1. Structural reorganization of the cerebral cortex after vestibulo-cerebellar stroke
- Author
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Julian Conrad, Valerie Kirsch, Frank A. Wollenweber, Peter zu Eulenburg, Marco Duering, Marianne Dieterich, Sandra Becker-Bense, Rainer Boegle, Ozan Eren, Maxine Ruehl, Thomas Stephan, Matthias Ertl, and Maximilian Habs
- Subjects
Cerebellum ,Cognitive Neuroscience ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Insular cortex ,computer.software_genre ,050105 experimental psychology ,03 medical and health sciences ,0302 clinical medicine ,Voxel ,Neuroplasticity ,otorhinolaryngologic diseases ,Medicine ,Humans ,0501 psychology and cognitive sciences ,Radiology, Nuclear Medicine and imaging ,RC346-429 ,VBM ,Stroke ,Vestibular system ,Cerebral Cortex ,Neuronal Plasticity ,business.industry ,05 social sciences ,Regular Article ,medicine.disease ,Vestibular cortex ,Magnetic Resonance Imaging ,Vestibular ,medicine.anatomical_structure ,Neurology ,nervous system ,Cerebral cortex ,Neurology (clinical) ,Neurology. Diseases of the nervous system ,Vestibule, Labyrinth ,sense organs ,business ,150 Psychology ,Neuroscience ,computer ,030217 neurology & neurosurgery ,Cerebellar - Abstract
Highlights • VBM demonstrates cortical structural reorganization after vestibulo-cerebellar infarcts. • Structural reorganization extends beyond the cortical vestibular hubs. • Structural reorganization mirrors functional connectivity in healthy controls. • Reveals the multifaceted interconnection between cerebellum und cerebral cortex., Objective Structural reorganization following cerebellar infarcts is not yet known. This study aimed to demonstrate structural volumetric changes over time in the cortical vestibular and multisensory areas (i.e., brain plasticity) after acute cerebellar infarcts with vestibular and ocular motor symptoms. Additionally, we evaluated whether structural reorganization in the patients topographically correlates with cerebello-cortical connectivity that can be observed in healthy participants. Methods We obtained high-resolution structural imaging in seven patients with midline cerebellar infarcts at two time points. These data were compared to structural imaging of a group of healthy age-matched controls using voxel-based morphometry (2×2 ANOVA approach). The maximum overlap of the infarcts was used as a seed region for a separate resting-state functional connectivity analysis in healthy volunteers. Results Volumetric changes were detected in the multisensory cortical vestibular areas around the parieto-opercular and (retro-) insular cortex. Furthermore, structural reorganization was evident in parts of the frontal, temporal, parietal, limbic, and occipital lobes and reflected functional connections between the main infarct regions in the cerebellum and the cerebral cortex in healthy individuals. Conclusions This study demonstrates structural reorganization in the parieto-opercular insular vestibular cortex after acute vestibulo-cerebellar infarcts. Additionally, the widely distributed structural reorganization after midline cerebellar infarcts provides additional in vivo evidence for the multifaceted contribution of cerebellar processing to cortical functions that extend beyond vestibular or ocular motor function.
- Published
- 2021
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