White matter network disruption and cognitive dysfunction in neuromyelitis optica spectrum disorder.
Open accessAbstract
Background In neuromyelitis optica spectrum disorder (NMOSD), brain involvement is common and cognitive dysfunction is frequently found. The study investigated alterations of white matter (WM) connectivity using graph theory and correlations with cognitive dysfunction in patients with NMOSD. Methods We prospectively enrolled patients with NMOSD (N=14) and age- and sex-matched healthy controls (N=21). Structural connections between any pair of the 90 cortical and subcortical regions were established using diffusion tensor imaging and graph theory. Network-based statistics was employed to assess differences in WM connectivity between the NMOSD and healthy control groups. We further investigated the relationship between the topological network characteristics and cognitive test performances. Results WM network analysis showed decreased total strength of brain networks and two disrupted sub-networks in patients with NMOSD. The first featured six hub nodes in the rectus, hippocampus, calcarine, cuneus, and precuneus with the left-sided predominance. The second had six hub nodes in the orbitomiddle frontal, postcentral, superior parietal, superior and middle temporal, and caudate with the right-sided predominance. Compared to healthy controls, NMOSD patients showed poor performance on tests for attention/working memory and processing speed, visuospatial processing, and executive function, which were associated with significant decreases in nodal clustering coefficient, local efficiency, and regional efficiency in the disrupted sub-networks (all p < 0.05). Conclusions The data show the overall WM disruption and the relationship between poor cognitive function and sub-network alterations identified by the network analysis in NMOSD patients. We suggest that cognitive dysfunction is related to dysconnectivity of WM network including default mode network in NMOSD.
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The FA-weighted connectivity matrix may incorporate WM damage better than mere streamline counts.
“therefore, the FA-weighted connectivity matrix may incorporate the WM damage better than mere streamline counts (Cho et al., 2018).”
From Effects of Alzheimer’s and Vascular Pathologies on Structural Connectivity in Early- and Late-Onset Alzheimer’s Disease (2021) · cites this paper as Cho et al., 2018
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Leveraro, E., Cipriano, E., Lombardi, G., Currò, D., Tazza, F., Novi, G., Laroni, A., Gazzola, P., Malentacchi, M., Petrucci, L., et al. (2026) · Brain Communications · doi:10.1093/braincomms/fcag334
Sarhan, N. T., & ELmotayam, A. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1015745
- Authors
- Cho, E. B., Han, C. E., Seo, S. W., Chin, J., Shin, J.-H., Cho, H.-J., Seok, J. M., Kim, S. T., Kim, B. J., Na, D. L., Lee, K.-H., Seong, J.-K., & Min, J.-H.
- Affiliations
- Gyeongsang National University (KR)
- Korea University (KR)
- Samsung Medical Center (KR)
- The Catholic University of Korea Bucheon St. Mary's Hospital (KR)
- Soonchunhyang University (KR)
- Corresponding author
- Seong, Joon-Kyung
- Min, Ju-Hong
- ORCID
- Venue
- Frontiers in Neurology
- Publisher
- Frontiers Media SA
- Published
- 2018-12-17
- Volume
- 9
- Pages
- 1104-1104
- ISSN
- 1664-2295 (ISSN-L)
- PMC
- PMC6304415
- OpenAlex
- W2905512414
- Cited by
- 46
- References
- 49
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 10 · 2023: 8 · 2022: 4 · 2021: 9 · 2020: 6 · 2019: 1
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Neurology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Research Foundation (2016R1D1A1B03934990)
- National Research Foundation of Korea (2016R1D1A1B03934476, 2016R1D1A1B03934990)
- Ministry of Science and ICT, South Korea (2017M3C7A1048092)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Keywords
- neuromyelitis optica spectrum disorder, white matter connectivity, cognitive impairment, brain network disruption, network hubs, nodal efficiency, default mode network, working memory, executive function, processing speed, visuospatial processing
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