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Research ArticleFunctional

Cognitive Impairment and Basal Ganglia Functional Connectivity in Vascular Parkinsonism

V. Dunet, J. Deverdun, C. Charroud, E. Le Bars, F. Molino, S. Menjot de Champfleur, F. Maury, M. Charif, X. Ayrignac, P. Labauge, G. Castelnovo, F. Pinna, A. Bonafe, C. Geny and N. Menjot de Champfleur
American Journal of Neuroradiology December 2016, 37 (12) 2310-2316; DOI: https://doi.org/10.3174/ajnr.A4889
V. Dunet
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
dDepartment of Diagnostic and Interventional Radiology (V.D), Lausanne University Hospital, Lausanne, Switzerland
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J. Deverdun
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
eLaboratoire Charles Coulomb (J.D., F.Molino), Centre National de la Recherche Scientifique Unite Mixte de Recherche 5221, Montpellier University, Montpellier, France
fIntrasense (J.D.), Montpellier, France
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C. Charroud
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
gNeuropsychiatry: Epidemiological and Clinical Research (C.C.), Institut National de la Santé et de la Recherche Médicale, U1061, Montpellier University, La Colombiere Hospital, Montpellier, France
hInstitut National de la Santé et de la Recherche Médicale (C.C.), U1198, Montpellier University, Montpellier, France
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E. Le Bars
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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F. Molino
eLaboratoire Charles Coulomb (J.D., F.Molino), Centre National de la Recherche Scientifique Unite Mixte de Recherche 5221, Montpellier University, Montpellier, France
iInstitut de Genomique Fonctionnelle (F.Molino), UMR 5203, Institut National de la Santé et de la Recherche Médicale, U661, Montpellier University, Montpellier, France
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S. Menjot de Champfleur
jClinique du Parc (S.M.d.C.), Service d'imagerie, Castenau-Le-Lez, France
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F. Maury
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
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M. Charif
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
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X. Ayrignac
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
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P. Labauge
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
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G. Castelnovo
kDepartments of Neurology (G.C.)
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F. Pinna
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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A. Bonafe
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
mTeam “Plasticity of Central Nervous System, Stem Cells and Glial Tumors” (A.B., N.M.d.C,), U1051, Institut of Neurosciences of Montpellier, Saint Eloi Hospital, Montpellier, France
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C. Geny
bNeurology (F.Maury, M.C., X.A., P.L., F.P., C.G.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France
nEuroMov (C.G.), Montpellier, France
oMovement to Health (C.G.), Montpellier University, Montpellier, France.
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N. Menjot de Champfleur
aFrom the Departments of Neuroradiology (V.D., J.D., C.C., E.L.B., F.P, A.B., N.M.d.C.)
cInstitut d'Imagerie Fonctionnelle Humaine, I2FH (V.D., J.D., C.C., E.L.B., F.P., A.B., N.M.d.C.), Hôpital Gui de Chauliac, Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
lMedical Imaging (N.M.d.C.), Caremeau University Hospital Center, Nimes, France
mTeam “Plasticity of Central Nervous System, Stem Cells and Glial Tumors” (A.B., N.M.d.C,), U1051, Institut of Neurosciences of Montpellier, Saint Eloi Hospital, Montpellier, France
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    Fig 1.

    Comparison of the functional connectivity of the right caudate nucleus between patients with vascular parkinsonism and those with Parkinson disease. Contrast is generated as a 2-tailed t test (scale: t = 0.1–5) with a combination of a voxelwise threshold (uncorrected P < .001) and a cluster-extent threshold (family-wise error rate–corrected P < .05), while controlling for age. Increased functional connectivity of the right caudate nucleus to the perigenual anterior cingulate cortex (MNI coordinates: x = 2, y = 44, z = 2) in axial (A), sagittal (B), and coronal (C) planes is observed. Functional connectivity of the right caudate nucleus to the perigenual anterior cingulate cortex positively correlates with normalized caudate nucleus volumes (D).

  • Fig 2.
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    Fig 2.

    Comparison of the functional connectivity of the right caudate nucleus between patients with vascular parkinsonism and controls. Contrast is generated as a 2-tailed t test (scale: t = 0.1–5) with a combination of a voxelwise threshold (uncorrected P < .001) and a cluster-extent threshold (family-wise error rate–corrected P < .05), while controlling for age. Decreased functional connectivity of the right caudate nucleus to the posterior cingulate cortex (MNI coordinates: x = 2, y = −42, z = 36) in the axial (A), sagittal (B), and coronal (C) planes is observed. Functional connectivity of the right caudate nucleus to the posterior cingulate cortex negatively correlates with the number of errors during the Stroop Task (D).

Tables

  • Figures
  • Basal ganglia functional connectivity with the cingulate cortex in patients with VP

    SeedsRegionsCluster MNI CoordinatesCluster Size (Voxels)Cluster Uncorrected P ValueCluster FWE-Corrected P Value
    XYZ
    Functional connectivity significantly increased in patients with VP
        Comparison with controls
            Right caudateAnterior cingulate gyrus6221254<.0001<.0001
            Left caudateAnterior cingulate gyrus−18103215.000003.00004
        Comparison with patients with PD
            Right caudateAnterior cingulate gyrus, right paracingulate gyrus, left paracingulate gyrus2442226.0019.026
    Functional connectivity significantly decreased in patients with VP
        Comparison with controls
            Right caudatePosterior cingulate gyrus, precuneus cortex2−4236658.000004.00006
            Left caudatePosterior cingulate gyrus, precuneus cortex2−6052520.00002.0002
    • Note:—FWE indicates family-wise error.

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American Journal of Neuroradiology: 37 (12)
American Journal of Neuroradiology
Vol. 37, Issue 12
1 Dec 2016
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V. Dunet, J. Deverdun, C. Charroud, E. Le Bars, F. Molino, S. Menjot de Champfleur, F. Maury, M. Charif, X. Ayrignac, P. Labauge, G. Castelnovo, F. Pinna, A. Bonafe, C. Geny, N. Menjot de Champfleur
Cognitive Impairment and Basal Ganglia Functional Connectivity in Vascular Parkinsonism
American Journal of Neuroradiology Dec 2016, 37 (12) 2310-2316; DOI: 10.3174/ajnr.A4889

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Cognitive Impairment and Basal Ganglia Functional Connectivity in Vascular Parkinsonism
V. Dunet, J. Deverdun, C. Charroud, E. Le Bars, F. Molino, S. Menjot de Champfleur, F. Maury, M. Charif, X. Ayrignac, P. Labauge, G. Castelnovo, F. Pinna, A. Bonafe, C. Geny, N. Menjot de Champfleur
American Journal of Neuroradiology Dec 2016, 37 (12) 2310-2316; DOI: 10.3174/ajnr.A4889
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