Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations

BackgroundBrain arteriovenous malformations (AVMs) are congenital vascular anomalies that can affect cognitive, particularly memory functions. However, the underlying mechanisms of neurocognitive abnormalities in unruptured AVMs remain unclear. This study aimed to explore spontaneous functional netw...

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Main Authors: Anqi Li, Xiaofeng Deng, Kexin Yuan, Yu Chen, Zhipeng Li, Xiaolin Chen, Yuanli Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1568045/full
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author Anqi Li
Xiaofeng Deng
Kexin Yuan
Yu Chen
Zhipeng Li
Xiaolin Chen
Yuanli Zhao
author_facet Anqi Li
Xiaofeng Deng
Kexin Yuan
Yu Chen
Zhipeng Li
Xiaolin Chen
Yuanli Zhao
author_sort Anqi Li
collection DOAJ
description BackgroundBrain arteriovenous malformations (AVMs) are congenital vascular anomalies that can affect cognitive, particularly memory functions. However, the underlying mechanisms of neurocognitive abnormalities in unruptured AVMs remain unclear. This study aimed to explore spontaneous functional network reorganization associated with memory impairment in unruptured AVM patients using resting-state functional MRI (rsfMRI).MethodsUsing rsfMRI data, we compared functional activity and connectivity patterns between 25 AVM patients and healthy controls, including regional homogeneity (ReHo), fractional amplitude of low-frequency fluctuations (fALFF), seed-based functional connectivity (FC), and lesion network mapping. Correlation analysis was performed to clarify the relationship between these parameters and memory performance in AVM patients.ResultsWe identified memory-related spontaneous functional network reorganization in AVM patients, particularly involving the somatomotor network (SMN), frontoparietal control network (FPN), and default mode network (DMN). Subgroup analyses based on lesion location (frontal vs. non-frontal) and laterality (left vs. right) revealed location-dependent differences in connectivity reorganization. In particular, left-sided AVMs showed disrupted FC within the SMN, correlated with working memory and executive function, while right-sided and frontal AVMs exhibited more complex patterns involving multiple networks. Moreover, functional disconnection maps indicated that AVM lesions did not directly impair resting-state memory networks.ConclusionPatients with unruptured AVMs exhibit resting-state memory network reorganization, which is closely related to the lesion location. These findings highlight the functional network alterations in AVM patients and suggest the potential neural mechanisms underlying memory deficits.
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spelling doaj-art-2e032c0ec35b4893a24c5e65d67b7d572025-08-20T03:06:13ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-04-011910.3389/fnins.2025.15680451568045Functional network reorganization and memory impairment in unruptured brain arteriovenous malformationsAnqi Li0Xiaofeng Deng1Kexin Yuan2Yu Chen3Zhipeng Li4Xiaolin Chen5Yuanli Zhao6Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBackgroundBrain arteriovenous malformations (AVMs) are congenital vascular anomalies that can affect cognitive, particularly memory functions. However, the underlying mechanisms of neurocognitive abnormalities in unruptured AVMs remain unclear. This study aimed to explore spontaneous functional network reorganization associated with memory impairment in unruptured AVM patients using resting-state functional MRI (rsfMRI).MethodsUsing rsfMRI data, we compared functional activity and connectivity patterns between 25 AVM patients and healthy controls, including regional homogeneity (ReHo), fractional amplitude of low-frequency fluctuations (fALFF), seed-based functional connectivity (FC), and lesion network mapping. Correlation analysis was performed to clarify the relationship between these parameters and memory performance in AVM patients.ResultsWe identified memory-related spontaneous functional network reorganization in AVM patients, particularly involving the somatomotor network (SMN), frontoparietal control network (FPN), and default mode network (DMN). Subgroup analyses based on lesion location (frontal vs. non-frontal) and laterality (left vs. right) revealed location-dependent differences in connectivity reorganization. In particular, left-sided AVMs showed disrupted FC within the SMN, correlated with working memory and executive function, while right-sided and frontal AVMs exhibited more complex patterns involving multiple networks. Moreover, functional disconnection maps indicated that AVM lesions did not directly impair resting-state memory networks.ConclusionPatients with unruptured AVMs exhibit resting-state memory network reorganization, which is closely related to the lesion location. These findings highlight the functional network alterations in AVM patients and suggest the potential neural mechanisms underlying memory deficits.https://www.frontiersin.org/articles/10.3389/fnins.2025.1568045/fullworking memoryunruptured arteriovenous malformationneurocognitionresting-state functional magnetic resonance imagingfunctional connectivity
spellingShingle Anqi Li
Xiaofeng Deng
Kexin Yuan
Yu Chen
Zhipeng Li
Xiaolin Chen
Yuanli Zhao
Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
Frontiers in Neuroscience
working memory
unruptured arteriovenous malformation
neurocognition
resting-state functional magnetic resonance imaging
functional connectivity
title Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
title_full Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
title_fullStr Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
title_full_unstemmed Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
title_short Functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
title_sort functional network reorganization and memory impairment in unruptured brain arteriovenous malformations
topic working memory
unruptured arteriovenous malformation
neurocognition
resting-state functional magnetic resonance imaging
functional connectivity
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1568045/full
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