Motor imagery in stroke patients, or plegic patients with spinal cord or peripheral diseases

OBJECTIVES

When motor imagery (MI) is impaired in stroke patients, it is not clear, whether this is caused by the central lesion with a disruption of networks or this may be due to inactivity/lack of practice following hemiparesis. To answer this question, we investigated MI in two groups of patients: stroke patients and patients with no central lesion, who suffered high-grade tetraparesis caused by myopathy or spinal muscular atrophy.

MATERIALS AND METHODS

The first study measured MI in 31 sub-acute and chronic stroke patients with hand paresis. We used self-assessment questionnaires [Kinaesthetic and Visual Imagery Questionnaire (KVIQ), the Vividness of Motor Imagery Questionnaire (VMIQ)] as well as a new chronometric test (mental version and normal/physical version of Box and Block Test). The second study assessed MI in 10 patients without a central lesion, but with severe tetraparesis of peripheral origin. They were incapable of performing the requested task physically.

RESULTS

MI in patients was better (i) for the third-person (VMIQ(3.P) ) compared to the first-person perspective (VMIQ(1.P) ), (ii) in patients without sensory impairment compared to those with impaired proprioception, (iii) in patients with light paresis compared to severe paresis and (iv) for the non-affected than the affected hand (KVIQ-10). Patients with severe tetraparesis were able to imagine another person's knee bends, but were not capable of imagining themselves performing knee bends.

CONCLUSIONS

MI may be hampered on the affected side in severely paretic patients, particularly in the presence of impaired proprioception. Remarkably, the second study illustrates that motor experiences shape MI. This confirms the close relationship between MI and movement execution. The study advocates the careful use of test batteries for assessment of MI when investigating mental training in clinical trials. Not all patients might benefit to the same extent from MI training. This is possibly contingent on intact proprioception and preserved MI.

[Magnetoencephalography in psychiatry]

Neuropsychiatric disorders usually come with only sublime structural changes. Functional imaging can point at specific disturbances in information processing in neural networks. Besides imaging of receptor and metabolic functions with PET and fMRI, electromagnetic methods such as electroencephalography (EEG) and magnetoencephalography (MEG) offer the possibility for imaging of dynamic dysfunctions. As compared to EEG, MEG has a shorter history and is less common despite offering considerable advantages in temporospatial resolution and sensitivity to detect impaired signal processing and network functioning which renders it particularly interesting for psychiatric applications. Disturbed processing in the auditory and visual domain emerging in schizophrenic, affective and anxiety disorders can be detected with high sensitivity. Moreover, the neuromagnetic baseline activity allows conclusions to be drawn regarding neural network functions. Due to its high sensitivity to single deficits in information processing and to pharmacological effects, MEG will achieve clinical significance in specific areas.

Recovery from aphasia as a function of language therapy in an early bilingual patient demonstrated by fMRI

Knowledge about the recovery of language functions in bilingual aphasic patients who suffer from left-hemispheric stroke is scarce. Here, we present the case of an early bilingual patient (German/French) with chronic aphasia. Functional magnetic resonance imaging (fMRI) was used to investigate neural correlates of language performance during an overt picture naming task in German and French (a) 32 months after stroke to assess differential recovery of both languages as a function of the preceding language therapy that was provided exclusively in German and (b) after additional short-term intensive (German) language training. At the first investigation behavioral performance confirmed selective recovery of German naming ability which was associated with increased functional brain activation compared to the French naming condition. Changes in behavioral performance and brain activation pattern as disclosed by fMRI after an additional experimental treatment were confined to the trained (German) language and indicate bilateral neuroplastic reorganization. No generalization to the untrained (French) language was observed. The present case results demonstrate use and/or training-dependent differential recovery of expressive language functions and an enhanced pattern of brain activation as a function of the rehabilitation efforts that were focussed exclusively on the patient's German language abilities.

[New developments in stroke rehabilitation based on behavioral and neuroscientific principles: constraint-induced therapy]

Recent discoveries about the central nervous system's response to injury and how patients reacquire behavioral capabilities by training have yielded promising new therapies for neurorehabilitation. This family of interventions is termed constraint-induced (CI) therapy and is essentially behavioral in nature. Constraining movement of the arm which is less affected by the stroke and training (by shaping) the more affected arm for many hours a day for two consecutive weeks proved effective in the treatment of hemiplegia in many studies. Successful applications other than for stroke have been for traumatic brain injury, cerebral palsy, spinal cord injury, fractured hip, and focal hand dystonia. Extending the principles to other consequences of stroke such as aphasia is examined. Constraint-induced therapy is shown to produce large changes in the organization and function of the brain,which emphasizes the significance of cortical reorganization and learning for neurorehabilitation.

Grapheme monitoring in picture naming: an electrophysiological study of language production

Electrocortical correlates of language production were examined in two picture naming tasks that involved grapheme monitoring. In both tasks subjects (N=12) had to detect target letters in picture names, the target letter being positioned either at the beginning or at the end of the picture name. Between tasks, the target letter was shown either before (target-picture, TP) or after (picture-target, PT) the presentation of the object pictures. In both tasks, subjects responded faster, whenever the target letter appeared at the beginning of the picture name than at its end. The EEG, recorded from 64 electrodes, was analyzed in the signal and in the source space (using the Minimum Norm estimate). Differences in the event-related potential (ERP) following the second stimulus became evident earlier in the PT (at 320 ms) than the TP (456 ms) task. This onset of diverging ERPs was called the "point of divergence" (POD). The ERP following the POD was characterized by a positive deflection in the "begin" condition in both tasks. In the "end" condition, the sources of brain activity were focused over the left hemisphere in the TP, while a bilateral distribution characterized the PT task. Performance and electrocortical indices support the hypothesis of serial "left-to-right" processing of a representation of the picture name. The left-hemispheric activity focus in the TP task is assumed to indicate the encoding of the picture name, while frontal symmetrical activity in the PT task might indicate the involvement of working memory processes.

