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Abstract #4494

Altered Global and Regional Brain Mean Kurtosis in Recently-Diagnosed Patients with Obstructive Sleep Apnea

Rajesh Kumar 1 , Santosh K Yadav 1 , Jennifer A Ogren 2 , Mary A Woo 2 , Daniel W Kang 3 , Paul M Macey 2 , Frisca L Yan-Go 4 , and Ronald M Harper 5

1 Anesthesiology, University of California at Los Angeles, Los Angeles, CA, United States, 2 UCLA School of Nursing, University of California at Los Angeles, Los Angeles, CA, United States, 3 Medicine, University of California at Los Angeles, Los Angeles, CA, United States, 4 Neurology, University of California at Los Angeles, Los Angeles, CA, United States, 5 Neurobiology, University of California at Los Angeles, Los Angeles, CA, United States

Obstructive sleep apnea (OSA) patients show structural injury and functional deficits in multiple brain areas, based on various MRI techniques, in sites that regulate autonomic, motor, cognitive, and mood functions, deficient in the condition. However, the nature of tissue injury remains unclear. We examined global and regional mean kurtosis values in newly-diagnosed, treatment-naive OSA patients, and found increased global values in critical autonomic, cognitive, motor, and respiratory control sites, including the insular cortices, cerebellum, and basal-ganglia. The pathological mechanisms contributing to tissue injury likely include hypoxemia-induced processes, leading to acute tissue changes in OSA.

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