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Cerebellar hypermetabolism in alcohol use disorder: compensatory mechanism or maladaptive plasticity?
- Source :
- Alcoholism: Clinical and Experimental Research, Alcoholism: Clinical and Experimental Research, Wiley, 2019, ⟨10.1111/acer.14158⟩
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
-
Abstract
- Background Despite severe structural brain abnormalities within the frontocerebellar circuit (FCC), cerebellar metabolism studied with 18 F-2-fluoro-deoxy-glucose-positron emission tomography (FDG-PET) is relatively preserved in patients with alcohol use disorder (AUD). The compensatory role of the cerebellum has been explored mainly through fMRI examination of AUD patients with the preserved level of performance. The present study aims at examining cerebellar metabolism and its relationship with regional brain metabolism and neuropsychological functioning in AUD patients. Methods Thirty-two recently detoxified AUD patients and 23 controls underwent an FDG-PET examination at rest. Participants also performed a neuropsychological battery assessing executive functions, verbal memory, and ataxia. Results Compared to controls, AUD patients had higher glucose uptake in the cerebellar lobule VIII, in association with hypometabolism, notably in several nodes of the FCC. Cerebellar hypermetabolism correlated negatively with regional hypometabolism in the premotor and frontal cortices. This pattern of regional hypermetabolism and hypometabolism related to ataxia and working memory deficits. Conclusions These specific brain-behavior relationships do not fulfill the criteria for brain compensatory processes. Cerebellar hypermetabolism may rather reflect the involvement of different pathological mechanisms, leading to a maladaptive plasticity phenomenon within the FCC in AUD patients who are early in abstinence. Further studies are required to examine the contributions of structural and functional connectivity alterations in the cerebellar hypermetabolism and the changes in these pathological mechanisms with abstinence or relapse.
- Subjects :
- Male
Cerebellum
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging
030508 substance abuse
Medicine (miscellaneous)
Alcohol use disorder
Neuropsychological Tests
Toxicology
Executive Function
[SCCO]Cognitive science
0302 clinical medicine
hypermetabolism
Medicine
Neuronal Plasticity
Neuropsychology
Middle Aged
Executive functions
Adaptation, Physiological
Magnetic Resonance Imaging
Psychiatry and Mental health
Alcoholism
medicine.anatomical_structure
Hypermetabolism
Female
[SDV.IB]Life Sciences [q-bio]/Bioengineering
medicine.symptom
0305 other medical science
Adult
fronto-cerebellar circuit
Ataxia
cerebellum
alcohol use disorder
03 medical and health sciences
Memory
mental disorders
Humans
Brain Chemistry
Memory Disorders
business.industry
Working memory
[SCCO.NEUR]Cognitive science/Neuroscience
medicine.disease
maladaptive plasticity
Glucose
nervous system
Positron-Emission Tomography
Verbal memory
business
Neuroscience
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 01456008 and 15300277
- Database :
- OpenAIRE
- Journal :
- Alcoholism: Clinical and Experimental Research, Alcoholism: Clinical and Experimental Research, Wiley, 2019, ⟨10.1111/acer.14158⟩
- Accession number :
- edsair.doi.dedup.....5117f7543b95c10c847362797a1ae797