Remote Thalamic Microstructural Abnormalities Related to Cognitive
Function in Ischemic Stroke Patients
Marina Fernández-Andújar
University of Barcelona
Fleur Doornink
Leiden University Medical Center
Rosalía Dacosta-Aguayo
University of Barcelona and University of the Basque Country
Juan José Soriano-Raya and Júlia Miralbell
University of Barcelona
Núria Bargalló
Institut d’Investigacions Biomèdiques August Pi i Sunyer,
Barcelona, Spain
Elena López-Cancio, Natalia Pérez de la Ossa,
Meritxell Gomis, and Mònica Millán
Hospital Germans Trias i Pujol, Universitat Autònoma de
Barcelona
Maite Barrios
University of Barcelona
Cynthia Cáceres
Hospital Germans Trias i Pujol, Universitat Autònoma de
Barcelona
Guillem Pera and Rosa Forés
Institut Universitari d’Investigació en Atenció Prima `ria Jordi
Gol, Santa Coloma de Gramenet, Barcelona, Spain
Imma Clemente
University of Barcelona
Antoni Dávalos
Hospital Germans Trias i Pujol, Universitat Autònoma de
Barcelona
Maria Mataró
University of Barcelona
Objective: Ischemic stroke can lead to a continuum of cognitive sequelae, ranging from mild vascular
cognitive impairment to vascular dementia. These cognitive deficits can be influenced by the disruption
of cortico-subcortical circuits. We sought to explore remote thalamic microstructural abnormalities and
their association with cognitive function after ischemic stroke. Method: Seventeen patients with right
hemispheric ischemic stroke and 17 controls matched for age, sex, and years of education were included.
All participants underwent neurological, neuropsychological, and diffusion tensor image examination.
Patients were assessed 3 months poststroke. Voxel-wise analysis was used to study thalamic diffusion
differences between groups. Mean fractional anisotropy (FA) and mean diffusivity (MD) values in
significant thalamic areas were calculated for each subject and correlated with cognitive performance.
Results: Stroke patients showed lower FA values and higher MD values in specific areas of both the left
and right thalamus compared with controls. In patients, decreased FA values were associated with lower
verbal fluency performance in the right thalamus (R
2
= 0.45, = 0.74) and the left thalamus (R
2
= 0.57,
This article was published Online First June 2, 2014.
Marina Fernández-Andújar, Department of Psychiatry and Clinical Psycho-
biology and Institute for Brain, Cognition and Behavior, University of Barce-
lona; Fleur Doornink, Leiden University Medical Center, Leiden University;
Rosalía Dacosta-Aguayo, Department of Psychiatry and Clinical Psychobiol-
ogy, University of Barcelona, and Computational Intelligence Group, Depart-
ment of Ciencias de la Computación e Inteligencia Artificial, University of the
Basque Country; Juan José Soriano-Raya, Department of Psychiatry and
Clinical Psychobiology, University of Barcelona; Júlia Miralbell, Department
of Psychiatry and Clinical Psychobiology and Institute for Brain, Cognition
and Behavior, University of Barcelona; Núria Bargalló, Image Research Plat-
form, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona,
Spain; Elena López-Cancio, Natalia Pérez de la Ossa, Meritxell Gomis, and
Mònica Millán, Hospital Germans Trias i Pujol, Universitat Autònoma de
Barcelona; Maite Barrios, Department of Methodology of Behavioral Sci-
ences, University of Barcelona; Cynthia Cáceres, Hospital Germans Trias i
Pujol, Universitat Autònoma de Barcelona; Guillem Pera and Rosa Forés,
Primary Healthcare Research Support Unit Metropolitana Nord, Institut Uni-
versitari d’Investigació en Atenció Prima `ria Jordi Gol, Santa Coloma de
Gramenet, Barcelona, Spain; Imma Clemente, Department of Psychiatry and
Clinical Psychobiology and Institute for Brain, Cognition and Behavior, Uni-
versity of Barcelona; Antoni Dávalos, Hospital Germans Trias i Pujol, Uni-
versitat Autònoma de Barcelona; and Maria Mataró, Department of Psychiatry
and Clinical Psychobiology and Institute for Brain, Cognition and Behavior,
University of Barcelona.
Supported by Grant Formació Personal Investigador (Grant PSI2009-
11519), the Ministry of Science and Innovation (Grant BES-2010 –
031833), and the Ministry of Economy and Competitiveness Grant (Grant
TIN2011-23823). We thank all the professionals of the Hospital Germans
Trias i Pujol and the Image Unit of the Hospital Clínic who contributed to
this study.
Correspondence concerning this article should be addressed to Maria
Mataró, Department of Psychiatry and Clinical Psychobiology, University
of Barcelona, Passeig de la Vall d’Hebrón 171, 08035 Barcelona, Spain; or
Imma Clemente, Department of Psychiatry and Clinical Psychobiology,
University of Barcelona, Passeig de la Vall d’Hebrón 171, 08035 Barce-
lona, Spain. E-mail: mmataro@ub.edu or iclemente@ub.edu
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Neuropsychology © 2014 American Psychological Association
2014, Vol. 28, No. 6, 984 –996 0894-4105/14/$12.00 http://dx.doi.org/10.1037/neu0000087
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