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Abstract #4268

Alterations of Cerebral Cortical Thickness in the Sensory and Pain Systems in Restless Legs Syndrome

Byeong-Yeul Lee 1 , James R. Connor 2 , Wei Chen 1 , and Qing X. Yang 2,3

1 Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 2 Department of Neurosurgery, The Pennsylvania State University College of Medicine, Hershey, PA, United States, 3 Center for NMR Research, Department of Radiology, The Pennsylvania State University College of Medicine, Hershey, PA, United States

Restless legs syndrome (RLS) is a neurological disorder characterized by extremely uncomfortable senstations in the limbs. Due to the explicit presence of the sensory and pain symptoms in patients with RLS, we investigated the cortical thickness in the sensory-motor and the central pain system using advanced surface classification method. Compared to controls, both vertex-wise and ROI-based analysis revealed that RLS exhibits a significantly reduced cortical thickness in the postcentral cortex and increased cortical thickness in the cingulate cortex bilaterally. These findings of involvement of the sensory and the pain system in RLS gain new insights for better understanding of the pathophysiology underlying RLS, and the abnormal cortical thickness in these brain regions could provide a useful surrogate marker for studying RLS and diagnosis.

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