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Default Mode Network Connectivity in Stroke Patients

Authors: Mark Rijpkema; Elena Shumskaya; Anil M. Tuladhar; Frank-Erik de Leeuw; David G. Norris; David G. Norris; David G. Norris; +3 Authors

Default Mode Network Connectivity in Stroke Patients

Abstract

The pathophysiology of episodic memory dysfunction after infarction is not completely understood. It has been suggested that infarctions located anywhere in the brain can induce widespread effects causing disruption of functional networks of the cortical regions. The default mode network, which includes the medial temporal lobe, is a functional network that is associated with episodic memory processing. We investigated whether the default mode network activity is reduced in stroke patients compared to healthy control subjects in the resting state condition. We assessed the whole brain network properties during resting state functional MRI in 21 control subjects and 20 'first-ever' stroke patients. Patients were scanned 9-12 weeks after stroke onset. Stroke lesions were located in various parts of the brain. Independent component analyses were conducted to identify the default mode network and to compare the group differences of the default mode network. Furthermore, region-of-interest based analysis was performed to explore the functional connectivity between the regions of the default mode network. Stroke patients performed significantly worse than control subjects on the delayed recall score on California verbal learning test. We found decreased functional connectivity in the left medial temporal lobe, posterior cingulate and medial prefrontal cortical areas within the default mode network and reduced functional connectivity between these regions in stroke patients compared with controls. There were no significant volumetric differences between the groups. These results demonstrate that connectivity within the default mode network is reduced in 'first-ever' stroke patients compared to control subjects. This phenomenon might explain the occurrence of post-stroke cognitive dysfunction in stroke patients.

Country
Netherlands
Keywords

Male, DCN MP - Plasticity and memory, Science, Medizin, Biophysics, IR-89673, METIS-301614, 150 000 MR Techniques in Brain Function, DCN NN - Brain networks and neuronal communication NCEBP 9 - Mental health, 130 000 Cognitive Neurology & Memory, Medical Imaging - Radboud University Medical Center, Humans, Aged, ONCOL 3: Translational research NCMLS 2: Immune Regulation, DI-BCB_DCC_Theme 2: Perception, Action and Control, DCN MP - Plasticity and memory NCEBP 9 - Mental Health, Q, R, Cognitive artificial intelligence, Middle Aged, DCN MP - Plasticity and memory NCEBP 14: Cardiovascular diseases, Magnetic Resonance Imaging, Stroke, Case-Control Studies, Medicine, Female, Research Article

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    112
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
112
Top 1%
Top 10%
Top 10%
Green
gold