Brain connectivity
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To evaluate the influence of poststroke aphasia on the functional association of widespread large-scale neuronal networks, we analyzed functional connectivity (FC) between resting-state brain networks (RSNs) in aphasic patients (N = 15) and in healthy volunteers (N = 17) of the same age using resting-state functional connectivity magnetic resonance imaging. As a result, six RSNs were isolated and cross-correlation matrices were computed for their time courses. Aphasic patients showed decreased correlations between posterior part of the default mode (pDMN) and both auditory (AUD) and right frontoparietal (RFP) networks. ⋯ The increase of gray and white matter volume in the right supramarginal gyrus, the functional hub of pDMN, AUD, and RFP networks, correlated with less speech impairment. This increase might reflect a right hemisphere neuroplasticity process to compensate the impaired function of the homotopic region of left frontoparietal network (LFP), pDMN, and AUD in the left hemisphere. The presented results contribute to the hypothesized compensative role of the transfer of attention and executive functions from the damaged areas in the left hemisphere to the right homotopic areas, accompanied by more preserved language skills at the chronic stroke stage.