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Knights E, McIntosh RD, Ford C, Buckingham G, Rossit S. Peripheral and bimanual reaching in a stroke survivor with left visual neglect and extinction. Neuropsychologia 2024:108901. [PMID: 38704116 DOI: 10.1016/j.neuropsychologia.2024.108901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 04/23/2024] [Accepted: 05/01/2024] [Indexed: 05/06/2024]
Abstract
Whether attentional deficits are accompanied by visuomotor impairments following posterior parietal lesions has been debated for quite some time. This single-case study investigated reaching in a stroke survivor (E.B.) with left visual neglect and visual extinction following right temporo-parietal-frontal strokes. Unlike most neglect patients, E.B. did not present left hemiparesis, homonymous hemianopia nor showed evidence of motor neglect or extinction allowing us to examine, for the first time, if lateralised attentional deficits co-occur with deficits in peripheral and bimanual reaching. First, we found a classic optic ataxia field effect: E.B.'s accuracy was impaired when reaching to peripheral targets in her neglected left visual field (regardless of the hand used). Second, we found a larger bimanual cost for movement time in E.B. than controls when both hands reached to incongruent locations. E.B.'s visuomotor profile is similar the one of patients with optic ataxia showing that attentional deficits are accompanied by visuomotor deficits in the affected field.
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Affiliation(s)
- Ethan Knights
- Neuropsychology Laboratory, School of Psychology, University of East Anglia, Norwich, NR4 7TJ, United Kingdom
| | - Robert D McIntosh
- Human Cognitive Neuroscience, Department of Psychology, The University of Edinburgh, EH8 9JZ, United Kingdom
| | - Catherine Ford
- Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK
| | - Gavin Buckingham
- Department of Sport and Health Sciences, University of Exeter, Exeter, UK
| | - Stéphanie Rossit
- Neuropsychology Laboratory, School of Psychology, University of East Anglia, Norwich, NR4 7TJ, United Kingdom;.
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2
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Sperber C, Wiesen D, Karnath H, de Haan B. The neuroanatomy of visual extinction following right hemisphere brain damage: Insights from multivariate and Bayesian lesion analyses in acute stroke. Hum Brain Mapp 2024; 45:e26639. [PMID: 38433712 PMCID: PMC10910281 DOI: 10.1002/hbm.26639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 01/08/2024] [Accepted: 02/06/2024] [Indexed: 03/05/2024] Open
Abstract
Multi-target attention, that is, the ability to attend and respond to multiple visual targets presented simultaneously on the horizontal meridian across both visual fields, is essential for everyday real-world behaviour. Given the close link between the neuropsychological deficit of extinction and attentional limits in healthy subjects, investigating the anatomy that underlies extinction is uniquely capable of providing important insights concerning the anatomy critical for normal multi-target attention. Previous studies into the brain areas critical for multi-target attention and its failure in extinction patients have, however, produced heterogeneous results. In the current study, we used multivariate and Bayesian lesion analysis approaches to investigate the anatomical substrate of visual extinction in a large sample of 108 acute right hemisphere stroke patients. The use of acute stroke patient data and multivariate/Bayesian lesion analysis approaches allowed us to address limitations associated with previous studies and so obtain a more complete picture of the functional network associated with visual extinction. Our results demonstrate that the right temporo-parietal junction (TPJ) is critically associated with visual extinction. The Bayesian lesion analysis additionally implicated the right intraparietal sulcus (IPS), in line with the results of studies in neurologically healthy participants that highlighted the IPS as the area critical for multi-target attention. Our findings resolve the seemingly conflicting previous findings, and emphasise the urgent need for further research to clarify the precise cognitive role of the right TPJ in multi-target attention and its failure in extinction patients.
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Affiliation(s)
- Christoph Sperber
- Center of Neurology, Division of NeuropsychologyHertie‐Institute for Clinical Brain Research, University of TübingenTübingenGermany
- Department of NeurologyInselspital, University Hospital BernBernSwitzerland
| | - Daniel Wiesen
- Center of Neurology, Division of NeuropsychologyHertie‐Institute for Clinical Brain Research, University of TübingenTübingenGermany
| | - Hans‐Otto Karnath
- Center of Neurology, Division of NeuropsychologyHertie‐Institute for Clinical Brain Research, University of TübingenTübingenGermany
- Department of PsychologyUniversity of South CarolinaColumbiaSouth CarolinaUSA
| | - Bianca de Haan
- Centre for Cognitive Neuroscience, College of Health and Life Sciences, Brunel University LondonUxbridgeUK
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3
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Masina F, Pezzetta R, Lago S, Mantini D, Scarpazza C, Arcara G. Disconnection from prediction: A systematic review on the role of right temporoparietal junction in aberrant predictive processing. Neurosci Biobehav Rev 2022; 138:104713. [PMID: 35636560 DOI: 10.1016/j.neubiorev.2022.104713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 05/06/2022] [Accepted: 05/24/2022] [Indexed: 11/27/2022]
Abstract
The right temporoparietal junction (rTPJ) is a brain area that plays a critical role in a variety of cognitive functions. Although different theoretical proposals tried to explain the ubiquitous role of rTPJ, recent evidence suggests that rTPJ may be a fundamental cortical region involved in different kinds of predictions. This systematic review aims to better investigate the potential role of rTPJ under a predictive processing perspective, providing an overview of cognitive impairments in neurological patients as the consequence of structural or functional disconnections or damage of rTPJ. Results confirm the involvement of rTPJ across several tasks and neurological pathologies. RTPJ, via its connections with other brain networks, would integrate diverse information and update internal models of the world. Against traditional views, which tend to focus on distinct domains, we argue that the role of rTPJ can be parsimoniously interpreted as a key hub involved in domain-general predictions. This alternative account of rTPJ role in aberrant predictive processing opens different perspectives, stimulating new hypotheses in basic research and clinical contexts.
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Affiliation(s)
| | | | - Sara Lago
- IRCCS San Camillo Hospital, Venice, Italy.
| | - Dante Mantini
- Research Center for Motor Control and Neuroplasticity, KU Leuven, Leuven 3001, Belgium.
| | - Cristina Scarpazza
- IRCCS San Camillo Hospital, Venice, Italy; Department of General Psychology, University of Padua, Padua, Italy.