Functional asymmetry in schizophrenic patients during auditory speech processing

In two experiments, functional laterality and interhemispheric transfer was investigated in schizophrenic patients (n=14) and healthy controls (n=17). In Experiment 1, words and pseudowords were presented either to the left or right ear (monaural condition) or simultaneously to both ears (binaural condition). In Experiment 2, subjects had to discriminate two tones differing in frequency during monaural and binaural stimulation. Healthy controls showed a right ear advantage (REA) for word stimuli, indicating left-hemispheric superiority for word processing. The same lateralization pattern was found in schizophrenic patients, indicating unimpaired functional lateralization of auditory language processing. In both groups, no REA was found for pseudowords resulting in significant WordnessxEar interactions. When presented binaurally, auditory processing of words and pseudowords did not differ significantly from any of the two monaural conditions. Tone discrimination did not lead to any ear asymmetry. The results show normal patterns of functional asymmetry during auditory language processing and tone discrimination in schizophrenic patients.

Syntactic and semantic processing in the healthy and aphasic human brain

A syntactic and a semantic task were performed by German-speaking healthy subjects and aphasics with lesions in the dominant left hemisphere. In both tasks, pictures of objects were presented that had to be classified by pressing buttons. The classification was into grammatical gender in the syntactic task (masculine or feminine gender?) and into semantic category in the semantic task (man- or nature made?). Behavioral data revealed a significant Group by Task interaction, with aphasics showing most pronounced problems with syntax. Brain event-related potentials 300-600 ms following picture onset showed different task-dependent laterality patterns in the two groups. In controls, the syntax task induced a left-lateralized negative ERP, whereas the semantic task produced more symmetric responses over the hemispheres. The opposite was the case in the patients, where, paradoxically, stronger laterality of physiological brain responses emerged in the semantic task than in the syntactic task. We interpret these data based on neuro-psycholinguistic models of word processing and current theories about the roles of the hemispheres in language recovery.

Source distribution of neuromagnetic slow waves and MEG-delta activity in schizophrenic patients

BACKGROUND

Schizophrenic patients exhibit more activity in the electroencephalographic delta and theta frequency range than do control subjects. Using magnetic source imaging (MSI) our study aimed to explore this phenomenon in the magnetoencephalogram (MEG), the distribution of its sources, and associations between symptom profiles and sources of low-frequency activity in the brain.

METHODS

Whole-head MEG recordings were obtained from 28 schizophrenic patients and 20 healthy control subjects during a resting condition. The generators of the focal magnetic slow waves were located employing a single moving dipole model. Distributed or multiple delta and theta sources were captured by the minimum norm estimate.

RESULTS

Both localization procedures showed slow wave activity to be enhanced in schizophrenic patients compared with control subjects. Focal slow wave activity differed most between groups in frontotemporal and in posterior regions. Slow wave activity was associated with symptom characteristics in that positive symptoms varied with frontal delta and theta activity.

CONCLUSIONS

Results indicate that activity in low-frequency bands in schizophrenic patients exceeds the activity of control subjects in distinct areas, and that this focal clustering of neuromagnetic slow waves may be related to psychopathologic characteristics.

Constraint-induced therapy of chronic aphasia after stroke

Patients with chronic aphasia were assigned randomly to a group to receive either conventional aphasia therapy or constraint-induced (CI) aphasia therapy, a new therapeutic technique requiring intense practice over a relatively short period of consecutive days. CI aphasia therapy is realized in a communicative therapeutic environment constraining patients to practice systematically speech acts with which they have difficulty. Patients in both groups received the same amount of treatment (30 to 35 hours) as 10 days of massed-practice language exercises for the CI aphasia therapy group (3 hours per day minimum; 10 patients) or over a longer period of approximately 4 weeks for the conventional therapy group (7 patients). CI aphasia therapy led to significant and pronounced improvements on several standard clinical tests, on self-ratings, and on blinded-observer ratings of the patients' communicative effectiveness in everyday life. Patients who received the control intervention failed to achieve comparable improvements. Data suggest that the language skills of patients with chronic aphasia can be improved in a short period by use of an appropriate massed-practice technique that focuses on the patients' communicative needs.

Event-related potential correlates of verbal and pictorial feature comparison in aphasics and controls

Event-related potentials (ERPs) were recorded from 19 aphasic patients and 18 controls in four versions of a feature comparison task, in which the verbal or pictorial representation of a first stimulus (S1) had to be compared with the verbal or pictorial representation of a second stimulus (S2) presented 2 s later. These tasks were designed to cover some of the discriminatory variance of the token test (TT) including the analytical isolation, encoding and short-term storage of individual features of objects, independent of auditory verbal comprehension. Aphasics made more errors and had longer response latencies than controls in all four tasks, performance being poorest when verbal stimuli had to be processed. ERP analyses - restricted to subjects performing well above chance and to trials with correct responses - were confined to the slow wave (SW) (250-750 ms post-S1-onset) and the contingent negative variation (CNV) preceding the S2. There was no overall group difference that would have suggested that the patients activated different cortical areas than controls on correct performance. A left-hemispheric predominance of the negative SW was found in all four tasks and in both groups, although it was more pronounced in aphasics, and more pronounced in non-fluent than in fluent aphasics. The CNV was characterized by a left-hemispheric accentuation which was more pronounced in controls than in aphasics, particularly in tasks with a verbal S2. Results indicate that successful feature comparisons in the present tasks activate primarily left-anterior cortical areas. During encoding and short-term storage this activation is more pronounced in aphasics than in controls.

