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de Celis-Alonso B, Hidalgo-Tobón SS, Barragán-Pérez E, Castro-Sierra E, Dies-Suárez P, Garcia J, Moreno-Barbosa E, Arias-Carrión O. Different Food Odors Control Brain Connectivity in Impulsive Children. CNS Neurol Disord Drug Targets 2020; 18:63-77. [PMID: 30394220 DOI: 10.2174/1871527317666181105105113] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 10/19/2018] [Accepted: 10/29/2018] [Indexed: 01/22/2023]
Abstract
BACKGROUND Impulsivity is a complex multi-dimensional combination of behaviors which include: ineffective impulse control, premature decision-making and inability to delay gratification. OBJECTIVE The aim of this work was to explore how food odor perception and its emotional value is affected in impulsive children. METHODS Here we compared two cohorts of impulsive and control children with ages between 10 and 16 years. Both groups underwent a functional magnetic resonance imaging experiment, in which foodrelated odor-cues were presented to all of them. RESULTS Differences in regions of blood oxygen level dependent activation, as well as connectivity, were calculated. Activations were significant for all odors in the impulsive group in the temporal lobe, cerebellum, supplementary motor area, frontal cortex, medial cingulate cortex, insula, precuneus, precentral, para-hippocampal and calcarine cortices. CONCLUSION Connectivity results showed that the expected emotional reward, based on odor perceived and processed in temporal lobes, was the main cue driving responses of impulsive children. This was followed by self-consciousness, the sensation of interaction with the surroundings and feelings of comfort and happiness, modulated by the precuneus together with somatosensory cortex and cingulum. Furthermore, reduced connectivity to frontal areas as well as to other sensory integration areas (piriform cortex), combined to show different sensory processing strategies for olfactory emotional cues in impulsive children. Finally, we hypothesize that the cerebellum plays a pivotal role in modulating decision-making for impulsive children.
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Affiliation(s)
- Benito de Celis-Alonso
- Facultad de Ciencias Fisico Matematicas, Benemerita Universidad Autonoma de Puebla. Puebla, Puebla, Mexico, Address: Avenida San Claudio y 18 Sur, Colonia San Manuel, Edificio FM1-101B, Ciudad Universitaria, C.P. 72570, Puebla, Mexico
| | - Silvia S Hidalgo-Tobón
- Departamento de Imagenologia, Hospital Infantil de Mexico "Federico Gomez", Ciudad de Mexico, Mexico, Address: Calle Dr. Marquez 162, Cuauhtemoc, 06720 Ciudad de Mexico, CDMX, Mexico.,Departamento de Fisica, Universidad Autonoma Metropolitana - Iztapalapa, Ciudad de Mexico, Mexico, Address: Av. San Rafael Atlixco 186, Leyes de Reforma 1ra Secc, 09340 Ciudad de Mexico, CDMX, Mexico
| | - Eduardo Barragán-Pérez
- Departamento de Neurologia, Hospital Infantil de Mexico "Federico Gomez", Ciudad de Mexico, Mexico, Address: Calle Dr. Marquez 162, Cuauhtemoc, 06720 Ciudad de Mexico, CDMX, Mexico
| | - Eduardo Castro-Sierra
- Departamento de Imagenologia, Hospital Infantil de Mexico "Federico Gomez", Ciudad de Mexico, Mexico, Address: Calle Dr. Marquez 162, Cuauhtemoc, 06720 Ciudad de Mexico, CDMX, Mexico
| | - Pilar Dies-Suárez
- Departamento de Imagenologia, Hospital Infantil de Mexico "Federico Gomez", Ciudad de Mexico, Mexico, Address: Calle Dr. Marquez 162, Cuauhtemoc, 06720 Ciudad de Mexico, CDMX, Mexico
| | - Julio Garcia
- Department of Cardiac Sciences, Stephenson Cardiac Imaging Centre, University of Calgary, Cumming School of Medicine, Calgary, AB, Canada, Address: 2500 University Dr. NW Calgary, Alberta, Canada
| | - Eduardo Moreno-Barbosa
- Facultad de Ciencias Fisico Matematicas, Benemerita Universidad Autonoma de Puebla. Puebla, Puebla, Mexico, Address: Avenida San Claudio y 18 Sur, Colonia San Manuel, Edificio FM1-101B, Ciudad Universitaria, C.P. 72570, Puebla, Mexico
| | - Oscar Arias-Carrión
- Unidad de Trastornos del Movimiento y Sueno/Centro de Innovacion Medica Aplicada, Hospital General "Dr. Manuel Gea Gonzalez", Address: Calzada de Tlalpan 4800, Belisario Dominguez Secc. 16, 14080 Tlalpan, CDMX, Mexico
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Miranda-Lora AL, Zamora-Nava LE, Marín-Rosas DL, Klünder-Klünder M, Sánchez-Curiel M, Dies-Suárez P. Resolution of fatty liver disease after growth hormone replacement in a pediatric survivor of thyroid cancer. Bol Med Hosp Infant Mex 2019; 76:138-145. [PMID: 31116731 DOI: 10.24875/bmhim.18000114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background A rare case of primary papillary thyroid cancer (PTC) and growth hormone (GH) deficiency in a pediatric patient is described. In addition, the patient developed fatty liver disease attributed to GH deficiency. Case report A 10-year-old male with a history of PTC with extension to the cervical nodes detected at 5 years of age was referred to the endocrinology consultation due to a low growth rate. On examination, GH deficiency was detected (height -3.51 standard deviations and low insulin-like growth factor-1 levels). This hormonal deficiency was not associated with thyroid cancer or treatment. Furthermore, elevated transaminases (~300 IU/ml), lipids, and fally liver disease by ultrasound were detected. These data suggested fatty liver disease, which was attributed to GH deficiency. Regardless of the risk of recurrence, somatotropin was administered due to liver dysfunction and very short stature of the patient. A considerable improvement in growth, transaminases, and lipid profile was observed. At present, at 14 years of age, resolution of hepatic steatosis and a considerable increase in his growth rate without recurrence of thyroid cancer 9 years after its diagnosis and 4 years after the initiation of GH treatment are confirmed. Conclusions GH therapy could be a good therapeutic option for pediatric cancer survivors to address impaired growth and fatty liver disease. However, additional medical evidence based on clinical trials is necessary to determine the benefits.
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Affiliation(s)
- América L Miranda-Lora
- Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez. Mexico City, Mexico
| | - Luis E Zamora-Nava
- Departamento de Endoscopia, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City, Mexico
| | - Deyanira L Marín-Rosas
- Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez. Mexico City, Mexico
| | - Miguel Klünder-Klünder
- Subdirección de Gestión de la Investigación, Hospital Infantil de México Federico Gómez. Mexico City, Mexico.,Research Committee, Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN). Mexico City, Mexico
| | - Mariana Sánchez-Curiel
- Departamento de Radiología, Hospital Infantil de México Federico Gómez. Mexico City, Mexico
| | - Pilar Dies-Suárez
- Departamento de Radiología, Hospital Infantil de México Federico Gómez. Mexico City, Mexico
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