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4
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Salvato G, Peviani V, Scarpa P, Francione S, Castana L, Gallace A, Bricolo E, Vallar G, Bottini G. Investigating visuo-spatial neglect and visual extinction during intracranial electrical stimulations: The role of the right inferior parietal cortex. Neuropsychologia 2021; 162:108049. [PMID: 34624258 DOI: 10.1016/j.neuropsychologia.2021.108049] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 08/09/2021] [Accepted: 10/04/2021] [Indexed: 11/28/2022]
Abstract
Both visuo-spatial neglect and visual extinction may occur following right-brain damage. So far, studies on brain-damaged patients have not provided definite evidence about which lesion patterns may lead to the association or dissociation of these deficits. This study was set out to address this issue using Intracranial Electrical Stimulation (IES) in a group of nine patients affected by refractory epilepsy. Cerebral regions associated with visuo-spatial neglect and visual extinction were stimulated, including the right frontal, temporal, and posterior parietal areas. During IES, patients with intracranial implantation involving at least one of these cortical regions were administered with a manual line bisection task (N = 9) to assess visuo-spatial neglect, and a computerized task (N = 8) assessing visual extinction. Results showed that parietal IES induced a rightward bias at the manual bisection task, together with a general improvement in reaction times at bilateral and unilateral visual stimuli detection at the extinction task. The occurrence of visual extinction did not vary across stimulations. By adopting a complementary approach to anatomo-clinical correlation studies, our work corroborates the notion that lesions to the right inferior parietal lobule play a pivotal role in the pathogenesis of visuo-spatial neglect. Importantly, our results also suggest that temporarily interfering with the activity of this region is not sufficient per se to generate visual extinction, which instead may involve a broader and/or different network, possibly extending beyond the cerebral regions considered here, posing important theoretical and clinical implications.
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Affiliation(s)
- Gerardo Salvato
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; Centre of Cognitive Neuropsychology, ASST "Grande Ospedale Metropolitano", Niguarda Hospital, Milano, Italy; NeuroMI, Milan Center for Neuroscience, Milano, Italy
| | - Valeria Peviani
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; Department of Neuroscience, Max Planck Institute for Empirical Aesthetics, Frankfurt Am Main, Germany
| | - Pina Scarpa
- Centre of Cognitive Neuropsychology, ASST "Grande Ospedale Metropolitano", Niguarda Hospital, Milano, Italy; NeuroMI, Milan Center for Neuroscience, Milano, Italy
| | - Stefano Francione
- "Claudio Munari" Center for Epilepsy Surgery, ASST "Grande Ospedale Metropolitano", Niguarda Hospital, Milano, Italy
| | - Laura Castana
- "Claudio Munari" Center for Epilepsy Surgery, ASST "Grande Ospedale Metropolitano", Niguarda Hospital, Milano, Italy
| | - Alberto Gallace
- NeuroMI, Milan Center for Neuroscience, Milano, Italy; Department of Psychology, University of Milano-Bicocca, Milano, Italy
| | - Emanuela Bricolo
- NeuroMI, Milan Center for Neuroscience, Milano, Italy; Department of Psychology, University of Milano-Bicocca, Milano, Italy
| | - Giuseppe Vallar
- NeuroMI, Milan Center for Neuroscience, Milano, Italy; Department of Psychology, University of Milano-Bicocca, Milano, Italy; Neuropsychological Laboratory, IRCCS Istituto Auxologico Italiano, Italy
| | - Gabriella Bottini
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; Centre of Cognitive Neuropsychology, ASST "Grande Ospedale Metropolitano", Niguarda Hospital, Milano, Italy; NeuroMI, Milan Center for Neuroscience, Milano, Italy.
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5
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Loued-Khenissi L, Preuschoff K. A Bird's eye view from below: Activity in the temporo-parietal junction predicts from-above Necker Cube percepts. Neuropsychologia 2020; 149:107654. [PMID: 33069790 DOI: 10.1016/j.neuropsychologia.2020.107654] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 08/30/2020] [Accepted: 10/12/2020] [Indexed: 01/04/2023]
Abstract
The temporo-parietal junction (TPJ) consistently emerges in other-regarding behavior, including tasks probing affective phenomena such as morality and empathy. Yet the TPJ is also recruited in processes with no affective or social component, such as visuo-spatial processing and mathematical cognition. We present serendipitous findings from a perceptual decision-making task on a bistable stimulus, the Necker Cube, performed in an MRI scanner. The stimulus in question is a transparent, wire-frame cube that evokes spontaneous switches in perception. Individuals can view the cube from below or from above, though a consistent bias is shown towards seeing the cube from above. We replicate this bias, finding participants spend more time in the from-above percept. However, in testing for BOLD differences between percept orientations, we found robust responses in bilateral TPJ for the from-above > from-below perceptual state. We speculate that this neural response comes from the sensory incongruence of viewing an object from above while lying supine in the scanner. We further speculate that the TPJ resolves this incongruence by facilitating an egocentric projection. Such a function would explain the TPJ's ubiquitous response to other-regarding, visuo-spatial and mathematical cognition, as all these phenomena demand an ability to ambulate through the coordinate space. Our findings suggest the TPJ may not play a specific role in social or moral components of other-regarding behavior, such as altruism, and further indirectly suggest that "pure", allocentric altruism may not correlate with the TPJ. Results further have implications on how the TPJ may be modulated by activities such as flight or drone operation. Finally, this study highlights the possible need for congruence between stimuli and body position in neuroimaging studies.
