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Research ArticleBrain
Open Access

Sensorimotor Cortex Gamma-Aminobutyric Acid Concentration Correlates with Impaired Performance in Patients with MS

P.K. Bhattacharyya, M.D. Phillips, L.A. Stone, R.A. Bermel and M.J. Lowe
American Journal of Neuroradiology September 2013, 34 (9) 1733-1739; DOI: https://doi.org/10.3174/ajnr.A3483
P.K. Bhattacharyya
aFrom the Imaging Institute (P.K.B., M.D.P., M.J.L.)
bLerner College of Medicine (P.K.B., R.A.B.)
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M.D. Phillips
aFrom the Imaging Institute (P.K.B., M.D.P., M.J.L.)
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L.A. Stone
cDepartment of Neurology (L.A.S., R.A.B.), Cleveland Clinic, Cleveland, Ohio.
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R.A. Bermel
bLerner College of Medicine (P.K.B., R.A.B.)
cDepartment of Neurology (L.A.S., R.A.B.), Cleveland Clinic, Cleveland, Ohio.
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M.J. Lowe
aFrom the Imaging Institute (P.K.B., M.D.P., M.J.L.)
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    Fig 1.

    GABA-edited spectra from 5 subjects (all patients) obtained by using MEGA-PRESS sequence. NAA and coedited glutamate (glu) and glutamine (gln) can be seen in the spectra in addition to GABA.

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    Fig 2.

    Inverse correlation of sensorimotor γ-aminobutyric acid concentration and Nine-Hole Peg Test scores in patients with multiple sclerosis. A fixed error bar of 30% is used for [GABA] in the plot.

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    Fig 3.

    Correlation of sensorimotor γ-aminobutyric acid concentration and fMRI activation volume in patients with multiple sclerosis. A fixed error bar of 30% is used for [GABA] in the plot.

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    Table 1:

    GABA and Cr concentrations in healthy controls and patients with MSa

    Voxel Composition[GABA]/[Cr][Cr] (mM)[GABA] (mM)
    % GM% WM% CSF
    Controls (n = 10)37 ± 752 ± 1211 ± 80.15 ± 0.059.22 ± 0.851.43 ± 0.48
    Patients (n = 13)34 ± 749 ± 1016 ± 50.19 ± 0.069.43 ± 1.431.71 ± 0.42
    • ↵a Values are means.

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    Table 2:

    Correlation coefficients of MSFC and components with GABA concentration and the ratio of GABA and Cr concentration

    GABA MSFCGABA/Cr MSFCGABA 9HPTGABA/Cr 9HPTGABA T25FWGABA/Cr T25FWGABA PASATGABA/Cr PASAT
    Controls (n = 10)−0.2233, P = .54−0.1728, P = .630.1035, P = .780.1824, P = .61−0.1680, P = .64−0.0133, P = .97−0.3341, P = .35−0.3124, P = .38
    Patients (n = 13)−0.3324, P = .27−0.2052, P = .50−0.6750,a P = .01−0.4807, P = .1−0.3865, P = .19−0.4155, P = .160.0504, P = .870.1161, P = .71
    • Note:—MSFC indicates Multiple Sclerosis Functional Composite.

    • ↵a Statistically significant.

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American Journal of Neuroradiology: 34 (9)
American Journal of Neuroradiology
Vol. 34, Issue 9
1 Sep 2013
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P.K. Bhattacharyya, M.D. Phillips, L.A. Stone, R.A. Bermel, M.J. Lowe
Sensorimotor Cortex Gamma-Aminobutyric Acid Concentration Correlates with Impaired Performance in Patients with MS
American Journal of Neuroradiology Sep 2013, 34 (9) 1733-1739; DOI: 10.3174/ajnr.A3483

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Sensorimotor Cortex Gamma-Aminobutyric Acid Concentration Correlates with Impaired Performance in Patients with MS
P.K. Bhattacharyya, M.D. Phillips, L.A. Stone, R.A. Bermel, M.J. Lowe
American Journal of Neuroradiology Sep 2013, 34 (9) 1733-1739; DOI: 10.3174/ajnr.A3483
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