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Abstract #4359

Wide-spectrum framework in Disorders of Arousal: combined resting state connectivity and metabolic study of cingulate cortex

Elena Cantoni1, Giovanni Sighinolfi1, Magali Jane Rochat1, Micaela Mitolo1,2, Mainieri Greta1,3, Greta Venturi1, Claudio Bianchini3, Lorenzo Cirignotta4, Fiorina Bartiromo1, Gianfranco Vornetti1,3, David Neil Manners1,5, Federica Provini1,3, Raffaele Lodi1,3, and Caterina Tonon1,3
1IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy, 2Department of Medicine and Surgery, University of Parma, IT, Parma, Italy, 3Department of Biomedical and NeuroMotor Sciences, University of Bologna, IT, Bologna, Italy, 4Department of Medical and Surgical Sciences, University of Bologna, IT, Bologna, Italy, 5Department for Life Quality Studies, University of Bologna, IT, Bologna, Italy

Synopsis

Keywords: Other Neurodegeneration, Brain, Disorder of Arousal, Biomarkers, Brain Connectivity, fMRI (resting state), Functional connectivity, Metabolism, Neuroscience, Spectroscopy

Motivation: A comprehensive framework for the characterization of Disorders of Arousal (DoA) in adulthood is lacking, and the brain metabolic and functional mechanisms underlying this disorder are still unknown.

Goal(s): To fill this gap, we aimed to quantitatively investigate the cingulate cortex in DoA through advanced brain MRI, combined with thorough neuropsychological evaluations.

Approach: We collected and compared resting-state, 1H-MRS and clinical data from adult patients diagnosed with DoA and a matched group of healthy controls.

Results: We identified metabolic and functional alterations in regions involving the limbic system and changes in the connectivity of the sensorimotor network crucial for understanding the pathology.

Impact: Through a combined MR imaging investigation and psychological assessments, we extracted results in the form of brain metabolic and functional quantitative markers that advance our knowledge on the brain alterations underlying Disorders of Arousal.

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Keywords