Blood oxygenation level dependent functional connectivity (BOLD-FC) is commonly used as a proxy for neuronal connectivity. Therefore, aberrant BOLD-FC in brain disorders is typically interpreted as aberrant neuronal connectivity. However, beyond changes in neuronal connectivity, impairments in neurovascular coupling (NVC) may also impact on BOLD-FC. This study investigates how impaired local NVC, under conditions of preserved neural functioning, influences BOLD-FC in a sample of unilateral asymptomatic internal carotid artery stenosis patients and healthy age-matched controls. We show that timing aspects of local NVC, namely increased capillary transit time heterogeneity, reduces BOLD-FC, without changes in neuronal functioning.
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