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Affiliation(s)
- Leyla Loued-Khenissi
- Brain Mind Institute, Ecole Polytechnique Federale de Lausanne (EPFL), Lausanne, Switzerland; Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland.
| | - Kerstin Preuschoff
- Geneva Finance Research Institute, University of Geneva, Geneva, Switzerland; Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
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6
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Beume LA, Rijntjes M, Dressing A, Kaller CP, Hieber M, Martin M, Kirsch S, Kümmerer D, Urbach H, Umarova RM, Weiller C. Dissociation of visual extinction and neglect in the left hemisphere. Cortex 2020; 129:211-222. [PMID: 32505793 DOI: 10.1016/j.cortex.2020.04.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 04/05/2020] [Accepted: 04/06/2020] [Indexed: 11/27/2022]
Abstract
Visual neglect and extinction are two distinct visuospatial attention deficits that frequently occur after right hemisphere cerebral stroke. However, their different lesion profiles remain a matter of debate. In the left hemisphere, a domain-general dual-loop model with distinct computational abilities onto which several cognitive functions may project, has been proposed: a dorsal stream for sensori-motor mapping in time and space and a ventral stream for comprehension and representation of concepts. We wondered whether such a distinction may apply to visual extinction and neglect in left hemisphere lesions. Of 165 prospectively studied patients with acute left hemispheric ischemic stroke with a single lesion on MRI, 122 had no visuospatial attention deficit, 10 had extinction, 31 neglect and 2 had both, visual extinction and neglect. Voxel-based-lesion-symptom mapping (VLSM, FDR<.05) showed a clear anatomical dissociation. Extinction occurred after damage to the parietal cortex (anterior bank of the intraparietal sulcus, inferior parietal lobe, and supramarginal gyrus), while visual neglect occurred after damage mainly to the temporal lobe (superior and middle temporal lobe, anterior temporal pole), inferior ventral premotor cortex, frontal operculum, angular gyrus, and insula. Direct comparison of both conditions linked extinction to intraparietal sulcus and supramarginal gyrus (FDR<.05). Thus, in the left hemisphere extinction seems to be related to dorsal stream lesions, whereas neglect maps more on the ventral stream. These data cannot be generalized to the right hemisphere. However, a domain-general point-of-view may stimulate discussion on visuospatial attention processing also in the right hemisphere.
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Affiliation(s)
- Lena-Alexandra Beume
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Michel Rijntjes
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Andrea Dressing
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Christoph P Kaller
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Maren Hieber
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Markus Martin
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Simon Kirsch
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany
| | - Dorothee Kümmerer
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany
| | - Horst Urbach
- Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany
| | - Roza M Umarova
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany; Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Cornelius Weiller
- Department of Neurology and Neuroscience, University Medical Center Freiburg, Freiburg, Germany; Freiburg Brain Imaging Center, University Medical Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools Cluster of Excellence, University Medical Center Freiburg, Freiburg, Germany.
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7
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Praß M, de Haan B. Multi-target attention and visual short-term memory capacity are closely linked in the intraparietal sulcus. Hum Brain Mapp 2019; 40:3589-3605. [PMID: 31056819 PMCID: PMC6767774 DOI: 10.1002/hbm.24618] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Revised: 04/18/2019] [Accepted: 04/22/2019] [Indexed: 11/06/2022] Open
Abstract
The existing literature suggests a critical role for both the right intraparietal sulcus (IPS) and the right temporo‐parietal junction (TPJ) in our ability to attend to multiple simultaneously‐presented lateralized targets (multi‐target attention), and the failure of this ability in extinction patients. Currently, however, the precise role of each of these areas in multi‐target attention is unclear. In this study, we combined the theory of visual attention (TVA) with functional magnetic resonance imaging (fMRI) guided continuous theta burst stimulation (cTBS) in neurologically healthy subjects to directly investigate the role of the right IPS and TPJ in multi‐target attention. Our results show that cTBS at an area of the right IPS associated with multi‐target attention elicits a reduction of visual short‐term memory capacity. This suggests that the right IPS is associated with a general capacity‐limited encoding mechanism that is engaged regardless of whether targets have to be attended or remembered. Curiously, however, cTBS to the right IPS failed to elicit extinction‐like behavior in our study, supporting previous suggestions that different areas of the right IPS may provide different contributions to multi‐target attention. CTBS to the right TPJ failed to induce a change in either TVA parameters or extinction‐like behavior.
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Affiliation(s)
- Maren Praß
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Bianca de Haan
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.,Division of Psychology, Department of Life Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, UK
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8
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Karnath HO, Sperber C, Rorden C. Reprint of: Mapping human brain lesions and their functional consequences. Neuroimage 2019; 190:4-13. [PMID: 30686616 DOI: 10.1016/j.neuroimage.2019.01.044] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 10/10/2017] [Accepted: 10/13/2017] [Indexed: 12/17/2022] Open
Abstract
Neuroscience has a long history of inferring brain function by examining the relationship between brain injury and subsequent behavioral impairments. The primary advantage of this method over correlative methods is that it can tell us if a certain brain region is necessary for a given cognitive function. In addition, lesion-based analyses provide unique insights into clinical deficits. In the last decade, statistical voxel-based lesion behavior mapping (VLBM) emerged as a powerful method for understanding the architecture of the human brain. This review illustrates how VLBM improves our knowledge of functional brain architecture, as well as how it is inherently limited by its mass-univariate approach. A wide array of recently developed methods appear to supplement traditional VLBM. This paper provides an overview of these new methods, including the use of specialized imaging modalities, the combination of structural imaging with normative connectome data, as well as multivariate analyses of structural imaging data. We see these new methods as complementing rather than replacing traditional VLBM, providing synergistic tools to answer related questions. Finally, we discuss the potential for these methods to become established in cognitive neuroscience and in clinical applications.
