht, The Netherlands m.joels-2@umcutrecht.nl.
Brain corticosteroid hormones, like cortisol, influence brain activity and cognition after stress. A balanced response is key for resilience, but imbalances can worsen neurological and psychiatric disorders.
Area of Science:
- Neuroscience
- Endocrinology
- Cognitive Psychology
Background:
- The brain constantly interacts with adrenal corticosteroid hormones (e.g., cortisol).
- Hormone levels fluctuate naturally and in response to stress.
- Brain cells possess mineralocorticoid and glucocorticoid receptors mediating neuronal actions.
Purpose of the Study:
- To investigate the time- and region-dependent effects of corticosteroids on brain activity and cognition.
- To understand the role of balanced stress responses in resilience.
- To explore how compromised stress responses impact neurological and psychiatric disorders.
Main Methods:
- Review of experimental studies in humans and rodents.
- Analysis of time- and region-dependent changes in neuronal activity.
- Correlation of cognitive patterns with corticosteroid levels post-stress.
Main Results:
- Corticosteroid peaks enhance attention and vigilance, activating emotional and simple behavioral areas.
- Later, higher cognitive functions are engaged for contextual learning and memory.
- These distinct phases reflect adaptive responses to environmental changes.
Conclusions:
- A balanced, two-phase stress response is crucial for psychological and neurological resilience.
- Repeated stress can disrupt this balance, particularly in vulnerable individuals.
- Compromised stress responses are linked to psychiatric disorders and neurological conditions like epilepsy.
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