Is it really better to have your brain lesion early? A revision of the "Kennard principle"

Lesion-induced plasticity of central neurons: sprouting of single fibres in the rat hippocampus after unilateral entorhinal cortex lesion

In response to a central nervous system trauma surviving neurons reorganize their connections and form new synapses that replace those lost by the lesion. A well established in vivo system for the analysis of this lesion-induced plasticity is the reorganization of the fascia dentata following unilateral entorhinal cortex lesions in rats. After general considerations of neuronal reorganization following a central nervous system trauma, this review focuses on the sprouting of single fibres in the rat hippocampus after entorhinal lesion and the molecular factors which may regulate this process. First, the connectivity of the fascia dentata in control animals is reviewed and previously unknown commissural fibers to the outer molecular layer and entorhinal fibres to the inner molecular layer are characterized. Second, sprouting of commissural and crossed entorhinal fibres after entorhinal cortex lesion is described. Single fibres sprout by forming additional collaterals, axonal extensions, boutons, and tangle-like axon formations. It is pointed out that the sprouting after entorhinal lesion mainly involves unlesioned fibre systems terminating within the layer of fibre degeneration and is therefore layer-specific. Third, molecular changes associated with axonal growth and synapse formation are considered. In this context, the role of adhesion molecules, glial cells, and neurotrophic factors for the sprouting process are discussed. Finally, an involvement of sprouting processes in the formation of neuritic plaques in Alzheimer's disease is reviewed and discussed with regard to the axonal tangle-like formations observed after entorhinal cortex lesion.

Age at onset and neuropsychological function in frontal lobe epilepsy

PURPOSE

Previous studies into the cognitive consequences of frontal lobe epileptic dysfunction may have proved inconclusive, due to a factor not commonly accounted for: Damage or disturbance during different epochs of development may give rise to different levels of neuropsychological dysfunction. In this study, we investigated the influence of age at onset on cognitive performance in a group of subjects with frontal lobe epilepsy (FLE).

METHODS

Seventy-four subjects (42 with left, and 32 with right) FLE were classified into early (0-6 years), intermediate (7-11 years) or late onset (> or =12 years) and their performance recorded on a battery of measures assessing both executive and motor skills.

RESULTS

On the measures of executive functioning, no consistent pattern emerged, whereas on the measures of motor skill, the results suggested that a right-sided early onset (i.e., 0-6 years) did not impair performance compared to a later lesion within the same hemisphere. Furthermore, this sparing of performance was not observed within the left hemisphere.

CONCLUSIONS

Overall, the results suggest that individuals with differing ages of epilepsy onset will be differentially impaired on certain cognitive tasks. Several tentative ramifications of these results are suggested.

Optimal foetal growth in the reduction of learning and behaviour disorder and prevention of sudden infant death (SIDS) after the first month

A theory is presented that a diet low in polyunsaturated fatty acids (PUFA) in the third trimester of pregnancy may delay myelination and brain maturation. This may underpin learning and behaviour disorders and sudden infant death (SIDS) after the first month, conditions that are associated with lower than average birthweight. Epidemiological evidence is reviewed showing an inverse relation between the proportion of heavy newborns (> 3500 g) and infant mortality rate. Some countries with a lower proportion of heavy newborns despite equally high standards of living and medical care have higher post-neonatal death rates. The higher rates are solely due to SIDS which has a peak mortality within 80-100 days. It is hypothesised that as this is a time when myelination peaks, SIDS may be due to maturational delay. Evidence of subtle CNS changes in brainstem structures and in the neuromuscular system supports an instability in brainstem control systems. Moderate iatrogenic dietary restriction predominates today, but a rising number of women favour a low-caloric low-fat diet especially in the third trimester when the foetus is most susceptible. This may lead to a depressed birthweight, delayed somatic growth and neuronal maturation, such as is observed in SIDS victims. The majority exposed to suboptimal conditions survive, but a few suffer SIDS; confirming post-neonatal susceptibility. Many, especially males, present minor CNS signs and learning/behaviour disorders that could be the sequelae of repeated hypoxic episodes, such as recorded in more than 80% of SIDS victims. To reduce learning/behaviour disorders and prevent death from SIDS after the first month, it is necessary to ensure optimal development by promoting foetal growth. It is advised to avoid unnecessary dieting and to favour a diet high in PUFAs, thus prolonging pregnancy and so increasing birthweight.

