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White matter abnormalities in a patient with visual snow syndrome : New evidence from a diffusion tensor imaging study

Latini, Francesco ; Fahlström, Markus ; Marklund, Niklas LU orcid and Feresiadou, Amalia (2021) In European Journal of Neurology 28(8). p.2789-2793
Abstract

Background: Visual snow syndrome (VSS) is a neurological condition characterized by flickering dots throughout the entire visual field. Both the pathophysiology and possible location of VSS are still under debate. White matter abnormalities were investigated using diffusion tensor imaging (DTI) in a patient with VSS. Methods: A 28-year-old patient with VSS and 10 healthy controls were investigated with DTI. Diffusion parametric maps were calculated and reconstructed using q-space diffeomorphic reconstruction. White matter pathways of the dorsal, ventral, integrative visual streams and thalamic connectivity were tracked. Then, they were applied to each subject's parameter map, stretched to the same length, and sampled along the tracts... (More)

Background: Visual snow syndrome (VSS) is a neurological condition characterized by flickering dots throughout the entire visual field. Both the pathophysiology and possible location of VSS are still under debate. White matter abnormalities were investigated using diffusion tensor imaging (DTI) in a patient with VSS. Methods: A 28-year-old patient with VSS and 10 healthy controls were investigated with DTI. Diffusion parametric maps were calculated and reconstructed using q-space diffeomorphic reconstruction. White matter pathways of the dorsal, ventral, integrative visual streams and thalamic connectivity were tracked. Then, they were applied to each subject's parameter map, stretched to the same length, and sampled along the tracts for regional analyses of DTI parameters. Results: Compared with healthy controls, our patient displayed higher axial diffusivity (AD) and radial diffusivity (RD) in the dorsal visual stream (cingulum, arcuate fasciculus, horizontal indirect anterior segment of the superior longitudinal fasciculus), in the ventral visual stream (fronto-occipital fasciculus, inferior longitudinal fasciculus) and in the integrative visual stream (indirect posterior component of the superior longitudinal fasciculus, vertical occipital fasciculus). Higher AD and RD were also detected in acoustic and optic radiations, and in thalamic radiations distal to the thalamus. Conclusion: This VSS patient displayed multiple, bilateral white matter changes in the temporo-parieto-occipital junction in white matter pathways related to vision. We encourage the study of white matter pathology using DTI in complex neurological syndromes including VSS.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
DTI, thalamic connectivity, visual snow syndrome, visual streams, white matter
in
European Journal of Neurology
volume
28
issue
8
pages
2789 - 2793
publisher
Wiley-Blackwell
external identifiers
  • scopus:85106670420
  • pmid:33960084
ISSN
1351-5101
DOI
10.1111/ene.14903
language
English
LU publication?
yes
id
5553be53-f2e1-426f-822e-b21fb9f64e70
date added to LUP
2021-06-17 10:47:02
date last changed
2024-06-15 12:40:20
@article{5553be53-f2e1-426f-822e-b21fb9f64e70,
  abstract     = {{<p>Background: Visual snow syndrome (VSS) is a neurological condition characterized by flickering dots throughout the entire visual field. Both the pathophysiology and possible location of VSS are still under debate. White matter abnormalities were investigated using diffusion tensor imaging (DTI) in a patient with VSS. Methods: A 28-year-old patient with VSS and 10 healthy controls were investigated with DTI. Diffusion parametric maps were calculated and reconstructed using q-space diffeomorphic reconstruction. White matter pathways of the dorsal, ventral, integrative visual streams and thalamic connectivity were tracked. Then, they were applied to each subject's parameter map, stretched to the same length, and sampled along the tracts for regional analyses of DTI parameters. Results: Compared with healthy controls, our patient displayed higher axial diffusivity (AD) and radial diffusivity (RD) in the dorsal visual stream (cingulum, arcuate fasciculus, horizontal indirect anterior segment of the superior longitudinal fasciculus), in the ventral visual stream (fronto-occipital fasciculus, inferior longitudinal fasciculus) and in the integrative visual stream (indirect posterior component of the superior longitudinal fasciculus, vertical occipital fasciculus). Higher AD and RD were also detected in acoustic and optic radiations, and in thalamic radiations distal to the thalamus. Conclusion: This VSS patient displayed multiple, bilateral white matter changes in the temporo-parieto-occipital junction in white matter pathways related to vision. We encourage the study of white matter pathology using DTI in complex neurological syndromes including VSS.</p>}},
  author       = {{Latini, Francesco and Fahlström, Markus and Marklund, Niklas and Feresiadou, Amalia}},
  issn         = {{1351-5101}},
  keywords     = {{DTI; thalamic connectivity; visual snow syndrome; visual streams; white matter}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{2789--2793}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{European Journal of Neurology}},
  title        = {{White matter abnormalities in a patient with visual snow syndrome : New evidence from a diffusion tensor imaging study}},
  url          = {{http://dx.doi.org/10.1111/ene.14903}},
  doi          = {{10.1111/ene.14903}},
  volume       = {{28}},
  year         = {{2021}},
}