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Affiliation(s)
- Hans-Otto Karnath
- Centre of Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany; Department of Psychology, University of South Carolina, Columbia, SC 29208, USA.
| | - Christoph Sperber
- Centre of Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Christopher Rorden
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA
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9
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Kovalchuk VV, Khaibullin TN, Galkin AS, Barantcevich ER, Guryanova EA, Nesterin KV. Treatment of a neglect syndrome in movement rehabilitation of stroke patients. Zh Nevrol Psikhiatr Im S S Korsakova 2019; 119:29-38. [DOI: 10.17116/jnevro201911903129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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10
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Karnath HO, Sperber C, Rorden C. Mapping human brain lesions and their functional consequences. Neuroimage 2018; 165:180-189. [PMID: 29042216 PMCID: PMC5777219 DOI: 10.1016/j.neuroimage.2017.10.028] [Citation(s) in RCA: 92] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 10/10/2017] [Accepted: 10/13/2017] [Indexed: 11/24/2022] Open
Abstract
Neuroscience has a long history of inferring brain function by examining the relationship between brain injury and subsequent behavioral impairments. The primary advantage of this method over correlative methods is that it can tell us if a certain brain region is necessary for a given cognitive function. In addition, lesion-based analyses provide unique insights into clinical deficits. In the last decade, statistical voxel-based lesion behavior mapping (VLBM) emerged as a powerful method for understanding the architecture of the human brain. This review illustrates how VLBM improves our knowledge of functional brain architecture, as well as how it is inherently limited by its mass-univariate approach. A wide array of recently developed methods appear to supplement traditional VLBM. This paper provides an overview of these new methods, including the use of specialized imaging modalities, the combination of structural imaging with normative connectome data, as well as multivariate analyses of structural imaging data. We see these new methods as complementing rather than replacing traditional VLBM, providing synergistic tools to answer related questions. Finally, we discuss the potential for these methods to become established in cognitive neuroscience and in clinical applications.
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Affiliation(s)
- Hans-Otto Karnath
- Centre of Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany; Department of Psychology, University of South Carolina, Columbia, SC 29208, USA.
| | - Christoph Sperber
- Centre of Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Christopher Rorden
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA
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11
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Adapting the concepts of brain and cognitive reserve to post-stroke cognitive deficits: Implications for understanding neglect. Cortex 2017; 97:327-338. [DOI: 10.1016/j.cortex.2016.12.006] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Revised: 08/03/2016] [Accepted: 12/04/2016] [Indexed: 01/17/2023]
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12
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A hitchhiker's guide to lesion-behaviour mapping. Neuropsychologia 2017; 115:5-16. [PMID: 29066325 DOI: 10.1016/j.neuropsychologia.2017.10.021] [Citation(s) in RCA: 72] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 10/16/2017] [Accepted: 10/17/2017] [Indexed: 01/09/2023]
Abstract
Lesion-behaviour mapping is an influential and popular approach to anatomically localise cognitive brain functions in the human brain. Multiple considerations, ranging from patient selection, assessment of lesion location and patient behaviour, spatial normalisation, statistical testing, to the anatomical interpretation of obtained results, are necessary to optimize a lesion-behaviour mapping study and arrive at meaningful conclusions. Here, we provide a hitchhiker's guide, giving practical guidelines and references for each step of the typical lesion-behaviour mapping study pipeline.
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13
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Fellrath J, Mottaz A, Schnider A, Guggisberg AG, Ptak R. Theta-band functional connectivity in the dorsal fronto-parietal network predicts goal-directed attention. Neuropsychologia 2016; 92:20-30. [DOI: 10.1016/j.neuropsychologia.2016.07.012] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Revised: 06/21/2016] [Accepted: 07/10/2016] [Indexed: 02/07/2023]
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14
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Nardo D, Console P, Reverberi C, Macaluso E. Competition between Visual Events Modulates the Influence of Salience during Free-Viewing of Naturalistic Videos. Front Hum Neurosci 2016; 10:320. [PMID: 27445760 PMCID: PMC4923118 DOI: 10.3389/fnhum.2016.00320] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 06/13/2016] [Indexed: 11/13/2022] Open
Abstract
In daily life the brain is exposed to a large amount of external signals that compete for processing resources. The attentional system can select relevant information based on many possible combinations of goal-directed and stimulus-driven control signals. Here, we investigate the behavioral and physiological effects of competition between distinctive visual events during free-viewing of naturalistic videos. Nineteen healthy subjects underwent functional magnetic resonance imaging (fMRI) while viewing short video-clips of everyday life situations, without any explicit goal-directed task. Each video contained either a single semantically-relevant event on the left or right side (Lat-trials), or multiple distinctive events in both hemifields (Multi-trials). For each video, we computed a salience index to quantify the lateralization bias due to stimulus-driven signals, and a gaze index (based on eye-tracking data) to quantify the efficacy of the stimuli in capturing attention to either side. Behaviorally, our results showed that stimulus-driven salience influenced spatial orienting only in presence of multiple competing events (Multi-trials). fMRI results showed that the processing of competing events engaged the ventral attention network, including the right temporoparietal junction (R TPJ) and the right inferior frontal cortex. Salience was found to modulate activity in the visual cortex, but only in the presence of competing events; while the orienting efficacy of Multi-trials affected activity in both the visual cortex and posterior parietal cortex (PPC). We conclude that in presence of multiple competing events, the ventral attention system detects semantically-relevant events, while regions of the dorsal system make use of saliency signals to select relevant locations and guide spatial orienting.
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Affiliation(s)
- Davide Nardo
- Neuroimaging Laboratory, Santa Lucia FoundationRome, Italy; Institute of Cognitive Neuroscience, University College LondonLondon, UK
| | - Paola Console
- Neuroimaging Laboratory, Santa Lucia Foundation Rome, Italy
| | - Carlo Reverberi
- Department of Psychology, University of Milano-BicoccaMilan, Italy; NeuroMi-Milan Center for Neuroscience, University of Milano-BicoccaMilan, Italy
| | - Emiliano Macaluso
- Neuroimaging Laboratory, Santa Lucia FoundationRome, Italy; Impact Team, Lyon Neuroscience Research CenterLyon, France
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15
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Verleger R, Śmigasiewicz K. Consciousness wanted, attention found: Reasons for the advantage of the left visual field in identifying T2 among rapidly presented series. Conscious Cogn 2015; 35:260-73. [DOI: 10.1016/j.concog.2015.02.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 02/16/2015] [Accepted: 02/17/2015] [Indexed: 01/09/2023]
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16
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Beume LA, Kaller CP, Hoeren M, Klöppel S, Kuemmerer D, Glauche V, Köstering L, Mader I, Rijntjes M, Weiller C, Umarova R. Processing of bilateral versus unilateral conditions: Evidence for the functional contribution of the ventral attention network. Cortex 2015; 66:91-102. [DOI: 10.1016/j.cortex.2015.02.018] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Revised: 02/24/2015] [Accepted: 02/25/2015] [Indexed: 10/23/2022]
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17
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Lau JKL, Humphreys GW, Douis H, Balani A, Bickerton WL, Rotshtein P. The relation of object naming and other visual speech production tasks: a large scale voxel-based morphometric study. Neuroimage Clin 2015; 7:463-75. [PMID: 25685713 PMCID: PMC4325087 DOI: 10.1016/j.nicl.2015.01.015] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 01/21/2015] [Accepted: 01/23/2015] [Indexed: 01/09/2023]
Abstract
We report a lesion-symptom mapping analysis of visual speech production deficits in a large group (280) of stroke patients at the sub-acute stage (<120 days post-stroke). Performance on object naming was evaluated alongside three other tests of visual speech production, namely sentence production to a picture, sentence reading and nonword reading. A principal component analysis was performed on all these tests' scores and revealed a 'shared' component that loaded across all the visual speech production tasks and a 'unique' component that isolated object naming from the other three tasks. Regions for the shared component were observed in the left fronto-temporal cortices, fusiform gyrus and bilateral visual cortices. Lesions in these regions linked to both poor object naming and impairment in general visual-speech production. On the other hand, the unique naming component was potentially associated with the bilateral anterior temporal poles, hippocampus and cerebellar areas. This is in line with the models proposing that object naming relies on a left-lateralised language dominant system that interacts with a bilateral anterior temporal network. Neuropsychological deficits in object naming can reflect both the increased demands specific to the task and the more general difficulties in language processing.