Brainstem, cerebellar and limbic neuroanatomical abnormalities in autism

Recent autopsy and/or quantitative magnetic resonance imaging studies of autistic patients have identified agenesis of the superior olive, dysgenesis of the facial nucleus, reduced numbers of Purkinje neurons, hypoplasia of the brainstem and posterior cerebellum, and increased neuron-packing density of the medial, cortical and central nuclei of the amygdala and the medial septum. As neurogenesis occurs for these different neuron types during approximately the fifth week of gestation, the possibility is raised that this may be a 'window of vulnerability' for autism; the likely etiologic heterogeneity of autism suggests that other windows of vulnerability are also possible.

Substantia innominata: a notion which impedes clinical-anatomical correlations in neuropsychiatric disorders

Comparative neuroanatomical investigations in primates and non-primates have helped disentangle the anatomy of the basal forebrain region known as the substantia innominata. The most striking aspect of this region is its subdivision into two major parts. This reflects the fundamental organizational scheme for this portion of the forebrain. According to this scheme, two major subcortical telencephalic structures, i.e. the striatopallidal complex and extended amygdala, form large diagonally oriented bands. The rostroventral extension of the pallidum accounts for a large part of the rostral subcommissural substantia innominata, while the sublenticular substantia innominata is primarily occupied by elements of the extended amygdala. Also dispersed across this region is the basal nucleus of Meynert, which is part of a more or less continuous collection of cholinergic and non-cholinergic corticopetal and thalamopetal cells, which stretches from the septum diagonal band rostrally to the caudal globus pallidus. The basal nucleus of Meynert is especially prominent in the primate, where it is sometimes inappropriately applied as a synonym for the substantia innominata, thereby tacitly ignoring the remaining components. In most mammals, the extended amygdala presents itself as a ring of neurons encircling the internal capsule and basal ganglia. The extended amygdala may be further subdivided, i.e. into the central extended amygdala (related to the central amygdaloid nucleus) and the medial extended amygdala (related to the medial amygdaloid nucleus), which generally form separate corridors both in the sublenticular region and along the supracapsular course of the stria terminalis. The extended amygdala is directly continuous with the caudomedial shell of the accumbens, and to some extent appears to merge with it. Together the accumbens shell and extended amygdala form an extensive forebrain continuum, which establishes specific neuronal circuits with the medial prefrontal-orbitofrontal cortex and medial temporal lobe. This continuum is particularly characterized by a prominent system of long intrinsic association fibers, and a variety of highly differentiated downstream projections to the hypothalamus and brainstem. The various components of the extended amygdala, together with the shell of the accumbens, are ideally structured to generate endocrine, autonomic and somatomotor aspects of emotional and motivational states. Behavioral observations support this proposition and demonstrate the relevance of these structures to a variety of functions, ranging from the various elements of the reproductive cycle to drug-seeking behavior. The neurochemical and connectional features common to the accumbens shell and the extended amygdala are especially relevant to understanding the etiology and treatment of neuropsychiatric disorders. This is discussed in general terms, and also in specific relation to the neurodevelopmental theory of schizophrenia and to the neurosurgical treatment of neuropsychiatric disorders.

Rehabilitation of the head-injured child: basic research and new technology

The view that brain damage in children is less impairing than equivalent damage in adults is no longer acceptable. However, it is acknowledged that recovery following brain damage, when it does occur, owes much to the plasticity of the brain and that the young brain displays greater plasticity than the mature brain. To maximize brain damage recovery in children we need to focus both on what is known about brain plasticity and how to influence it. Research on environmental enrichment in rats has told us that enforced interaction with a complex environment can both stimulate anatomical and biochemical plasticity and ameliorate some of the behavioural consequences of brain damage. The view that environmental interaction has rehabilitative value also accords with clinical experience. However, the sensory, motor and cognitive consequences of brain damage often conspire to make environmental interaction difficult. One potential solution lies in using computers to generate virtual environments tailored to the precise sensory and motor capacities of the brain-injured child. In this way children may be enabled to benefit from environmental interaction whatever their level of disability. The use of Virtual Reality (VR) in the context of rehabilitation is discussed and relevant work reviewed.

Neonatal insult to the hippocampal region and schizophrenia: a review and a putative animal model

OBJECTIVE

To review the mounting evidence implicating early hippocampal dysfunction in the pathogenesis and the pathophysiology of schizophrenia. An account is made of recent neurodevelopmental hypotheses indicating how an early dysfunction of the hippocampal region disrupts maturational events in brain systems connected to that structure, thus inducing dysfunctional connectional development. Finally, an animal model is presented.

METHOD

Socioemotional behaviour of monkeys (Macaca mulatta) with selective neonatal hippocampal lesions was assessed by analyzing their interactions with their age-matched controls at 2 months, 6 months, and 5 to 8 years of age and by comparing the social interactions at each age with those of normal controls paired together.

