Perinatal administration of testosterone induces hypertrophy of the anterior commissure in adult male and female rats

Anterior Commissure Involvement in Humanherpes Virus 6 Encephalitis

The anterior commissure is an evolutionarily conserved nerve bundle that connects the right and left hemispheres, playing pivotal neurological roles in visual, linguistic, and olfactory functions. The authors herein describe a 16-month-old boy with high fever, lethargy, and recurrent seizures. Polymerase chain reaction (PCR) examination detected human herpesvirus 6 (HHV-6) in both the cerebrospinal fluid and the pharyngeal swabs, leading to the diagnosis of HHV-6 encephalitis. Brain magnetic resonance imaging (MRI) 4 days after disease onset distinctly revealed anterior commissure involvement on diffusion-weighted images and apparent diffusion coefficient maps, suggesting that this lesion was cytotoxic edema. After treatment with 30 mg/kg/d methylprednisolone for 3 days, the anterior commissure involvement on MRI was completely diminished. This is the first MRI report rarely showing anterior commissure involvement in encephalitis, suggesting that this lesion might be caused by direct invasion of HHV-6 or transient axonal swelling associated with inferior temporal lobe damage.

Vulnerability of the anterior commissure in moderate to severe pediatric traumatic brain injury

In relation to the adult brain, the immature brain might be more vulnerable to damage during and following traumatic brain injury, particularly in white-matter tracts. Given well-established evidence of corpus callosum atrophy, we hypothesized that anterior commissure volume (using quantitative magnetic resonance imaging [MRI]) in this structure would be decreased in children with moderate to severe traumatic brain injury relative to typically developing children. Second, given the purported role of the anterior commissure in interhemispheric axon conveyance between temporal lobes, we hypothesized that temporal lobe white matter, temporal lesion volume, and injury severity (Glasgow Coma Scale score) would be predictive of decreased anterior commissure cross-sectional volume in patients with traumatic brain injury. Finally, we wished to establish the relationship between the anterior commissure and the temporal stem, a major white-matter tract into the temporal lobes, using diffusion tensor imaging fiber-tracking maps for each patient. We also hypothesized that children with traumatic brain injury would exhibit decreased fractional anisotropy in relation to typically developing children in a fiber system including the anterior commissure and the temporal lobes. Decreased anterior commissure cross-sectional volume was observed in patients with traumatic brain injury, and, as predicted, anterior commissure and temporal white-matter volumes were positively related to each other and to higher Glasgow Coma Scale scores. Lesion volume was not independently predictive of anterior commissure volume in the overall model. Diffusion tensor imaging fractional anisotropy values differed between the groups for the temporal stem-anterior commissure system, with the traumatic brain injury group exhibiting decreased fractional anisotropy. The anterior commissure, like the corpus callosum, appears to be highly vulnerable to white-matter degenerative changes resulting from mechanisms such as the direct impact of trauma, progressive axonal injury as tissue in other brain regions atrophies, or myelin degeneration. This is the first systematic examination of anterior commissure atrophy following traumatic brain injury using in vivo quantitative MRI and diffusion tensor imaging fiber tracking in pediatric subjects.

Histological and ultrastructural characterization of interfascicular neurons in the rat anterior commissure

The histological, connectional, and ultrastructural characteristics of a peculiar neuron type in the rat anterior commissure (AC) are described. Since these cells are located among the axonal fascicles of the rostral and caudal parts of the AC, they are termed interfascicular neurons (IFN). In rapid-Golgi sections IFNs appeared in two forms: internuncial (i.e., short axon) and projection neurons (i.e., long axon). The axon of the internuncial neurons terminates upon neighboring IFNs. The projection neurons give rise to an axon which is either incorporated into commissural fibers or ramifies into 12-26 collaterals running laterally in opposite directions along commissural axons. Immunohistochemistry to microtubule-associated protein 2 combined with confocal microscopy showed that IFNs display short varicose dendrites which remain confined to the domain of the AC. The neuronal nature of IFNs was confirmed with the electron microscope on the basis of distinctive organelles and the presence of synaptic inputs. Small areas of neuropil surround some IFNs. These areas are composed of proximal dendrites, terminal axons, axo-shaft and axo-spinous synapses. Because IFNs with their afferents and efferents constitute sufficient elements to integrate neural inputs, it is proposed that they may be involved in processing nerve impulses proceeding from the bilateral cerebral structures connected by the AC.