Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia

Preservation of thalamocortical projections to the sensorimotor cortex is related to improved hand function in children with cerebral palsy (CP). Whether CP is associated with altered microstructure of these sensorimotor projections or other thalamocortical pathways remains unclear. Forty-two childr...

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Main Authors: Tsao, H., Pannek, K., Boyd, Roslyn, Rose, S.
Format: Journal Article
Published: 2013
Online Access:http://hdl.handle.net/20.500.11937/22264
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author Tsao, H.
Pannek, K.
Boyd, Roslyn
Rose, S.
author_facet Tsao, H.
Pannek, K.
Boyd, Roslyn
Rose, S.
author_sort Tsao, H.
building Curtin Institutional Repository
collection Online Access
description Preservation of thalamocortical projections to the sensorimotor cortex is related to improved hand function in children with cerebral palsy (CP). Whether CP is associated with altered microstructure of these sensorimotor projections or other thalamocortical pathways remains unclear. Forty-two children with congenital hemiplegia and fifteen typically developing children (TDC) underwent structural and diffusion-weighted imaging (high-angular-resolution diffusion imaging) using a 3T MRI. Structural T1-images were parcellated into 34 cortical regions and the thalamus per hemisphere. Thalamocortical projections were extracted using probabilistic tractography and the top tan cortical regions with the greatest number of thalamocortical streamlines for the TDC group were selected for further analysis. The thalamus was parcellated based on its cortical connections. Differences between hemispheres for thalamocortical streamline numbers to each cortical region [asymmetry index (AI)], tract volume and tract microstructure [weighted mean fractional anisotropy (FA) and mean diffusivity (MD)] were calculated. Correlations between these measures (AI, FA and MD) and sensorimotor function were performed. Thalamocortical projections showed topographical organisation based on cortical connectivity. Projections to paracentral lobule, pre-central and post-central gyri showed greater AI in CP group, which indicates reduced streamlines on the ipsilesioned hemisphere. Reduced FA, reduced tract volume and increased MD were also found for these thalamocortical projections on the ipsilesioned hemisphere in children with CP. Changes in AI and tract microstructure of these projections were associated with poorer sensorimotor function. The findings suggest CP is associated with reorganisation of thalamocortical projections to the sensorimotor cortex. Integrity in these projections may underpin deficits in sensorimotor function.
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spelling curtin-20.500.11937-222642017-09-13T13:48:58Z Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia Tsao, H. Pannek, K. Boyd, Roslyn Rose, S. Preservation of thalamocortical projections to the sensorimotor cortex is related to improved hand function in children with cerebral palsy (CP). Whether CP is associated with altered microstructure of these sensorimotor projections or other thalamocortical pathways remains unclear. Forty-two children with congenital hemiplegia and fifteen typically developing children (TDC) underwent structural and diffusion-weighted imaging (high-angular-resolution diffusion imaging) using a 3T MRI. Structural T1-images were parcellated into 34 cortical regions and the thalamus per hemisphere. Thalamocortical projections were extracted using probabilistic tractography and the top tan cortical regions with the greatest number of thalamocortical streamlines for the TDC group were selected for further analysis. The thalamus was parcellated based on its cortical connections. Differences between hemispheres for thalamocortical streamline numbers to each cortical region [asymmetry index (AI)], tract volume and tract microstructure [weighted mean fractional anisotropy (FA) and mean diffusivity (MD)] were calculated. Correlations between these measures (AI, FA and MD) and sensorimotor function were performed. Thalamocortical projections showed topographical organisation based on cortical connectivity. Projections to paracentral lobule, pre-central and post-central gyri showed greater AI in CP group, which indicates reduced streamlines on the ipsilesioned hemisphere. Reduced FA, reduced tract volume and increased MD were also found for these thalamocortical projections on the ipsilesioned hemisphere in children with CP. Changes in AI and tract microstructure of these projections were associated with poorer sensorimotor function. The findings suggest CP is associated with reorganisation of thalamocortical projections to the sensorimotor cortex. Integrity in these projections may underpin deficits in sensorimotor function. 2013 Journal Article http://hdl.handle.net/20.500.11937/22264 10.1007/s00429-013-0656-x restricted
spellingShingle Tsao, H.
Pannek, K.
Boyd, Roslyn
Rose, S.
Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title_full Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title_fullStr Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title_full_unstemmed Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title_short Changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
title_sort changes in the integrity of thalamocortical connections are associated with sensorimotor deficits in children with congenital hemiplegia
url http://hdl.handle.net/20.500.11937/22264