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Right-sided brain lesions predominate among patients with lesional mania

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Resumo:Despite claims that lesional mania is associated with right-hemisphere lesions, supporting evidence is scarce, and association with specific brain areas has not been demonstrated. Here, we aimed to test whether focal brain lesions in lesional mania are more often right- than left-sided, and if lesions converge on areas relevant to mood regulation. We thus performed a systematic literature search (PROSPERO registration CRD42016053675) on PubMed and Web-Of-Science, using terms that reflect diagnoses and structures of interest, as well as lesional mechanisms. Two researchers reviewed the articles separately according to PRISMA Guidelines, selecting reports of adult-onset hypomania, mania or mixed state following a focal brain lesion, for pooled-analyses of individual patient data. Eligible lesion images were manually traced onto the corresponding MNI space slices, and lesion topography analyzed using standard brain atlases. Using this approach, data from 211 lesional mania patients was extracted from 114 reports. Among 201 cases with focal lesions, more patients had lesions involving exclusively the right (60.7%) than exclusively the left (11.4%) hemisphere. In further analyses of 56 eligible lesion images, while findings should be considered cautiously given the potential for selection bias of published lesion images, right-sided predominance of lesions was confirmed across multiple brain regions, including the temporal lobe, fusiform gyrus and thalamus. These, and several frontal lobe areas, were also identified as preferential lesion sites in comparisons with control lesions. Such pooled-analyses, based on the most comprehensive dataset of lesional mania available to date, confirm a preferential association with right-hemisphere lesions, while suggesting that several brain areas/circuits, relevant to mood regulation, are most frequently affected.
Autores principais:Barahona-Corrêa, J. Bernardo
Outros Autores:Cotovio, Gonçalo; Costa, Rui M.; Ribeiro, Ricardo; Velosa, Ana; Silva, Vera Cruz e.; Sperber, Christoph; Karnath, Hans Otto; Senova, Suhan; Oliveira-Maia, Albino J.; Oliveira-Maia, AJ
Assunto:Psychiatry and Mental health Cellular and Molecular Neuroscience Biological Psychiatry SDG 3 - Good Health and Well-being
Ano:2020
País:Portugal
Tipo de documento:recensão
Tipo de acesso:acesso aberto
Instituição associada:Universidade Nova de Lisboa
Idioma:inglês
Origem:Repositório Institucional da UNL
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author Barahona-Corrêa, J. Bernardo
author2 Cotovio, Gonçalo
Costa, Rui M.
Ribeiro, Ricardo
Velosa, Ana
Silva, Vera Cruz e.
Sperber, Christoph
Karnath, Hans Otto
Senova, Suhan
Oliveira-Maia, Albino J.
Oliveira-Maia, AJ
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Barahona-Corrêa, J. Bernardo
Cotovio, Gonçalo
Costa, Rui M.
Ribeiro, Ricardo
Velosa, Ana
Silva, Vera Cruz e.
Sperber, Christoph
Karnath, Hans Otto
Senova, Suhan
Oliveira-Maia, Albino J.
Oliveira-Maia, AJ
author_role author
contributor_name_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Nature
RUN
country_str PT
creators_json_txt [{\"Person.name\":\"Barahona-Corrêa, J. Bernardo\"},{\"Person.name\":\"Cotovio, Gonçalo\"},{\"Person.name\":\"Costa, Rui M.\"},{\"Person.name\":\"Ribeiro, Ricardo\"},{\"Person.name\":\"Velosa, Ana\"},{\"Person.name\":\"Silva, Vera Cruz e.\"},{\"Person.name\":\"Sperber, Christoph\"},{\"Person.name\":\"Karnath, Hans Otto\"},{\"Person.name\":\"Senova, Suhan\"},{\"Person.name\":\"Oliveira-Maia, Albino J.\"},{\"Person.name\":\"Oliveira-Maia, AJ\",\"Person.identifier.orcid\":\"0000-0001-5071-3007\"}]
datacite.contributors.contributor.contributorName.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Nature
RUN
datacite.creators.creator.creatorName.fl_str_mv Barahona-Corrêa, J. Bernardo
Cotovio, Gonçalo
Costa, Rui M.
