Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes

Lumbar disc herniation (LDH) induced nerve compression syndromes have been a prevalent problem with complex neural mechanisms. Changes in distributed brain areas are involved in the occurrence and persistence of syndromes. The present study aimed to investigate the changes of brain functional networ...

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Main Authors: Yan-Peng Zhang, Guang-Hui Hong, Chuan-Yin Zhang
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2022/7912410
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author Yan-Peng Zhang
Guang-Hui Hong
Chuan-Yin Zhang
author_facet Yan-Peng Zhang
Guang-Hui Hong
Chuan-Yin Zhang
author_sort Yan-Peng Zhang
collection DOAJ
description Lumbar disc herniation (LDH) induced nerve compression syndromes have been a prevalent problem with complex neural mechanisms. Changes in distributed brain areas are involved in the occurrence and persistence of syndromes. The present study aimed to investigate the changes of brain functional network in LDH patients with chronic sciatica using graph theory analysis. A total of thirty LDH adults presenting L4 and/or L5 root (s) compression syndromes (LDH group) and thirty age-, sex-, BMI- and education-matched healthy control (HC group) were recruited for functional MRI scan. Whole-brain functional network was constructed for each participant using Pearson’s correlation. Global and nodal properties were calculated and compared between two groups, including small-worldness index, clustering coefficient, characteristic path length, degree centrality (DC), betweenness centrality (BC) and nodal efficiency. Both LDH and HC groups showed small-world architecture in the functional network of brain. However, LDH group showed that nodal centralities (DC, BC and nodal efficiency) increased in opercular part of inferior frontal gyrus; and decreased in orbital part of inferior frontal gyrus, lingual cortex and inferior occipital gyrus. The DC and efficiency in the right inferior occipital gyrus were negatively related with the Oswestry Disability Index in LDH group. In conclusion, the LDH-related chronic sciatica syndromes may induce regional brain alterations involving self-referential, emotional responses and pain regulation functions. But the whole-brain small-world architecture was not significantly disturbed. It may provide new insights into LDH patients with radicular symptoms from new perspectives.
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spelling doaj-art-45e286ba05e04c5f9c6fb7e8cdc27a252025-08-20T02:39:19ZengWileyNeural Plasticity1687-54432022-01-01202210.1155/2022/7912410Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression SyndromesYan-Peng Zhang0Guang-Hui Hong1Chuan-Yin Zhang2Department of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsLumbar disc herniation (LDH) induced nerve compression syndromes have been a prevalent problem with complex neural mechanisms. Changes in distributed brain areas are involved in the occurrence and persistence of syndromes. The present study aimed to investigate the changes of brain functional network in LDH patients with chronic sciatica using graph theory analysis. A total of thirty LDH adults presenting L4 and/or L5 root (s) compression syndromes (LDH group) and thirty age-, sex-, BMI- and education-matched healthy control (HC group) were recruited for functional MRI scan. Whole-brain functional network was constructed for each participant using Pearson’s correlation. Global and nodal properties were calculated and compared between two groups, including small-worldness index, clustering coefficient, characteristic path length, degree centrality (DC), betweenness centrality (BC) and nodal efficiency. Both LDH and HC groups showed small-world architecture in the functional network of brain. However, LDH group showed that nodal centralities (DC, BC and nodal efficiency) increased in opercular part of inferior frontal gyrus; and decreased in orbital part of inferior frontal gyrus, lingual cortex and inferior occipital gyrus. The DC and efficiency in the right inferior occipital gyrus were negatively related with the Oswestry Disability Index in LDH group. In conclusion, the LDH-related chronic sciatica syndromes may induce regional brain alterations involving self-referential, emotional responses and pain regulation functions. But the whole-brain small-world architecture was not significantly disturbed. It may provide new insights into LDH patients with radicular symptoms from new perspectives.http://dx.doi.org/10.1155/2022/7912410
spellingShingle Yan-Peng Zhang
Guang-Hui Hong
Chuan-Yin Zhang
Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
Neural Plasticity
title Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
title_full Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
title_fullStr Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
title_full_unstemmed Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
title_short Brain Network Changes in Lumbar Disc Herniation Induced Chronic Nerve Roots Compression Syndromes
title_sort brain network changes in lumbar disc herniation induced chronic nerve roots compression syndromes
url http://dx.doi.org/10.1155/2022/7912410
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AT guanghuihong brainnetworkchangesinlumbardischerniationinducedchronicnerverootscompressionsyndromes
AT chuanyinzhang brainnetworkchangesinlumbardischerniationinducedchronicnerverootscompressionsyndromes