001     145054
005     20240722132054.0
024 7 _ |a 10.1080/01616412.2019.1709141
|2 doi
024 7 _ |a pmid:31900094
|2 pmid
024 7 _ |a 0161-6412
|2 ISSN
024 7 _ |a 1743-1328
|2 ISSN
024 7 _ |a altmetric:73615996
|2 altmetric
037 _ _ |a DZNE-2020-00414
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Kaut, Oliver
|0 P:(DE-HGF)0
|b 0
|e Corresponding author
245 _ _ |a Resting-state fMRI reveals increased functional connectivity in the cerebellum but decreased functional connectivity of the caudate nucleus in Parkinson's disease.
260 _ _ |a Abingdon, Oxon
|c 2020
|b Taylor & Francis
264 _ 1 |3 online
|2 Crossref
|b Informa UK Limited
|c 2020-01-03
264 _ 1 |3 print
|2 Crossref
|b Informa UK Limited
|c 2020-01-02
336 7 _ |a article
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|s 1721647236_12030
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
|0 0
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520 _ _ |a Objective: Frequent falls are common in Parkinson's disease (PD). Resting-state fMRI (rs-fMRI) studies have found differences in functional connectivity between PD patients and healthy controls. However, whether functional connectivity in PD patients with frequent falls (PD-fallers) differs from those without falls (PD-non fallers) is unknown. Therefore, to elucidate the underlying mechanisms leading to postural instability in PD patients with frequent falls, we compared changes in functional connectivity between PD-fallers, PD-non fallers and healthy controls.Methods: Thirteen healthy controls (70.7 ± 7.2 years) were compared to thirteen PD-fallers (70.6 ± 5.9 years) and 19 PD-non fallers (71.61 ± 5.8 years) without cognitive impairment. We performed 1.5T rs-fMRI scans and evaluated gait and balance, motor symptoms and cognitive functions.Results: Cerebellar seed regions showed increased functional connectivity in PD-fallers compared to controls in two connections between the cerebellar cortex and vermis (p-value = 0.02). Conversely, in comparison to controls, functional connectivity between the precuneus and caudate nucleus was decreased in PD-non fallers (p-value = 0.015). A similar trend was also observed between controls and PD-fallers, although this difference did not reach statistical significance.Discussion: We found increased functional connectivity among cerebellar structures in PD, which may reflect an adaptive (compensatory) mechanism through activation of additional brain structures to restore gait function. In contrast, a relative disconnection between the precuneus and caudate nucleus in PD patients might indicate an impaired brain network unrelated to the risk of falls. Cerebellar areas might thus be considered as future therapeutic targets for neuromodulatory treatment of postural instability in PD.Abbreviations: DMN: default mode network; FC: functional connectivity; IPL: inferior parietal lobule; MMSE: Minimal Mental Status Examination; PD: Parkinson's disease; rs-fMRI: resting-state functional Magnetic Resonance Imaging; UPDRSIII: Unified Parkinson's disease ranking scale.
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588 _ _ |a Dataset connected to CrossRef, PubMed,
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Caudate Nucleus: diagnostic imaging
|2 MeSH
650 _ 2 |a Caudate Nucleus: physiopathology
|2 MeSH
650 _ 2 |a Cerebellum: diagnostic imaging
|2 MeSH
650 _ 2 |a Cerebellum: physiopathology
|2 MeSH
650 _ 2 |a Cohort Studies
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Follow-Up Studies
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Magnetic Resonance Imaging: methods
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Nerve Net: diagnostic imaging
|2 MeSH
650 _ 2 |a Nerve Net: physiopathology
|2 MeSH
650 _ 2 |a Parkinson Disease: diagnostic imaging
|2 MeSH
650 _ 2 |a Parkinson Disease: physiopathology
|2 MeSH
650 _ 2 |a Rest
|2 MeSH
700 1 _ |a Mielacher, Clemens
|0 P:(DE-HGF)0
|b 1
700 1 _ |a Hurlemann, René
|0 P:(DE-HGF)0
|b 2
700 1 _ |a Wüllner, Ullrich
|0 P:(DE-2719)2000056
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|e Last author
|u dzne
773 1 8 |a 10.1080/01616412.2019.1709141
|b : Informa UK Limited, 2020-01-02
|n 1
|p 62-67
|3 journal-article
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|t Neurological Research
|v 42
|y 2020
|x 0161-6412
773 _ _ |a 10.1080/01616412.2019.1709141
|g Vol. 42, no. 1, p. 62 - 67
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|p 62-67
|t Neurological research
|v 42
|y 2020
|x 0161-6412
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
Marc 21