Ribeiro, Ricardo
Velosa, Ana
Silva, Vera Cruz e.
Sperber, Christoph
Karnath, Hans Otto
Senova, Suhan
Oliveira-Maia, Albino J.
Oliveira-Maia, AJ
datacite.date.Accepted.fl_str_mv 2020-05-12T00:00:00Z
datacite.date.available.fl_str_mv 2020-06-03T00:55:28Z
datacite.date.embargoed.fl_str_mv 2020-06-03T00:55:28Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
datacite.titles.title.fl_str_mv Right-sided brain lesions predominate among patients with lesional mania
evidence from a systematic review and pooled lesion analysis
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Nature
RUN
dc.creator.none.fl_str_mv Barahona-Corrêa, J. Bernardo
Cotovio, Gonçalo
Costa, Rui M.
Ribeiro, Ricardo
Velosa, Ana
Silva, Vera Cruz e.
Sperber, Christoph
Karnath, Hans Otto
Senova, Suhan
Oliveira-Maia, Albino J.
Oliveira-Maia, AJ
dc.date.Accepted.fl_str_mv 2020-05-12T00:00:00Z
dc.date.available.fl_str_mv 2020-06-03T00:55:28Z
dc.date.embargoed.fl_str_mv 2020-06-03T00:55:28Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10362/98753
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
dc.title.fl_str_mv Right-sided brain lesions predominate among patients with lesional mania
evidence from a systematic review and pooled lesion analysis
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_efa0
description Despite claims that lesional mania is associated with right-hemisphere lesions, supporting evidence is scarce, and association with specific brain areas has not been demonstrated. Here, we aimed to test whether focal brain lesions in lesional mania are more often right- than left-sided, and if lesions converge on areas relevant to mood regulation. We thus performed a systematic literature search (PROSPERO registration CRD42016053675) on PubMed and Web-Of-Science, using terms that reflect diagnoses and structures of interest, as well as lesional mechanisms. Two researchers reviewed the articles separately according to PRISMA Guidelines, selecting reports of adult-onset hypomania, mania or mixed state following a focal brain lesion, for pooled-analyses of individual patient data. Eligible lesion images were manually traced onto the corresponding MNI space slices, and lesion topography analyzed using standard brain atlases. Using this approach, data from 211 lesional mania patients was extracted from 114 reports. Among 201 cases with focal lesions, more patients had lesions involving exclusively the right (60.7%) than exclusively the left (11.4%) hemisphere. In further analyses of 56 eligible lesion images, while findings should be considered cautiously given the potential for selection bias of published lesion images, right-sided predominance of lesions was confirmed across multiple brain regions, including the temporal lobe, fusiform gyrus and thalamus. These, and several frontal lobe areas, were also identified as preferential lesion sites in comparisons with control lesions. Such pooled-analyses, based on the most comprehensive dataset of lesional mania available to date, confirm a preferential association with right-hemisphere lesions, while suggesting that several brain areas/circuits, relevant to mood regulation, are most frequently affected.
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person_str_mv Barahona-Corrêa, J. Bernardo
Cotovio, Gonçalo
Costa, Rui M.
Ribeiro, Ricardo
Velosa, Ana
Silva, Vera Cruz e.
Sperber, Christoph
Karnath, Hans Otto
Senova, Suhan
Oliveira-Maia, Albino J.
