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Published on: December 18, 2015
Correlation between somatosensory function and cortical activation induced by touch stimulation in patients with
1Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Republic of Korea.
Insights
Somatosensory function in intracerebral hemorrhage (ICH) patients correlates with brain activation in key sensory areas. This finding highlights the relationship between tactile sensation deficits and cortical responses in the primary sensory-motor cortex and posterior parietal cortex.
Area of Science:
- Neuroscience
- Neurology
- Medical Imaging
Background:
- Intracerebral hemorrhage (ICH) often leads to somatosensory deficits.
- Understanding the neural correlates of these deficits is crucial for rehabilitation.
Purpose of the Study:
- To investigate the correlation between somatosensory function and cortical activation in ICH patients using functional magnetic resonance imaging (fMRI).
Main Methods:
- Thirty-two chronic ICH patients with tactile sensation deficits were assessed using the Nottingham Sensory Assessment (NSA).
- fMRI was employed with tactile stimulation applied to the affected hand.
- Regions of interest included the primary sensory-motor cortex (SM1), posterior parietal cortex (PPC), and secondary somatosensory cortex (S2).
Main Results:
- Significant positive correlations were observed between NSA scores and fMRI signal changes in the contralateral SM1 and PPC.
- A correlation was also found in the ipsilateral SM1.
- No significant correlations were detected in the secondary somatosensory cortex (S2) in either hemisphere.
Conclusions:
- Somatosensory function in ICH patients is positively associated with cortical activation in the contralateral SM1 and PPC, as well as the ipsilateral SM1.
- The secondary somatosensory cortex (S2) did not show a significant correlation with somatosensory function in this cohort.
Objectives:
The correlation between somatosensory function and cortical activation induced by touch stimulation in patients with intracerebral hemorrhage (ICH) was investigated by functional magnetic resonance imaging (fMRI).
Methods:
Thirty-two chronic ICH patients with somatosensory deficits in tactile sensation were enrolled. For fMRI, touch stimulation was applied on the dorsum of the affected hand (contralateral to the ICH), using a rubber brush at a frequency of 1 Hz. Regions of interests (ROIs) were set at the primary sensory-motor cortex [SM1: Brodmann's area (BA) 1, 2, 3, 4], the posterior parietal cortex (PPC: BA 5, 7) and the secondary somatosensory cortex (S2: BA 43) in both hemispheres. The tactile sensation subscale of the Nottingham Sensory Assessment (NSA) was used to determine somatosensory function.
Results:
Significant correlations were found between NSA scores and voxel counts in the contralateral (ipsilesional) SM1 (r = 0.642; p < 0.05), the contralateral PPC (r = 0.507; p < 0.05) and the ipsilateral (contralesional) SM1 (r = 0.466; p < 0.05). However, no correlation was found between NSA scores and the contralateral S2 (r = 0.323; p > 0.05), the ipsilateral PPC (r = 0.252; p > 0.05) or the ipsilateral S2 (r = 0.280; p > 0.05).
Conclusions:
It was found that somatosensory functions were positively correlated with degrees of blood oxygenation level dependent signal change of the following ROIs: the contralateral SM1, the contralateral PPC and the ipsilateral SM1. Opposingly, the S2 showed no correlation on either side of the brain.
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