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Affiliation(s)
| | - Glyn W. Humphreys
- School of Psychology, University of Birmingham, Birmingham, UK
- Department of Experimental Psychology, University of Oxford, Oxford, UK
| | - Hassan Douis
- School of Psychology, University of Birmingham, Birmingham, UK
- Department of Radiology, Royal Orthopaedic Hospital, Birmingham, UK
| | - Alex Balani
- School of Psychology, University of Birmingham, Birmingham, UK
- Department of Psychology, Edge Hill University, Lancashire, UK
| | | | - Pia Rotshtein
- School of Psychology, University of Birmingham, Birmingham, UK
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18
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Chechlacz M, Novick A, Rotshtein P, Bickerton WL, Humphreys GW, Demeyere N. The neural substrates of drawing: a voxel-based morphometry analysis of constructional, hierarchical, and spatial representation deficits. J Cogn Neurosci 2014; 26:2701-15. [PMID: 24893744 DOI: 10.1162/jocn_a_00664] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Deficits in the ability to draw objects, despite apparently intact perception and motor abilities, are defined as constructional apraxia. Constructional deficits, often diagnosed based on performance on copying complex figures, have been reported in a range of pathologies, perhaps reflecting the contribution of several underlying factors to poor figure drawing. The current study provides a comprehensive analysis of brain-behavior relationships in drawing disorders based on data from a large cohort of subacute stroke patients (n = 358) using whole-brain voxel-wise statistical analyses linked to behavioral measures from a complex figure copy task. We found that (i) overall poor performance on figure copying was associated with subcortical lesions (BG and thalamus), (ii) lateralized deficits with respect to the midline of the viewer were associated with lesions within the posterior parietal lobule, and (iii) spatial positioning errors across the entire figure were associated with lesions within visual processing areas (lingual gyrus and calcarine) and the insula. Furthermore, deficits in reproducing global aspects of form were associated with damage to the right middle temporal gyrus, whereas deficits in representing local features were linked to the left hemisphere lesions within calcarine cortex (extending into the cuneus and precuneus), the insula, and the TPJ. The current study provides strong evidence that impairments in separate cognitive mechanisms (e.g., spatial coding, attention, motor execution, and planning) linked to different brain lesions contribute to poor performance on complex figure copying tasks. The data support the argument that drawing depends on several cognitive processes operating via discrete neuronal networks and that constructional problems as well as hierarchical and spatial representation deficits contribute to poor figure copying.
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de Haan B, Bither M, Brauer A, Karnath HO. Neural Correlates of Spatial Attention and Target Detection in a Multi-Target Environment. Cereb Cortex 2014; 25:2321-31. [PMID: 24642422 DOI: 10.1093/cercor/bhu046] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Our ability to attend and respond in a multi-target environment is an essential and distinct human skill, as is dramatically demonstrated in stroke patients suffering from extinction. We performed a functional magnetic resonance imaging study to determine the neural anatomy associated with attending and responding to simultaneously presented targets. In healthy subjects, we tested the hypothesis that the right intraparietal sulcus (IPS) is associated both with the top-down direction of attention to multiple target locations and the bottom-up detection of multiple targets, whereas the temporo-parietal junction (TPJ) is predominantly associated with the bottom-up detection of multiple targets. We used a cued target detection task with a high proportion of catch trials to separately estimate top-down cue-related and bottom-up target-related neural activity. Both cues and targets could be presented unilaterally or bilaterally. We found no evidence of target-related neural activation specific to bilateral situations in the TPJ, but observed both cue-related and target-related neural activation specific to bilateral situations in the right IPS and target-related neural activity specific to bilateral situations in the right inferior frontal gyrus (IFG). We conclude that the IPS and the IFG of the right hemisphere underlie our ability to attend and respond in a multi-target environment.
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Affiliation(s)
- Bianca de Haan
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Maria Bither
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Anne Brauer
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Hans-Otto Karnath
- Division of Neuropsychology, Center of Neurology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany Department of Psychology, University of South Carolina, Columbia, SC, USA
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20
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Śmigasiewicz K, Asanowicz D, Westphal N, Verleger R. Bias for the Left Visual Field in Rapid Serial Visual Presentation: Effects of Additional Salient Cues Suggest a Critical Role of Attention. J Cogn Neurosci 2014; 27:266-79. [DOI: 10.1162/jocn_a_00714] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Abstract
Everyday experience suggests that people are equally aware of stimuli in both hemifields. However, when two streams of stimuli are rapidly presented left and right, the second target (T2) is better identified in the left hemifield than in the right hemifield. This left visual field (LVF) advantage may result from differences between hemifields in attracting attention. Therefore, we introduced a visual cue shortly before T2 onset to draw attention to one stream. Thus, to identify T2, attention was correctly positioned with valid cues but had to be redirected to the other stream with invalid ones. If the LVF advantage is caused by differences between hemifields in attracting attention, invalid cues should increase, and valid cues should reduce the LVF advantage as compared with neutral cues. This prediction was confirmed. ERP analysis revealed that cues evoked an early posterior negativity, confirming that attention was attracted by the cue. This negativity was earlier with cues in the LVF, which suggests that responses to salient events are faster in the right hemisphere than in the left hemisphere. Valid cues speeded up, and invalid cues delayed T2-evoked N2pc; in addition, valid cues enlarged T2-evoked P3. After N2pc, right-side T2 evoked more sustained contralateral negativity than left T2, least long-lasting after valid cues. Difficulties in identifying invalidly cued right T2 were reflected in prematurely ending P3 waveforms. Overall, these data provide evidence that the LVF advantage is because of different abilities of the hemispheres in shifting attention to relevant events in their contralateral hemifield.
