1. Dynamic functional connectivity changes in Parkinson's disease patients with REM sleep behavior disorder
- Author
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Kezhong Zhang, Qianqian Si, Yongsheng Yuan, Min Wang, Caiting Gan, Lina Wang, and Kewei Ma
- Subjects
0301 basic medicine ,Male ,Parkinson's disease ,REM Sleep Behavior Disorder ,REM sleep behavior disorder ,Basal Ganglia ,03 medical and health sciences ,0302 clinical medicine ,Basal ganglia ,medicine ,Cluster Analysis ,Humans ,Visual Pathways ,Molecular Biology ,Default mode network ,Dynamic functional connectivity ,Aged ,business.industry ,General Neuroscience ,Eye movement ,Brain ,Default Mode Network ,Muscle atonia ,Parkinson Disease ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,030104 developmental biology ,Case-Control Studies ,Sleep behavior ,Female ,Neurology (clinical) ,Nerve Net ,business ,human activities ,Neuroscience ,030217 neurology & neurosurgery ,Developmental Biology - Abstract
Background Rapid eye movement (REM) sleep behavior disorder (RBD) is one of the common nonmotor symptoms of Parkinson’s disease (PD), characterized by frequently occurring REM sleep without muscle atonia. Our aim was to explore dynamic network connection changes in PD patients with RBD. Method On the basis of RBD screening questionnaire (RBDSQ), 126 PD patients were classified into those with probable RBD symptoms (PD-pRBD) and without probable RBD (PD-npRBD). We applied independent component analysis, sliding window approach and k-means clustering methods to clarify dynamic functional connectivity alterations. Results In contrast to PD-npRBD, PD-pRBD patients were liable to engage in a brain pattern mainly marked by weaker positive couplings between visual network (VIS) and default mode network (DMN), DMN and basal ganglia network (BG), and within DMN (State IV). In addition, we discovered that both PD patients with or without pRBD had shorter dwell time and fewer occurrences in State III, characterized by positive correlations between VIS and DMN, BG and DMN, and positive within-network coupling of sensorimotor network (SMN), relative to healthy controls. Conclusions Our study suggested that the weaker positive couplings between VIS and DMN, DMN and BG, and within DMN in State IV could be involved in the pathogenesis of PD patients with probable RBD on an overall level.
- Published
- 2021