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Statistical Modelling of Cortical Connectivity Using Non-invasive Electroencephalograms
Published on: November 1, 2019
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Frequency-specific alterations in cortical rhythms and functional connectivity in trigeminal neuralgia
Yanyang Zhang1, Zhiqi Mao1, Longsheng Pan1
1Department of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China.
Brain Imaging and Behavior
|June 19, 2019
Summary
Trigeminal neuralgia (TN) disrupts brain activity, reducing low-frequency fluctuations in key areas like the PCC and DLPFC. These changes in brain connectivity correlate with pain intensity, offering insights into chronic pain mechanisms.
Area of Science:
- Neuroscience
- Medical Imaging
- Neurology
Background:
- Chronic pain, such as trigeminal neuralgia (TN), is linked to maladaptive changes in brain function and behavior.
- Altered cerebral information flow is a hallmark of chronic pain conditions.
Purpose of the Study:
- To investigate the impact of classic trigeminal neuralgia (TN) on intrinsic brain activity oscillations using power spectral analysis.
- To identify differences in brain function and functional connectivity between TN patients and healthy controls.
Main Methods:
- Utilized resting-state functional MRI (R-fMRI) to measure amplitude of low-frequency fluctuations (ALFF) and fractional ALFF (fALFF) in 29 TN patients and 34 healthy controls (HCs).
- Analyzed two specific low-frequency bands (slow-5: 0.01-0.027 Hz; slow-4: 0.027-0.073 Hz).
- Performed whole-brain resting-state functional connectivity (rsFC) analyses.
Main Results:
- TN patients exhibited reduced ALFF/fALFF in the posterior cingulate cortex (PCC), left insula, left dorsolateral prefrontal cortex (DLPFC), left putamen, and bilateral temporal lobe in the slow-5 band.
- Weaker functional connectivity was observed in PCC-medial prefrontal cortex (mPFC) and DLPFC-hippocampus circuits in TN patients, indicating altered default mode network (DMN) interactions.
- Functional connectivity within DMN regions (mPFC and PCC) in the slow-5 band correlated with reported pain intensity.
Conclusions:
- Trigeminal neuralgia significantly disturbs cortical rhythms and functional brain interactions, particularly within the default mode network.
- These findings provide novel insights into the neural underpinnings of chronic pain and may inform future treatment strategies for TN and other chronic pain conditions.
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