RESULTS

At 2 months of age, monkeys with neonatal hippocampal lesions presented minor disturbances in initiation of social interactions. These subtle changes of behaviour were less evident at 6 months, although by that age, the operated monkeys displayed more withdrawals in response to an increase in aggressive responses from their unoperated peers. In adulthood, the amount of time spent by the hippocampectomized monkeys in social contacts with their normal peers decreased markedly. In addition, operated monkeys exhibited more locomotor stereotypies than normal controls.

CONCLUSION

These experimental findings indicate that the time-course and nature of the behavioural disturbances resulting from early trauma to the hippocampal region have some similarities with the clinical symptoms of schizophrenic patients and the typical time-course of the disease.

Recovery of function after neonatal ablation of the auditory cortex in rats (Rattus norvegicus)

Functional recovery following neonatal ablation of the auditory cortex was surveyed in 28 rats. Fourteen neonatal-lesioned rats had their temporal cortex lesioned on the date of birth (P1); 7 adult-lesioned rats had their auditory cortex lesioned at P60; and 7 rats served as controls. The training consisted of two phases using task with a Go/No Go procedure. The first task was to detect the presentation of a tone pulse. The second task was to discriminate the pulse rate of a tone pulse. Results showed that the achievements of neonatal-lesioned and control groups were comparable in both tasks. Adult-lesioned rats, however, failed to discriminate temporal patterns, although they could detect tone presentation as efficiently as the other two groups. These findings suggested that discrimination of temporal patterns could be a critical function of the auditory cortex and that brain injury in infancy was more compensated than the comparable damage in adulthood. Neurological plasticity was suggested in the recovery of function in our neonatal-lesioned animals.

NMDA antagonism during development extends sparing of hindlimb function to older spinally transected rats

Hindlimb weight support and bipedal stepping occur after spinal cord transection in neonatal rats (birth to 12 days of age) while the same lesion in 15-day and older animals results in permanent loss of these responses. Some compensatory change in lumbar spinal circuitry must occur after spinal transection in young animals subserving these hindlimb behaviors. In contrast, animals just a few days older are incapable of such compensatory responses. We have examined the hypothesis that neural activity leads to the postnatal loss of plasticity in spinal circuitry. We find that antagonism of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptor with MK-801 in young animals extends the sparing of hindlimb function after spinal transection to older animals. This effect is not due to a non-specific depression of all exciatory drive to motor neurons since Ia to motor neurons synaptic transmission through non-NMDA receptors is preserved during MK-801 treatment. Acute administration of MK-801 at the time of spinal transection or chronic administration of MK-801 after postnatal day 17 has no effect on recovery of hindlimb function after spinal transection. These results highlight the importance of NMDA receptor activation in spinal circuit maturation.

Anomalous cross-modal plasticity following posterior fossa surgery: some speculations on gaze-evoked tinnitus

A unique and intriguing form of subjective tinnitus evoked by eye gaze is reviewed. A new perspective is presented because this condition is sufficiently different from other forms of subjective tinnitus and its manifestation cannot be adequately explained by existing models or conceptual frameworks. Our examination of this topic considers pathophysiologic changes in the central nervous system in the context of deafferentation-induced plasticity. Potential neuroanatomical areas contributing to this effect include a number of distributed and functionally diverse areas in the brainstem and neocortex involved in the auditory control of eye movements. We also consider contemporary psychophysical methods to evaluate the perceptual correlates of this phenomenon and tools for the development of objective tinnitus measurements. Although theoretical and speculative in nature, this article is intended to stimulate interest in, advance knowledge of, and provide a better understanding about this condition.

Right hemisphere learning disability associated with left hemisphere dysfunction: anomalous dominance and development

Two patients are described with the social emotional processing disorder, a developmental syndrome usually ascribed to right hemisphere dysfunction. In these two patients however, neurological examinations, EEG, and neuroimaging studies were all consistent with left hemisphere dysfunction. Both patients were left handed and had findings suggestive of anomalous dominance for language. It is proposed that early left hemisphere injury may have resulted in functional reorganisation that allowed sparing of language and motor skills but interfered with the development of functions that the right hemisphere normally subserves.

