Title | Grey matter changes in Meige syndrome: a voxel-based morphology analysis |
Authors | Liu, Jiayu Li, Lei Chen, Lei Liu, Ruen Jiang, Yongan Fang, Jixia Wang, Dongliang Liu, Zhi Ouyang, Jia |
Affiliation | Peking Univ, Dept Neurosurg, Peoples Hosp, 11th Xizhimen South St, Beijing 100044, Peoples R China Jinan Univ, Dept Nucl Med, Zhuhai Peoples Hosp, Zhuhai Hosp, 79 Kangning Rd, Zhuhai 519000, Guangdong, Peoples R China Peking Univ, Peoples Hosp, Dept Radiol, 11th Xizhimen South St, Beijing 100044, Peoples R China Nanchang Univ, Dept Neurosurg, Jiangxi Prov Peoples Hosp, Nanchang 330006, Jiangxi, Peoples R China |
Keywords | CLINICAL-FEATURES CONNECTIVITY DEPRESSION DYSTONIA |
Issue Date | 3-Sep-2020 |
Publisher | SCIENTIFIC REPORTS |
Abstract | To investigate the changes and clinical significance of brain structural abnormalities in patients with Meige syndrome and related depressive symptoms. We retrospectively analysed clinical data, imaging examinations, and Hamilton Depression Rating scale scores in 46 patients with Meige syndrome from January 2017 to January 2019. We compared the Meige syndrome group with the healthy control group, and the definite depression group with the non-definite depression group. Voxel-based morphometry (VBM) was used to compare grey matter (GM) volumes. We conducted two-sample t-tests corrected for subject age and gender. We tested at a level of significance of p<0.001 with a false discovery rate (FDR) correction. VBM demonstrated decreased GM volume (p<0.001 and cluster size>50 voxels) in the left hemisphere in the middle frontal orbital gyrus, temporal pole (superior temporal gyrus) and insula and in the right hemisphere in the temporal pole (middle temporal gyrus), precuneus, inferior parietal, inferior temporal and olfactory cortices in the Meige syndrome group. Comparing VBM-MRI measures in Meige syndrome patients with and without depression, decreased GM volume was found in the left hemisphere in the cuneus and hippocampus and in the right hemisphere in the angulargyrus, middle frontal gyrus and middle occipital gyrus in the definite depression group. Unlike other dystonia studies that have suggested an involvement of the basal ganglia and motor cortex in the pathophysiology of the disorder , we believe that the precuneus is involved in the development of Meige syndrome. Additionally, our findings suggest that the hippocampus plays a role in the pathogenesis of depression in patients with Meige syndrome. |
URI | http://hdl.handle.net/20.500.11897/592053 |
ISSN | 2045-2322 |
DOI | 10.1038/s41598-020-71479-9 |
Indexed | SCI(E) SSCI |
Appears in Collections: | 人民医院 |