Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-29
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dc.contributor.authorChirumamilla, Venkata C.-
dc.contributor.authorDresel, Christian-
dc.contributor.authorKoirala, Nabin-
dc.contributor.authorGonzalez-Escamilla, Gabriel-
dc.contributor.authorDeuschl, Günther-
dc.contributor.authorZeuner, Kirsten E.-
dc.contributor.authorMuthuraman, Muthuraman-
dc.contributor.authorGroppa, Sergiu-
dc.date.accessioned2020-01-28T13:34:35Z-
dc.date.available2020-01-28T14:34:35Z-
dc.date.issued2019-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/31-
dc.description.abstractBackground: Focal dystonias are severe and disabling movement disorders of a still unclear origin. The structural brain networks associated with focal dystonia have not been well characterized. Here, we investigated structural brain network fingerprints in patients with blepharospasm (BSP) compared with those with hemifacial spasm (HFS), and healthy controls (HC). The patients were also examined following treatment with botulinum neurotoxin (BoNT). Methods: This study included matched groups of 13 BSP patients, 13 HFS patients, and 13 HC. We measured patients using structural-magnetic resonance imaging (MRI) at baseline and after one month BoNT treatment, at time points of maximal and minimal clinical symptom representation, and HC at baseline. Group regional cross-correlation matrices calculated based on grey matter volume were included in graph-based network analysis. We used these to quantify global network measures of segregation and integration, and also looked at local connectivity properties of different brain regions. Results: The networks in patients with BSP were more segregated than in patients with HFS and HC (p < 0.001). BSP patients had increased connectivity in frontal and temporal cortices, including sensorimotor cortex, and reduced connectivity in the cerebellum, relative to both HFS patients and HC (p < 0.05). Compared with HC, HFS patients showed increased connectivity in temporal and parietal cortices and a decreased connectivity in the frontal cortex (p < 0.05). In BSP patients, the connectivity of the frontal cortex diminished after BoNT treatment (p < 0.05). In contrast, HFS patients showed increased connectivity in the temporal cortex and reduced connectivity in cerebellum after BoNT treatment (p < 0.05). Conclusions: Our results show that BSP patients display alterations in both segregation and integration in the brain at the network level. The regional differences identified in the sensorimotor cortex and cerebellum of these patients may play a role in the pathophysiology of focal dystonia. Moreover, symptomatic reduction of hyperkinesia by BoNT treatment was associated with different brain network fingerprints in both BSP and HFS patients.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin-
dc.language.isoeng-
dc.rightsCC BY-NCde_DE
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/-
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleStructural brain network fingerprints of focal dystoniaen_GB
dc.typeZeitschriftenaufsatzde_DE
dc.identifier.urnurn:nbn:de:hebis:77-publ-595325-
dc.identifier.doihttp://doi.org/10.25358/openscience-29-
jgu.type.dinitypearticle-
jgu.type.versionPublished versionen_GB
jgu.type.resourceText-
jgu.organisation.departmentFB 04 Medizin-
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleTherapeutic advances in neurological disorders-
jgu.journal.volume12-
jgu.pages.start1-
jgu.pages.end13-
jgu.publisher.year2019-
jgu.publisher.nameSage-
jgu.publisher.placeLondon-
jgu.publisher.urihttp://dx.doi.org/10.1177/1756286419880664-
jgu.publisher.issn1756-2864-
jgu.publisher.issn1756-2856-
jgu.organisation.placeMainz-
jgu.subject.ddccode610-
opus.date.accessioned2020-01-28T13:34:35Z-
opus.date.modified2020-02-07T09:42:13Z-
opus.date.available2020-01-28T14:34:35-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 04: Medizin: Klinik und Poliklinik für Neurologiede_DE
opus.identifier.opusid59532-
opus.institute.number0435-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_GB
opus.affiliatedMuthuraman, Muthuraman-
opus.affiliatedGroppa, Sergiu-
jgu.publisher.doi10.1177/1756286419880664
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:JGU-Publikationen

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