Ilya S. Bakulin's research while affiliated with Clinical Research Center of Moscow and other places
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Publications (29)
Studying rhythmic neural synchronization (cross-frequency coupling in various ranges) is an emerging topic in present-day neurophysiology. One of the best-studied cross-frequency couplings is theta-gamma phase-amplitude coupling that contributes to the cognitive function and may vary in patients with several conditions associated with cognitive imp...
Pathological synergies are a frequent consequence of cerebrovascular accidents and hinders further recovery. The existing concept of the formation of pathological synergies considers them as a compensatory strategy in response to damage to the pyramidal tract, which, due to paresis and increased muscle tone, has acquired a pathological character. R...
Metaplasticity (plasticity of synaptic plasticity) is defined as a change in the direction or degree of synaptic plasticity in response to preceding neuronal activity. Recent advances in brain stimulation methods have enabled us to non-invasively examine cortical metaplasticity, including research in a clinical setting. According to current knowled...
The use of metaplasticity-based intermittent theta-burst stimulation (iTBS) protocols including several stimulation blocks could be a possible approach to increasing stimulation effectiveness. Our aim was to investigate the neurophysiological effects of two protocols with a short and a long interval between blocks. Seventeen healthy volunteers rece...
Introduction. Rapid advances in critical care medicine have led to an increased survival rate of patients with severe brain damage and, consequently, to an increased prevalence of chronic disorders of consciousness (CDC). The lack of or fluctuations in signs of consciousness, which accompany the restoration of alertness after recovery from coma, in...
Introduction. Mild cognitive impairment (MCI) negatively affects patients quality of life and is a risk factor for dementia. One of the main causes of MCI is cerebral small vessel disease (CSVD). The previously established link between decreased activity in the supplementary motor area (SMA) and cognitive impairment in patients with CSVD makes it p...
Introduction : Neurology is arguably one of the most difficult subjects to teach and study in the medical curriculum. Educational games (EG) may be a valid option to enhance motivation in neurology residents.
Methods : We developed an educational board game (Neuropoly) to assist in teaching neurology. We present here an overview of the game, as wel...
Chronic disorders of consciousness (DOC; i.e., vegetative state and minimally consciousness state) develop in patients surviving coma after severe brain damage. Characteristic clinical feature of these syndromes is the dissociation between preserved wakefulness and complete or almost complete absence of awareness. Advanced diagnostic technologies p...
The detection of conscious awareness in patients with disorders of consciousness using behavioral signs is challenging in the presence of sensory, motor, or executive function deficits. Brain signal measurements provide additional information for patient stratification, and the large amounts and multidimentional nature of the obtained data motivate...
Insight is the sudden unpredictable appearance of a problem’s solution. The solution of anagrams is one of the tasks available for studying insight. Repetitive transcranial magnetic stimulation (rTMS) allows the detection of a causal relationship between the activity of a cerebral cortex area and the studied cognitive phenomenon. During online-rTMS...
The difficulties of behavioral evaluation of prolonged disorders of consciousness (DOC) motivate the development of brain-based diagnostic approaches. The perturbational complexity index (PCI), which measures the complexity of electroencephalographic (EEG) responses to transcranial magnetic stimulation (TMS), showed a remarkable sensitivity in dete...
Insight is one of the most mysterious problem-solving phenomena involving the sudden emergence of a solution, often preceded by long unproductive attempts to find it. This seemingly unexplainable generation of the answer, together with the role attributed to insight in the advancement of science, technology and culture, stimulate active research in...
Transcranial magnetic stimulation (TMS) is an intensively developing method of non-invasive brain stimulation. TMS is widely used in cognitive neuroscience to study the causal role of various cortical areas in visual perception, memory, attention, speech, and other cognitive functions. The article discusses the general principles and main direction...
Obesity is a pathological condition caused by overweight and requiring medical intervention. The clinical and scientific experience gained over the past decades has allowed researchers to consider this problem as an independent disease with its own pathophysiological features, prevalence, incidence, approaches to therapy and prevention. One of the...
Motor evoked potentials (MEPs) caused by transcranial magnetic stimulation (TMS) provide a possibility of noninvasively mapping cortical muscle representations for clinical and research purposes. The interpretation of such results is complicated by the high variability in MEPs and the lack of a standard optimal mapping protocol. Comparing protocols...