Altered hemispheric asymmetry of auditory magnetic fields to tones and syllables in schizophrenia

BACKGROUND

A growing body of literature suggests that schizophrenic patients often do not show the normal brain hemispheric asymmetry. We have found this for simple tones presented to the right ear in a previous study. In this study we extended this investigation to left ear stimulation and verbal stimuli.

METHODS

With a whole-head neuromagnetometer, contra- and ipsilateral auditory-evoked magnetic fields in response to tones (1000 Hz) and to the syllables ("ba") delivered to the left and right ears in separate runs were compared between schizophrenic patients (n = 17) and healthy control subjects (n = 15).

RESULTS

In response to tones, all control subjects showed the expected asymmetry (contralateral predominance) of the auditory-evoked magnetic N100m (dipole moment). In the patient sample asymmetry was reversed following tones presented to the left ear in 47% and following tones to the right ear in 24%. In response to syllables, the asymmetry was similar between groups. In patients compared with control subjects the N100m was located more anterior without asymmetry between hemispheres.

CONCLUSIONS

Results suggest that deviation from the normal functional lateralization in schizophrenia appears in a proportion of patients at a basic stage of auditory processing, but may be compensated for at higher levels such as the processing of syllables.

Increased semantic and repetition priming in schizophrenic patients

Positive and negative priming (PP and NP) in schizophrenia were studied with a lexical-decision task. Probe words, presented 800 ms after the response to the prime (containing a word and a nonword), were either identical to, semantically related to, or unrelated to the prime target word (PP) or to the prime distractor word (NP). Schizophrenic patients displayed stronger semantic and repetition PP than controls after controlling for their slower responses. Significant NP was observed in both groups for word repetition only. The PP findings contrast with results from studies with similar prime-probe intervals but without prime responses. It is proposed that schizophrenic patients, because of impaired (controlled) processes of response selection, strongly benefit from (or rely on) the automatic retrieval of processing episodes containing response information. Related findings indicating automatic response facilitation in schizophrenia are discussed.

Increased semantic and repetition priming in schizophrenic patients

Positive and negative priming (PP and NP) in schizophrenia were studied with a lexical-decision task. Probe words, presented 800 ms after the response to the prime (containing a word and a nonword), were either identical to, semantically related to, or unrelated to the prime target word (PP) or to the prime distractor word (NP). Schizophrenic patients displayed stronger semantic and repetition PP than controls after controlling for their slower responses. Significant NP was observed in both groups for word repetition only. The PP findings contrast with results from studies with similar prime-probe intervals but without prime responses. It is proposed that schizophrenic patients, because of impaired (controlled) processes of response selection, strongly benefit from (or rely on) the automatic retrieval of processing episodes containing response information. Related findings indicating automatic response facilitation in schizophrenia are discussed.

Interhemispheric cooperation during word processing: evidence for callosal transfer dysfunction in schizophrenic patients

Functional lateralization and interhemispheric interaction during word processing were investigated in schizophrenic patients (n=12) and matched healthy controls (n=18). Words and phonologically regular pseudowords were presented tachistoscopically either in the left or right visual field (unilateral conditions), or simultaneously in both visual hemifields (bilateral condition). Consistent with earlier findings, healthy controls showed a right visual field advantage (RVFA), indicating left-hemispheric dominance for language. The patients showed a RVFA similar to that of controls, consistent with normal left-hemispheric language dominance. Importantly, controls performed much better on words presented in the bilateral condition, when two copies of the same word appeared twice, compared to stimulation in only one of the visual hemifields. This bilateral advantage, which has been interpreted as evidence for cooperation between the hemispheres, was absent in schizophrenics. These data show that schizophrenic patients can exhibit similar lateralization patterns as healthy controls. Their specific functional deficit may be a lack of cooperation between the hemispheres.

Event-related potentials in a working-memory task in schizophrenics and controls

Event-related potentials (ERPs) were recorded from 65 channels in 12 schizophrenics and 12 age- and sex-matched controls during a delayed matching-to-sample design with variation of working-memory (WM) challenge: following a 500 ms visual sample stimulus (called S1, two diamonds varying in size, rotation angle and vertical position), the same pattern was either presented throughout a 6s retention interval (no challenge) or a diamond pattern differing from the first one in at least one dimension was presented during this interval (WM challenge). The 500 ms matching stimulus (called S2) comprised one diamond, which had to be matched for identity to either the left or the right diamond of the sample stimulus. The topographical distribution of ERPs during an interval of 500 ms after S1-onset, 5s of the retention interval, a 500 ms-interval preceding the S2, and a 1s postimperative interval were evaluated. No WM challenge during the retention interval induced a right-posterior accentuation of the slow negative potentials in either group, while WM challenge evoked a tendency for left-hemispheric negativity in controls, but not in patients. Patients exhibited a postimperative negative variation (PINV) with left-anterior focus irrespective of the preceding WM challenge, while in controls, the left-anterior PINV was found only following WM challenge. In schizophrenic patients the lack of a left-anterior accentuation of negative ERPs under WM challenge might be related to WM dysfunction, and the condition-independent PINV might be considered either the consequence of this dysfunction or indication of processes related more to the diagnoses than to WM-challenge and -dysfunction.

