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Functional Connectivity Substrates for tDCS Response in Minimally Conscious State Patients

Authors: Carlo Cavaliere; Carlo Cavaliere; Marco Aiello; Carol Di Perri; Enrico Amico; Charlotte Martial; Aurore Thibaut; +2 Authors

Functional Connectivity Substrates for tDCS Response in Minimally Conscious State Patients

Abstract

Transcranial direct current stimulation (tDCS) is a non-invasive technique recently employed in disorders of consciousness, and determining a transitory recovery of signs of consciousness in almost half of minimally conscious state (MCS) patients. Although the rising evidences about its possible role in the treatment of many neurological and psychiatric conditions exist, no evidences exist about brain functional connectivity substrates underlying tDCS response. We retrospectively evaluated resting state functional Magnetic Resonance Imaging (fMRI) of 16 sub-acute and chronic MCS patients (6 tDCS responders) who successively received a single left dorsolateral prefrontal cortex (DLPFC) tDCS in a double-blind randomized cross-over trial. A seed-based approach for regions of left extrinsic control network (ECN) and default-mode network (DMN) was performed. tDCS responders showed an increased left intra-network connectivity for regions co-activated with left DLPFC, and significantly with left inferior frontal gyrus. Non-responders (NR) MCS patients showed an increased connectivity between left DLPFC and midline cortical structures, including anterior cingulate cortex and precuneus. Our findings suggest that a prior high connectivity with regions belonging to ECN can facilitate transitory recovery of consciousness in a subgroup of MCS patients that underwent tDCS treatment. Therefore, resting state-fMRI could be very valuable in detecting the neuronal conditions necessary for tDCS to improve behavior in MCS.

Countries
Belgium, Canada, United States
Keywords

610, Prefrontal Cortex, Neurosciences. Biological psychiatry. Neuropsychiatry, Prefrontal cortex, Sciences de la santé humaine, Magnetic resonance imaging, Neurologie, magnetic resonance imaging, resting state networks, Human health sciences, Minimally conscious state, disorders of consciousness, Disorders of consciousness, prefrontal cortex, Magnetic Resonance Imaging, Minimally Conscious State, Resting state networks, minimally conscious state, Neurology, Transcranial direct current stimulation, transcranial direct current stimulation, RC321-571, Neuroscience

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selected citations
These citations are derived from selected sources.
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!
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