Oliveira-Maia, AJ
Oliveira-Maia, AJ
https://www.ciencia-id.pt/ED15-6691-FEC7
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publishDate 2020
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spelling engenDespite claims that lesional mania is associated with right-hemisphere lesions, supporting evidence is scarce, and association with specific brain areas has not been demonstrated. Here, we aimed to test whether focal brain lesions in lesional mania are more often right- than left-sided, and if lesions converge on areas relevant to mood regulation. We thus performed a systematic literature search (PROSPERO registration CRD42016053675) on PubMed and Web-Of-Science, using terms that reflect diagnoses and structures of interest, as well as lesional mechanisms. Two researchers reviewed the articles separately according to PRISMA Guidelines, selecting reports of adult-onset hypomania, mania or mixed state following a focal brain lesion, for pooled-analyses of individual patient data. Eligible lesion images were manually traced onto the corresponding MNI space slices, and lesion topography analyzed using standard brain atlases. Using this approach, data from 211 lesional mania patients was extracted from 114 reports. Among 201 cases with focal lesions, more patients had lesions involving exclusively the right (60.7%) than exclusively the left (11.4%) hemisphere. In further analyses of 56 eligible lesion images, while findings should be considered cautiously given the potential for selection bias of published lesion images, right-sided predominance of lesions was confirmed across multiple brain regions, including the temporal lobe, fusiform gyrus and thalamus. These, and several frontal lobe areas, were also identified as preferential lesion sites in comparisons with control lesions. Such pooled-analyses, based on the most comprehensive dataset of lesional mania available to date, confirm a preferential association with right-hemisphere lesions, while suggesting that several brain areas/circuits, relevant to mood regulation, are most frequently affected.application/pdfenRight-sided brain lesions predominate among patients with lesional maniaSubtitleenevidence from a systematic review and pooled lesion analysisBarahona-Corrêa, J. BernardoCotovio, GonçaloCosta, Rui M.Ribeiro, RicardoVelosa, AnaSilva, Vera Cruz e.Sperber, ChristophKarnath, Hans OttoSenova, SuhanOliveira-Maia, Albino J.PersonalOliveira-Maia, AJDSpacehttp://dspace.org/items/402bb6ca-e5db-422a-9d43-a807d4076d38DSpacehttp://dspace.org/items/402bb6ca-e5db-422a-9d43-a807d4076d38Oliveira-MaiaAlbino JorgeCiência IDhttps://www.ciencia-id.ptED15-6691-FEC7ORCIDhttp://orcid.org0000-0001-5071-3007Researcher IDhttps://www.researcherid.comB-7976-2009Scopus Author IDhttps://www.scopus.com14060820700NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Springer NatureHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptURNIsPartOfPURE: 18241046URNIsPartOfPURE UUID: b10122b5-1e7f-4e36-844c-a5608ea5c7baURNIsPartOfScopus: 85084515743URNIsPartOfPubMed: 32398699URNIsPartOfWOS: 000535812300006DOIIsPartOf10.1038/s41398-020-0811-02020-06-03T00:55:28Z2020-05-122020-05-12T00:00:00ZHandlehttp://hdl.handle.net/10362/98753http://purl.org/coar/access_right/c_abf2open accessPsychiatry and Mental healthCellular and Molecular NeuroscienceBiological PsychiatrySDG 3 - Good Health and Well-being2756542 bytesother research producthttp://purl.org/coar/resource_type/c_efa0reviewhttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/1abcca54-0a79-437e-ace6-eefecd327c4e/download
spellingShingle Right-sided brain lesions predominate among patients with lesional mania
Barahona-Corrêa, J. Bernardo
Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
status SINGLETON
subject.fl_str_mv Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
title Right-sided brain lesions predominate among patients with lesional mania
title_full Right-sided brain lesions predominate among patients with lesional mania
title_fullStr Right-sided brain lesions predominate among patients with lesional mania
title_full_unstemmed Right-sided brain lesions predominate among patients with lesional mania
title_short Right-sided brain lesions predominate among patients with lesional mania
title_sort Right-sided brain lesions predominate among patients with lesional mania
topic Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
topic_facet Psychiatry and Mental health
Cellular and Molecular Neuroscience
Biological Psychiatry
SDG 3 - Good Health and Well-being
url http://hdl.handle.net/10362/98753
visible 1