A2 Refereed review article in a scientific journal

Identifying therapeutic targets from spontaneous beneficial brain lesions




AuthorsJoutsa J, Shih LC, Horn A, Reich MM, Wu O, Rost NS, Fox MD

PublisherWILEY

Publication year2018

JournalAnnals of Neurology

Journal name in sourceANNALS OF NEUROLOGY

Journal acronymANN NEUROL

Volume84

Issue1

First page 153

Last page157

Number of pages5

ISSN0364-5134

eISSN0364-5134

DOIhttps://doi.org/10.1002/ana.25285

Web address 10.1002/ana.25285

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/35658786


Abstract
Brain damage can occasionally result in paradoxical functional benefit, which could help identify therapeutic targets for neuromodulation. However, these beneficial lesions are rare and lesions in multiple different brain locations can improve the same symptom. Using a technique called lesion network mapping, we show that heterogeneous lesion locations resulting in tremor relief are all connected to common nodes in the cerebellum and thalamus, the latter of which is a proven deep brain stimulation target for tremor. These results suggest that lesion network mapping can identify the common substrate underlying therapeutic lesions and effective therapeutic targets. Ann Neurol 2018;83:153-157

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