• Journal of neurosurgery · Feb 2021

    Contralesional homotopic functional plasticity in patients with temporal glioma.

    • Dongming Liu, Jiu Chen, Xinhua Hu, Guanjie Hu, Yong Liu, Kun Yang, Chaoyong Xiao, Yuanjie Zou, and Hongyi Liu.
    • 1Department of Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu.
    • J. Neurosurg. 2021 Feb 1; 134 (2): 417425417-425.

    ObjectiveThis study aimed to explore the contralesional homotopic functional plasticity in the brain of patients with unilateral temporal glioma.MethodsDemographic, neurocognitive, and resting-state functional MRI data were collected from 17 patients with temporal glioma (10 in the right lobe and 7 in the left lobe), along with 14 age- and sex-matched healthy controls. The amplitude of low-frequency fluctuation (ALFF) of the contralesional homotopic region and 2 control regions was examined. The region-of-interest-based analysis was used to determine the altered functional connectivity (FC) of the contralesional homotopic region, showing significantly different intrinsic regional brain activity between patients and controls. Partial correlation analysis was conducted to determine the association between the altered neural activity and behavioral characteristics.ResultsCompared with controls, patients with right temporal glioma exhibited significantly increased ALFF in the contralesional homotopic hippocampus and parahippocampal region. In addition, the intrinsic regional activity in these regions was negatively correlated with the visuospatial score (r = -0.718, p = 0.045). Whole-brain FC analysis revealed significantly increased FC between the left hippocampus and parahippocampal regions and the left inferior temporal gyrus, and decreased FC between the left hippocampus and parahippocampal regions and the left inferior frontal gyrus. No significant changes were found in the 2 control regions.ConclusionsContralesional homotopic regions are instrumental in the process of neural plasticity and functional compensation observed in patients with unilateral temporal glioma. The observed findings might be used to help preoperative evaluation or rehabilitation of postsurgical patients.

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