机构:[1]Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China,[2]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China,神经内科首都医科大学宣武医院[3]Department of Radiology, Xuanwu Hospital of Capital Medical University, Beijing, China放射科首都医科大学宣武医院
It remains uncertain if the contralesional primary sensorimotor cortex (CL_PSMC) contributes to motor recovery after stroke. Here we investigated longitudinal changes in the resting-state functional connectivity (rsFC) of the CL_PSMC and their association with motor recovery. Thirteen patients who had experienced subcortical stroke underwent a series of resting-state fMRI and clinical assessments over a period of 1 year at 5 time points, i.e., within the first week, at 2 weeks, 1 month, 3 months, and 1 year after stroke onset. Thirteen age-and gender-matched healthy subjects were recruited as controls. The CL_PSMC was defined as a region centered at the voxel that had greatest activation during hand motion task. The dynamic changes in the rsFCs of the CL_PSMC within the whole brain were evaluated and correlated with the Motricity Index (MI) scores. Compared with healthy controls, the rsFCs of the CL_PSMC with the bilateral PSMC were initially decreased, then gradually increased, and finally restored to the normal level 1 year later. Moreover, the dynamic change in the interhemispheric rsFC between the bilateral PSMC in these patients was positively correlated with the MI scores. However, the intra-hemispheric rsFC of the CL_PSMC was not correlated with the MI scores. This study shows dynamic changes in the rsFCs of the CL_PSMC after stroke and suggests that the increased inter-hemispheric rsFC between the bilateral PSMC may facilitate motor recovery in stroke patients. However, generalization of our findings is limited by the small sample size of our study and needs to be confirmed.
基金:
the National Basic Research Program of China (973 program, 2011CB707804),
the Natural Science Foundation of China(81271564),
the Natural Science Foundation of Tianjin (12JCZDJC23800).
第一作者机构:[1]Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China,
通讯作者:
通讯机构:[1]Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China,
推荐引用方式(GB/T 7714):
Huijuan Xu,Wen Qin,Hai Chen,et al.Contribution of the Resting-State Functional Connectivity of the Contralesional Primary Sensorimotor Cortex to Motor Recovery after Subcortical Stroke[J].PLOS ONE.2014,9(1):e84729.doi:10.1371/journal.pone.0084729.
APA:
Huijuan Xu,Wen Qin,Hai Chen,Lin Jiang,Kuncheng Li&Chunshui Yu.(2014).Contribution of the Resting-State Functional Connectivity of the Contralesional Primary Sensorimotor Cortex to Motor Recovery after Subcortical Stroke.PLOS ONE,9,(1)
MLA:
Huijuan Xu,et al."Contribution of the Resting-State Functional Connectivity of the Contralesional Primary Sensorimotor Cortex to Motor Recovery after Subcortical Stroke".PLOS ONE 9..1(2014):e84729