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Resting state functional brain networks associated with emotion processing in frontotemporal lobar degeneration

F. Agosta, E. Canu, D. Calderaro, V. Castelnovo, S. Basaia, MA. Magno, N. Riva, G. Magnani, F. Caso, P. Caroppo, S. Prioni, C. Villa, D. Pain, G. Mora, L. Tremolizzo, I. Appollonio, B. Poletti, V. Silani, M. Filippi (Milano, Italy)

Meeting: 2022 International Congress

Abstract Number: 73

Keywords: Behavioral abnormalities, Frontotemporal dementias: Clinical features, Functional magnetic resonance imaging(fMRI)

Category: Neuroimaging (Non-PD)

Objective: This study investigated the relationship between emotion processing and resting-state functional connectivity (rs-FC) of the brain networks in frontotemporal lobar degeneration (FTLD).

Background: Defective emotion recognition can lead to altered social interactions, especially in disorders affecting the frontal and the temporal lobes, such as those belonging to the FTLD spectrum.

Method: Eighty FTLD patients (including cases with behavioural variant of frontotemporal dementia, primary progressive aphasia, progressive supranuclear palsy syndrome, motor neuron disease) and 65 healthy controls underwent rs-functional MRI. Emotion processing was tested using the Comprehensive Affect Testing System (CATS). In patients and controls, correlations were investigated between each emotion construct and rs-FC changes within critical networks. Mean rs-FC of the clusters significantly associated with CATS scoring were compared between FTLD groups.

Results: FTLD patients had pathological CATS scores compared with controls. In controls, increased rs-FC of the cerebellar and visuo-associative networks correlated with better scores in emotion-matching and discrimination tasks, respectively; while decreased rs-FC of the visuo-spatial network was related with better performance in the affect-matching and naming. In FTLD, the associations between rs-FC and CATS scores involved more brain regions, such as orbitofrontal and middle frontal gyri within anterior networks (i.e., salience and default-mode), parietal and somatosensory regions within visuo-spatial and sensorimotor networks, caudate and thalamus within basal-ganglia network. Rs-FC changes associated with CATS were similar among all FTLD groups.

Conclusion: In FTLD compared to controls, the pattern of rs-FC associated with emotional processing involves a larger number of brain regions, likely due to functional specificity loss and compensatory attempts. These associations were similar across all FTLD groups, suggesting a common physiopathological mechanism of emotion processing breakdown, regardless the clinical presentation and pattern of atrophy.

To cite this abstract in AMA style:

F. Agosta, E. Canu, D. Calderaro, V. Castelnovo, S. Basaia, MA. Magno, N. Riva, G. Magnani, F. Caso, P. Caroppo, S. Prioni, C. Villa, D. Pain, G. Mora, L. Tremolizzo, I. Appollonio, B. Poletti, V. Silani, M. Filippi. Resting state functional brain networks associated with emotion processing in frontotemporal lobar degeneration [abstract]. Mov Disord. 2022; 37 (suppl 2). https://www.mdsabstracts.org/abstract/resting-state-functional-brain-networks-associated-with-emotion-processing-in-frontotemporal-lobar-degeneration/. Accessed June 15, 2025.
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