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      Cortical Areas Associated With Multisensory Integration Showing Altered Morphology and Functional Connectivity in Relation to Reduced Life Quality in Vestibular Migraine


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          Background: Increasing evidence suggests that the temporal and parietal lobes are associated with multisensory integration and vestibular migraine. However, temporal and parietal lobe structural and functional connectivity (FC) changes related to vestibular migraine need to be further investigated.

          Methods: Twenty-five patients with vestibular migraine (VM) and 27 age- and sex- matched healthy controls participated in this study. Participants completed standardized questionnaires assessing migraine and vertigo-related clinical features. Cerebral cortex characteristics [i.e., thickness (CT), fractal dimension (FD), sulcus depth (SD), and the gyrification index (GI)] were evaluated using an automated Computational Anatomy Toolbox (CAT12). Regions with significant differences were used in a seed-based comparison of resting-state FC conducted with DPABI. The relationship between changes in cortical characteristics or FC and clinical features was also analyzed in the patients with VM.

          Results: Relative to controls, patients with VM showed significantly thinner CT in the bilateral inferior temporal gyrus, left middle temporal gyrus, and the right superior parietal lobule. A shallower SD was observed in the right superior and inferior parietal lobule. FD and GI did not differ significantly between the two groups. A negative correlation was found between CT in the right inferior temporal gyrus, as well as the left middle temporal gyrus, and the Dizziness Handicap Inventory (DHI) score in VM patients. Furthermore, patients with VM exhibited weaker FC between the left inferior/middle temporal gyrus and the left medial superior frontal gyrus, supplementary motor area.

          Conclusion: Our data revealed cortical structural and resting-state FC abnormalities associated with multisensory integration, contributing to a lower quality of life. These observations suggest a role for multisensory integration in patients with VM pathophysiology. Future research should focus on using a task-based fMRI to measure multisensory integration.

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              Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP).


                Author and article information

                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                16 August 2021
                : 15
                [1] 1Department of MRI, Shaanxi Provincial People’s Hospital , Xi’an, China
                [2] 2Department of Neurology, Shaanxi Provincial People’s Hospital , Xi’an, China
                [3] 3Department of Clinical Science, Philips Healthcare , Xi’an, China
                [4] 4Consumables and Reagents Department, Shaanxi Provincial People’s Hospital , Xi’an, China
                Author notes

                Edited by: Long-Biao Cui, People’s Liberation Army General Hospital, China

                Reviewed by: Chao He, General Hospital of Northern Theater Command, China; Marianne Dieterich, LMU Munich University Hospital, Germany

                *Correspondence: Xiaoling Zhang zxl.822@ 123456163.com

                These authors have contributed equally to this work

                Specialty section: This article was submitted to Brain Imaging and Stimulation, a section of the journal Frontiers in Human Neuroscience

                Copyright © 2021 Zhe, Chen, Zhang, Tang, Gao, Ai, Liu, Lei and Zhang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                Page count
                Figures: 4, Tables: 4, Equations: 0, References: 63, Pages: 10, Words: 7242
                Funded by: Natural Science Basic Research Program of Shaanxi Province 10.13039/501100017596
                Human Neuroscience
                Original Research

                vestibular migraine,cortical surface,surface-based morphometry,temporal lobe,parietal lobe,multisensory integration


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