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Published on: February 23, 2020
Functional connectivity for somatosensory and motor cortex in spastic diplegia
Harold Burton1, Sachin Dixit, Patricia Litkowski
1Department of Anatomy and Neurobiology, Washington University School of Medicine, St Louis, Missouri 63110, USA. harold@pcg.wustl.edu
Individuals with spastic diplegia exhibit altered brain functional connectivity (fcMRI), showing expanded somatomotor networks. This may stem from prenatal white-matter injury impacting neuronal development and connectivity patterns.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Clinical Neurology
Background:
- Spastic diplegia is often associated with sensorimotor deficits.
- Altered functional connectivity (fcMRI) may underlie these deficits.
- Prenatal white-matter injury is a potential cause of neurological impairments in spastic diplegia.
Purpose of the Study:
- To investigate functional connectivity differences in individuals with spastic diplegia compared to controls.
- To explore the relationship between brain network organization and sensorimotor deficits in spastic diplegia.
- To propose a neurobiological model for altered connectivity in spastic diplegia.
Main Methods:
- Functional connectivity MRI (fcMRI) was employed to analyze resting-state brain activity.
- Pearson correlations were calculated between seed regions of interest (sROI) and all brain voxels.
- sROIs were strategically placed in somatosensory and dorsal attention areas activated by tactile stimulation.
Main Results:
- Individuals with spastic diplegia demonstrated significantly expanded somatomotor functional networks.
- Expanded networks were observed across somatosensory and motor areas, irrespective of the specific fingertip stimulation focus.
- No significant expansion was found in dorsal attention networks.
Conclusions:
- Altered functional connectivity, specifically expanded somatomotor networks, is characteristic of spastic diplegia.
- Prenatal third-trimester white-matter injury and subsequent damage to subplate neurons are hypothesized to cause these connectivity alterations.
- A model suggests intracortical connections may dominate over diminished thalamocortical inputs due to developmental plasticity, explaining the observed network changes.
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