Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage

There is increasing evidence to show that motor symptom lateralization in Parkinson’s disease (PD) is linked to non-motor features, progression, and prognosis of the disease. However, few studies have reported the difference in cortical complexity between patients with left-onset of PD (LPD) and rig...

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Autores principales: Lin Zhang, Qin Shen, Haiyan Liao, Junli Li, Tianyu Wang, Yuheng Zi, Fan Zhou, Chendie Song, Zhenni Mao, Min Wang, Sainan Cai, Changlian Tan
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:2e32bdac9dec4314bc5fa4d210a0ef252021-11-08T08:09:40ZAberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage1663-436510.3389/fnagi.2021.749606https://doaj.org/article/2e32bdac9dec4314bc5fa4d210a0ef252021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnagi.2021.749606/fullhttps://doaj.org/toc/1663-4365There is increasing evidence to show that motor symptom lateralization in Parkinson’s disease (PD) is linked to non-motor features, progression, and prognosis of the disease. However, few studies have reported the difference in cortical complexity between patients with left-onset of PD (LPD) and right-onset of PD (RPD). This study aimed to investigate the differences in the cortical complexity between early-stage LPD and RPD. High-resolution T1-weighted magnetic resonance images of the brain were acquired in 24 patients with LPD, 34 patients with RPD, and 37 age- and sex-matched healthy controls (HCs). Cortical complexity including gyrification index, fractal dimension (FD), and sulcal depth was analyzed using surface-based morphometry via CAT12/SPM12. Familywise error (FWE) peak-level correction at p < 0.05 was performed for significance testing. In patients with RPD, we found decreased mean FD and mean sulcal depth in the banks of the left superior temporal sulcus (STS) compared with LPD and HCs. The mean FD in the left superior temporal gyrus (STG) was decreased in RPD compared with HCs. However, in patients with LPD, we did not identify significantly abnormal cortical complex change compared with HCs. Moreover, we observed that the mean FD in STG was negatively correlated with the 17-item Hamilton Depression Scale (HAMD) among the three groups. Our findings support the specific influence of asymmetrical motor symptoms in cortical complexity in early-stage PD and reveal that the banks of left STS and left STG might play a crucial role in RPD.Lin ZhangQin ShenHaiyan LiaoJunli LiTianyu WangTianyu WangYuheng ZiFan ZhouChendie SongZhenni MaoMin WangSainan CaiChanglian TanFrontiers Media S.A.articleParkinson’s diseasesurface-based morphometrylateralityside-of-onsetcortical complexityNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Aging Neuroscience, Vol 13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Parkinson’s disease
surface-based morphometry
laterality
side-of-onset
cortical complexity
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Parkinson’s disease
surface-based morphometry
laterality
side-of-onset
cortical complexity
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Lin Zhang
Qin Shen
Haiyan Liao
Junli Li
Tianyu Wang
Tianyu Wang
Yuheng Zi
Fan Zhou
Chendie Song
Zhenni Mao
Min Wang
Sainan Cai
Changlian Tan
Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
description There is increasing evidence to show that motor symptom lateralization in Parkinson’s disease (PD) is linked to non-motor features, progression, and prognosis of the disease. However, few studies have reported the difference in cortical complexity between patients with left-onset of PD (LPD) and right-onset of PD (RPD). This study aimed to investigate the differences in the cortical complexity between early-stage LPD and RPD. High-resolution T1-weighted magnetic resonance images of the brain were acquired in 24 patients with LPD, 34 patients with RPD, and 37 age- and sex-matched healthy controls (HCs). Cortical complexity including gyrification index, fractal dimension (FD), and sulcal depth was analyzed using surface-based morphometry via CAT12/SPM12. Familywise error (FWE) peak-level correction at p < 0.05 was performed for significance testing. In patients with RPD, we found decreased mean FD and mean sulcal depth in the banks of the left superior temporal sulcus (STS) compared with LPD and HCs. The mean FD in the left superior temporal gyrus (STG) was decreased in RPD compared with HCs. However, in patients with LPD, we did not identify significantly abnormal cortical complex change compared with HCs. Moreover, we observed that the mean FD in STG was negatively correlated with the 17-item Hamilton Depression Scale (HAMD) among the three groups. Our findings support the specific influence of asymmetrical motor symptoms in cortical complexity in early-stage PD and reveal that the banks of left STS and left STG might play a crucial role in RPD.
format article
author Lin Zhang
Qin Shen
Haiyan Liao
Junli Li
Tianyu Wang
Tianyu Wang
Yuheng Zi
Fan Zhou
Chendie Song
Zhenni Mao
Min Wang
Sainan Cai
Changlian Tan
author_facet Lin Zhang
Qin Shen
Haiyan Liao
Junli Li
Tianyu Wang
Tianyu Wang
Yuheng Zi
Fan Zhou
Chendie Song
Zhenni Mao
Min Wang
Sainan Cai
Changlian Tan
author_sort Lin Zhang
title Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
title_short Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
title_full Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
title_fullStr Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
title_full_unstemmed Aberrant Changes in Cortical Complexity in Right-Onset Versus Left-Onset Parkinson’s Disease in Early-Stage
title_sort aberrant changes in cortical complexity in right-onset versus left-onset parkinson’s disease in early-stage
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/2e32bdac9dec4314bc5fa4d210a0ef25
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