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Review
. 2018 Oct:107:229-237.
doi: 10.1016/j.cortex.2017.12.017. Epub 2018 Jan 2.

On the low dimensionality of behavioral deficits and alterations of brain network connectivity after focal injury

Affiliations
Review

On the low dimensionality of behavioral deficits and alterations of brain network connectivity after focal injury

Maurizio Corbetta et al. Cortex. 2018 Oct.

Abstract

Traditional neuropsychological approaches emphasize the specificity of behavioral deficits and the modular organization of the brain. At the population level, however, there is emerging evidence that deficits are correlated resulting in a low dimensional structure of post-stroke neurological impairments. Here we consider the implications of low dimensionality for the three-way mapping between structural damage, altered physiology, and behavioral deficits. Understanding this mapping will be aided by large-sample studies that apply multivariate models and focus on explained percentage of variance, as opposed to univariate lesion-symptom techniques that report statistical significance. The low dimensionality of behavioral deficits following stroke is paralleled by widespread, yet relatively consistent, changes in functional connectivity (FC), including a reduction in modularity. Both are related to the structural damage to white matter and subcortical grey commonly produced by stroke. We suggest that large-scale physiological abnormalities following a stroke reduce the variety of neural states visited during task processing and at rest, resulting in a limited repertoire of behavioral states.

Keywords: Brain networks; Functional connectivity; Lesion-symptom mapping; Neuropsychology; Stroke.

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Figures

Fig. 1
Fig. 1
Behavioral clusters in stroke at 2 weeks (left). Thickness of line indicates strength of correlation between behavioral deficits across subjects. Moderation effect between cognitive deficits on recovery (performance change from 2 weeks to 3 months) (right). The size of the arrow is proportional to the moderation. Adapted from Ramsey et al., 2017.
Fig. 2
Fig. 2
Functional connectivity (FC) correlates of stroke. Two most common phenotypes of abnormal connectivity that correlate with behavioral deficits: decrease of inter-hemispheric FC, and abnormally strong intra-hemispheric FC between networks that are typically not correlated (e.g., dorsal attention (blue) and default (red). These two abnormalities are strongly correlated. Adapted from Siegel et al., 2016.

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