Thalamic connectivity topography in newborns with spina bifida: association with neurological functional level but not developmental outcome at 2 years

Abstract Spina bifida affects spinal cord and cerebral development, leading to motor and cognitive delay. We investigated whether there are associations between thalamocortical connectivity topography, neurological function, and developmental outcomes in open spina bifida. Diffusion tensor MRI was u...

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Veröffentlicht in:Cerebral cortex (New York, N.Y. 1991) N.Y. 1991), 2024-01, Vol.34 (1)
Hauptverfasser: Ji, Hui, Payette, Kelly, Speckert, Anna, Tuura, Ruth, Grehten, Patrice, Kottke, Raimund, Ochseinbein-Kölble, Nicole, Hagmann, Cornelia, Mazzone, Luca, Meuli, Martin, Padden, Beth, Hackenberg, Annette, Wille, David-Alexander, Moehrlen, Ueli, Latal, Beatrice, SPINA BIFIDA STUDY GROUP ZURICH, Jakab, Andras
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container_title Cerebral cortex (New York, N.Y. 1991)
container_volume 34
creator Ji, Hui
Payette, Kelly
Speckert, Anna
Tuura, Ruth
Grehten, Patrice
Kottke, Raimund
Ochseinbein-Kölble, Nicole
Hagmann, Cornelia
Mazzone, Luca
Meuli, Martin
Padden, Beth
Hackenberg, Annette
Wille, David-Alexander
Moehrlen, Ueli
Latal, Beatrice
SPINA BIFIDA STUDY GROUP ZURICH
Jakab, Andras
description Abstract Spina bifida affects spinal cord and cerebral development, leading to motor and cognitive delay. We investigated whether there are associations between thalamocortical connectivity topography, neurological function, and developmental outcomes in open spina bifida. Diffusion tensor MRI was used to assess thalamocortical connectivity in 44 newborns with open spina bifida who underwent prenatal surgical repair. We quantified the volume of clusters formed based on the strongest probabilistic connectivity to the frontal, parietal, and temporal cortex. Developmental outcomes were assessed using the Bayley III Scales, while the functional level of the lesion was assessed by neurological examination at 2 years of age. Higher functional level was associated with smaller thalamo-parietal, while lower functional level was associated with smaller thalamo-temporal connectivity clusters (Bonferroni-corrected P 
doi_str_mv 10.1093/cercor/bhad438
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We investigated whether there are associations between thalamocortical connectivity topography, neurological function, and developmental outcomes in open spina bifida. Diffusion tensor MRI was used to assess thalamocortical connectivity in 44 newborns with open spina bifida who underwent prenatal surgical repair. We quantified the volume of clusters formed based on the strongest probabilistic connectivity to the frontal, parietal, and temporal cortex. Developmental outcomes were assessed using the Bayley III Scales, while the functional level of the lesion was assessed by neurological examination at 2 years of age. Higher functional level was associated with smaller thalamo-parietal, while lower functional level was associated with smaller thalamo-temporal connectivity clusters (Bonferroni-corrected P &lt; 0.05). Lower functional levels were associated with weaker thalamic temporal connectivity, particularly in the ventrolateral and ventral anterior nuclei. No associations were found between thalamocortical connectivity and developmental outcomes. Our findings suggest that altered thalamocortical circuitry development in open spina bifida may contribute to impaired lower extremity function, impacting motor function and independent ambulation. We hypothesize that the neurologic function might not merely be caused by the spinal cord lesion, but further impacted by the disruption of cerebral neuronal circuitry.</description><identifier>ISSN: 1047-3211</identifier><identifier>EISSN: 1460-2199</identifier><identifier>DOI: 10.1093/cercor/bhad438</identifier><identifier>PMID: 37991274</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Diffusion Tensor Imaging ; Female ; Humans ; Infant, Newborn ; Original ; Pregnancy ; Spina Bifida Cystica - complications ; Spinal Cord - pathology ; Spinal Dysraphism - complications ; Spinal Dysraphism - diagnostic imaging ; Spinal Dysraphism - psychology ; Thalamus - pathology</subject><ispartof>Cerebral cortex (New York, N.Y. 1991), 2024-01, Vol.34 (1)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press. All rights reserved. 