Decreased Cerebellar-Orbitofrontal Connectivity Correlates with Stuttering Severity: Whole-Brain Functional and Structural Connectivity Associations with Persistent Developmental Stuttering

Autor: Kevin Richard Sitek, Shanqing eCai, Deryk Scott Beal, Joseph S Perkell, Frank eGuenther, Satrajit S Ghosh
Přispěvatelé: Institute for Medical Engineering and Science, Massachusetts Institute of Technology. Research Laboratory of Electronics, McGovern Institute for Brain Research at MIT, Sitek, Kevin R., Cai, Shanqing, Beal, Deryk S., Perkell, Joseph S., Ghosh, Satrajit S.
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Speech production
Cerebellum
Stuttering
Thalamus
050105 experimental psychology
lcsh:RC321-571
White matter
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
persistent developmental stuttering
medicine
structural connectivity
resting state functional connectivity
diffusion weighted imaging (DWI)
0501 psychology and cognitive sciences
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
resting state
Biological Psychiatry
Original Research
Resting state fMRI
Functional connectivity
diffusion
05 social sciences
nervous system diseases
Psychiatry and Mental health
Neuropsychology and Physiological Psychology
medicine.anatomical_structure
Neurology
connectivity
Orbitofrontal cortex
medicine.symptom
Psychology
Neuroscience
030217 neurology & neurosurgery
MRI
Cognitive psychology
Zdroj: Frontiers
Frontiers in Human Neuroscience
Frontiers in Human Neuroscience, Vol 10 (2016)
Popis: Persistent developmental stuttering is characterized by speech production disfluency and affects 1% of adults. The degree of impairment varies widely across individuals and the neural mechanisms underlying the disorder and this variability remain poorly understood. Here we elucidate compensatory mechanisms related to this variability in impairment using whole-brain functional and white matter connectivity analyses in persistent developmental stuttering. We found that people who stutter had stronger functional connectivity between cerebellum and thalamus than people with fluent speech, while stutterers with the least severe symptoms had greater functional connectivity between left cerebellum and left orbitofrontal cortex (OFC). Additionally, people who stutter had decreased functional and white matter connectivity among the perisylvian auditory, motor, and speech planning regions compared to typical speakers, but greater functional connectivity between the right basal ganglia and bilateral temporal auditory regions. Structurally, disfluency ratings were negatively correlated with white matter connections to left perisylvian regions and to the brain stem. Overall, we found increased connectivity among subcortical and reward network structures in people who stutter compared to controls. These connections were negatively correlated with stuttering severity, suggesting the involvement of cerebellum and OFC may underlie successful compensatory mechanisms by more fluent stutterers.
National Institutes of Health (U.S.) (NIH grant R01-DC007683)
National Institutes of Health (U.S.) (NIH grant R56-DC0010849)
National Institutes of Health (U.S.) (NIH grant T32- DC000038)
Databáze: OpenAIRE