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Affiliation(s)
| | - Dariusz Asanowicz
- 1University of Lübeck, Germany
- 2Jagiellonian University, Krakow, Poland
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21
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Ticini LF. On the debated role of temporo-parietal dysfunction in patients with basal ganglia neglect. Front Behav Neurosci 2013; 7:168. [PMID: 24302901 PMCID: PMC3831090 DOI: 10.3389/fnbeh.2013.00168] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2013] [Accepted: 11/01/2013] [Indexed: 11/25/2022] Open
Affiliation(s)
- Luca F Ticini
- The Italian Society for Neuroaesthetics 'Semir Zeki' Trieste, Italy
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22
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de Haan B, Rorden C, Karnath HO. Abnormal perilesional BOLD signal is not correlated with stroke patients' behavior. Front Hum Neurosci 2013; 7:669. [PMID: 24137123 PMCID: PMC3797400 DOI: 10.3389/fnhum.2013.00669] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Accepted: 09/25/2013] [Indexed: 11/13/2022] Open
Abstract
Several functional magnetic resonance imaging (fMRI) studies of acute stroke have reported that patients with behavioral deficits show abnormal signal in intact regions of the damaged hemisphere close to the lesion border relative to homologous regions of the patient's intact hemisphere (causing an interhemispheric imbalance) as well as analogous regions in healthy controls. These effects have been interpreted as demonstrating a causal relationship between the abnormal fMRI signal and the pathological behavior. Here we explore an alternative explanation: perhaps the abnormal Blood-Oxygenation Level Dependent (BOLD) fMRI signal is merely a function of distance from the acute lesion. To investigate this hypothesis, we examined three patients with an acute right hemisphere cortical stroke who did not show any overt behavioral deficits, as well as nine healthy elderly controls. We acquired fMRI data while the participants performed a simple visual orientation judgment task. In patients, we observed an abnormal interhemispheric balance consisting of lower levels of percent signal change in perilesional areas of the damaged hemisphere relative to homologous areas in neurologically healthy controls. This suggests that the physiological changes and corresponding interhemispheric imbalance detected by fMRI BOLD in acute stroke observed close to the lesion border may not necessarily reflect changes in the neural function, nor necessarily influence the individuals' (e.g., attentional) behavior.
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Affiliation(s)
- Bianca de Haan
- Center of Neurology, Division of Neuropsychology, Hertie-Institute of Clinical Brain Research, University of TübingenTübingen, Germany
| | - Chris Rorden
- Department of Psychology, University of South CarolinaColumbia, SC, USA
| | - Hans-Otto Karnath
- Center of Neurology, Division of Neuropsychology, Hertie-Institute of Clinical Brain Research, University of TübingenTübingen, Germany
- Department of Psychology, University of South CarolinaColumbia, SC, USA
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23
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Common and distinct neural mechanisms of visual and tactile extinction: A large scale VBM study in sub-acute stroke. NEUROIMAGE-CLINICAL 2013; 2:291-302. [PMID: 24179784 PMCID: PMC3777674 DOI: 10.1016/j.nicl.2013.01.013] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2012] [Revised: 01/30/2013] [Accepted: 01/31/2013] [Indexed: 11/27/2022]
Abstract
Extinction is diagnosed when patients respond to a single contralesional item but fail to detect this item when an ipsilesional item is present concurrently. Extinction has been studied mainly in the visual modality but it occurs also in other sensory modalities (touch, audition) and hence can be considered a multisensory phenomenon. The functional and neuroanatomical relations between extinction in different modalities are poorly understood. Here, we used voxel-based mophometry (VBM) to examine the neuronal substrates of visual versus tactile extinction in a large group of sub-acute patients (n = 454) with strokes affecting different vascular territories. We found that extinction deficits in tactile and visual modalities were significantly correlated (r = 0.341; p < 0.01). Several lesions within the right hemisphere were linked to extinction including the inferior parietal lobule, the superior parietal lobule, the middle frontal and occipital gyri, while lesions involving the superior temporal gyrus, inferior temporal gyrus and putamen were associated with tactile extinction. Damage within the middle temporal gyrus and superior temporal sulcus was linked to both deficits. We conclude that extinction in different modalities emerges after damage to both common (supra-modal) and distinct (modality specific) brain regions, and that contrasting sites emerge after damage to different vascular territories. We discuss the implications for understanding extinction as a multisensory disorder.
