Gray matter atrophy in narcolepsy: An activation likelihood estimation meta-analysis. (December 2015)

• Record Type: Journal Article
• Authors: Weng, Hsu-Huei; Chen, Chih-Feng; Tsai, Yuan-Hsiung; Wu, Chih-Ying; Lee, Meng; Lin, Yu-Ching; Yang, Cheng-Ta; Tsai, Ying-Huang; Yang, Chun-Yuh
• Is Part Of: Neuroscience and biobehavioral reviews. Volume 59(2015:Dec.)
• Page Start: 53
• Page End: 63
• Publication Date: 2015-12
• Subjects: Narcolepsy -- Magnetic resonance imaging (MRI) -- Gray matter -- Voxel-based morphometry (VBM) -- Meta-analysis -- Activation likelihood estimation (ALE); Psychophysiology -- Periodicals; Human behavior -- Periodicals; Animal behavior -- Periodicals; Neurology -- Periodicals; Behavior -- Periodicals; Ethology -- Periodicals; Neurology -- Periodicals; Psychophysiologie -- Périodiques; Comportement humain -- Périodiques; Animaux -- Mœurs et comportement -- Périodiques; Neurologie -- Périodiques; Animal behavior; Human behavior; Neurology; Psychophysiology; Periodicals; Electronic journals; 573.8
• DOI: 10.1016/j.neubiorev.2015.03.009
• Languages: English
• ISSNs: 0149-7634

Abstract

Highlights: The first imaging meta-analysis of regional gray matter differences in narcolepsy. Controversial voxel-based morphometry (VBM) results of narcolepsy have been reported. The consistent deficits found in the hypothalamus and frontotemporal regions. Regions for abnormal emotional processing and orexin/hypocretin pathway identified. Abstract: The authors reviewed the literature on the use of voxel-based morphometry (VBM) in narcolepsy magnetic resonance imaging (MRI) studies via the use of a meta-analysis of neuroimaging to identify concordant and specific structural deficits in patients with narcolepsy as compared with healthy subjects. We used PubMed to retrieve articles published between January 2000 and March 2014. The authors included all VBM research on narcolepsy and compared the findings of the studies by using gray matter volume (GMV) or gray matter concentration (GMC) to index differences in gray matter. Stereotactic data were extracted from 8 VBM studies of 149 narcoleptic patients and 162 control subjects. We applied activation likelihood estimation (ALE) technique and found significant regional gray matter reduction in the bilateral hypothalamus, thalamus, globus pallidus, extending to nucleus accumbens (NAcc) and anterior cingulate cortex (ACC), left mid orbital and rectal gyri (BAs 10 and 11), right inferior frontal gyrus (BA 47), and the right superior temporal gyrus (BA 41) in patients with narcolepsy. The significant gray matter deficits in narcoleptic patients occurred in the bilateral hypothalamus and frontotemporal regions, which may be related to the emotional processing abnormalities and orexin/hypocretin pathway common among populations of patients with narcolepsy.