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Archivio digitale delle tesi discusse presso l’Università di Pisa

Tesi etd-05192024-161745


Tipo di tesi
Tesi di laurea magistrale LM6
Autore
MILANO, BEATRICE ANNUNZIATA
URN
etd-05192024-161745
Titolo
Lesion network mapping of functional disability
Dipartimento
RICERCA TRASLAZIONALE E DELLE NUOVE TECNOLOGIE IN MEDICINA E CHIRURGIA
Corso di studi
MEDICINA E CHIRURGIA
Relatori
relatore Prof. Ceravolo, Roberto
correlatore Prof. Siddiqi, Shan Hai
Parole chiave
  • brain stimulation
  • functional neurological disorders
  • lesion network mapping
Data inizio appello
11/06/2024
Consultabilità
Non consultabile
Data di rilascio
11/06/2094
Riassunto
This thesis utilizes lesion network mapping (LNM) to enhance our understanding of brain function by connecting specific brain lesions to networks rather than isolated regions, providing a more holistic view of their impact on clinical symptoms. The primary goal is to explore LNM's potential in identifying targets for deep brain stimulation (DBS) and transcranial magnetic stimulation (TMS) to treat functional neurological disorders (FND), traditionally seen as conditions without an anatomical basis. By mapping lesion networks linked to functional disabilities, this research challenges the notion of FND's lack of anatomical substrate, proposing a brain circuit associated with the perception of disability. The study analyzes stroke patients (n = 101) using a normative connectome database to compare self-reported capabilities with actual performance, identifying a brain circuit related to disability perception. Validation with a separate group of head injury patients (n = 181) showed significant correlations with somatic concern, suggesting LNM's potential in guiding therapeutic interventions.
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