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Abstract #5342

Exploring the Frontal Aslant Tract in Tourette syndrome: a connectivity study

Domenico Aquino1, Daniela Eldahaby2, Emanuele La Corte3, Vincenzo Levi3, Elena Greco2, Greta De Michelis1, Riccardo Pascuzzo1, Alessandro Gans2, Malte Ottenhausen4, Luigi Michele Romito5, Maria Grazia Bruzzone1, and Graziano Serrao2
1Neuroradiology Department, Fondazione IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico) Istituto Neurologico Carlo Besta, Milan, Italy, 2Department of Health Sciences, Università degli Studi di Milano, Milan, Italy, 3Neurosurgery Department, Fondazione IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico) Istituto Neurologico Carlo Besta, Milan, Italy, 4Department of Neurological Surgery, University Medical Center Mainz, Mainz, Germany, 5Parkinson's Disease and Movement Disorders Unit, Department of Clinical Neurosciences, Fondazione IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico) Istituto Neurologico Carlo Besta, Milan, Italy

Synopsis

Keywords: White Matter, Tractography & Fibre ModellingThis study investigates for the first time microstructural alteration of the Frontal Aslant Tract (FAT) in nine subjects with TS compared to twelve healthy subjects. FAT was reconstructed trough Spherical Deconvolution (SD) and parameters derived from Diffusion Tensor Imaging (DTI) and Neuritis Orientation Dispersion and Density Imaging (NODDI) were extracted. We observed a Fractional Anisotropy (FA) reduction, indicating a greater disorganization of fibers, and accordingly an increased Orientation Dispersion Index (ODI), which indicates more dispersed fibers. We also highlighted a negative correlation between motor tic severity (quantified by the YGTSS) and neurite density (ND) and free water fraction (FISO).

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