Electroencephalography-based functional brain network analysis according to lesion location and motor function in stroke patients

Abstract Background. While numerous studies have investigated changes in brain activation after stroke, limited information exists on the association between functional brain networks and lesion location in stroke patients. Methods. We compared the characteristics of brain networks among patients with cortico-subcortical lesions (n = 5), subcortical lesions (n = 7), and age-matched healthy controls (n = 12) during the execution of hand movements. Functional brain networks were analyzed based on network parameters in beta frequency electroencephalography (EEG) bands. Results. Our results indicated that while the healthy control group had appropriate compensatory patterns on the brain network with an aging effect, the two stroke lesion groups exhibited different hyper-connected characteristics in the brain network within the sensorimotor regions, particularly the contralesional M1, during motor execution. In addition, the betweenness centrality on the contralesional motor area was identified as a promising biomarker for motor functional ability associated with stroke. Our findings further allowed us to identify the characteristics of the stroke lesion that could not be found with EEG power by using the EEG brain network on the cerebral cortex. Conclusions. We anticipate that our study will improve the understanding of the complex changes that occur in the brain network as a result of stroke, and support the development of more effective and efficient rehabilitation programs based on lesion location for stroke patients.