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The sliding window method examined the fluctuations in cerebellum\u2010whole brain dFC and connection strength in OSA. Furthermore, graph theory metrics evaluated the dynamic topological properties of the cerebellar network. Additionally, hidden Markov modeling validated the robustness of the dFC. The correlations between the abovementioned measures and clinical assessments were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two dynamic network states were characterized. State 2 exhibited a heightened frequency, longer fractional occupancy, and greater mean dwell time in OSA. The cerebellar networks and cerebrocerebellar dFC alterations were mainly located in the default mode network, frontoparietal network, somatomotor network, right cerebellar CrusI\/II, and other networks. Global properties indicated aberrant cerebellar topology in OSA. Dynamic properties were correlated with clinical indicators primarily on emotion, cognition, and sleep.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Abnormal dFC in male OSA may indicate an imbalance between the integration and segregation of brain networks, concurrent with global topological alterations. Abnormal default mode network interactions with high\u2010order and low\u2010level cognitive networks, disrupting their coordination, may impair the regulation of cognitive, emotional, and sleep functions in OSA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cns.14786","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T09:49:54Z","timestamp":1717408194000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Abnormal dynamic functional connectivity and topological properties of cerebellar network in male obstructive sleep apnea"],"prefix":"10.1111","volume":"30","author":[{"given":"Lifeng","family":"Li","sequence":"first","affiliation":[{"name":"Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College Nanchang University  Nanchang Jiangxi Province China"},{"name":"Department of Radiology, The Affiliated Changsha Central Hospital, Hengyang Medical School University of 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