Grey matter abnormalities in methcathinone abusers with a Parkinsonian syndrome Article Swipe
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· 2016
· Open Access
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· DOI: https://doi.org/10.1002/brb3.539
Background A permanent Parkinsonian syndrome occurs in intravenous abusers of the designer psychostimulant methcathinone (ephedrone). It is attributed to deposition of contaminant manganese, as reflected by characteristic globus pallidus hyperintensity on T1‐weighted MRI . Methods We have investigated brain structure and function in methcathinone abusers ( n = 12) compared to matched control subjects ( n = 12) using T1‐weighted structural and resting‐state functional MRI . Results Segmentation analysis revealed significant ( p < .05) subcortical grey matter atrophy in methcathinone abusers within putamen and thalamus bilaterally, and the left caudate nucleus. The volume of the caudate nuclei correlated inversely with duration of methcathinone abuse. Voxel‐based morphometry showed patients to have significant grey matter loss ( p < .05) bilaterally in the putamina and caudate nucleus. Surface‐based analysis demonstrated nine clusters of cerebral cortical thinning in methcathinone abusers, with relative sparing of prefrontal, parieto‐occipital, and temporal regions. Resting‐state functional MRI analysis showed increased functional connectivity within the motor network of patients ( p < .05), particularly within the right primary motor cortex. Conclusion Taken together, these results suggest that the manganese exposure associated with prolonged methcathinone abuse results in widespread structural and functional changes affecting both subcortical and cortical grey matter and their connections. Underlying the distinctive movement disorder caused by methcathinone abuse, there is a more widespread pattern of brain involvement than is evident from the hyperintensity restricted to the basal ganglia as shown by T1‐weighted structural MRI .
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/brb3.539
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.539
- OA Status
- gold
- Cited By
- 13
- References
- 48
- Related Works
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- OpenAlex ID
- https://openalex.org/W2517345310
Raw OpenAlex JSON
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https://openalex.org/W2517345310Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/brb3.539Digital Object Identifier
- Title
-
Grey matter abnormalities in methcathinone abusers with a Parkinsonian syndromeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-08-18Full publication date if available
- Authors
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Julius Juurmaa, Ricarda Menke, Pierre Vila, Andreas Müürsepp, Tiiu Tomberg, Pilvi Ilves, Mait Nigul, Heidi Johansen‐Berg, Michael Donaghy, Charlotte J. Stagg, Ainārs Stepens, Pille TabaList of authors in order
- Landing page
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https://doi.org/10.1002/brb3.539Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.539Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/brb3.539Direct OA link when available
- Concepts
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Putamen, Grey matter, Globus pallidus, Basal ganglia, Caudate nucleus, Hyperintensity, Psychology, Voxel-based morphometry, Thalamus, White matter, Neuroscience, Medicine, Magnetic resonance imaging, Central nervous system, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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13Total citation count in OpenAlex
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2025: 3, 2024: 1, 2022: 3, 2021: 2, 2020: 2Per-year citation counts (last 5 years)
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48Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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