Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke

BackgroundMotor and cognitive impairments are common symptoms of basal ganglia (BG) stroke, although the underlying neurobiological mechanisms remain unclear. Therefore, we aimed to explore the alterations in functional connectivity (FC) between thalamic subregions post-BG stroke via resting-state f...

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Main Authors: Qiansheng Cheng, Shoufeng Liu, Junling Wang, Yajing Wang, Bihui Han, Lichen Wang, Song Jin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1584290/full
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author Qiansheng Cheng
Qiansheng Cheng
Shoufeng Liu
Shoufeng Liu
Junling Wang
Junling Wang
Yajing Wang
Yajing Wang
Bihui Han
Bihui Han
Lichen Wang
Lichen Wang
Song Jin
Song Jin
author_facet Qiansheng Cheng
Qiansheng Cheng
Shoufeng Liu
Shoufeng Liu
Junling Wang
Junling Wang
Yajing Wang
Yajing Wang
Bihui Han
Bihui Han
Lichen Wang
Lichen Wang
Song Jin
Song Jin
author_sort Qiansheng Cheng
collection DOAJ
description BackgroundMotor and cognitive impairments are common symptoms of basal ganglia (BG) stroke, although the underlying neurobiological mechanisms remain unclear. Therefore, we aimed to explore the alterations in functional connectivity (FC) between thalamic subregions post-BG stroke via resting-state functional magnetic resonance imaging (rs-fMRI) measurements.MethodsThis cross-sectional study compared 40 patients with BG stroke and 35 healthy controls (HCs). Seed-based FC analysis was performed for 14 thalamic subregions. Correlations between FC changes and Fugl–Meyer Assessment (FMA)/Mini-Mental State Examination (MMSE) scores were assessed.ResultsPatients exhibited hyperconnectivity between the left thalamic subregion connected with the sensory cortex (SC_thalamus) and left precuneus (t = 3.97, pFWE = 0.041) and the right SC_thalamus–left angular gyrus (t = 4.50, pFWE = 0.032). Hypoconnectivity emerged between the left thalamic subregion connected with the prefrontal cortex (PFC_thalamus) and right supramarginal gyrus (t = −5.54, pFWE = 0.015), left thalamic subregion connected with the temporal cortex (TC_thalamus) and right postcentral gyrus (t = −4.95, pFWE = 0.022), and right thalamic subregion connected with the primary motor cortex (M1_thalamus) and right medial suprafrontal gyrus (t = −5.62, pFWE = 0.012). FC strength between the right M1_thalamus and right medial suprafrontal gyrus was positively correlated with FMA (r = 0.484, pFDR = 0.033), while left PFC_thalamus–right supramarginal connectivity predicted MMSE performance (r = 0.490, pFDR = 0.021).ConclusionBG stroke disrupts thalamocortical circuitry at subregional levels, with distinct FC patterns linking to motor/cognitive deficits. These network-level insights may guide targeted neuromodulation therapies. The identified FC alterations could serve as biomarkers for monitoring recovery and personalizing interventions to improve post-stroke rehabilitation outcomes.
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spelling doaj-art-787cb2594e094555afb7bcdbb988b66d2025-08-20T03:26:15ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-06-011610.3389/fneur.2025.15842901584290Alterations in the functional connectivity of thalamic subregions after basal ganglia strokeQiansheng Cheng0Qiansheng Cheng1Shoufeng Liu2Shoufeng Liu3Junling Wang4Junling Wang5Yajing Wang6Yajing Wang7Bihui Han8Bihui Han9Lichen Wang10Lichen Wang11Song Jin12Song Jin13Department of Radiology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaDepartment of Neurology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaDepartment of Neurology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaDepartment of Neurology, Tianjin Huanhu Hospital, Tianjin, ChinaDepartment of Radiology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaDepartment of Radiology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaDepartment of Radiology, Tianjin Huanhu Hospital, Tianjin, ChinaHuanhu Hospital Affiliated to Tianjin Medical University, Tianjin, ChinaBackgroundMotor and cognitive impairments are common symptoms of basal ganglia (BG) stroke, although the underlying neurobiological mechanisms remain unclear. Therefore, we aimed to explore the alterations in functional connectivity (FC) between thalamic subregions post-BG stroke via resting-state functional magnetic resonance imaging (rs-fMRI) measurements.MethodsThis cross-sectional study compared 40 patients with BG stroke and 35 healthy controls (HCs). Seed-based FC analysis was performed for 14 thalamic subregions. Correlations between FC changes and Fugl–Meyer Assessment (FMA)/Mini-Mental State Examination (MMSE) scores were assessed.ResultsPatients exhibited hyperconnectivity between the left thalamic subregion connected with the sensory cortex (SC_thalamus) and left precuneus (t = 3.97, pFWE = 0.041) and the right SC_thalamus–left angular gyrus (t = 4.50, pFWE = 0.032). Hypoconnectivity emerged between the left thalamic subregion connected with the prefrontal cortex (PFC_thalamus) and right supramarginal gyrus (t = −5.54, pFWE = 0.015), left thalamic subregion connected with the temporal cortex (TC_thalamus) and right postcentral gyrus (t = −4.95, pFWE = 0.022), and right thalamic subregion connected with the primary motor cortex (M1_thalamus) and right medial suprafrontal gyrus (t = −5.62, pFWE = 0.012). FC strength between the right M1_thalamus and right medial suprafrontal gyrus was positively correlated with FMA (r = 0.484, pFDR = 0.033), while left PFC_thalamus–right supramarginal connectivity predicted MMSE performance (r = 0.490, pFDR = 0.021).ConclusionBG stroke disrupts thalamocortical circuitry at subregional levels, with distinct FC patterns linking to motor/cognitive deficits. These network-level insights may guide targeted neuromodulation therapies. The identified FC alterations could serve as biomarkers for monitoring recovery and personalizing interventions to improve post-stroke rehabilitation outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2025.1584290/fullbasal ganglia strokebrainfunctional connectivityfunctional magnetic resonance imagingthalamic subregions
spellingShingle Qiansheng Cheng
Qiansheng Cheng
Shoufeng Liu
Shoufeng Liu
Junling Wang
Junling Wang
Yajing Wang
Yajing Wang
Bihui Han
Bihui Han
Lichen Wang
Lichen Wang
Song Jin
Song Jin
Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
Frontiers in Neurology
basal ganglia stroke
brain
functional connectivity
functional magnetic resonance imaging
thalamic subregions
title Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
title_full Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
title_fullStr Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
title_full_unstemmed Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
title_short Alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
title_sort alterations in the functional connectivity of thalamic subregions after basal ganglia stroke
topic basal ganglia stroke
brain
functional connectivity
functional magnetic resonance imaging
thalamic subregions
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1584290/full
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