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Sci Rep . Characteristic functional connectome related to Post-COVID-19 syndrome

tetano

Editor, Senior Moderator
Sci Rep


. 2024 Feb 29;14(1):4997.
doi: 10.1038/s41598-024-54554-3. Characteristic functional connectome related to Post-COVID-19 syndrome

Julia Bungenberg[SUP] #[/SUP][SUP] 1 2 [/SUP], Christian Hohenfeld[SUP] #[/SUP][SUP] 1 2 [/SUP], Ana S Costa[SUP] 1 2 [/SUP], Josephine Heine[SUP] 3 4 [/SUP], Katia Schwichtenberg[SUP] 3 4 [/SUP], Tim Hartung[SUP] 3 4 [/SUP], Christiana Franke[SUP] 3 4 [/SUP], Ferdinand Binkofski[SUP] 1 5 6 [/SUP], Jörg B Schulz[SUP] 1 2 [/SUP], Carsten Finke[SUP] #[/SUP][SUP] 3 4 [/SUP], Kathrin Reetz[SUP] #[/SUP][SUP] 7 8 [/SUP]



Affiliations
Free PMC article Abstract

Post-COVID-19 syndrome is a serious complication following SARS-CoV-2 infection, characterized primarily by fatigue and cognitive complaints. Although first metabolic and structural imaging alterations in Post-COVID-19 syndrome have been identified, their functional consequences remain unknown. Thus, we explored the impact of Post-COVID-19 syndrome on the functional connectome of the brain providing a deeper understanding of pathophysiological mechanisms. In a cross-sectional observational study, resting-state functional magnetic resonance imaging data of 66 patients with Post-COVID-19 syndrome after mild infection (mean age 42.3 years, 57 female) and 57 healthy controls (mean age 42.1 years, 38 female) with a mean time of seven months after acute COVID-19 were analysed using a graph theoretical approach. Network features were quantified using measures including mean distance, nodal degree, betweenness and Katz centrality, and compared between both groups. Graph measures were correlated with clinical measures quantifying fatigue, cognitive function, affective symptoms and sleep disturbances. Alterations were mainly found in the brainstem, olfactory cortex, cingulate cortex, thalamus and cerebellum on average seven months after SARS-CoV-2 infection. Additionally, strong correlations between fatigue severity, cognitive functioning and daytime sleepiness from clinical scales and graph measures were observed. Our study confirms functional relevance of brain imaging changes in Post-COVID-19 syndrome as mediating factors for persistent symptoms and improves our pathophysiological understanding.


 
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