Altered functional connectivity of nucleus accumbens in patients with persistent postural-perceptual dizziness: a resting-state functional magnetic resonance imaging study.
Overview
- Second Affiliated Hospital, Xuzhou Medical University, Xuzhou, China
- Graduate School of Xuzhou Medical University, Xuzhou, China
Abstract
Objective: This study aimed to investigate alterations in functional connectivity (FC) of the nucleus accumbens (NAc) in patients with persistent postural-perceptual dizziness (PPPD) using resting-state functional magnetic resonance imaging (rs-fMRI), and to examine the relationship between aberrant FC and clinical characteristics.
Methods: Twenty-four patients with PPPD and 25 age and gender matched healthy controls (HCs) were enrolled. Rs-fMRI data was preprocessed using DPABI. The bilateral NAc were selected as seed regions, and seed-to-voxel FC analysis was performed. FC differences between groups were assessed using two-sample t-tests with age, sex, HAMA, and HAMD scores as covariates (voxel-level FDR-corrected q < 0.05). Correlation analysis was conducted between abnormal FC values and clinical variables.
Results: Compared with HCs, patients with PPPD exhibited significantly enhanced FC between the right NAc and the left superior occipital gyrus (Occipital_Sup_L; peak MNI: -24, -96, 24; T value = 4.35; voxel-level FDR-corrected q < 0.001), as well as between the right NAc and the right Inferior Frontal Gyrus, Orbital part (Frontal_Inf_Orb_R; peak MNI: 39, 45, -3; T value = 4.90; voxel-level FDR-corrected q < 0.001). No significant FC abnormalities were detected for the left NAc seed. Correlation analysis revealed a significant negative correlation between the FC value of right NAc to left superior occipital gyrus and disease duration in PPPD patients (r = -0.61, FDR-corrected q = 0.03).
Conclusion: Patients with PPPD exhibit enhanced FC between the right NAc and visual- and emotion-related cortical regions, including the superior occipital gyrus and orbitofrontal cortex. The negative correlation with disease duration suggests that these FC alterations may be most pronounced in the early stages of the disorder. These findings provide new insights into the neural mechanisms of visual dependence and emotional dysregulation in PPPD.
Reproduced under the paper's license (CC BY), from the paper cited above.
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The study’s material, including raw data, statistical maps, ROI masks, or analysis scripts can be shared upon reasonable request.
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
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Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, pages, dates, 8 authors, 5 keywords, 1 funder, 34 references.
Cite
This paper
Liu, D., Shen, S., Shi, G., Zhou, W., Sun, Y., Liu, Y., Xiao, L., & Rong, L. (2026). Altered functional connectivity of nucleus accumbens in patients with persistent postural-perceptual dizziness: a resting-state functional magnetic resonance imaging study. Frontiers in psychiatry, 17, 1825054. https://
BibTeX
@article{liu2026altered,
author = {Liu, Dan and Shen, Shuaishuai and Shi, Guanyu and Zhou, Wenli and Sun, Yang and Liu, Yueji and Xiao, Lijie and Rong, Liangqun},
title = {{Altered functional connectivity of nucleus accumbens in patients with persistent postural-perceptual dizziness: a resting-state functional magnetic resonance imaging study}},
journal = {Frontiers in psychiatry},
year = {2026},
month = aug,
volume = {17},
pages = {1825054},
publisher = {Frontiers Media SA},
issn = {1664-0640},
doi = {10.3389/
url = {https://
pmid = {42712887},
pmcid = {PMC13550862}
}
RIS
TY - JOUR
AU - Liu, Dan
AU - Shen, Shuaishuai
AU - Shi, Guanyu
AU - Zhou, Wenli
AU - Sun, Yang
AU - Liu, Yueji
AU - Xiao, Lijie
AU - Rong, Liangqun
TI - Altered functional connectivity of nucleus accumbens in patients with persistent postural-perceptual dizziness: a resting-state functional magnetic resonance imaging study
T2 - Frontiers in psychiatry
J2 - Front Psychiatry
PY - 2026
DA - 2026/
VL - 17
SP - 1825054
SN - 1664-0640
PB - Frontiers Media SA
DO - 10.3389/
UR - https://
LA - en
ER -
CSL-JSON
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