Li Pengyue,Zhang Jingna,Yang Jun,Yan Rubing,Wang Li,Zhang Ye,Qiu Mingguo.Correlation between cerebral white matter damage and motor function in stroke patients[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(10):1116-1120.
Li Pengyue,Zhang Jingna,Yang Jun,Yan Rubing,Wang Li,Zhang Ye,Qiu Mingguo.Correlation between cerebral white matter damage and motor function in stroke patients[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(10):1116-1120.DOI:
Objective To investigate the damage of cerebral white matter in stroke patients
and explore the correlation between the white matter damage and the motor dysfunction. Methods Seventeen stroke patients and twenty-one healthy controls were recruited to collect the cerebral diffusion tensor imaging (DTI) data. Fractional anisotropy (FA)
axial diffusivity (λ
1
) and radial diffusivity (λ
23
) were analyzed for differences between the 2 groups using tract-based spatial statistics (TBSS). The regions of interest (ROI) were defined based on Johns Hopki
ns white matter partition atlas. The correlations between the parameters of ROI and Fugl-Meyer assessment (FMA) scores of the stroke patients were also analyzed. Results Compared with the healthy controls
the FA of white matter fiber bundles was reduced in the ipsilesional corticospinal tract
inferior fronto-occipital fasciculus
uncinate fasciculus
anterior thalamic radiation
superior longitudinal fasciculus
forceps minor and bilateral forceps major of the stroke patients (P0.005). The λ
1
values of white matter fiber bundles were reduced in the ipsilesional corticospinal tract (P0.05). The λ
23
values of white matter fiber bundles were increased in the ipsilesional corticospinal tract
inferior fronto-occipital fasciculus
uncinate fasciculus
anterior thalamic radiation
forceps minor
bilateral forceps major and superior longitudinal fasciculus (P0.01). A positive correlation was found between λ
1
value of ipsilesional corticospinal tract and FMA score of stroke patients (P0.05). Conclusion Abnormal white matter structure is found in the stroke patients
and the value of λ
1
in the ipsilesional corticospinal tract can reflect the motor dysfunction.