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Related Experiment Video

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Altered Spontaneous Brain Activity Patterns and Functional Connectivity in Adults With Intermittent Exotropia: A

Xueying He1, Jie Hong2, Qian Wang1

  • 1Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Frontiers in Neuroscience
|November 15, 2021
PubMed
Summary

This study reveals altered brain activity and functional connectivity in intermittent exotropia (IXT) patients. These changes in brain regions related to vision and eye movement offer new insights into IXT

Keywords:
amplitude of low-frequency fluctuationsfunctional connectivityintermittent exotropiaresting-state functional MRIspontaneous activity

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Medical Imaging

Background:

  • Intermittent exotropia (IXT) is a common strabismus with unclear neurological underpinnings.
  • Understanding the brain's functional alterations in IXT is crucial for developing targeted treatments.

Purpose of the Study:

  • To investigate brain functional changes in IXT patients using resting-state functional magnetic resonance imaging (rs-fMRI).
  • To analyze amplitude of low-frequency fluctuation (ALFF) and functional connectivity (FC) in IXT.
  • To correlate brain activity with clinical features of IXT.

Main Methods:

  • rs-fMRI scans were acquired from 26 IXT patients and 22 healthy controls (HCs).
  • Amplitude of low-frequency fluctuation (ALFF) and fractional ALFF (fALFF) were analyzed in slow 4 and slow 5 bands.
  • Functional connectivity (FC) was calculated and compared between groups. Correlations with clinical data were assessed.

Main Results:

  • IXT patients showed increased ALFF/fALFF in the right angular gyrus, supramarginal gyrus, inferior parietal lobule, precentral gyrus, and bilateral inferior frontal gyri.
  • Decreased ALFF/fALFF was observed in the right precuneus, left middle occipital gyrus, and postcentral gyrus in IXT patients.
  • Widespread increased FC was found in IXT, particularly involving vision and eye movement-related areas. No decreased FC was observed.

Conclusions:

  • IXT patients exhibit distinct patterns of aberrant intrinsic brain activity and functional connectivity.
  • These findings highlight the involvement of vision and eye movement networks in the pathophysiology of IXT.
  • This research advances the understanding of neurological mechanisms underlying visual and oculomotor deficits in IXT.