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Language dysfunction in MCI-LB patients is often unrecognized. This study aimed to assess syntactic comprehension deficits in MCI-LB patients and to explore their neural correlates. A total of 25 MCI-LB patients (mean \u00b1 sd: 72 \u00b1 5.6 years old, 10 women) and 25 healthy controls (HC, mean \u00b1 sd: 66 \u00b1 4.0 years old, 12 women) performed task functional MRI Test of Sentence Comprehension (ToSC). Functional connectivity was analysed using psychophysiological interaction (PPI) method, focusing on the striatum and language networks. MCI-LB patients had lower ToSC scores than HC (MCI-LB: 74.7 \u00b1 15.7, HC: 88.5 \u00b1 9.0, P &amp;lt; 0.001) and their PPI analysis revealed decreased connectivity from the striatum to the cuneus, precuneus, and left supramarginal gyrus, and reduced connectivity particularly in the dorsal pathway during noncanonical (syntactically more complex) sentence processing. Taken together, in this cross-sectional study MCI-LB patients showed impaired sentence comprehension related to decreased subcortical-cortical and dorsal language network connectivity. Specific changes in frontotemporal connectivity in MCI-LB might be a promising indicator of language related cognitive impairment in these a-synucleinopathies.<\/jats:p>","DOI":"10.1093\/braincomms\/fcaf423","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:17:56Z","timestamp":1761743876000},"source":"Crossref","is-referenced-by-count":2,"title":["Sentence comprehension in Lewy body diseases: a functional magnetic resonance imaging study"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8352-439X","authenticated-orcid":false,"given":"Lubomira","family":"Novakova","sequence":"first","affiliation":[{"name":"Applied Neuroscience Research Group, Central European Institute of Technology \u2013 CEITEC, Masaryk University , Brno 62500 ,","place":["Czech Republic"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Gajdo\u0161","sequence":"additional","affiliation":[{"name":"Applied Neuroscience Research Group, Central European Institute of Technology \u2013 CEITEC, Masaryk University , Brno 62500 ,","place":["Czech Republic"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Carbol","sequence":"additional","affiliation":[{"name":"Applied Neuroscience Research Group, Central European Institute of Technology \u2013 CEITEC, Masaryk University , Brno 62500 ,","place":["Czech Republic"]},{"name":"Faculty of Medicine, Masaryk University , Brno 62500 ,","place":["Czech Republic"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena","family":"Rektorova","sequence":"additional","affiliation":[{"name":"Applied Neuroscience Research Group, Central European Institute of Technology \u2013 CEITEC, Masaryk University , Brno 62500 ,","place":["Czech Republic"]},{"name":"First Department of Neurology, Faculty of Medicine and St. Anne\u2019s University Hospital , Brno 60200 ,","place":["Czech 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