MEG gamma band activity in schizophrenia patients and healthy subjects in a mental arithmetic task and at rest

OBJECTIVES

High frequency oscillations have been suggested as a correlate of cognitive processes and have recently also been implicated in aberrant forms of information processing. The present study investigated whether magnetoencephalographic (MEG) gamma band activity (20-71 Hz) can serve as an index of cognitive processes in the absence of external stimulation and to what extent gamma activity differs between healthy people and schizophrenia patients.

METHODS

The amount and topography of MEG power in the gamma band range was examined in 15 schizophrenia patients and 15 healthy comparison subjects while performing a complex mental arithmetic task and at rest.

RESULTS

In healthy subjects a left frontal and left fronto-temporal increase in gamma power was observed during mental arithmetic. Schizophrenia patients either failed to display such a task effect (30-45 Hz) or had reversed lateralization with enhanced activity over right frontal and right fronto-temporal regions under cognitive demands (45-71 Hz). In the frequency band from 60 to 71 Hz patients showed less gamma at fronto-temporal, posterio-temporal and occipital sites irrespective of the task.

CONCLUSIONS

These results indicate, first, that gamma topography can index cognitive activation in a very complex and purely internal task. Second, groups differed in the pattern of activation during the task, a result which may be consistent with working memory dysfunction in schizophrenia. Third, the general topographic difference between healthy subjects and patients is in line with the notion of abnormalities in the thalamocortical circuit in schizophrenia.

Statistical control of artifacts in dense array EEG/MEG studies

With the advent of dense sensor arrays (64-256 channels) in electroencephalography and magnetoencephalography studies, the probability increases that some recording channels are contaminated by artifact. If all channels are required to be artifact free, the number of acceptable trials may be unacceptably low. Precise artifact screening is necessary for accurate spatial mapping, for current density measures, for source analysis, and for accurate temporal analysis based on single-trial methods. Precise screening presents a number of problems given the large datasets. We propose a procedure for statistical correction of artifacts in dense array studies (SCADS), which (1) detects individual channel artifacts using the recording reference, (2) detects global artifacts using the average reference, (3) replaces artifact-contaminated sensors with spherical interpolation statistically weighted on the basis of all sensors, and (4) computes the variance of the signal across trials to document the stability of the averaged waveform. Examples from 128-channel recordings and from numerical simulations illustrate the importance of careful artifact review in the avoidance of analysis errors.

EEG brain mapping of phonological and semantic tasks in Italian and German languages

OBJECTIVES

Event-related potential correlates of phonological encoding - as compared with lexical access and semantic categorization - were measured in two studies involving two groups of 14 German and 14 Italian subjects.

METHODS

A two stimulus reaction time paradigm was used. Stimulus pairs presented one-by-one with 2 s inter-stimulus intervals (ISI) had to be matched with respect to lexical identity (word-picture) in a word comprehension task or with respect to the phonological representative of objects in a rhyming task. A semantic categorization task was added for the Italian sample. In both studies, the EEG was recorded from 26 scalp electrodes according to the 10-20 system. The slow negative potential during the ISI (CNV) was determined as the electrocortical correlate of preparation for and activation of the specific language-related task.

RESULTS

In both samples, phonological encoding (rhyming) evoked a more pronounced CNV over the left- compared with the right-frontal area, while less lateralized central dominance of the CNV was found in the word comprehension task. Semantic categorization was accompanied by the least asymmetry of activity.

CONCLUSIONS

Results indicate that the different degree of asymmetry induced by phonological and semantic processing may be determined from the scalp distribution of slow cortical potentials with cross-lingual reliability.

Determining working memory from ERP topography

Event-related potentials were recorded during a delayed matching-to-sample design from 17 volunteers (5 f) using high-resolution (65 channels) EEG-recordings. In the two-stimulus paradigm, the 500-ms stimulus S1 comprised a visual pattern of two diamonds differing in size, angular rotation and location; in the delay period, Working Memory (WM) load was varied in the following way: a stimulus-free interval of 1 s was followed by a 6-s presentation either of a pattern identical to the S1 (low WM load) or of a pattern differing from S1 (high WM load). The 500-ms stimulus S2 comprised one diamond; the subject's task was to indicate by left- or right-hand (respectively) button press, whether the S2 matched the (a) left- or (b) right-positioned S1-diamond, or (c) did not match at all (NoGo). The topographical distribution of activity in the time intervals (a) following S1-offset, (b) during the WM manipulation interval and (c) prior to S2 were evaluated in the signal (scalp potential) and source (Minimum Norm) space. Following S1-offset the ERP pattern was characterised by negativity over posterior areas, slightly more so over the right hemisphere. In the subsequent 6-s interval high WM load elicited a larger negative slow ERP than low WM load, the negativity increase due to high WM load being larger over frontal than central areas. Source modelling indicated activity in anterior areas under high, and posterior activity under low WM load. Asymmetry of activity, although indicating a shift to left-hemispheric activity under high compared to low WM load, varied considerably between subjects. Results suggest that high-resolution ERP recordings allow to examine cortical activity during WM challenge.

Topography of the auditory P300 in schizotypal personality

BACKGROUND

Research with schizophrenic patients has demonstrated reduced amplitude of the P300b elicited with the auditory "oddball" paradigm, as well as reduced P300a amplitude following "novel" stimuli. The focus of the present study was the investigation of these components in a nonclinical sample of participants with high expressions of the schizotypal personality trait.

