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Abstract #3610

Abnormal cerebellar connectivity within the motor subnetwork in MSA with cerebellar dysfunction

Apurva Shah1, Shweta Prasad2, Santosh Dash3, Jitender Saini4, Pramod Kumar Pal3, and Madhura Ingalhalikar1

1Symbiosis Centre of Medical Image Analysis, Symbiosis International University, Pune, India, 2Department of Clinical Neurosciences and Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India, 3Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India, 4Department of Neuroimaging & Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, India

Multiple system atrophy with cerebellar features (MSA-C) is a distinct subtype of MSA characterized by predominant cerebellar symptoms. Neuroimaging studies have demonstrated cerebellar abnormalities; however, abnormality of structural connectivity of the motor subnetwork has not been studied and this study aims to investigate this aspect. We observed impairment in the structural segregation, integration and network resilience with significantly reduced nodal strength and connectivity in several cerebellar as well as non-cerebellar regions that correlate with UMSARS scores. Our findings provide definitive evidence of abnormalities that may be causally implicated in the motor features of cerebellar dysfunction and Parkinsonism observed in MSA-C.

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