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24
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Chechlacz M, Rotshtein P, Hansen PC, Deb S, Riddoch MJ, Humphreys GW. The central role of the temporo-parietal junction and the superior longitudinal fasciculus in supporting multi-item competition: Evidence from lesion-symptom mapping of extinction. Cortex 2013; 49:487-506. [DOI: 10.1016/j.cortex.2011.11.008] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2010] [Revised: 05/13/2011] [Accepted: 11/16/2011] [Indexed: 11/28/2022]
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25
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Chechlacz M, Rotshtein P, Roberts KL, Bickerton WL, Lau JKL, Humphreys GW. The prognosis of allocentric and egocentric neglect: evidence from clinical scans. PLoS One 2012; 7:e47821. [PMID: 23133604 PMCID: PMC3486857 DOI: 10.1371/journal.pone.0047821] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2012] [Accepted: 09/17/2012] [Indexed: 11/19/2022] Open
Abstract
We contrasted the neuroanatomical substrates of sub-acute and chronic visuospatial deficits associated with different aspects of unilateral neglect using computed tomography scans acquired as part of routine clinical diagnosis. Voxel-wise statistical analyses were conducted on a group of 160 stroke patients scanned at a sub-acute stage. Lesion-deficit relationships were assessed across the whole brain, separately for grey and white matter. We assessed lesions that were associated with behavioural performance (i) at a sub-acute stage (within 3 months of the stroke) and (ii) at a chronic stage (after 9 months post stroke). Allocentric and egocentric neglect symptoms at the sub-acute stage were associated with lesions to dissociated regions within the frontal lobe, amongst other regions. However the frontal lesions were not associated with neglect at the chronic stage. On the other hand, lesions in the angular gyrus were associated with persistent allocentric neglect. In contrast, lesions within the superior temporal gyrus extending into the supramarginal gyrus, as well as lesions within the basal ganglia and insula, were associated with persistent egocentric neglect. Damage within the temporo-parietal junction was associated with both types of neglect at the sub-acute stage and 9 months later. Furthermore, white matter disconnections resulting from damage along the superior longitudinal fasciculus were associated with both types of neglect and critically related to both sub-acute and chronic deficits. Finally, there was a significant difference in the lesion volume between patients who recovered from neglect and patients with chronic deficits. The findings presented provide evidence that (i) the lesion location and lesion size can be used to successfully predict the outcome of neglect based on clinical CT scans, (ii) lesion location alone can serve as a critical predictor for persistent neglect symptoms, (iii) wide spread lesions are associated with neglect symptoms at the sub-acute stage but only some of these are critical for predicting whether neglect will become a chronic disorder and (iv) the severity of behavioural symptoms can be a useful predictor of recovery in the absence of neuroimaging findings on clinical scans. We discuss the implications for understanding the symptoms of the neglect syndrome, the recovery of function and the use of clinical scans to predict outcome.
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Affiliation(s)
- Magdalena Chechlacz
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom.
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26
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Roberts KL, Lau JK, Chechlacz M, Humphreys GW. Spatial and temporal attention deficits following brain injury: A neuroanatomical decomposition of the temporal order judgement task. Cogn Neuropsychol 2012; 29:300-24. [DOI: 10.1080/02643294.2012.722548] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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27
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de Haan B, Karnath HO, Driver J. Mechanisms and anatomy of unilateral extinction after brain injury. Neuropsychologia 2012; 50:1045-53. [DOI: 10.1016/j.neuropsychologia.2012.02.015] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2011] [Revised: 02/14/2012] [Accepted: 02/20/2012] [Indexed: 11/24/2022]
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28
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Vandenberghe R, Molenberghs P, Gillebert CR. Spatial attention deficits in humans: the critical role of superior compared to inferior parietal lesions. Neuropsychologia 2012; 50:1092-103. [PMID: 22266260 DOI: 10.1016/j.neuropsychologia.2011.12.016] [Citation(s) in RCA: 84] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2011] [Revised: 11/28/2011] [Accepted: 12/23/2011] [Indexed: 11/24/2022]
Abstract
According to a longstanding view, inferior as opposed to superior parietal cortex critically contributes to the spatial attentional deficits encountered following unilateral parietal ischemic lesions. We review the evidence on which this view is based and contrast it with more recent structural lesion evidence concerning the critical role of the intraparietal sulcus in spatial attention deficits. In a classical spatial cueing paradigm, focal lesions of the posterior and of the middle segment of the intraparietal sulcus give rise to a pathological invalidity effect that is indistinguishable from that seen after classical inferior parietal lesions. When a competing distracter is added to a target stimulus, the deleterious consequences of focal IPS lesions are again very similar to those classically observed following inferior parietal lesions. The deficit could not be accounted for by functional effects at a distance affecting inferior parietal cortex. These single-case lesion data establish the critical role of the posterior and the middle IPS segment in spatially selective attention and are in line with a vast amount of functional imaging evidence in the intact brain pointing to the prominent role of the intraparietal sulcus in spatial attention, along with inferior parietal cortex under specific circumstances. Functional imaging has also provided hints about the differences in functional contribution between inferior and superior parietal cortex. These hypotheses await further confirmation based on lesion evidence.
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Affiliation(s)
- Rik Vandenberghe
- Laboratory for Cognitive Neurology, Neurology Department, University Hospitals Leuven, Leuven, Belgium.
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29
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Evaluation of methods for detecting perfusion abnormalities after stroke in dysfunctional brain regions. Brain Struct Funct 2011; 217:667-75. [DOI: 10.1007/s00429-011-0363-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2011] [Accepted: 11/10/2011] [Indexed: 10/15/2022]
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30
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Umarova RM, Saur D, Kaller CP, Vry MS, Glauche V, Mader I, Hennig J, Weiller C. Acute visual neglect and extinction: distinct functional state of the visuospatial attention system. Brain 2011; 134:3310-25. [DOI: 10.1093/brain/awr220] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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31
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Heinisch C, Dinse HR, Tegenthoff M, Juckel G, Brüne M. An rTMS study into self-face recognition using video-morphing technique. Soc Cogn Affect Neurosci 2011; 6:442-9. [PMID: 20587597 PMCID: PMC3150855 DOI: 10.1093/scan/nsq062] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2010] [Accepted: 05/28/2010] [Indexed: 11/14/2022] Open
Abstract
Self-face recognition is a sign of higher order self-awareness. Research into the neuronal network argues that the visual pathway of recognizing one's own face differs from recognizing others. The present study aimed at investigating the cortical network of self-other discrimination by producing virtual lesions over the temporo-parietal junction and the prefrontal cortex using low-frequency repetitive transcranial magnetic stimulation (rTMS) in a sham-controlled design. Frontal and parietal areas were stimulated separately in consecutive sessions one week apart in 10 healthy subjects. We designed a video-task comprising morphings of famous, unfamiliar and the subjects' own faces that transformed into each other over a time period of six seconds. Reaction time (RT) was measured by pushing a mouse-button once a change of identity was recognized. rTMS over the right temporo-parietal junction led to a decrease in RT when a subject's own face emerged from a familiar face; a similar effect was observed after rTMS over right-prefrontal and left-parietal cortices, when the subjects' ratings of own likeability were taken into account. The transition from an unfamiliar face to one's own face indicated a left frontal lateralization.
