Abstract
Brachial plexus injury (BPI) causes functional changes in the brain, but the structural changes resulting from BPI remain unknown. In this study, we compared grey matter volume between nine BPI patients and ten healthy controls by means of voxel-based morphometry. This was the first study of cortical morphology in BPI. We found that brain regions including the cerebellum, anterior cingulate cortex, bilateral inferior, medial, superior frontal lobe, and bilateral insula had less grey matter in BPI patients. Most of the affected brain regions of BPI patients are closely related to motor function. We speculate that the loss of grey matter in multiple regions might be the neural basis of the difficulties in the motor rehabilitation of BPI patients. The mapping result might provide new target regions for interventions of motor rehabilitation.
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References
Zhang CG, Gu YD (2011) Contralateral C7 nerve transfer—our experiences over past 25 years. J Brachial Plex Peripher Nerve Inj 6:10
Liu B, Li T, Tang WJ, Zhang JH, Sun HP, Xu WD, Liu HQ, Feng XY (2013) Changes of inter-hemispheric functional connectivity between motor cortices after brachial plexuses injury: a resting-state fMRI study. Neuroscience 243:33–39
Navarro X, Vivo M, Valero-Cabre A (2007) Neural plasticity after peripheral nerve injury and regeneration. Prog Neurobiol 82:163–201
Gharabaghi A, Kraus D, Leao MT, Spuler M, Walter A, Bogdan M, Rosenstiel W, Naros G, Ziemann U (2014) Coupling brain-machine interfaces with cortical stimulation for brain-state dependent stimulation: enhancing motor cortex excitability for neurorehabilitation. Front Hum Neurosci 8:122
Malouin F, Richards CL (2010) Mental practice for relearning locomotor skills. Phys Ther 90:240–251
Beaulieu LD, Schneider C (2013) Effects of repetitive peripheral magnetic stimulation on normal or impaired motor control. A review. Neurophysiol Clin 43:251–260
Taylor KS, Anastakis DJ, Davis KD (2009) Cutting your nerve changes your brain. Brain 132:3122–3133
Pawela CP, Biswal BB, Hudetz AG, Li R, Jones SR, Cho YR, Matloub HS, Hyde JS (2010) Interhemispheric neuroplasticity following limb deafferentation detected by resting-state functional connectivity magnetic resonance imaging (fcMRI) and functional magnetic resonance imaging (fMRI). Neuroimage 49:2467–2478
Qiu TM, Chen L, Mao Y, Wu JS, Tang WJ, Hu SN, Zhou LF, Gu YD (2014) Sensorimotor cortical changes assessed with resting-state fMRI following total brachial plexus root avulsion. J Neurol Neurosurg Psychiatry 85:99–105
Legon W, Rowlands A, Opitz A, Sato TF, Tyler WJ (2012) Pulsed ultrasound differentially stimulates somatosensory circuits in humans as indicated by EEG and FMRI. Plos One 7:e51177
Wolf U, Rapoport MJ, Schweizer TA (2009) Evaluating the affective component of the cerebellar cognitive affective syndrome. J Neuropsychiatr Clin Neurosci 21:245–253
Fine EJ, Ionita CC, Lohr L (2002) The history of the development of the cerebellar examination. Semin Neurol 22:375–384
Boyden ES, Katoh A, Raymond JL (2004) Cerebellum-dependent learning: the role of multiple plasticity mechanisms. Annu Rev Neurosci 27:581–609
Karnath HO, Baier B (2010) Right insula for our sense of limb ownership and self-awareness of actions. Brain Struct Funct 214:411–417
Mutschler I, Schulze-Bonhage A, Glauche V, Demandt E, Speck O, Ball T (2007) A rapid sound-action association effect in human insular cortex. Plos One 2:e259
Nelson SM, Dosenbach NU, Cohen AL, Wheeler ME, Schlaggar BL, Petersen SE (2010) Role of the anterior insula in task-level control and focal attention. Brain Struct Funct 214:669–680
Sammer DM, Kircher MF, Bishop AT, Spinner RJ, Shin AY (2012) Hemi-contralateral C7 transfer in traumatic brachial plexus injuries: outcomes and complications. J Bone Joint Surg Am 94:131–137
Scotti G (1969) The phantom limb phenomenon secondary to a brachial plexus injury, without amputation. Review of literature and case description. Riv Patol Nerv Ment 90:59–68
Bechara A, Tranel D, Damasio H (2000) Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain 123(Pt 11):2189–2202
Fellows LK, Farah MJ (2007) The role of ventromedial prefrontal cortex in decision making: judgment under uncertainty or judgment per se? Cereb Cortex 17:2669–2674
Tantigate D, Wongtrakul S, Vathana T, Limthongthang R, Songcharoen P (2015) Neuropathic pain in brachial plexus injury. Hand Surg 20:39–45
Mutso AA, Petre B, Huang L, Baliki MN, Torbey S, Herrmann KM, Schnitzer TJ, Apkarian AV (2014) Reorganization of hippocampal functional connectivity with transition to chronic back pain. J Neurophysiol 111:1065–1076
Baliki MN, Mansour AR, Baria AT, Apkarian AV (2014) Functional reorganization of the default mode network across chronic pain conditions. Plos One 9:e106133
Blom SM, Pfister JP, Santello M, Senn W, Nevian T (2014) Nerve injury-induced neuropathic pain causes disinhibition of the anterior cingulate cortex. J Neurosci 34:5754–5764
Langer N, Hanggi J, Muller NA, Simmen HP, Jancke L (2012) Effects of limb immobilization on brain plasticity. Neurology 78:182–188
Bastien D, Lacroix S (2014) Cytokine pathways regulating glial and leukocyte function after spinal cord and peripheral nerve injury. Exp Neurol 258:62–77
Hubbard RD, Martinez JJ, Burdick JA, Winkelstein BA (2009) Controlled release of GDNF reduces nerve root-mediated behavioral hypersensitivity. J Orthop Res 27:120–127
Almeida C, DeMaman A, Kusuda R, Cadetti F, Ravanelli MI, Queiroz AL, Sousa TA, Zanon S, Silveira LR, Lucas G (2015) Exercise therapy normalizes BDNF upregulation and glial hyperactivity in a mouse model of neuropathic pain. Pain 156:504–513
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Y. Lu and H. Liu contributed equally to this work.
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Lu, Y., Liu, H., Hua, X. et al. Attenuation of brain grey matter volume in brachial plexus injury patients. Neurol Sci 37, 51–56 (2016). https://doi.org/10.1007/s10072-015-2356-1
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DOI: https://doi.org/10.1007/s10072-015-2356-1