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- W2916565595 abstract "The insular cortex plays an important role in multimodal sensory processing, audio-visual integration and emotion; however, little is known about how the insula is affected by auditory deprivation due to sensorineural neural hearing loss (SNHL). To address this issue, we used structural and functional magnetic resonance imaging to determine if the neural activity within the insula and its interregional functional connectivity (FC) was disrupted by SNHL and if these alterations were correlated clinical measures of emotion and cognition. Thirty-five SNHL subjects and 54 Controls enrolled in our study underwent auditory evaluation, neuropsychological assessments, functional and structure MRI, respectively. 25 patients and 20 Controls underwent arterial spin labeling scanning. FC of six insula subdivisions were assessed and the FC results were compared to the neuropsychological tests. Interregional connections were also compared among insula-associated networks, including salience network (SN), default mode network (DMN), and central executive network (CEN). Compared to Controls, SNHL subjects demonstrated hyperperfusion in the insula and significantly decreased FC between some insula subdivisions and other brain regions, including thalamus, putamen, precentral gyrus, postcentral gyrus, mid-cingulate cortex, dorsolateral prefrontal cortex, rolandic operculum. Anxiety, depression and cognitive impairments were correlated with FC values. Abnormal interactions among SN, DMN and CEN were observed in SNHL group. Our result provides support for the “inefficient high-order control” theory of the insula in which the auditory deprivation caused by SNHL contributes to impaired sensory integration and central deficits in emotional and cognitive processing." @default.
- W2916565595 created "2019-03-02" @default.
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- W2916565595 date "2019-02-20" @default.
- W2916565595 modified "2023-10-16" @default.
- W2916565595 title "Inefficient Involvement of Insula in Sensorineural Hearing Loss" @default.
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- W2916565595 doi "https://doi.org/10.3389/fnins.2019.00133" @default.
- W2916565595 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6391342" @default.
- W2916565595 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30842724" @default.
- W2916565595 hasPublicationYear "2019" @default.
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