PMID- 34777188 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211117 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 12 DP - 2021 TI - Comparing Brain Functional Activities in Patients With Blepharospasm and Dry Eye Disease Measured With Resting-State fMRI. PG - 607476 LID - 10.3389/fneur.2021.607476 [doi] LID - 607476 AB - Background: Blepharospasm (BSP) and dry eye disease (DED) are clinically common diseases characterized by an increased blinking rate. A sustained eyelid muscle activity may alter the cortical sensorimotor concordance and lead to secondary functional changes. This study aimed to explore the central mechanism of BSP by assessing brain functional differences between the two groups and comparing them with healthy controls. Methods: In this study, 25 patients with BSP, 22 patients with DED, and 23 healthy controls underwent resting-state functional magnetic resonance imaging (fMRI) scan. The amplitude of low-frequency fluctuations (ALFF) was applied to analyze the imaging data. Results: Analysis of covariance (ANCOVA) revealed widespread differences in ALFF across the three groups. In comparison with healthy controls, patients with BSP showed abnormal ALFF in the sensorimotor integration related-brain regions, including the bilateral supplementary motor area (SMA), left cerebellar Crus I, left fusiform gyrus, bilateral superior medial prefrontal cortex (MPFC), and right superior frontal gyrus (SFG). In comparison with patients with DED, patients with BSP exhibited a significantly increased ALFF in the left cerebellar Crus I and left SMA. ALFF in the left fusiform gyrus/cerebellar Crus I was positively correlated with symptomatic severity of BSP. Conclusions: Our results reveal that the distinctive changes in the brain function in patients with BSP are different from those in patients with DED and healthy controls. The results further emphasize the primary role of sensorimotor integration in the pathophysiology of BSP. CI - Copyright (c) 2021 Feng, Jiang, Xiao, Liu, Pang, Liang, Tang, Lu, Wei, Li, Lei, Guo and Luo. FAU - Feng, Changqiang AU - Feng C AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Jiang, Wenyan AU - Jiang W AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Xiao, Yousheng AU - Xiao Y AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Liu, Yang AU - Liu Y AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Pang, Lulu AU - Pang L AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Liang, Meilan AU - Liang M AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Tang, Jingqun AU - Tang J AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Lu, Yulin AU - Lu Y AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Wei, Jing AU - Wei J AD - Department of Comprehensive Internal Medicine, Guangxi Medical University Affiliated Tumor Hospital, Nanning, China. FAU - Li, Wenmei AU - Li W AD - Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Lei, Yiwu AU - Lei Y AD - Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. FAU - Guo, Wenbin AU - Guo W AD - Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China. FAU - Luo, Shuguang AU - Luo S AD - Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. LA - eng PT - Journal Article DEP - 20211027 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC8578056 OTO - NOTNLM OT - amplitude of low-frequency fluctuations OT - blepharospasm OT - dry eye disease OT - functional magnetic resonance imaging OT - sensorimotor integration 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- 2021/10/27 CRDT- 2021/11/15 06:57 PHST- 2020/09/26 00:00 [received] PHST- 2021/09/24 00:00 [accepted] PHST- 2021/11/15 06:57 [entrez] PHST- 2021/11/16 06:00 [pubmed] PHST- 2021/11/16 06:01 [medline] PHST- 2021/10/27 00:00 [pmc-release] AID - 10.3389/fneur.2021.607476 [doi] PST - epublish SO - Front Neurol. 2021 Oct 27;12:607476. doi: 10.3389/fneur.2021.607476. eCollection 2021.