METHODS

By use of an acoustic oddball task, including the presentation of novel stimuli, the event-related brain potentials of 14 participants with "low" and 13 participants with "high" scores on the German adaptation of the "Schizotypal Personality Questionnaire" were investigated. Current source density (CSD) curves and spline-interpolated CSD maps were generated. Peak amplitudes and latencies of the N100, P200, P300a, and P300b were determined for the CSD data.

RESULTS

Results indicate no group differences with respect to N100, P200, and P300a amplitudes and latencies. By contrast, the P300b amplitude was significantly smaller in high- as compared to low-scoring participants. Left-temporal as compared to right-temporal P300b was significantly smaller in high- than in low-schizotypal participants.

CONCLUSIONS

Confirming results of other researchers, this present study suggests that a reduced P300b amplitude and an altered P300b topography at temporal sites may be a trait-like "marker" of the schizophrenia spectrum.

Event-related potential correlates of proactive interference in schizophrenic patients and controls

Performance and event-related potentials (ERPs) were examined in a proactive interference (PI) task with 15 male schizophrenic patients and 15 matched healthy controls. Within a paired-associate task, 30 pairs of semantically unrelated words (A-B) were presented twice, followed by cued recall, in which the paired-associate B had to be named upon cue A. Subsequently, 50% of the A-words were paired with new words (A-C) and presented in random order together with 15 novel pairings (D-E). Slower responses and poorer recall of C- than of E-words in the final recall indicated PI in both groups. During acquisition, the paired-associates (C/E) evoked larger P3 and positive slow wave in controls than in patients. During recall, cues (A/D) evoked a slow wave with predominating anterior negativity in controls and posterior positivity in patients. The group-specific ERP pattern suggests deviant encoding and retrieval processes in schizophrenic individuals.

Failure of dominant left-hemispheric activation to right-ear stimulation in schizophrenia

Schizophrenia is associated with an absence of the lateralizations that typify the human brain. Previous evidence emphasized structural changes, particularly reduced asymmetry in extension and surface of the planum temporale, although gross structural deviations occur only in a minority of patients. The present study describes an absence of lateralization on a robust functional measure that characterized schizophrenia patients: healthy subjects but not schizophrenics displayed a contralateral left-hemispheric dominance of the auditory evoked magnetic field to right-ear auditory stimulation. Absence of contralateral dominance in response to auditory stimuli among schizophrenia patients may indicate a failure to establish unequivocal left-hemispheric dominance of the phonological loop as hypothesized by Crow.

Alteration of digital representations in somatosensory cortex in focal hand dystonia

Focal hand dystonia involves a loss of motor control of one or more digits; it is associated with the repetitive, synchronous movements of the digits made by musicians over periods of many years. Magnetic source imaging revealed that there is a smaller distance (fusion) between the representations of the digits in somatosensory cortex for the affected hand of dystonic musicians than for the hands of non-musician control subjects. The data suggest that use-dependent susceptibility to digital representation fusion in cortex may be involved in the etiology of focal dystonia. A successful therapy for the condition has been developed based on this consideration.

Dynamical aspects of motor and perceptual processes in schizophrenic patients and healthy controls

The present study examined the temporal stationarity of the performance of 16 schizophrenic patients and 16 controls matched for age and sex in a bimanual coordination task and a perceptual task. In the motor task, rhythmic finger oscillations (alternating activity of homologue muscle groups) at increasing speed levels resulted in two measures, the preferred oscillation frequency and the critical frequency at which phase transitions (change towards simultaneous activity of homologue muscle groups) occurred. A measure of local dimensional complexity (pointwise D2 or PD2), which is a measure of non-linear dynamics, was determined for the acceleration profiles of the subjects' movements. Schizophrenics exhibited less stable movement dynamics than controls in horizontal finger cycling, indicated by a lower ratio critical/preferred frequency (critical ratio) and by higher means and standard deviations of the pointwise D2. In vertical cycling, the critical ratio did not differentiate between groups, while PD2 means and standard deviations did. Groups also differed specifically in perception of two ambiguous figures (Schroeder stairs and Rubin vase). Schizophrenics showed significantly higher reversal rates for the Rubin vase and a differential perceptive in comparison to controls in the perception of the Schroeder stairs. Measures of perceptual and motor stability were unrelated, which suggests that perceptual and motor processes are not influenced by a common underlying mechanism.

Monitoring brain activity of human subjects during delayed matching to sample tasks comparing verbal and pictorial stimuli with modal and cross-modal presentation: an event related potential study employing a source reconstruction method

The time course of the event related potentials evoked within a delayed matching to sample task employing verbal and pictorial stimuli was analyzed with a source reconstruction method (minimum norm method). During signal stimulus presentation pictorial stimuli evoked more activity than verbal stimuli. Activity was particularly prominent in left frontal areas for the match of verbal-verbal stimulus pairs and over right posterior regions for the match of verbal-pictorial stimuli. Anticipation of the to-be-matched stimulus produced more pronounced activity for pictorial stimuli and generally stronger left and frontal activity. Results are discussed referring to a biological model of language processing.

