Artistic Skills Recovery and Compensation in Visual Artists after Stroke

Mapping Neuroimaging Findings of Creativity and Brain Disease Onto a Common Brain Circuit

Importance

Creativity is important for problem solving, adaptation to a changing environment, and innovation. Neuroimaging studies seeking to map creativity have yielded conflicting results, and studies of patients with brain disease have reported both decreases and paradoxical increases in creativity, leaving the neural basis of creativity unclear.

Objective

To investigate the brain circuit underlying creativity and assess its association with brain injury and neurodegenerative disease.

Design, Setting, and Participants

This study examined neuroimaging coordinates from a meta-analysis of 36 studies published between 2004 and 2019 associated with increased activity during creative tasks in healthy participants. A validated method termed coordinate network mapping and a database of resting-state functional connectivity from 1000 healthy individuals were used to test whether these coordinates mapped to a common brain circuit. Specificity was assessed through comparison to random coordinates and coordinates from working memory tasks in healthy participants. Reproducibility was assessed using an independent dataset of coordinates from additional studies of creativity in healthy participants. Finally, alignment with effects of focal brain damage on creativity was tested using data from patients with brain lesions and coordinates of brain atrophy from 7 different neurodegenerative disorders.

Main Outcomes and Measures

The primary outcomes were creativity or no creativity and alignment with a creativity circuit or no alignment.

Results

Creativity tasks activated heterogenous locations, with coordinates scattered across many different brain regions (415 coordinates derived from 857 healthy participants; pooled mean [SD] age, 24.1 [6.91] years; 461 [54%] female). However, these activation coordinates were part of a common brain circuit, defined by negative connectivity to the right frontal pole. This result was consistent across creative domains, reproducible in an independent dataset (383 coordinates derived from 691 participants) and specific to creativity when compared with random gray matter coordinates (n = 415) or coordinates activated by working memory tasks (3072 coordinates derived from 2900 healthy participants). Damage to this creativity circuit by lesions (n = 56 patients) or neurodegenerative disease (2262 coordinates derived from 4804 patients) aligned with both decreases and increases in creativity observed in these disorders.

Conclusions and Relevance

Findings from this study suggest that brain regions activated by creativity tasks map to a brain circuit defined by negative functional connectivity to the right frontal pole. Damage to this circuit aligned with changes in creativity observed in individuals with certain brain diseases, including paradoxical creativity increases.

Exploring the Role of Stem Cell Therapy in Treating Neurodegenerative Diseases: Challenges and Current Perspectives

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Several human neurological disorders, such as Parkinson’s disease, Alzheimer’s disease, amyotrophic lateral sclerosis, Huntington’s disease, spinal cord injury, multiple sclerosis, and brain stroke, are caused by the injury to neurons or glial cells. The recent years have witnessed the successful generation of neurons and glia cells driving efforts to develop stem-cell-based therapies for patients to combat a broad spectrum of human neurological diseases. The inadequacy of suitable cell types for cell replacement therapy in patients suffering from neurological disorders has hampered the development of this promising therapeutic approach. Attempts are thus being made to reconstruct viable neurons and glial cells from different stem cells, such as embryonic stem cells, mesenchymal stem cells, and neural stem cells. Dedicated research to cultivate stem cell-based brain transplantation therapies has been carried out. We aim at compiling the breakthroughs in the field of stem cell-based therapy for the treatment of neurodegenerative maladies, emphasizing the shortcomings faced, victories achieved, and the future prospects of the therapy in clinical settings.

Left hemispheric stroke in a professional artist: A prospective case study

Several papers have investigated the effect of stroke on creativity. While initial evidence favored right hemispheric dominance in artwork creation, subsequent well-founded research has established the left hemispheric participation in creativity, supporting the idea of bi-hemispheric role in artistic production. We here describe the case of a renowned artist who suffered a left hemispheric ischemic stroke involving the occipito-temporal region and subsequently manifested several difficulties in producing visual artworks. We documented his recovery phases in a prospective way during the initial months following stroke and observed that, although his constructional abilities recovered to a significant extent over 3 months, spontaneous creation was persistently impaired. The right hemispheric role in visual art is linked mainly to visuo-spatial skills and global attention, while left hemispheric participation is thought to be related to focal attention and visual imagery. Our case study lends support to the idea that art is a bi-hemispheric function with important complementary contributions from both the right and left hemisphere.