Relationship between the anterior forebrain mesocircuit and the default mode network in the structural bases of disorders of consciousness
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Relationship between the anterior forebrain mesocircuit and the default mode network in the structural bases of disorders of consciousness. / Lant, Nicholas D; Gonzalez-Lara, Laura E; Owen, Adrian M; Fernández-Espejo, Davinia.
In: NeuroImage: Clinical, Vol. 10, 2016, p. 27-35.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Relationship between the anterior forebrain mesocircuit and the default mode network in the structural bases of disorders of consciousness
AU - Lant, Nicholas D
AU - Gonzalez-Lara, Laura E
AU - Owen, Adrian M
AU - Fernández-Espejo, Davinia
PY - 2016
Y1 - 2016
N2 - The specific neural bases of disorders of consciousness (DOC) are still not well understood. Some studies have suggested that functional and structural impairments in the default mode network may play a role in explaining these disorders. In contrast, others have proposed that dysfunctions in the anterior forebrain mesocircuit involving striatum, globus pallidus, and thalamus may be the main underlying mechanism. Here, we provide the first report of structural integrity of fiber tracts connecting the nodes of the mesocircuit and the default mode network in 8 patients with DOC. We found evidence of significant damage to subcortico-cortical and cortico-cortical fibers, which were more severe in vegetative state patients and correlated with clinical severity as determined by Coma Recovery Scale-Revised (CRS-R) scores. In contrast, fiber tracts interconnecting subcortical nodes were not significantly impaired. Lastly, we found significant damage in all fiber tracts connecting the precuneus with cortical and subcortical areas. Our results suggest a strong relationship between the default mode network - and most importantly the precuneus - and the anterior forebrain mesocircuit in the neural basis of the DOC.
AB - The specific neural bases of disorders of consciousness (DOC) are still not well understood. Some studies have suggested that functional and structural impairments in the default mode network may play a role in explaining these disorders. In contrast, others have proposed that dysfunctions in the anterior forebrain mesocircuit involving striatum, globus pallidus, and thalamus may be the main underlying mechanism. Here, we provide the first report of structural integrity of fiber tracts connecting the nodes of the mesocircuit and the default mode network in 8 patients with DOC. We found evidence of significant damage to subcortico-cortical and cortico-cortical fibers, which were more severe in vegetative state patients and correlated with clinical severity as determined by Coma Recovery Scale-Revised (CRS-R) scores. In contrast, fiber tracts interconnecting subcortical nodes were not significantly impaired. Lastly, we found significant damage in all fiber tracts connecting the precuneus with cortical and subcortical areas. Our results suggest a strong relationship between the default mode network - and most importantly the precuneus - and the anterior forebrain mesocircuit in the neural basis of the DOC.
KW - Disorders of consciousness
KW - Default mode network
KW - Thalamus
KW - Basal ganglia
KW - Anterior forebrain mesocircuit
KW - Precuneus
KW - DTI
KW - Tractography
KW - white matter
KW - traumatic brain injury
KW - Hypoxic–ischemic brain injury
KW - vegetative state
KW - minimally conscious state
U2 - 10.1016/j.nicl.2015.11.004
DO - 10.1016/j.nicl.2015.11.004
M3 - Article
C2 - 26693399
VL - 10
SP - 27
EP - 35
JO - NeuroImage: Clinical
JF - NeuroImage: Clinical
SN - 2213-1582
ER -