PMID- 34776850 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211117 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 15 DP - 2021 TI - Altered Spontaneous Brain Activity Patterns and Functional Connectivity in Adults With Intermittent Exotropia: A Resting-State fMRI Study. PG - 746882 LID - 10.3389/fnins.2021.746882 [doi] LID - 746882 AB - The purpose of this study is to investigate brain functional changes in patients with intermittent exotropia (IXT) by analyzing the amplitude of low-frequency fluctuation (ALFF) of brain activity and functional connectivity (FC) using resting-state functional magnetic resonance imaging (rs-fMRI). There were 26 IXT patients and 22 age-, sex-, education-, and handedness-matched healthy controls (HCs) enrolled who underwent rs-fMRI. The ALFF, fractional ALFF (fALFF) values in the slow 4 and slow 5 bands, and FC values were calculated and compared. The correlations between ALFF/fALFF values in discrepant brain regions and clinical features were evaluated. Compared with HCs, ALFF/fALFF values were significantly increased in the right angular gyrus (ANG), supramarginal gyrus (SMG), inferior parietal lobule (IPL), precentral gyrus (PreCG), and the bilateral inferior frontal gyri (IFG), and decreased in the right precuneus gyrus (PCUN), left middle occipital gyrus (MOG), and postcentral gyrus (PoCG) in IXT patients. The Newcastle Control Test score was negatively correlated with ALFF values in the right IFG (r = -0.738, p < 0.001). The duration of IXT was negatively correlated with ALFF values in the right ANG (r = -0.457, p = 0.049). Widespread increases in FC were observed between brain regions, mainly including the right cuneus (CUN), left superior parietal lobule (SPL), right rolandic operculum (ROL), left middle temporal gyrus (MTG), left IFG, left median cingulate gyrus (DCG), left PoCG, right PreCG, and left paracentral gyrus (PCL) in patients with IXT. No decreased FC was observed. Patients with IXT exhibited aberrant intrinsic brain activities and FC in vision- and eye movement-related brain regions, which extend current understanding of the neuropathological mechanisms underlying visual and oculomotor impairments in IXT patients. CI - Copyright (c) 2021 He, Hong, Wang, Guo, Li, Qu, Liu, Li, Zhang, Fu and Liu. FAU - He, Xueying AU - He X AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Hong, Jie AU - Hong J AD - Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Wang, Qian AU - Wang Q AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Guo, Yanan AU - Guo Y AD - Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Li, Ting AU - Li T AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Qu, Xiaoxia AU - Qu X AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Liu, Jing AU - Liu J AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Li, Wei AU - Li W AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Zhang, Lirong AU - Zhang L AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Fu, Jing AU - Fu J AD - Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Liu, Zhaohui AU - Liu Z AD - Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. LA - eng PT - Journal Article DEP - 20211029 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC8586526 OTO - NOTNLM OT - amplitude of low-frequency fluctuations OT - functional connectivity OT - intermittent exotropia OT - resting-state functional MRI OT - spontaneous activity COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/11/16 06:00 MHDA- 2021/11/16 06:01 PMCR- 2021/01/01 CRDT- 2021/11/15 06:55 PHST- 2021/07/25 00:00 [received] PHST- 2021/09/29 00:00 [accepted] PHST- 2021/11/15 06:55 [entrez] PHST- 2021/11/16 06:00 [pubmed] PHST- 2021/11/16 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2021.746882 [doi] PST - epublish SO - Front Neurosci. 2021 Oct 29;15:746882. doi: 10.3389/fnins.2021.746882. eCollection 2021.