1. Cortical connectivity of the nucleus basalis of Meynert in Parkinson’s disease and Lewy body dementias
- Author
-
Ludvic Zrinzo, Peter Brown, Harith Akram, Ashwini Oswal, Marwan Hariz, Marjan Jahanshahi, Thomas Foltynie, Vladimir Litvak, James Gratwicke, and Laszlo Zaborszky
- Subjects
Lewy Body Disease ,Parkinson's disease ,Neurologi ,Deep Brain Stimulation ,DBS ,Biology ,Nucleus basalis ,Temporal lobe ,Lingual gyrus ,03 medical and health sciences ,0302 clinical medicine ,Neural Pathways ,mental disorders ,medicine ,Humans ,030304 developmental biology ,Cerebral Cortex ,0303 health sciences ,Basal forebrain ,MEG ,Lewy body ,AcademicSubjects/SCI01870 ,Dementia with Lewy bodies ,Neurosciences ,Magnetoencephalography ,Parkinson Disease ,medicine.disease ,coherence ,Diffusion Tensor Imaging ,medicine.anatomical_structure ,Neurology ,DTI ,Basal Nucleus of Meynert ,oscillations ,AcademicSubjects/MED00310 ,Neurology (clinical) ,Nerve Net ,Neuroscience ,Neurovetenskaper ,030217 neurology & neurosurgery ,Parahippocampal gyrus ,Reports - Abstract
Parkinson’s disease dementia (PDD) and dementia with Lewy bodies (DLB) are related conditions that are associated with cholinergic system dysfunction. Dysfunction of the nucleus basalis of Meynert (NBM), a basal forebrain structure that provides the dominant source of cortical cholinergic innervation, has been implicated in the pathogenesis of both PDD and DLB. Here we leverage the temporal resolution of magnetoencephalography with the spatial resolution of MRI tractography to explore the intersection of functional and structural connectivity of the NBM in a unique cohort of PDD and DLB patients undergoing deep brain stimulation of this structure. We observe that NBM-cortical structural and functional connectivity correlate within spatially and spectrally segregated networks including: (i) a beta band network to supplementary motor area, where activity in this region was found to drive activity in the NBM; (ii) a delta/theta band network to medial temporal lobe structures encompassing the parahippocampal gyrus; and (iii) a delta/theta band network to visual areas including lingual gyrus. These findings reveal functional networks of the NBM that are likely to subserve important roles in motor control, memory and visual function, respectively. Furthermore, they motivate future studies aimed at disentangling network contribution to disease phenotype., Oswal et al. study the structural and functional connectivity of the nucleus basalis of Meynert (NBM) in patients with PDD and DLB. By integrating NBM recordings, MEG and MRI tractography, they identify frequency-specific pathophysiological networks where functional connectivity is predicted by structural connectivity.
- Published
- 2020
- Full Text
- View/download PDF