Perceptual correlates of changes in cortical representation of fingers in blind multifinger Braille readers

The mature mammalian nervous system alters its functional organization in a use-dependent manner. Enhanced stimulation of a body part enlarges its cortical representational zones and may change its topographic order. Little is known about the perceptual and behavioral relevance of these plastic alterations in cortical organization. We used blind Braille readers who use several fingers on each hand and who do so for many hours each day as a model to investigate this issue. Magnetic source imaging indicated that the cortical somatosensory representation of the fingers was frequently topographically disordered in these subjects; in addition, they frequently misperceived which of these fingers was being touched by a light tactile stimulus. In contrast, neither the disordered representation nor mislocalizations were observed in sighted controls. Blind non-teacher Braille readers who used only one finger for reading were not significantly different from the sighted controls. Thus, use-dependent cortical reorganization can be associated with functionally relevant changes in the perceptual and behavioral capacities of the individual.

Topography of CNV and PINV in schizotypal personality

The topography of the postimperative negative variation (PINV) was analyzed in participants with high and low scores on the German version of the Schizotypal Personality Questionnaire. Scalp amplitude and Laplacian maps of the terminal contingent negative variation (tCNV) and PINV and the time course of the PINV were compared between the two groups. CNV and PINV were induced with a delayed matching-to-sample task, in which the pattern of the imperative stimulus was either clearly or ambiguous matched to one of the two diamonds simultaneously presented as a warning stimulus 4.0 s earlier. Electroencephalograms were recorded with a DC amplifier (32 channels). Negativity increased from tCNV to PINV, especially at frontal sites, and the PINV was larger under ambiguous than under clear matching conditions. Low-scoring participants showed a right-sided predominance of the PINV, which was absent in high-scoring participants. These results resemble differences in the topography of the PINV between healthy control participants and those with schizophrenia under identical experimental conditions and suggest functional differences between tCNV and PINV.

Study of the human auditory cortices using a whole-head magnetometer: left vs. right hemisphere and ipsilateral vs. contralateral stimulation

Structural and functional asymmetries of the temporal lobe affect language development and may also play a role in a variety of disorders, ranging from specific language impairment to schizophrenia. Whole-head neuromagnetometers allow the noninvasive measurement of functional asymmetries since activity from both hemispheres is recorded simultaneously. In the present study, the location of the auditory cortices and their responsiveness to pure tones was compared between hemispheres in healthy human subjects. Data suggest a greater contralateral than ipsilateral activation. In line with previous findings, sources of responses for the right hemisphere seem to be more anterior than for the left one.

Dynamical aspects of the EEG in different psychopathological states in an interview situation: a pilot study

Dynamical brain states can be characterized by non-linear measures of EEG. The present study shows that critical transitions, i.e., abrupt changes from one dynamic pattern of neural mass activity to another one, may be detected by abrupt variations in local chaoticity. Using an ambulatory device, EEG was recorded from 10 patients with a schizophrenic and two patients with an affective disorder during a series of 25-min interviews. Dynamical aspects, in particular, phase transitions in the EEG-dynamics of the EEG were characterized by means of a measure that continuously estimates the chaoticity of the EEG signal and is thus related to its predictability. Results indicate simpler dynamics of the EEG time series in paranoid-hallucinatory patients, while at the same time these patients tended to exhibit more abrupt transitions/unit of time between different dynamical EEG states. Such sudden phase transitions in brain activity were significantly enhanced prior to expressions of thought disorders that were detected by the interviewer and an observer in the conversation, compared with time periods during the interview without such symptoms.

Input-increase and input-decrease types of cortical reorganization after upper extremity amputation in humans

A plastic remodeling of regions in somatosensory cortex has previously been observed to occur in separate experimental paradigms in response to loss of somatosensory input and to increase in input. In this study, both types of cortical reorganization have been observed to occur concurrently in the same adult human nervous system as a result of a single intervention. Following upper extremity amputation, magnetic source imaging revealed that tactile stimulation of the lip evoked responses not only in the area of the somatosensory cortex corresponding to the face, but also within the cortical region that would normally correspond to the now absent hand. This "invasion" of the cortical amputation zone was accompanied by a significant increase in the size of the representation of the digits of the intact hand, presumably as a result of an increased importance of sensory stimulation consequent to increased dependence on that hand imposed by the loss of the contralateral extremity.

Mapping EEG-potentials on the surface of the brain: a strategy for uncovering cortical sources

This paper describes a uniform method for calculating the interpolation of scalp EEG potential distribution, the current source density (CSD), the cortical potential distribution (cortical mapping) and the CSD of the cortical potential distribution. It will be shown that interpolation and deblurring methods such as CSD or cortical mapping are not independent of the inverse problem in potential theory. Not only the resolution but also the accuracy of these techniques, especially those of deblurring, depend greatly on the spatial sampling rate (i.e., the number of electrodes). Using examples from simulated and real (64 channels) data it can be shown that the application of more than 100 EEG channels is not only favourable but necessary to guarantee a reasonable accuracy in the calculations of CSD or cortical mapping. Likewise, it can be shown that using more than 250 electrodes does not improve the resolution.

