Disruption of large-scale electrophysiological networks in stroke patients with visuospatial neglect
Number of pages
SourceNetwork Neuroscience, (2021)
26 oktober 2021
Article / Letter to editor
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PI Group Affective Neuroscience
SW OZ BSI KLP
Subject230 Affective Neuroscience; Experimental Psychopathology and Treatment
Stroke frequently produces attentional dysfunctions including symptoms of hemispatial neglect, which is characterized by a breakdown of awareness for the contralesional hemispace. Recent studies with functional MRI (fMRI) suggest that hemineglect patients display abnormal intra- and interhemispheric functional connectivity. However, since stroke is a vascular disorder and fMRI signals remain sensitive to nonneuronal (i.e., vascular) coupling, more direct demonstrations of neural network dysfunction in hemispatial neglect are warranted. Here, we utilize electroencephalogram (EEG) source imaging to uncover differences in resting-state network organization between patients with right hemispheric stroke (N = 15) and age-matched, healthy controls (N = 27), and determine the relationship between hemineglect symptoms and brain network organization. We estimated intra- and interregional differences in cortical communication by calculating the spectral power and amplitude envelope correlations of narrow-band EEG oscillations. We first observed focal frequency-slowing within the right posterior cortical regions, reflected in relative delta/theta power increases and alpha/beta/gamma decreases. Secondly, nodes within the right temporal and parietal cortex consistently displayed anomalous intra- and interhemispheric coupling, stronger in delta and gamma bands, and weaker in theta, alpha, and beta bands. Finally, a significant association was observed between the severity of left-hemispace search deficits (e.g., cancellation test omissions) and reduced functional connectivity within the alpha and beta bands. In sum, our novel results validate the hypothesis of large-scale cortical network disruption following stroke and reinforce the proposal that abnormal brain oscillations may be intimately involved in the pathophysiology of visuospatial neglect.Stroke patients often exhibit a disabling deficit of visual awareness in the hemifield opposite to their brain lesion, known as hemineglect. Recent studies with functional MRI (fMRI) suggest that hemineglect patients display abnormal functional coupling (i.e., connectivity) within and between brain hemispheres. However, since stroke is a vascular disorder and fMRI measures nonneuronal (i.e., vascular) coupling, we here provide direct evidence of neural network dysfunction in hemineglect by using electroencephalogram (EEG) source imaging, which measures the electrical fluctuations of large neuronal populations. Overall, we observed a breakdown of interhemispheric network connectivity within alpha/beta rhythms, which specifically correlated with the degree of patients' hemispatial errors. The high temporal resolution and frequency content of EEG signals could lead to more sensitive markers and targeted rehabilitation approaches of hemineglect.
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