Increased expression of the growth-associated protein GAP-43 in the myelin-free rat spinal cord

In the normal central nervous system (CNS) the regional expression of the growth-associated protein GAP-43 is complementary to the pattern of myelination. This has led us to suspect that myelin-associated neurite growth inhibitors might contribute to the suppression of GAP-43 expression by suppressing sprouting and plastic changes of synaptic terminals in myelinated CNS areas. In order to study the relationship between myelination and GAP-43 expression more directly, we experimentally prevented myelination of the lumbar spinal cord of rats through neonatal X-irradiation. The GAP-43 protein expression in myelin-free spinal cords was analysed by immunohistochemistry and immunoblotting and compared to age-matched normal spinal cords. We found that in the absence of myelination, GAP-43 expression is strongly increased in the spinal cord of 4-week-old rats. GAP-43 was most strongly expressed in descending fibre tracts, where expression in the normal spinal cord is very low. In grey matter the typical regional pattern of GAP-43 expression did not develop; instead GAP-43 expression was high in all regions of the spinal cord. The overall pattern of myelination and GAP-43 expression in the myelin-free cord resembled that of early postnatal stages. This indicates that the regional down-regulation of GAP-43 expression during normal postnatal development did not occur in the myelin-free areas. Our results support the hypothesis that neurite growth inhibitors from oligodendrocytes and CNS myelin suppress sprouting and plastic changes of synaptic terminals in the normal CNS and are thereby involved in regulating the stability of neural connections.

Consequences of cerebellar lesions at early and later ages: clinical relevance of animal experiments

Animal experiments demonstrated that reactions of the brain after early lesions differ from those after lesions at adult age. Detailed knowledge on the neuroanatomical and neurophysiological consequences of brain lesions was obtained in humans and will be gained from lesion experiments in animals. Prerequisites for extrapolating animal data to the clinical situation are discussed: knowledge on the maturational stage at which the lesion occurs and the behavioral expression of the damaged neural system. The extensive remodelling after early unilateral cerebellar hemispherectomy and its consequences for behavioural development in the rat are presented and discussed.

Sex-related differences in the cognitive consequences of early left-hemisphere lesions

Epileptic patients who had undergone the carotid amytal test were assessed on a variety of measures of verbal and nonverbal ability. All patients had left-hemisphere dysfunction early in life, before 1 year of age. In males, such damage results in generalized cognitive retardation regardless of the status of the cerebral speech pattern. In females, intellectual retardation is linked specifically to a shift in speech processes. This sex-related difference in behavioral outcome may reflect interruption at different maturational stages and/or the influences of the immediate hormonal milieu.

Recovery of function after spinal cord hemisection in newborn and adult rats: differential effects on reflex and locomotor function

It is often assumed that the response of the immature nervous system to injury is more robust and exhibits greater anatomical reorganization and greater recovery of function than in the adult. In the present experiments the extent of recovery of function after spinal cord injury at birth or at maturity was assessed. We used a series of quantitative tests of motor behavior to measure reflex responses and triggered movements and to examine different components of locomotion. Rats received a midthoracic "over-hemisection" at birth or as adults. The neonatal operates were allowed to mature and the adult operates were allowed to recover. The animals were trained to walk on a treadmill and to cross runways of varying difficulty. The animals were tested for reflex responses and triggered movements, videotaped while crossing the runways, and footprinted while walking on the treadmill. The adult operates had greater deficits in the reflex responses than the neonatal operates. The adult operates lost the contact placing response and had a decreased hopping response in the ipsilateral limb, while these responses were not impaired in the neonatal operates. Although the contact placing response in the neonatal operates was spared, a greater stimulus was necessary to induce the response than in control animals. In contrast, the neonatal operates had greater deficits in locomotion. Footprint analysis revealed that the animals' base of support was significantly greater after the neonatal injury than after the adult injury, and deficits in limb rotation were larger in the neonatal operates than in the adult operates. Both groups crossed the grid with a similar number of steps but the adult operates made significantly more errors with the hindlimb ipsilateral to the lesion than the contralateral one, while the neonatal operates made an equivalent number of errors with both limbs. The neonatal operates took longer to execute the climb test and used a different movement pattern than the adult operates. The neonatal operates had a different locomotor pattern than the adult operates. Despite greater recovery of reflex responses after spinal cord injury at birth, the pattern of locomotion exhibits greater deficits when compared with the same lesion in the adult. Just as the anatomical consequences of injury to the developing nervous system are not uniform, similarly, the behavioral consequences are also not uniform. Spinal cord injury before the mature pattern of locomotion has developed results in a different motor strategy than after injury in the adult.(ABSTRACT TRUNCATED AT 400 WORDS)

GM1 ganglioside treatment reduces visual deficits after graded crush of the rat optic nerve

