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Brain functional connectivity in patients with hyperthyroidism after anti-thyroid treatment.
Mukesh Kumar1, Sadhana Singh1,2, Poonam Rana1
1NMR Research Centre, Institute of Nuclear Medicine and Allied Sciences (INMAS), Delhi, India.
Anti-thyroid treatment improved brain functional connectivity and some cognitive functions in hyperthyroid patients. However, residual impairments in certain brain networks suggest ongoing neurological effects of thyroid disease.
Area of Science:
- Neuroscience
- Endocrinology
- Radiology
Background:
- Thyroid disease impacts brain function and cognition.
- Recovery of brain changes after hyperthyroid treatment is not well understood.
Purpose of the Study:
- Investigate changes in brain functional connectivity after anti-thyroid treatment.
- Correlate these changes with neuropsychological outcomes.
Main Methods:
- Follow-up resting-state functional magnetic resonance imaging (rsfMRI) study.
- Included 21 hyperthyroid patients assessed before and after 30 weeks of treatment.
- Paired t-tests compared functional connectivity and neuropsychological scores.
Main Results:
- Patients showed improved memory, executive, visuospatial, and motor functions post-treatment.
- Increased functional connectivity was observed in right and left fronto-parietal networks and the default mode network (DMN).
- Right fronto-parietal network connectivity positively correlated with object recognition memory.
Conclusions:
- Anti-thyroid treatment partially restores functional connectivity in hyperthyroid patients.
- Some resting-state networks show improvement, while others remain impaired, indicating persistent effects of thyroid disease.
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