1. Fornix alterations induce the disruption of default mode network in patients with adamantinomatous craniopharyngiomas
- Author
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Jie Kang, Lei Cao, Taoyang Yuan, Lu Jin, Yanjiao He, Xing Liu, Cuiping Zhang, Nan Chen, Guofo Ma, Ning Qiao, Bochao Zhang, Wentao Wu, Yuanyu Shi, Hua Gao, Chuzhong Li, Yazhuo Zhang, Zhentao Zuo, and Songbai Gui
- Subjects
Craniopharyngioma ,Cognitive ,Default-mode network ,Fornix ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Adamantinomatous craniopharyngioma (ACPs) are rare embryonic tumors and often involve the hypothalamus. The underlying neural substrate of the hypothalamic involvement (HI)-related cognitive decline in patients with ACP is still unclear. We aimed to combine the multi-modal neuroimaging and histological characteristics of the ACP to explore the potential neural substrate of the HI-related cognitive decline. 45 patients with primary ACPs (invasive, 23; noninvasive, 22) and 52 healthy control subjects (HCs) were admitted to the cross-sectional study. No significant difference in cognitive domains was observed between HCs and patients with noninvasive ACPs (NACP). Patients with invasive ACPs (IACP) showed significantly lower working memory performance (WM, p = 0.002) than patients with NACP. The WM decline was correlated with the disruption of the medial temporal lobe (MTL) subsystem in the default mode network (DMN) (r = 0.45, p = 0.004). The increased radial diffusivity of the fornix, indicating demyelinating process, was correlated with the disruption of the MTL subsystem (r = -0.48, p = 0.002). Our study demonstrated that the fornix alterations link DMN disruption to HI-related cognitive decline in patients with ACPs. ACPs that invade the hypothalamus can provide a natural disease model to investigate the potential neural substrate of HI-related cognitive decline.
- Published
- 2022
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