The postimperative negative variation following ambiguous matching of auditory stimuli

Previous studies using the delayed-matching-to-sample paradigm with visual stimuli reliably induced a postimperative negative variation (PINV) in both schizophrenic patients and healthy controls. The PINV was found to be: (a) larger in schizophrenic patients than controls; (b) larger under conditions of ambiguous as compared to clear matching conditions; and (c) larger over right-hemispheric, fronto-temporal regions in controls, while a less asymmetrical distribution with a tendency for left-frontal predominance occurred in schizophrenic patients. The present study examined to what extent the development and scalp distribution of the PINV were modality-specific by applying the delayed-matching-to-sample design using auditory stimuli. Furthermore, the neurophysiological state during anticipatory negativity (CNV) and PINV was examined by presenting acoustic probe stimuli (one per trial on 50% of the trials) during baseline, CNV or PINV interval. Event-related slow and probe-evoked potentials were recorded in 13 patients with a chronic schizophrenic disorder (DSM-III-R) and 13 healthy control Ss from 15 electrode sites including midline and two sagittal rows over each hemisphere. Comparable group differences and effects of ambiguity on PINV amplitudes were found for both modalities, visual and auditory. The auditory stimuli produced a fronto-central distribution of the PINV in both groups. The probe-evoked vertexpotential was smaller in patients compared to controls, but exhibited comparable modulation with the largest amplitude during the CNV in both groups. Results suggest modality-non-specific cognitive determinants of the PINV. However, stimulus modality did affect the scalp distribution of the PINV. Probe-evoked responses point to different functional meaning of negativities prior to (CNV) and following (PINV) task-relevant stimuli.

[Visually-induced gamma band responses in human EEG- expression of cortical stimulus representation?]

The features of a visual stimulus are processed in different regions of the visual cortex with no direct axonal connections. Therefore, neurons in the distributed processing areas must be connected in some way to form the physiological substrate of the percept. On the basis of theoretical considerations and animal experiments, it has been proposed that synchronization of neuronal oscillatory firing patterns in the gamma band range (above 30 Hz) might be essential in linking the anatomically distant cell assemblies that represent the various features of the stimulus. The present work reports on three experiments in which the functional relevance of induced gamma band responses were investigated in the human EEG. Using an identical stimulation design, as used in animal studies, it was demonstrated that human induced gamma band responses resembled those reported from intracortical recordings from animals. It was further shown that alpha and gamma band activities differed in temporal characteristics as well as in topographical features, indicating the representation of different cortical functional states. In accordance with previous animal and human experimental findings, a complex moving stimulus was related to a suppression of induced gamma band activity as opposed to a standing complex stimulus.

Visually induced gamma-band responses in human electroencephalographic activity--a link to animal studies

Visual presentation of an object produces firing patterns in cell assemblies representing the features of the object. Based on theoretical considerations and animal experiments, it has been suggested that the binding of neuronal representations of the various features is achieved through synchronization of the oscillatory firing patterns. The present study demonstrates that stimulus-induced gamma-band responses can be recorded non-invasively from human subjects attending to a single moving bar. This finding indicates the synchronization of oscillatory activity in a large group of cortical neurons. Gamma-band responses were not as apparent in the presence of two independently moving stimuli, suggesting that the neuronal activity patterns of different objects are not synchronized. These results open a new paradigm for investigating the mechanisms of feature binding and association building in relation to subjective perception.

Cortical sources of human short-latency somatosensory evoked fields to median and ulnar nerve stimuli

;;;;;õry evoked magnetic fields were measured with a 122-channel whole-scalp neuromagnetometer from seven healthy adults. Electric stimuli, with an intensity above the motor threshold, were delivered once every 0.5 s alternately to the median and ulnar nerves at the wrist; both wrists were stimulated successively within one session. In most subjects, two distinct neural sources were identified at the contralateral primary somatosensory cortex SI for both stimuli. The first source (M20) peaked at 21-22 ms and indicated activation of area 3b in the contralateral SI hand region. The same source peaked with opposite current direction at 32 ms. The second source (M40) was slightly medial to M20 and exhibited two peaks with the same current direction, first at 25 ms and most prominently at 42 ms. M20 was on average 7 mm more lateral along the central sulcus for median than ulnar nerve stimuli, in agreement with the somatotopic organization of the SI cortex; similar organization for M40 was less clear. These results suggest that M20 and M40 to upper limb stimulation represent activation of distinct neuronal populations in hand SI cortex, presumably in area 3b.

Contingent negative variation (CNV) and determinants of the post-imperative negative variation (PINV) in schizophrenic patients and healthy controls

A slowly rising cortical potential shift with negative polarity following the imperative stimulus of a forewarned reaction time task, the 'post-imperative negative variation' (PINV), is regularly observed in schizophrenic patients but not in controls. The topography of the PINV suggests that it may originate in frontal cortical regions. We used a task designed to test two putative prefrontal cortical functions: working memory and processing of ambiguity. Nineteen patients with a chronic schizophrenic disorder and 19 control subjects matched for age, sex, and education participated in two experimental sessions. The EEG was recorded from frontal, central, temporal, and parietal leads over both hemispheres using a DC amplifier. PINV amplitudes were generally larger in patients than in controls. If the result of comparing physical features of the two successively presented stimuli (warning and imperative stimulus) was ambiguous rather than clear, an augmentation of the PINV amplitudes was seen in both groups. If this comparison required high rather than low involvement of working memory functions, PINV amplitudes were augmented in schizophrenic patients only. Scalp distribution of the PINV indicated a left-hemisphere fronto-central PINV maximum in patients, and a right-hemisphere predominance in controls, which was larger following ambiguous stimulus comparisons. These results suggest that ambiguity during the comparison of physical features of successively presented stimuli may be a general factor of the PINV in schizophrenic patients and healthy controls. Augmented involvement of working memory functions, presumably subserved by the prefrontal cortex, specifically affected the fronto-centrally predominant PINV in schizophrenic patients. This result is compatible with the hypothesis of prefrontal cortical dysfunctions in schizophrenia.