Despite numerous reports of beneficial effects of GM1 ganglioside treatment following brain lesions in animals, the underlying neurobiological mechanism of ganglioside-induced functional restoration is still unclear. In order to obtain a better insight into this question, we have made use of a newly developed animal model of brain injury that would potentially permit us to determine the causal relationship(s) among behavioral and neuroanatomical/neurochemical parameters of restoration of function. Following graded crush of the adult rat optic nerve, we have treated the rats with intraperitoneally injected gangliosides and studied the functional outcome with electrophysiological and behavioral parameters. The electrophysiological recording of the compound action potential (CAP) from excised rat optic nerve revealed a significant loss of CAP throughout the first 2 weeks after the injury. However, when rats were treated daily for 7 days with GM1-gangliosides, the CAP measured 10 days after the crush was significantly larger compared to operated controls without treatment. Thus, GM1 appeared to be capable of delaying or partially preventing retinal ganglion cells or their axons from secondary degeneration. Loss of visual function was also evident on the behavioral level of analysis: when rats with unilateral optic nerve crush were evaluated in a visual orienting paradigm, the rats revealed deficits in their ability to orient towards small, moving visual stimuli. However, within about 2 weeks, the animals recovered spontaneously to near normal performance. Daily treatment with GM1-gangliosides was found to significantly improve outcome, largely due to a reduction of the immediate post-lesion deficit. In a second behavioral experiment we also created graded crush in rats bilaterally and evaluated the animals visual capacities in a two-choice brightness discrimination task. In this task, an initial loss of function was followed by recovery within about 2 weeks, but GM1 treatment was without beneficial effects in this paradigm. It is concluded that GM1 improves outcome after graded crush of the adult rat optic nerve, although it appears that improved function needs to be documented with sufficiently sensitive behavioral assays.

Transient retinal axon collaterals to visual and somatosensory thalamus in neonatal hamsters

We have studied the postnatal development of individual axons in the optic tract and thalamus of the Syrian hamster, concentrating attention on retinal ganglion cell axons that make a transient projection to the main somatosensory nucleus, the ventrobasal complex. We bulk-filled axons with horseradish peroxidase in hemithalami maintained en bloc, in vitro. After processing and reaction with diaminobenzidine, we reconstructed individual axons from serial sections. In hamsters and other rodents, the optic tract is composed of superficial and internal components, either or both being possible sources of the retino-ventrobasal projection. Both project to the midbrain, but in normal adults only the superficial optic tract maintains collaterals in the thalamus. We found that the axons of the internal component bear numerous transient thalamic collaterals on postnatal days 0, 1, and 2, and some of these extend into the ventrobasal complex. Axons in the superficial optic tract also bear collaterals on days 0 to 2, but these are confined to the superficial half of the dorsal lateral geniculate nucleus. Thus the transient retino-ventrobasal projection comprises solely transient collaterals originating from axon trunks in the internal optic tract. On days 1 and 2, some collaterals from the superficial optic tract appear to have begun to arborize in the lateral geniculate nucleus. In contrast, collaterals from internal optic tract axons to the ventrobasal complex branch little if at all as they traverse the lateral geniculate nucleus, and at no time prior to their elimination do they develop an appreciable terminal arbor. These long collaterals often terminate in growth cones that include lamellopodia. Our HRP-impregnation method also revealed some transient non-retinofugal axons that pass medially from the ventral lateral geniculate nucleus to the ventrobasal complex but then return without terminating or branching. By day 4, they are absent, as are collaterals from the internal optic tract to the ventrobasal complex.

Anatomical plasticity of the tectospinal tract after unilateral lesion of the superior colliculus in the neonatal rat

After unilateral ablation of the superior colliculus (SC) in neonatal or adult rats, the reorganization of the tectospinal tract (TST) was examined using the technique of anterograde transport of horseradish peroxidase to which wheat germ agglutinin had been conjugated (WGA-HRP). In neonatally lesioned rats, aberrant labeled terminals of TST axons were found on the ipsilateral side of the spinal cord. Postnatal development of the TST was then studied by retrograde transport of HRP to determine whether the aberrant tectospinal projections resulted from normally transient ipsilateral projections that persisted in operated rats or were due to collateral sprouting of projections to the contralateral projection field. The results failed to show an ipsilateral projection from the SC to spinal cord in normal neonatal rats. However, in neonatally lesioned rats, aberrant labeled fibers were observed recrossing the midline of the cervical spinal cord. Therefore, the increase in labeled terminals on the ipsilateral side following unilateral SC ablation appeared to originate from collateral sprouting at the spinal cord level of TST fibers from the intact pathway.

