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Altered Brain Microstate Dynamics in Adolescents with Narcolepsy
Linkoping Univ, Dept Med & Hlth Sci IMH, Linkoping, Sweden; Linkoping Univ, Ctr Med Image Sci & Visualizat CMIV, Linkoping, Sweden.
Univ Gothenburg, Sahlgrenska Acad, Dept Paediat, Inst Clin Sci, Gothenburg, Sweden.
Linkoping Univ, Ctr Med Image Sci & Visualizat CMIV, Linkoping, Sweden.
Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden.
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2016 (English)In: Frontiers in Human Neuroscience, ISSN 1662-5161, E-ISSN 1662-5161, Vol. 10, 369Article in journal (Refereed) Published
Abstract [en]

Narcolepsy is a chronic sleep disorder caused by a loss of hypocretin-1 producing neurons in the hypothalamus. Previous neuroimaging studies have investigated brain function in narcolepsy during rest using positron emission tomography (PET) and single photon emission computed tomography (SPECT). In addition to hypothalamic and thalamic dysfunction they showed aberrant prefrontal perfusion and glucose metabolism in narcolepsy. Given these findings in brain structure and metabolism in narcolepsy, we anticipated that changes in functional magnetic resonance imaging (fMRI) resting state network (RSN) dynamics might also be apparent in patients with narcolepsy. The objective of this study was to investigate and describe brain microstate activity in adolescents with narcolepsy and correlate these to RSNs using simultaneous fMRI and electroencephalography (EEG). Sixteen adolescents (ages 13-20) with a confirmed diagnosis of narcolepsy were recruited and compared to age-matched healthy controls. Simultaneous EEG and fMRI data were collected during 10 min of wakeful rest. EEG data were analyzed for microstates, which are discrete epochs of stable global brain states obtained from topographical EEG analysis. Functional MRI data were analyzed for RSNs. Data showed that narcolepsy patients were less likely than controls to spend time in a microstate which we found to be related to the default mode network and may suggest a disruption of this network that is disease specific. We concluded that adolescents with narcolepsy have altered resting state brain dynamics.

Place, publisher, year, edition, pages
2016. Vol. 10, 369
Keyword [en]
narcolepsy; default mode network; functional magnetic resonance imaging (fMRI); electroencephalography (EEG); microstates; resting state networks; orexin; sleep
National Category
Neurology
Identifiers
URN: urn:nbn:se:uu:diva-302067DOI: 10.3389/fnhum.2016.00369ISI: 000380989900001PubMedID: 27536225OAI: oai:DiVA.org:uu-302067DiVA: diva2:956205
Funder
Knut and Alice Wallenberg Foundation
Available from: 2016-08-29 Created: 2016-08-29 Last updated: 2016-09-14Bibliographically approved

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