Effects of voluntary movements on early auditory brain responses

It has not been clear whether or not early information processing in the human auditory cortex is altered by voluntary movements. We report a movement-related, complex event-related potential consisting of relatively long-lasting amplitude and phase perturbations induced in an ongoing auditory steady-state response (SSR) by brief self-paced finger movements. Our results suggest that processing in the auditory cortex during the first 50-100 ms after stimulus delivery is affected before, during, and after voluntary movements, beginning with a 1- to 2-ms delay in the SSR wave form starting 1-2 s before the movement.

The impact of performance uncertainty on the postimperative negative variation

In a delayed matching-to-sample task, the impact of clear or ambiguous go versus clear no-go signals on the post-imperative negative variation (PINV) was examined in 11 patients with a chronic schizophrenic disorder (DSM-III-R) and in a control group of 13 healthy subjects matched to the patient sample by age, sex, and education. Size and spatial position of a visual S2 had to be matched to one of two visual patterns in the S1 presented 4 s earlier. In 96 trials, the S2 was identical in size with one of the two patterns of S1 (clear matching). These trials varied pseudorandomly, with 60 trials in which the S2 was of intermediate size. On a randomly interspersed additional 48 trials, an S2 differing in color and shape signaled no-go. The electroencephalogram was recorded from Fz, Cz, Pz, F3, F4, C3, C4, P3, and P4. Although groups did not differ in contingent negative variation amplitude, the PINV was generally more pronounced in patients than in controls. In both groups, ambiguity of the to-be-matched S2 produced larger PINV amplitudes; the no-go signal elicited only a small PINV. Differential effects of ambiguity and no-go on PINV amplitude and its scalp distribution suggest that "performance" and "action" uncertainty contribute to PINV generation and that thresholds for both effects are reduced in schizophrenics.

Modulation of auditory responses during oddball tasks

The modulation of auditory input processing in relation to slow event-related potentials was examined in two studies. A steady-state response (SSR) was evoked by a stimulus train delivered at 40 Hz. Slow potentials were elicited by an oddball task implemented as changes in the pitch of single stimuli within this 40-Hz train. In study 1, subjects responded to rare targets by means of a button press. In study 2, subjects responded to targets by means of a motor response in one session and by silent counting in another session. In both studies, the oddball task elicited a P300 to targets. SSR amplitude was reduced 100 ms following each stimulus, while a second amplitude reduction around 350-400 ms was discovered following targets, in particular, following a button press. Parallel to SSR amplitude reductions, the latencies between stimulus and subsequent SSR peak were reduced. Results indicate that processing of oddball stimuli and motor responding alters 'automatic' auditory processing at the level of the primary auditory cortex; the second SSR amplitude reduction which develops in parallel to P300 might support the hypothesis that slow positive potentials indicate widespread (disfacilitation) inhibition of cortical neural excitability.

Increased cortical representation of the fingers of the left hand in string players

Magnetic source imaging revealed that the cortical representation of the digits of the left hand of string players was larger than that in controls. The effect was smallest for the left thumb, and no such differences were observed for the representations of the right hand digits. The amount of cortical reorganization in the representation of the fingering digits was correlated with the age at which the person had begun to play. These results suggest that the representation of different parts of the body in the primary somatosensory cortex of humans depends on use and changes to conform to the current needs and experiences of the individual.

Event-related and motor responses to probes in a forewarned reaction time task in schizophrenic patients

Surface-negative brain potentials indicate increased excitability of the underlying cortical neural networks. Consequently, deviant patterns of event-related potentials in schizophrenic patients reveal an atypical regulation of cortical excitability. Twelve patients with a chronic schizophrenic disorder and 12 matched control subjects were investigated using a probe paradigm: A contingent negative variation (CNV) was evoked in a forewarned reaction time paradigm. Clicks were presented before, during and after elicitation of the CNV. Click-evoked responses allow one to 'probe' the current brain state, particularly neuronal excitability, which is also reflected by the slow potentials. During the measurements, subjects pressed one button in response to the offset of the visual warning stimulus and a different button in response to the acoustic probes, the latter button press being a behavioral indication of the brain's excitability. In the forewarned reaction time task, patients developed a CNV with a frontal maximum, while the CNV in control subjects was predominantly centro-parietal. This atypical topographical pattern of the CNV may indicate a different spatio-temporal regulation of cortical preparatory processes in schizophrenics. Motor responses were accelerated during negative potential shifts in both patients and controls, with responses being slower overall in patients. In patients, probe-evoked potentials revealed a smaller N100, but a larger P300, than in controls. The covariation of these brain waves with slow potentials, however, turned out to be similar for both groups.

The magnetic counterpart of the contingent negative variation

The magnetic counterpart of the CNV, the contingent magnetic variation (CMV), was investigated in an Go/No Go design: subjects moved their index finger to the offset of a 4 sec tone of a certain frequency in the Go condition and were asked not to move during presentation of a 4 sec tone of different frequency in the No Go condition. During the preparatory interval, both the CMV and the electrical wave form followed a similar time course and both produced an equally pronounced statistical difference between conditions (Go and No Go). Compared to the variability in the auditory evoked fields, the CMV showed considerably more variance in the field distribution across subjects. The polarity reversal across the temporal surface of the head and the pronounced amplitudes over inferior temporal areas led us to conclude that a significant temporal activity contributes to both the late and the early CMV. However, neither for the early nor for the late CMV component did a single equivalent dipole prove to be a satisfying model. The data are consistent with the suggestion that the earlier as well as the later aspects of the CMV are fed through distributed sources in motoric, sensory and association areas, a distribution with considerable intersubject variability.