Schizophrenia: a neuropathological perspective

It is probable that all schizophrenics have abnormalities in the medial temporal lobe, which differ in degree but not in kind. The structures of the medial temporal lobe are believed to have a crucial role in the integration and processing of the output from the association cortex. Dysfunction of this system could result in the clinical symptoms that form the core of the schizophrenia syndrome. The structural differences appear to fit the profile of a disturbance in the normal pattern of brain development. The asymmetrical patterns of normal brain development explain how such a disturbance simultaneously affecting both hemispheres could, disproportionately, affect the left (dominant) hemisphere. Epidemiological and pathological evidence points to aberrant genetic mechanisms as being the cause of the developmental anomaly in the majority of cases; environmental factors probably play a minor role. Despite the great progress made in solving the enigma of the structural changes in the brains of schizophrenics, the cause(s) of the changes--the aberrant genetic mechanism controlling brain development--may prove difficult to define.

Hemicerebellectomy and motor behaviour in rats. I. Development of motor function after neonatal lesion

This study was undertaken to determine the effect of a neonatal hemicerebellectomy (HCb) on the motor development of rats and to determine whether various aspects of motor behaviour were affected to a similar degree. Postnatal development of postural reflexes, locomotion and dynamic postural adjustments was examined during the first four months of life in normal and in neonatal HCbed rats. The results indicate that classes of motor responses are controlled by cerebellar networks to clearly different extents. Emergence of quadruped stance, placing reactions and swimming development were unaffected by neonatal cerebellar lesion. Righting reflexes, cliff avoidance and geotaxic reactions, pivoting and crawling all showed a delayed development although the subsequent recovery was almost complete. The complex postural adjustments required in crossing a narrow path or in suspending on a wire remained permanently impaired. Finally, some behaviours developed normally and only subsequently became defective. This "growing into a deficit" was displayed by the progressively reduced hindlimb grasping and the development of a vestibular drop response with a directional bias. An impressive finding was the shifting of postural asymmetries from the lesion side to the contralateral one occurring around the third postnatal week. These data providing a description of the effect of HCb on motor development are interpreted as indicating a progressive involvement of the archi- and neo-cerebellar structures in the motor function of the rat.

Hemicerebellectomy and motor behaviour in rats. II. Effects of cerebellar lesion performed at different developmental stages

Rats with a right hemicerebellectomy (HCb) performed in adulthood or at weaning were compared behaviourally to rats with a similar lesion performed on the first postnatal day. The age at which animals received cerebellar lesions made a significant difference with respect to the behavioural outcome in adulthood. Posture, locomotion and motor behaviour were analysed by a battery of sensorimotor tests. Behavioural measurements showed a clear relationship between age at surgery and behavioural effects; rats with neonatal cerebellar lesions showed a slight extensor hypotonia contralateral to the lesion side and efficient locomotor activity, while the adult operated group exhibited a severe extensor hypotonia ipsilateral to the lesion side and hampered locomotion characterized by a wide base and ataxia. Weanling operated rats displayed a symptomatology similar to that observed in adult operates, although less severe. In the postural dynamic adjustments which the sensorimotor tests required, the youngest operated animals obtained higher scores in comparison to the other two experimental groups, except for the lack of hindlimb usage in the suspension on a wire test. These results, which show the importance of the age-at-lesion factor for the recovery of motor function after HCb in the rat, are discussed in the light of the widespread anatomical reorganization already demonstrated following neonatal HCb in rats.

The effects of developmental factors on IQ in hemiplegic children

The effects of early unilateral brain lesions on subsequent intellectual functioning were explored in hemiplegic children with congenital or acquired lesions. For congenital hemiplegics who sustained damage pre- or perinatally, lower intellectual functioning (IQ) was most highly associated with longer elapsed time since lesion. Moreover, including lesion size as an additional predictor of IQ did not account for significantly more variance than elapsed time since lesion alone. In contrast, for acquired hemiplegics who sustained damage after birth, lower intellectual functioning was highly associated with larger lesion size. In this group neither elapsed time since lesion nor age at testing accounted for significantly more IQ variance than lesion size alone. Possible effects of maturational factors and functional plasticity are considered in interpreting this pattern of results.

Neuronal misconnections and psychiatric disorder. Is there a link?

Brain damage can induce anomalous neuronal connections in experimental animals, which can sometimes result in maladaptive behaviour, particularly when damage occurs early in development. Anomalous patterns of neuronal connection can also arise from genetic disorders. In humans, neuronal misconnections could be involved in a variety of psychiatric disorders. For example, they may account for the link between hyperkinesis and childhood hemiplegia, and for the link between schizophrenia and 'alien tissue' lesions of the temporal lobes. Predictions from misconnection hypotheses can potentially be tested in neuropathological, neurophysiological, and clinical studies.

