Study of Extra-visual Resting-state Networks in Pituitary Adenoma Patients With Vision Restoration

Abstract Background: Pituitary adenoma(PA) may compress the optic apparatus and cause impaired vision. Some patients can get improved vision rapidly after surgery. During the early time after surgery, however, the change of neurofunction in extra-visual cortex and higher cognitive cortex is still yet to be explored so far. Objective: Our study is focused on the changes in the extra-visual resting-state networks in PA patients after vision restoration. Methods:We recruited 14 PA patients with visual improvement after surgery. The functional connectivity (FC) of 6 seeds (auditory cortex (A1), Broca's area, posterior cingulate cortex (PCC)for default mode network (DMN), right caudal anterior cingulate cortex for salience network(SN) and left dorsolateral prefrontal cortex for excecutive control network (ECN)) were evaluated. A paired t-test was conducted to identify the differences between two groups. Results: Compared with the preoperation counterparts, the PA patients with improved vision exhibited decreased FC with right A1 was identified in left insula lobule, right middle temporal gyrus and left postcentral gyrus, and increased FC in the right paracentral lobule; decreased FC with broca in left middle temporal gyrus, and increased FC in left Insula lobule and right thalamus; decreased FC with DMN in right declive, and right precuneus, and increased FC in right brodmann area 17, left cuneus and right posterior cingulate; decreased FC with ECN in right posterior cingulate, right angular and right precuneus; decreased FC with SN in right middle temporal gyrus, right hippocampus, and right precuneus, and increased FC in right fusiform gyrus, left lingual gyrus and right brodmann area 19.Conclusions: The vision restoration may cause the response of cross-modal plasticity and the multisensory system related to A1 and broca. The DMN and SN may involve in top-down control on the subareas within vision cortex. The precuneus may involve in DMN, ECN and SN simultaneously.