Resting-state fMRI study demonstrates altered interhemispheric coordination across infarct locations in acute ischemic stroke, indicating subcortical functional compensation.
The alteration patterns of bi-hemispheric coordination between homologous areas in the whole brain of acute ischemic stroke patients with different infarct sites remains unclear. In the analysis of the voxel-mirrored homotopic connectivity (VMHC) among patients with frontoparietal lesion (G1), radiation coronal lesion (G2) and basal ganglia lesion (G3), VMHC was significantly decreased in G1 compared with G2 and G3. The impaired regions, such as precentral gyrus and postcentral gyrus, were part of the sensorimotor and default mode network. In contrast, VMHC mostly increased in patients with subcortical stroke, which indicates compensation rather than impairment of bi-hemispheric coordination.
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Zhao et al. (2024) studied this question.
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