Differential effects of congenital left and right brain injury on intelligence

IQ performance was compared in 28 prepubertal children with unilateral left vs. right hemisphere preperinatal injury. Results indicated statistically superior FSIQ and VIQ in the left-lesioned group. Findings were interpreted as consistent with the hypothesis of a left-right maturational gradient, whereby early right hemisphere damage has a more severe effect on overall intellectual functioning than early left injury. Findings also lend support for a greater crowding effect, as seen in the sparing of verbal skills, after early left hemisphere injury.

The principle of "conservation of total axonal arborizations": massive compensatory sprouting in the hamster subcortical visual system after early tectal lesions

Unilateral lesions of the right superior colliculus (SC) were made in hamsters on the day after birth. In order to quantify the extent of abnormal innervation by left eye fibers in the diencephalon and midbrain, the left eye was removed on postnatal day 12 or 36, and after an appropriate survival time, the brains were stained for degenerating axons and axon terminals with the Fink-Heimer method. In additional cases, anterograde transport of 3H proline-leucine or horseradish peroxidase was used to assess left eye connectivity. In agreement with previous reports we found abnormal projections in the ventral nucleus of the lateral geniculate body (LGv), in the lateral posterior nucleus (LP) of the thalamus, and in the left SC (the 'recrossing' pathway). We also noted areas of abnormally heavy terminal fields arranged in patches in coronal sections in the dorsal nucleus of the lateral geniculate body (LGd). These patches arise from columns of dense innervation that are oriented along a rostral-to-caudal axis. If the right SC lesion was made large enough to diminish the recrossing pathway, retinofugal axons establish a significantly smaller distal terminal field in the left SC. In these cases, a corresponding increase in the size of terminal fields in all major proximal structures (LGd, LGv, LP, DTN) was observed. The sum of abnormal proximal growth ("compensatory sprouting") was found to truly compensate for the distal loss of terminals. The evaluation of hamsters in which left eye connectivity was assessed at the age of 12 days revealed that lesion-induced patches of abnormal growth have already reached their full size by that time. These findings provide evidence for the 'pruning-effect' and demonstrate that retinofugal axons support a fixed number of terminal arborizations (the principle of 'conservation of total axonal arborizations').

Detection of visual stimuli after lesions of the superior colliculus in the rat; deficit not confined to the far periphery

The visual neglect which follows lesions of the superior colliculus in the rat is well documented, although its nature has been somewhat contentious. Recently, using large, bright stimuli, Overton et al. [Exp. Brain Res., 59 (1985) 559-569] presented evidence that collicular lesions produce a detection deficit in the far peripheral visual field (120 degrees), whilst the central field is unaffected. However, some simple tests for visual neglect by other workers suggest that a detection deficit may also exist in the central field, if the stimuli are dim (and small). This possibility was investigated psychophysically. Using a signal detection paradigm, sensitivity to small (2.5 degrees v.a.), transient (modal duration 200 ms) stimuli of varying luminance was determined at 40 degrees on either side of the vertical meridian, before and after collicular lesions or control lesions of the striate cortex. Despite extensive preoperative training, collicular animals showed a decrease in sensitivity of around 50% for all stimulus intensities postoperatively. This deficit was significantly more severe than that produced by striate lesions. Furthermore, it proved very difficult to retrain the animals to a preoperative criterion. These data suggest that collicular lesions do indeed cause a detection deficit which is not confined to the far periphery, and that this deficit may specifically affect the detection of small stimuli. The proposed detection deficit is related to recent anatomical findings in the rat.

Recovery from early cortical damage in rats. IV. Effects of hemidecortication at 1, 5 or 10 days of age on cerebral anatomy and behavior

Rats with complete removal of the neocortex of one hemisphere in adulthood (hemidecorticate) were compared behaviorally and anatomically with rats with similar removals at 1, 5, or 10 days of age. There was an unexpected relationship between cortical thickness in adulthood and age at surgery: the earlier the lesion the thicker the cortex. At the two extremes rats hemidecorticated in adulthood had a reduction of up to 10% in the contralateral hemisphere, rats with hemidecortications on the day of birth had cortex that was thicker than adult operates. Behaviorally, the animals were administered several tests including a spatial navigation task, tests of beam walking and swimming, tests of turning bias, and a measure of claw cutting. The main finding was that although the hemidecortication at all ages produced a reliable behavioral change on all measures, the neonatal hemidecorticates performed better than the adults. Further, the earlier the lesion, the better the animals performed. These results are contrasted with the effects of bilateral frontal or parietal neocortical removals in infancy where the earliest lesions have the most severe effect on cortical thickness and behavior. This comparison shows that unilaterality of brain damage is an important factor in predicting recovery or sparing of function from early lesions.

