The location of white matter lesions and gait--a voxel-based study

Ann Neurol. 2010 Feb;67(2):265-9. doi: 10.1002/ana.21826.

Abstract

Little is known about the influence of cerebral white matter lesion (WML) location on gait. We applied partial least squares regression in brain magnetic resonance imaging scans (n = 385) to evaluate which WML voxel systems were independently associated with a composite gait score and identified affected tracts using a diffusion tensor imaging template. Bilateral frontal and periventricular WML-affected voxels corresponding to major anterior projection fibers (thalamic radiations, corticofugal motor tracts) and adjacent association fibers (corpus callosum, superior fronto-occipital fasciculus, short association fibers) showed the greatest covariance with poorer gait. WMLs probably contribute to age-related gait decline by disconnecting motor networks served by these tracts.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brain Diseases / complications
  • Brain Diseases / pathology*
  • Brain Mapping*
  • Female
  • Gait / physiology*
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / pathology*
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Nerve Fibers, Myelinated / pathology*
  • Regression Analysis