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Current Opinion in Neurology:
doi: 10.1097/WCO.0000000000000396
REVIEW: PDF Only
Brain connectivity and neurological disorders after stroke.
Baldassarre, Antonello; Ramsey, Lenny E.; Siegel, Joshua S.; Shulman, Gordon L.; Corbetta, Maurizio
Published Ahead-of-Print
Purpose of review: An important challenge in neurology is
identifying the neural mechanisms underlying behavioral deficits after
brain injury. Here, we review recent advances in understanding the
effects of focal brain lesions on brain networks and behavior.
Recent findings: Neuroimaging studies indicate that the
human brain is organized in large-scale resting state networks (RSNs)
defined via functional connectivity, that is the temporal correlation of
spontaneous activity between different areas. Prior studies showed that
focal brain lesion induced behaviorally relevant changes of functional
connectivity beyond the site of damage. Recent work indicates that
across domains, functional connectivity changes largely conform to two
patterns: a reduction in interhemispheric functional connectivity and an
increase in intrahemispheric functional connectivity between networks
that are normally anticorrelated, for example dorsal attention and
default networks. Abnormal functional connectivity can exhibit a high
degree of behavioral specificity such that deficits in a given
behavioral domain are selectively related to functional connectivity of
the corresponding RSN, but some functional connectivity changes allow
prediction across domains. Finally, as behavioral recovery proceeds, the
prestroke pattern of functional connectivity is restored.
Summary: Investigating changes in RSNs may shed light on
the neural mechanisms underlying brain dysfunction after stroke.
Therefore, resting state functional connectivity may represent an
important tool for clinical diagnosis, tracking recovery and
rehabilitation.
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