1. Cerebral functional activity and connectivity changes in anti-N-methyl-D-aspartate receptor encephalitis: A resting-state fMRI study
- Author
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Luhui Cai, Yanli Liang, Huanjian Huang, Xia Zhou, and Jinou Zheng
- Subjects
Computer applications to medicine. Medical informatics ,R858-859.7 ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Background: Anti–N-methyl-D-aspartate receptor (NMDAR) encephalitis showing severe neuropsychiatric symptoms is the most common type of autoimmune encephalitis. However, the corresponding standard clinical magnetic resonance imaging (MRI) presents normal or atypical in the majority of patients with anti-NMDAR encephalitis. Here, this study aimed to investigate the alterations in brain functional activity in patients with anti-NMDAR encephalitis and whether these alterations contributed to cognition and mood disorders. Methods: Seventeen patients with anti-NMDAR encephalitis and eighteen gender, age and education-matched healthy controls were recruited. All participants underwent neuropsychological tests (including Montreal Cognitive Assessment (MoCA), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD24)) and resting-state functional MRI. MRI data was firstly analyzed by amplitude of low-frequency fluctuation (ALFF), and brain regions with altered ALFF between groups were selected as regions of interest for the further functional connectivity (FC) analysis. Correlation analyses were performed to investigate the associations between brain dysfunction and neuropsychological performance. Results: Relative to the healthy controls, patients with anti-NMDAR encephalitis performed inferiorly in the MoCA score, and showed anxiety and depression disorders with higher HAMA and HAMD24 scores (all p more...
- Published
- 2020
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