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Poster Sessions<br />

1969. Regional and Global Cerebral Blood Flow Is Reduced in Patients with Post-Stroke Dementia<br />

Jiabao He 1 , Michael J. Firbank 2 , Rajesh N. Kalaria 2 , Baldev Singh 2 , Paul Danson 2 , John O'Brien 2 , Andrew<br />

M. Blamire 1<br />

1 Newcastle MR Centre and Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom; 2 Institute<br />

for Ageing and Health, Newcastle University, Newcastle upon Tyne, United Kingdom<br />

Stroke is one of the most important risk factors for dementia. In stroke survivors who do not have immediate, severe cognitive impairment, the risk of<br />

developing dementia is significantly increased. Stroke may also exacerbate or trigger the development of neurodegenerative pathology. Small vessel<br />

vascular effects may be an important factor in neurodegeneration. We compared CBF in post-stroke patients with and without cognitive decline, patients<br />

with Alzheimer’s disease and healthy controls. Regional and global deficits in CBF were found in patients with post-stroke dementia resembling patterns of<br />

change in AD patients, while cognitively intact post-stroke patients had normal CBF.<br />

1970. The Effects of ApoE4 Allele and Age on Subcortical Brain Atrophy in HIV Positive Subjects<br />

Linda Chang 1 , Marilou Andres 2 , Jeff Sadino 1 , Caroline Jiang 1 , Helenna Nakama 3 , Ute Feger 1 , Thomas<br />

Ernst 1<br />

1 Department of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, United States; 2 Pacific<br />

Biomedical Research Center, University of Hawaii at Manoa, Honolulu, HI, United States; 3 Department of Psychiatry, John A. Burns<br />

School of Medicine, University of Hawaii at Manoa, Honolulu, HI, United States<br />

The presence of apolipoprotein (Apo) E4 allele may accelerate the progression of HIV disease, and increase the risk for developing HIV associated<br />

neurocognitive disorder (HAND). Whether Apo E4 allele and age may influence subcortical brain atrophy in HIV patients are unknown and were evaluated<br />

in this study. Smaller subcortical structures were found in HIV patients with HAND, less so in those with normal cognition. ApoE4 genotype was<br />

associated with greater atrophic effects in the younger but not older HIV patients, which suggests that ongoing neuro-inflammatory processes may be more<br />

robust and have stronger deleterious effects in the younger patients.<br />

1971. Increased Folding Complexity of the Left Temporal Pole in Temporal Lobe Epilepsy<br />

Natalie L. Voets 1,2 , Boris C. Bernhardt 2 , Hosung Kim 2 , Andrea Bernasconi 2<br />

1 University of Oxford FMRIB Centre, Oxford, Oxfordshire, United Kingdom; 2 Montreal Neurological Institute and Hospital, McGill<br />

University, NeuroImaging of Epilepsy Laboratory and McConnell Brain Imaging Centre, Montreal, Quebec, Canada<br />

Converging histological and radiological data suggest neurodevelopmental abnormalities may play a role in the pathogenesis of drug-resistant temporal lobe<br />

epilepsy (TLE). Using surface-based cortical curvature measures, we identified abnormally increased cortical folding in the left temporal pole of patients<br />

with both left and right TLE as compared to healthy controls. Increased left temporopolar folding was associated with abnormal positioning of the ipsilateral<br />

hippocampus in left TLE patients, and associated with unfavourable surgical outcome in patients with a right-sided seizure focus. These results suggest<br />

abnormalities in global limbic network connectivity may play an important role in temporal lobe epileptogenesis.<br />

1972. 1H NMR Metabolomics Study of Cerebrospinal Fluid (CSF) in Amyotrophic Lateral Sclerosis (ALS)<br />

Patients<br />

Lydie Nadal-Desbarats 1 , Helène Blasco 2 , Segolene Veau 2 , Patrick Vourc'h 2 , Caroline Moreau 3 , David<br />

Devos 3 , Philippe Corcia 4 , Christian R. Andres 2<br />

1 Laboratoire de RMN, INSERM U930 - CNRS 2448 - Université François Rabelais, Tours, France; 2 Laboratoire de Biochimie et<br />

Biologie moleculaire, Inserm U930-CNRS 2448 - Université François Rabelais, Tours, France; 3 Service de Neurologie et Pathologie<br />

du Mouvement, EA2683, Hopital R. Salengro - CHRU Lille, Lille, France; 4 Centre SLA, CHRU Bretonneau, Tours, France<br />

Amyotrophic lateral sclerosis is a progressive neurodegenerative disease. Pathophysiological mechanisms involved in this disease are complex but remain<br />

for the most part unknown. This lack of knowledge might explain the absence of reliable biological marker. CSF could be a source of biomarkers. The aim<br />

of this study was to analyze CSF of patients with ALS by 1H NMR in order to identify biomarkers in the early stage of the disease, and to evaluate the<br />

biochemical factors involved in this disease. We quantified 18 metabolites like amino-acids, organic acids and ketonic bodies. Higher concentrations of<br />

metabolites such as ketone bodies contribute to the PCA separation between the two populations.<br />

1973. T 1 -Weighted Images Detect Motor Neuron Degeneration in ALS<br />

Govind Nair 1 , John D. Carew 2,3 , Sharon Usher 4 , Michael Benatar 4,5 , Xiaoping P. Hu 1<br />

1 Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, United States; 2 Institute<br />

for Health Studies, Carolinas HealthCare System, Charlotte, NC, United States; 3 School of Public Health, Emory University, Atlanta,<br />

GA, United States; 4 Department of Neurology, Emory University, Atlanta, GA, United States; 5 Department of Epidemiology, Emory<br />

University, Atlanta, GA, United States<br />

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease affecting the motor neurons in the brain and spinal cord. VBM analysis<br />

performed on T1-weighted images of the brain revealed significant changes in the motor cortex and supporting white matter of ALS patients compared with<br />

age-matched healthy control subjects. ROI analysis revealed a significant decrease in signal intensity from these regions, with signal intensity of ALS group<br />

showing significant correlation with clinical measures of disease severity. These findings suggest that T1-weighted images may have utility as an imaging<br />

biomarker of disease progression in ALS.

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