Epilepsy-related cytoarchitectonic abnormalities along white matter pathways

Objective Temporal lobe epilepsy (TLE) is one of the most common forms of epilepsy. Unfortunately, the clinical outcomes of TLE cannot be determined based only on current diagnostic modalities. A better understanding of white matter (WM) connectivity changes in TLE may aid the identification of network abnormalities associated with TLE and the phenotypic characterisation of the disease. Methods We implemented a novel approach for characterising microstructural changes along WM pathways using diffusional kurtosis imaging (DKI). Along-the-tract measures were compared for 32 subjects with left TLE and 36 age-matched and gender-matched controls along the left and right fimbria-fornix (FF), parahippocampal WM bundle (PWMB), arcuate fasciculus (AF), inferior longitudinal fasciculus (ILF), uncinate fasciculus (UF) and cingulum bundle (CB). Limbic pathways were investigated in relation to seizure burden and control with antiepileptic drugs. Results By evaluating measures along each tract, it was possible to identify abnormalities localised to specific tract subregions. Compared with healthy controls, subjects with TLE demonstrated pathological changes in circumscribed regions of the FF, PWMB, UF, AF and ILF. Several of these abnormalities were detected only by kurtosis-based and not by diffusivity-based measures. Structural WM changes correlated with seizure burden in the bilateral PWMB and cingulum. Conclusions DKI improves the characterisation of network abnormalities associated with TLE by revealing connectivity abnormalities that are not disclosed by other modalities. Since TLE is a neuronal network disorder, DKI may be well suited to fully assess structural network abnormalities related to epilepsy and thus serve as a tool for phenotypic characterisation of epilepsy

Dissociable contributions of the prefrontal cortex in group-based cooperation

© The Author(s) (2018). Published by Oxford University Press. The success of our political institutions, environmental stewardship and evolutionary fitness all hinge on our ability to prioritize collective-interest over self-interest. Despite considerable interest in the neuro-cognitive processes that underlie group cooperation, the evidence to date is inconsistent. Several papers support models of prosocial restraint, while more recent work supports models of prosocial intuition.We evaluate these competing models using a sample of lesion patients with damage to brain regions previously implicated in intuition and deliberation. Compared to matched control participants (brain damaged and healthy controls), we found that patients with dorsolateral prefrontal cortex (dlPFC) damage were less likely to cooperate in a modified public goods game, whereas patients with ventromedial prefrontal cortex (vmPFC) damage were more likely to cooperate. In contrast, we observed no association between cooperation and amygdala damage relative to controls. These findings suggest that the dlPFC, rather than the vmPFC or amygdala, plays a necessary role in groupbased cooperation. These findings suggest cooperation does not solely rely on intuitive processes. Implications for models of group cooperation are discussed

Acute seizures occurring in association with SARS-CoV-2

Seizures are an infrequent and serious neurological complication of SARS-CoV-2 infection, with limited data describing the etiology and the clinical context in which these occur or the associated electrographic and imaging findings. This series details four cases of seizures occurring in patients with COVID-19 with distinct time points, underlying pathology, and proposed physiological mechanisms. An enhanced understanding of seizure manifestations in COVID-19 and their clinical course may allow for earlier detection and improved patient management