Background
Trigeminal neuralgia (TN) is one of the most common causes of chronic neuropathic pain. Chronic pain is currently seen as a result of impaired interaction between different brain structures that provide pain processing. We aimed to assess functional brain abnormalities in TN by an analysis of connectivity using resting-state fMRI.
Metho...
Background
Repetitive transcranial magnetic stimulation (rTMS) is used in both clinical practice and basic research. The aim of our study was to investigate rTMS tolerability using standardized questionnaires.
Materials and methods
69 patients (vascular mild cognitive impairment – 36, recurrent depression – 13, post-stroke pain – 8, trigeminal neu...
Background
Transcranial direct current stimulation (tDCS) is a promising method for motor recovery in patients with stroke. At present different electrodes montages are used in motor stroke, but their comparative efficacy remains unclear. The aim of this study was to evaluate efficacy of different tDCS montages in chronic motor stroke.
Materials a...
Background
The search for biomarkers in amyotrophic lateral sclerosis (ALS) can provide pathophysiological insights and is important for early diagnosis and monitoring of the disease progression. Mapping muscle cortical representations using navigated transcranial magnetic stimulation (nTMS) is a noninvasive method for probing corticospinal excitab...
Background: Clinical efficacy of rTMS in recurrent depression (RD) is highly variable. It is important to search for approaches improving the efficacy, and choosing the target based on functional connectiv- ity (FC) is promising. We aimed to compare the effects of the stan- dard and FC-based rTMS targeting in RD patients.
Methods: 30 pharmacoresist...
Background
Navigated transcranial magnetic stimulation enables noninvasive mapping of muscle cortical representations for research and clinical purposes. Several mapping protocols are in use, with no consensus regarding the optimal one and insufficient data about their influence on the mapping accuracy. We aimed to determine this influence for prot...
Background:
Navigated repetitive transcranial magnetic stimulation (rTMS) is a promising tool for neuromodulation. In previous studies it has been shown that the activity of the default mode network (DMN) areas, particularly of its key region-the angular gyrus-is positively correlated with the level of consciousness. Our study aimed to explore the...
Navigated transcranial magnetic stimulation (nTMS) mapping of cortical muscle representations allows noninvasive assessment of the state of a healthy or diseased motor system, and monitoring changes over time. These applications are hampered by the heterogeneity of existing mapping algorithms and the lack of detailed information about their accurac...
Navigated TMS mapping of cortical muscle representations allows noninvasive assessment of the state of a healthy or diseased motor system and monitoring its change with time. These applications are hampered by the heterogeneity of existing mapping algorithms and the lack of detailed information about their accuracy. We aimed to find an optimal moto...
Background
The spasticity phenomenon is a significant factor in the development of disability. Repetitive transcranial magnetic stimulation (rTMS) is a promising treatment method for this disorder.
Aims
Our aim was to compare the effects of two protocols of rTMS ‐ the high‐frequency (HF) rTMS (20 Hz) and the intermittent theta‐burst stimulation (i...
The fourteen cases of Hirayama disease (HD) are presented in this article. HD is seldom disease characterized by juvenile muscular atrophy of upper extremities and benign course. All cases were diagnosed in the Research Center of Neurology (Moscow, Russia) during the year 2015–2017. Such methods as MRI (magnetic resonance imaging), EMG (electromyog...
The present review considers modern concepts of the physiological mechanisms of the formation of food behavior in a norm at several levels, beginning with the cellular level and ending with the level of functional systems. Neuroimaging methods used for both the study of the pathophysiological foundations of eating disorders and for determining the...
The present review considers modern concepts of the physiological mechanisms of the formation of food behavior in a norm at several levels, beginning with the cellular level and ending with the level of functional systems. Neuroimaging methods used for both the study of the pathophysiological foundations of eating disorders and for determining the...
Objectives
Motor mapping with navigated transcranial magnetic stimulation (nTMS) is widespread technique that is used both in the preoperative planning and as a sign of neuroplasticity changes. But there is no generally accepted mapping protocol. The aim of our study was to estimate the relation between mapping parameters accuracy and the number of...
Citations
... It can involve multiple sensory inputs and can be repeated as often as needed. Various adaptations of existing games have been proposed [16,17], as well as online projects [18], which Open Access *Correspondence: bertrand.degos@aphp.fr 1 Neurology Department, APHP, Hôpital Avicenne, Hôpitaux Universitaires de Paris -Seine Saint Denis, Sorbonne Paris Nord, Bobigny, France Full list of author information is available at the end of the article Zeidan et al. BMC Medical Education (2022) 22:224 are particularly interesting in the context of lockdowns due to the COVID-19 pandemic [19]. ...
