1. Breakdown of the affective‐cognitive network in functional dystonia
- Author
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Elisa Canu, Alberto Inuggi, Nataša Dragašević Mišković, Igor Petrović, Noemi Piramide, Federica Agosta, Aleksandra Tomić, Elisabetta Sarasso, Vladimir S. Kostic, Massimo Filippi, Marina Svetel, Canu, E., Agosta, F., Tomic, A., Sarasso, E., Petrovic, I., Piramide, N., Svetel, M., Inuggi, A., D. Miskovic, N., Kostic, V. S., and Filippi, M.
- Subjects
Adult ,Male ,Cerebellum ,brain functional connectivity ,resting state fMRI ,Posterior parietal cortex ,Biology ,Amygdala ,050105 experimental psychology ,Young Adult ,03 medical and health sciences ,Cognition ,0302 clinical medicine ,Connectome ,medicine ,Humans ,Medial dorsal nucleus ,0501 psychology and cognitive sciences ,Radiology, Nuclear Medicine and imaging ,Somatoform Disorders ,Research Articles ,Anterior cingulate cortex ,Cerebral Cortex ,Dystonia ,affective‐cognitive network ,Radiological and Ultrasound Technology ,Resting state fMRI ,affective-cognitive network ,fMRI ,05 social sciences ,Brain ,functional dystonia ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Affect ,Cross-Sectional Studies ,medicine.anatomical_structure ,Neurology ,Dystonic Disorders ,Female ,Neurology (clinical) ,Anatomy ,Neuroscience ,030217 neurology & neurosurgery ,Research Article - Abstract
Previous studies suggested that brain regions subtending affective‐cognitive processes can be implicated in the pathophysiology of functional dystonia (FD). In this study, the role of the affective‐cognitive network was explored in two phenotypes of FD: fixed (FixFD) and mobile dystonia (MobFD). We hypothesized that each of these phenotypes would show peculiar functional connectivity (FC) alterations in line with their divergent disease clinical expressions. Resting state fMRI (RS‐fMRI) was obtained in 40 FD patients (12 FixFD; 28 MobFD) and 43 controls (14 young FixFD‐age‐matched [yHC]; 29 old MobFD‐age‐matched [oHC]). FC of brain regions of interest, known to be involved in affective‐cognitive processes, and independent component analysis of RS‐fMRI data to explore brain networks were employed. Compared to HC, all FD patients showed reduced FC between the majority of affective‐cognitive seeds of interest and the fronto‐subcortical and limbic circuits; enhanced FC between the right affective‐cognitive part of the cerebellum and the bilateral associative parietal cortex; enhanced FC of the bilateral amygdala with the subcortical and posterior cortical brain regions; and altered FC between the left medial dorsal nucleus and the sensorimotor and associative brain regions (enhanced in MobFD and reduced in FixFD). Compared with yHC and MobFD patients, FixFD patients had an extensive pattern of reduced FC within the cerebellar network, and between the majority of affective‐cognitive seeds of interest and the sensorimotor and high‐order function (“cognitive”) areas with a unique involvement of dorsal anterior cingulate cortex connectivity. Brain FC within the affective‐cognitive network is altered in FD and presented specific features associated with each FD phenotype, suggesting an interaction between brain connectivity and clinical expression of the disease.
- Published
- 2020