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Affiliation(s)
- Christine Heinisch
- Research Department of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, LWL University Hospital, International Graduate School of Neuroscience, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Institute for Neuroinformatics, Department of Theoretical Biology, Ruhr-University Bochum, Bochum, Department of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, Germany
| | - Hubert R. Dinse
- Research Department of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, LWL University Hospital, International Graduate School of Neuroscience, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Institute for Neuroinformatics, Department of Theoretical Biology, Ruhr-University Bochum, Bochum, Department of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, Germany
| | - Martin Tegenthoff
- Research Department of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, LWL University Hospital, International Graduate School of Neuroscience, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Institute for Neuroinformatics, Department of Theoretical Biology, Ruhr-University Bochum, Bochum, Department of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, Germany
| | - Georg Juckel
- Research Department of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, LWL University Hospital, International Graduate School of Neuroscience, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Institute for Neuroinformatics, Department of Theoretical Biology, Ruhr-University Bochum, Bochum, Department of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, Germany
| | - Martin Brüne
- Research Department of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, LWL University Hospital, International Graduate School of Neuroscience, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Institute for Neuroinformatics, Department of Theoretical Biology, Ruhr-University Bochum, Bochum, Department of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, Germany
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32
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Karnath HO, Rorden C. The anatomy of spatial neglect. Neuropsychologia 2011; 50:1010-7. [PMID: 21756924 DOI: 10.1016/j.neuropsychologia.2011.06.027] [Citation(s) in RCA: 234] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2011] [Revised: 06/17/2011] [Accepted: 06/27/2011] [Indexed: 10/18/2022]
Abstract
Spatial neglect is often perceived as a "heterogeneous collection of symptoms" with controversial anatomical correlates. However, a clear framework for core and satellite symptoms exists. Here we review the literature when viewed from the perspective of these different syndromes, and find clear pattern of anatomical injury. Specifically, the combined symptoms of biased gaze direction and search - with no awareness of these symptoms-is seen following structural damage to (particularly right hemisphere) perisylvian regions. Object centered deficits such as biased line bisection are due to more posterior (and possibly inferior) injury. Finally, extinction is associated with damage to the temporo-parietal junction. Further, we describe key choices that must be made to parse the spatial and attentional syndromes that result from right hemisphere injury, including the investigation of both acute and chronic injury as well as the use of functional and structural modalities.
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Affiliation(s)
- Hans-Otto Karnath
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA.
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33
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Gillebert CR, Mantini D, Thijs V, Sunaert S, Dupont P, Vandenberghe R. Lesion evidence for the critical role of the intraparietal sulcus in spatial attention. ACTA ACUST UNITED AC 2011; 134:1694-709. [PMID: 21576110 DOI: 10.1093/brain/awr085] [Citation(s) in RCA: 104] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Based on lesion mapping studies, the inferior parietal lobule and temporoparietal junction are considered the critical parietal regions for spatial-attentional deficits. Lesion evidence for a key role of the intraparietal sulcus, a region featuring prominently in non-human primate studies and human functional imaging studies of the intact brain, is still lacking, probably due to the exceptional nature of isolated intraparietal sulcus lesions. We combined behavioural testing and functional imaging in two patients with a focal intraparietal sulcus lesion sparing the inferior parietal lobule and temporoparietal junction to examine the critical contribution of the intraparietal sulcus to spatial attention. Case H.H. had a focal ischaemic lesion (1.8 cm3) that was confined to the posterior segment of the left intraparietal sulcus, whereas Case N.V. had a partially reversible lesion of the middle segment of the right intraparietal sulcus extending into the superior parietal lobule (13.8 cm3). The performance of these cases was contrasted with five cases with a classical inferior parietal lesion, as well as with a group of 31 age-matched controls. In the behavioural study, the patients performed an orientation discrimination task on a peripheral target (eccentricity 7.6°) that was preceded by a central spatial cue. We manipulated both the cue validity (17% trials with an invalid spatial cue) and the presence of a competing distracter in the visual field contralateral to the target (17% double stimulation trials). The ability of the patients with an intraparietal sulcus lesion to reorient their spatial focus of attention and to select between competing stimuli was impaired for contralesional targets compared with controls, similarly to what we saw in the inferior parietal group. Furthermore, we could observe that the deficit in Case N.V. resolved with regression of the lesion. To further evaluate the correspondence between spatial-attentional deficits and the intraparietal sulcus lesions, we ascertained the functional integrity of the inferior parietal lobule and temporoparietal junction in Case H.H. using event-related functional magnetic resonance imaging with the same task as in the behavioural study. The intraparietal sulcus lesion of this patient did not affect the task-related activation of the inferior parietal lobule or temporoparietal junction. Additionally, a resting-state functional magnetic resonance imaging study in Case H.H. and 62 controls revealed that the lesion in Case H.H. did not affect the topology of the ventral attention network nor the strength of its main inter- and intrahemispheric connections. Our findings demonstrate that the human superior parietal cortex critically contributes to spatially selective attention.
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Affiliation(s)
- Céline R Gillebert
- Laboratory for Cognitive Neurology, Department of Neurosciences, K. U. Leuven, and Department of Neurology, University Hospitals, Herestraat 49-box 7003, B-3000 Leuven, Belgium
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34
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Umarova R. [Functional neuroimaging of neglect]. DER NERVENARZT 2010; 81:1438-1443. [PMID: 21076808 DOI: 10.1007/s00115-010-3101-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Though the neglect syndrome is often observed in clinical practice, there are few studies investigating its mechanisms or developing new therapeutic approaches. Most studies on attention were conducted in healthy subjects. In this paper I provide functional neuroimaging data about functional networks for stimuli perception independently from their modality. Additionally, the restoration of stimulus perception and its modulation through emotion are discussed.
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Affiliation(s)
- R Umarova
- Neurologische Universitätsklinik, Breisacher Straße 64, 79106, Freiburg.
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