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We investigated whether there are associations between thalamocortical connectivity topography, neurological function, and developmental outcomes in open spina bifida. Diffusion tensor MRI was used to assess thalamocortical connectivity in 44 newborns with open spina bifida who underwent prenatal surgical repair. We quantified the volume of clusters formed based on the strongest probabilistic connectivity to the frontal, parietal, and temporal cortex. Developmental outcomes were assessed using the Bayley III Scales, while the functional level of the lesion was assessed by neurological examination at 2 years of age. Higher functional level was associated with smaller thalamo-parietal, while lower functional level was associated with smaller thalamo-temporal connectivity clusters (Bonferroni-corrected P &lt; 0.05). Lower functional levels were associated with weaker thalamic temporal connectivity, particularly in the ventrolateral and ventral anterior nuclei. No associations were found between thalamocortical connectivity and developmental outcomes. Our findings suggest that altered thalamocortical circuitry development in open spina bifida may contribute to impaired lower extremity function, impacting motor function and independent ambulation. We hypothesize that the neurologic function might not merely be caused by the spinal cord lesion, but further impacted by the disruption of cerebral neuronal circuitry.</description><subject>Diffusion Tensor Imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Original</subject><subject>Pregnancy</subject><subject>Spina Bifida Cystica - complications</subject><subject>Spinal Cord - pathology</subject><subject>Spinal Dysraphism - complications</subject><subject>Spinal Dysraphism - diagnostic imaging</subject><subject>Spinal Dysraphism - psychology</subject><subject>Thalamus - pathology</subject><issn>1047-3211</issn><issn>1460-2199</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNqFkctu1TAQhiMEoqWwZYm8hEVaX3IzG1RV3KRKbMramjiTE6PEE2znVOdNWPIsPBk5yqGCFSuP9X_-PdKXZS8FvxRcqyuLwVK4agfoCtU8ys5FUfFcCq0frzMv6lxJIc6yZzF-41zUspRPszNVay1kXZxnP-4GGGFyllnyHm1ye5cOLNFMuwDzcGDOM4_3LQUf2b1LA4uz88Ba17sO3jKIkayD5Mhvsccl0Eg7Z2Fk_eLtMVrHEfc4snZJzFNi3fFG84Q-rRktydKEDBKTv34eEEJ8nj3pYYz44nReZF8_vL-7-ZTffvn4-eb6Nreq4SmvG6lA61IVUtWdLBsuobWl0L3tpUCJZVnIyiqs6o4XHXLULRe2VHWFAF2nLrJ3W--8tBN2dl0owGjm4CYIB0PgzL-Jd4PZ0d4IXmtVVtXa8PrUEOj7gjGZyUWL4wgeaYlGNlpWFV81rOjlhtpAMQbsH_4R3Bx9ms2nOflcH7z6e7sH_I_AFXizAbTM_yv7DRMqssA</recordid><startdate>20240114</startdate><enddate>20240114</enddate><creator>Ji, Hui</creator><creator>Payette, Kelly</creator><creator>Speckert, Anna</creator><creator>Tuura, Ruth</creator><creator>Grehten, Patrice</creator><creator>Kottke, Raimund</creator><creator>Ochseinbein-Kölble, Nicole</creator><creator>Hagmann, Cornelia</creator><creator>Mazzone, Luca</creator><creator>Meuli, Martin</creator><creator>Padden, Beth</creator><creator>Hackenberg, Annette</creator><creator>Wille, David-Alexander</creator><creator>Moehrlen, Ueli</creator><creator>Latal, Beatrice</creator><creator>SPINA BIFIDA STUDY GROUP ZURICH</creator><creator>Jakab, Andras</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240114</creationdate><title>Thalamic connectivity topography in newborns with spina bifida: association with neurological functional level but not developmental outcome at 2 years</title><author>Ji, Hui ; 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We investigated whether there are associations between thalamocortical connectivity topography, neurological function, and developmental outcomes in open spina bifida. Diffusion tensor MRI was used to assess thalamocortical connectivity in 44 newborns with open spina bifida who underwent prenatal surgical repair. We quantified the volume of clusters formed based on the strongest probabilistic connectivity to the frontal, parietal, and temporal cortex. Developmental outcomes were assessed using the Bayley III Scales, while the functional level of the lesion was assessed by neurological examination at 2 years of age. Higher functional level was associated with smaller thalamo-parietal, while lower functional level was associated with smaller thalamo-temporal connectivity clusters (Bonferroni-corrected P &lt; 0.05). Lower functional levels were associated with weaker thalamic temporal connectivity, particularly in the ventrolateral and ventral anterior nuclei. No associations were found between thalamocortical connectivity and developmental outcomes. Our findings suggest that altered thalamocortical circuitry development in open spina bifida may contribute to impaired lower extremity function, impacting motor function and independent ambulation. We hypothesize that the neurologic function might not merely be caused by the spinal cord lesion, but further impacted by the disruption of cerebral neuronal circuitry.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>37991274</pmid><doi>10.1093/cercor/bhad438</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects Diffusion Tensor Imaging
Female
Humans
Infant, Newborn
Original
Pregnancy
Spina Bifida Cystica - complications
Spinal Cord - pathology
Spinal Dysraphism - complications
Spinal Dysraphism - diagnostic imaging
Spinal Dysraphism - psychology
Thalamus - pathology
title Thalamic connectivity topography in newborns with spina bifida: association with neurological functional level but not developmental outcome at 2 years
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