Basal forebrain lesions facilitate adult host fiber ingrowth into neocortical transplants

The ability of mature host thalamic neurons to innervate embryonic (E19) cortex when implanted into the cortex of adult hosts was compared in normal and basal forebrain lesioned mice. The ingrowth of mature horseradish peroxidase-labeled thalamic axons into the transplants is facilitated by prior basal forebrain lesions. We discuss the possible reasons for the lesion-induced enhancement of axonal ingrowth, including the possibility that the enhanced ingrowth of thalamic fiber systems may be related to the loss of cortical innervation by extrathalamic brainstem inputs, especially cholinergic afferent fibers. The results support the interpretation that extrathalamic inputs to cortex play a modulatory role in regulating the growth and connections of specific sensory fiber systems during brain responses to injury.

Latent defect in monocular optokinetic nystagmus after neonatal removal of the lateral suprasylvian area in the cat

Three kittens underwent unilateral removal of the lateral suprasylvian area of cortex at the age of 1 month. After normal rearing for two years, their monocular optokinetic nystagmus was studied. During the experiment one eye was 'seeing' the optokinetic stimulus, but the other eye was 'covered'; by implanting scleral coils on both eyes, we measured movements not only in the 'seeing' eye, but also in the 'covered' eye. The stimulus was moved at a velocity between 1 and 40 degrees/s. Additionally, movements of the both eyes were simultaneously recorded in a normal cat. The previous results on movements of both eyes in normal cats which had been derived from the recordings by one coil (Vision Res., 26: 1311-1314, 1986) were confirmed by this experiment and were compared with the results of the lesioned cats. The gains (slow phase velocity/stimulus velocity) of the 'seeing' eye were not significantly different from the normal values. However, the gains of the 'covered' eye were significantly higher than the normal values when the stimulus was presented in the temporonasal direction, at the velocities between 1 and 40 degrees/s to the eye ipsilateral to the lesion and at the velocity of 40 degrees/s to the eye contralateral to the lesion; in the other conditions of stimulation the gains were not significantly different from the normal values.

Lateralized brain injury and behavior problems in children

This study investigated the types of behavior problems found in children with lateralized brain lesions. Children referred for neuropsychological assessment were assigned to dominant (DH) or nondominant (NDH) groups on the basis of history of neurological disease or injury, findings on neurological examination, functional and structural laboratory findings, and neuropsychological assessment. Over two-thirds fell into the clinical range of behavior problems by parental report on the Achenbach Child Behavior Checklist. Degrees of pathology were nearly equal. DH children showed more externalizing than internalizing symptomatology. NDH children showed more internalizing than externalizing behavior problems. Results are discussed in terms of symptom formation based on lateralization of lesion.

Ultrastructural study of remodeled rubral afferents following neonatal lesions in the rat

Following neonatal hemicerebellectomy, an aberrant ipsilateral cerebellorubral projection develops that maintains the topographic specificity of the normal contralateral projection. Similarly, neonatal lesions of the sensorimotor cortex lead to the appearance of an aberrant contralateral corticorubral projection that mirrors the topographic specificity of the normal ipsilateral input. The specificity of synaptic localization in these aberrant projections was studied by use of ultrastructural visualization of anterogradely transported HRP-WGA. Following neonatal ablations, adults received HRP-WGA injections in the unablated deep cerebellar nuclei or sensorimotor cortex. After 48 hours, animals were sacrificed and processed for ultrastructural localization of anterogradely transported HRP-WGA. In hemicerebellectomized animals, both the contralateral and ipsilateral interpositorubral projections terminated on the somatic and proximal dendritic membrane of magnocellular neurons. Some of these labeled synaptic terminals were located on somatic and dendritic spines. Following HRP-WGA injection in the unablated nucleus lateralis, anterogradely labeled synaptic terminals were located bilaterally on small- to medium-sized dendrites of parvicellular neurons. Injection of HRP-WGA in the remaining sensorimotor cortex of animals that had undergone neonatal unilateral ablation of the sensorimotor cortex resulted in labeled corticorubral synaptic terminals that contacted distal dendrites of ipsilateral and contralateral parvicellular neurons. These results demonstrate that, following neonatal deafferentation of the rat red nucleus, the topographic specificity of the aberrant rubral afferents is accompanied by a specificity of synaptic localization on discrete membrane areas of rubral neurons.