Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing

In the present case report, we investigated the cortical networks of a patient (DDA) affected by right parietal stroke who showed a constructional phenomenon, in which when coping and recalling from memory a complex figure, the model was reproduced rotated of 90° along the vertical axis. Previous st...

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Autores principales: Valentina Sebastiani, Piero Chiacchiaretta, Luigi Pavone, Antonio Sparano, Giovanni Grillea, Sara Spadone, Paolo Capotosto, Giorgia Committeri, Antonello Baldassarre
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Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/97a95d7d1eb54160aaa8921c6d0beff4
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spelling oai:doaj.org-article:97a95d7d1eb54160aaa8921c6d0beff42021-11-18T11:08:45ZCortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing1662-680X10.1159/000518844https://doaj.org/article/97a95d7d1eb54160aaa8921c6d0beff42021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518844https://doaj.org/toc/1662-680XIn the present case report, we investigated the cortical networks of a patient (DDA) affected by right parietal stroke who showed a constructional phenomenon, in which when coping and recalling from memory a complex figure, the model was reproduced rotated of 90° along the vertical axis. Previous studies suggested that rotation on copy is associated with visuospatial impairments and abnormalities in parietal cortex, whereas rotation on recall might be related to executive deficits and dysfunction of frontal regions. Here, we computed the DDA’s resting-state functional connectivity (FC) derived from cortical regions of the dorsal attention (DAN) and the frontal portion of the executive-control network (fECN), which are involved in the control of visuospatial attention and multiple executive functions, respectively. We observed that, as compared to a control group of right stroke patients without drawing rotation, DDA exhibited selective increased FC of the DAN and fECN, but not of task-irrelevant language network, within the undamaged hemisphere. These patterns might reflect a pathological communication in such networks leading to impaired attentional and executive operations required to reproduce the model in the correct orientation. Notably, such enhancement of FC was not detected in a patient with a comparable neuropsychological profile as DDA, yet without rotated drawing, suggesting that network-specific modulations in DDA might be ascribed to the constructional phenomenon of rotated drawing.Valentina SebastianiPiero ChiacchiarettaLuigi PavoneAntonio SparanoGiovanni GrilleaSara SpadonePaolo CapotostoGiorgia CommitteriAntonello BaldassarreKarger Publishersarticlestrokerotated drawingfunctional connectivitybrain networksNeurology. Diseases of the nervous systemRC346-429ENCase Reports in Neurology, Vol 13, Iss 3, Pp 677-686 (2021)
institution DOAJ
collection DOAJ
language EN
topic stroke
rotated drawing
functional connectivity
brain networks
Neurology. Diseases of the nervous system
RC346-429
spellingShingle stroke
rotated drawing
functional connectivity
brain networks
Neurology. Diseases of the nervous system
RC346-429
Valentina Sebastiani
Piero Chiacchiaretta
Luigi Pavone
Antonio Sparano
Giovanni Grillea
Sara Spadone
Paolo Capotosto
Giorgia Committeri
Antonello Baldassarre
Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
description In the present case report, we investigated the cortical networks of a patient (DDA) affected by right parietal stroke who showed a constructional phenomenon, in which when coping and recalling from memory a complex figure, the model was reproduced rotated of 90° along the vertical axis. Previous studies suggested that rotation on copy is associated with visuospatial impairments and abnormalities in parietal cortex, whereas rotation on recall might be related to executive deficits and dysfunction of frontal regions. Here, we computed the DDA’s resting-state functional connectivity (FC) derived from cortical regions of the dorsal attention (DAN) and the frontal portion of the executive-control network (fECN), which are involved in the control of visuospatial attention and multiple executive functions, respectively. We observed that, as compared to a control group of right stroke patients without drawing rotation, DDA exhibited selective increased FC of the DAN and fECN, but not of task-irrelevant language network, within the undamaged hemisphere. These patterns might reflect a pathological communication in such networks leading to impaired attentional and executive operations required to reproduce the model in the correct orientation. Notably, such enhancement of FC was not detected in a patient with a comparable neuropsychological profile as DDA, yet without rotated drawing, suggesting that network-specific modulations in DDA might be ascribed to the constructional phenomenon of rotated drawing.
format article
author Valentina Sebastiani
Piero Chiacchiaretta
Luigi Pavone
Antonio Sparano
Giovanni Grillea
Sara Spadone
Paolo Capotosto
Giorgia Committeri
Antonello Baldassarre
author_facet Valentina Sebastiani
Piero Chiacchiaretta
Luigi Pavone
Antonio Sparano
Giovanni Grillea
Sara Spadone
Paolo Capotosto
Giorgia Committeri
Antonello Baldassarre
author_sort Valentina Sebastiani
title Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
title_short Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
title_full Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
title_fullStr Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
title_full_unstemmed Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing
title_sort cortical hyper-connectivity in a stroke patient with rotated drawing
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/97a95d7d1eb54160aaa8921c6d0beff4
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