Brain functional network abnormality extends beyond the sensorimotor network in brachial plexus injury patients.

Brachial plexus injury (BPI) is a type of severe peripheral nerve trauma that leads to central remodeling in the brain, as revealed by functional MRI analysis. However, previously reported remodeling is mostly restricted to sensorimotor areas of the brain. Whether this disturbance in the sensorimoto...

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Published in:Brain Imaging & Behavior Vol. 10; no. 4; pp. 1198 - 1206
Main Authors: Feng, Jun-Tao, Liu, Han-Qiu, Hua, Xu-Yun, Gu, Yu-Dong, Xu, Jian-Guang, Xu, Wen-Dong
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Dec2016
Online Access:View this record in EBSCOhost
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      dt: Dec2016
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      pub: Springer Nature
      place: New York, New York
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        atl: Brain functional network abnormality extends beyond the sensorimotor network in brachial plexus injury patients.
      aug:
        au:
          Feng, Jun-Tao
          Liu, Han-Qiu
          Hua, Xu-Yun
          Gu, Yu-Dong
          Xu, Jian-Guang
          Xu, Wen-Dong
        affil: Department of Hand Surgery, Huashan Hospital, Shanghai Medical College , Fudan University , Shanghai China
      sug:
        subj:
          Brain Physiopathology
          Brachial Plexus Injuries
          Brain
          Neural Pathways
          Adult
          Algorithms
          Brachial Plexus Physiopathology
          Magnetic Resonance Imaging
          Brain Mapping
          Neural Pathways Physiopathology
          Dominance, Cerebral
          Male
          Relaxation
          Human
          Adult: 19-44 years
          Male
      ab: Brachial plexus injury (BPI) is a type of severe peripheral nerve trauma that leads to central remodeling in the brain, as revealed by functional MRI analysis. However, previously reported remodeling is mostly restricted to sensorimotor areas of the brain. Whether this disturbance in the sensorimotor network leads to larger-scale functional remodeling remains unknown. We sought to explore the higher-level brain functional abnormality pattern of BPI patients from a large-scale network function connectivity dimension in 15 right-handed BPI patients. Resting-state functional MRI data were collected and analyzed using independent component analysis methods. Five components of interest were recognized and compared between patients and healthy subjects. Patients showed significantly altered brain local functional activities in the bilateral fronto-parietal network (FPN), sensorimotor network (SMN), and executive-control network (ECN) compared with healthy subjects. Moreover, functional connectivity between SMN and ECN were significantly less in patients compared with healthy subjects, and connectivity strength between ECN and SMN was negatively correlated with patients' residual function of the affected limb. Functional connectivity between SMN and right FPN were also significantly less than in controls, although connectivity between ECN and default mode network (DMN) was greater than in controls. These data suggested that brain functional disturbance in BPI patients extends beyond the sensorimotor network and cascades serial remodeling in the brain, which significantly correlates with residual hand function of the paralyzed limb. Furthermore, functional remodeling in these higher-level functional networks may lead to cognitive alterations in complex tasks.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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