... Статистически значимой корреляции между оценкой по CRS-R и сигналом от медиальной префронтальной коры и левой ангулярной извилины не обнаружено (r = -0,0576 и r = 0,2894 соответственно; p > 0,05). Согласно исследованиям [29][30][31], зона задней части поясной извилины наиболее стабильно выявляется у пациентов в СМС и также предположительно участвует в работе внутреннего и внешнего осознания. ...
... В зависимости от параметров стимуляции в данной области происходит фасилитация или угнетение нейронной активности. Возможно даже получение так называемого виртуального поражения определенного участка мозга у здорового человека -нарушения функции стимулируемого участка, которое похоже на симптомы настоящего поражения, но длится всего несколько секунд и полностью обратимо [4]. Пока непосредственный эффект ТМС (тормозный или возбуждающий) сохраняется, исследователь может сравнить выполнение заданий с тем, как тот же самый человек выполнял похожие задания без стимуляции, при стимуляции другой области мозга или при плацебо-стимуляции (sham), которая воспроизводит звуковые и тактильные ощущения от ТМС, но не воздействует на мозг [4]. ...
... For example, an empirical PCI cutoff has discriminated with 100% accuracy between conscious and unconscious conditions, irrespectively of connectedness, responsiveness and presence of brain lesions (Casarotto et al., 2016). These methods have been used to differentiate and explore consciousness in a range of clinical conditions (Harrison and Connolly, 2013;Arsiwalla and Verschure, 2018;Sinitsyn et al., 2020;Sarasso et al., 2021) and have laid a conceptual groundwork to enable the extension of these markers to people with advanced dementia. It is possible, however, that there are additional confounds when applying these markers, validated in DoC, to people with dementia, due to the cognitive impairment and neurodegeneration that characterizes dementia. ...
... These distant effects can induce motor performance ipsilateral to the site of stimulation [14][15][16]. Due to the focality of rTMS application, accurately determining the targeting site was emphasized in several TMS studies [1,[17][18][19]. One of the conventional methods to target the M1 is a function-guided procedure that determines the hand motor hot spot (hMHS) on the scalp. ...
... Differences in outcomes across studies could have been due to differences in study design, sample characteristics, and electrode montages. 8,[17][18][19][20][21][22][23][24][25][26][27][28][29] Most of these RCTs administered tDCS at 0.5-to 1.5-mA amplitude, once daily, for 1 week. No study examined an intensive tDCS treatment regime. ...
... Among these patients, eight were rTMS responders; seven progressed into MCS (4 TBI, 2 HIE, 1, and hemorrhage) after being rTMS-active, and one entered EMCS (P1, TBI). The CRS-R subscales showed that these responders regained consciousness at the visual and motor levels (six visual pursuits, one functional object use, and one pain location), which is consistent with the improvement of subscale items in responders in former studies of rTMS for DoC (14,17,25,50). Our results may indicate that the residual expression of consciousness is more preserved in the visual and motor pathways in unresponsive patients (51,52). ...
... Продемонстрирована идентичная зависимость воспроизводимости площади, взвешенной площади и локализации центра масс от количества нанесенных стимулов при использовании «сеточного» алгоритма [22]. При использовании алгоритма картирования без «сетки» точность параметров карты также увеличивается при увеличении числа стимулов, что позволило предложить протоколы с использованием ≥100 стимулов [34]. Необходимое число стимулов следует определять исходя из задачи исследования и ожидаемого эффекта. ...
... From a methodological perspective, motor mapping by means of nTMS involves rigorous steps that inevitably produce quantitative parameters. These parameters (e.g., motor hotspot location and resting motor threshold) express high variability and need continuous analysis to be properly understood [13][14][15][16][17]. In particular, despite strict adherence to the procedural protocols cited in the literature, we observed variations in map activation, which sometimes exceeded reasonable anatomical boundaries ( Figure 1). ...
... [11] After this discovery, a number of similar cases have been reported in Japan and other Asian countries. [1,4,9,11,22, 31] A smaller number of HD patients were reported from Europe and North America, suggesting possible ethnical or regional contributing factors to the etiology of HD. [8,17,25] In the1960s and early 1970s, confirmed diagnosis relied on clinical features and electrophysiological evaluation. The true pathology remained unclear until 1982, the first autopsy case was done by Hirayama and colleagues. ...