Relationships between brain morphology and behavioral measures of hemispheric asymmetry and interhemispheric interaction

The role of the corpus callosum in language network connectivity in children

The specific role of the corpus callosum (CC) in language network organization remains unclear, two contrasting models have been proposed: inhibition of homotopic areas allowing for independent functioning of the hemispheres versus integration of information from both hemispheres. This study aimed to add to this discussion with the first investigation of language network connectivity in combination with CC volume measures. In 38 healthy children aged 6–12, we performed task‐based functional magnetic resonance imaging to measure language network connectivity, used structural magnetic resonance imaging to quantify CC subsection volumes, and administered various language tests to examine language abilities. We found an increase in left intrahemispheric and bilateral language network connectivity and a decrease in right intrahemispheric connectivity associated with larger volumes of the posterior, mid‐posterior, and central subsections of the CC. Consistent with that, larger volumes of the posterior parts of the CC were significantly associated with better verbal fluency and vocabulary, the anterior CC volume was positively correlated with verbal span. Thus, children with larger volumes of CC subsections showed increased interhemispheric language network connectivity and were better in different language domains. This study presents the first evidence that the CC is directly linked to language network connectivity and underlines the excitatory role of the CC in the integration of information from both hemispheres.

Diffusion imaging study of the Corpus Callosum in bipolar disorder

Structural and diffusion imaging studies have provided some evidence of abnormal organization of Corpus Callosum (CC) in Bipolar Disorder (BD). Therefore, by using Diffusion Weighted Imaging (DWI), which allows to build subtle prediction models of fiber integrity for white matter (WM) tracts, this study aims to further explore the microstructure integrity of CC in BD patients compared to matched healthy controls. Twenty-four chronic patients with BD and 35 healthy controls were included in the study. Circular regions of interest were placed, on diffusion images, in the left and right side of callosal regions (i.e. rostrum/genu, anterior body, posterior body, splenium) and the Apparent Diffusion Coefficient (ADC) was then calculated. Significantly increased ADC values were found in right anterior body and in right splenium in BD patients compared to healthy controls (all p < 0.05, Bonferroni corrected). In this study, we found abnormally increased ADC callosal values in BD suggesting microstructural anomalies specifically in the right hemisphere. Interestingly, this finding further supports the presence of an altered inter-hemispheric communication between frontal and temporo-parietal association areas in patients with BD, which may ultimately result in clinical symptoms and cognitive deficits.

Reduced Hemispheric Asymmetry of White Matter Microstructure in Autism Spectrum Disorder

OBJECTIVE

Many past studies have suggested atypical functional and anatomical hemispheric asymmetries in autism spectrum disorder (ASD). However, almost all of these have examined only language-related asymmetries. Here, we conduct a comprehensive investigation of microstructural asymmetries across a large number of fiber tracts in ASD.

METHOD

We used diffusion tensor imaging for a comprehensive investigation of anatomical white matter asymmetries across the entire white matter skeleton, using tract-based spatial statistics in 41 children and adolescents with ASD and a matched group of 44 typically developing (TD) participants.

RESULTS

We found significant asymmetries in the TD group, being rightward for fractional anisotropy and leftward for mean diffusivity (with concordant asymmetries for radial and axial diffusivity). These asymmetries were significantly reduced in the group with ASD: in whole brain analysis for fractional anisotropy, and in a region where several major association and projection tracts travel in close proximity within occipital white matter for mean diffusivity, axial diffusivity, and radial diffusivity. No correlations between global white matter asymmetry and age or socio-communicative abilities were detected.

CONCLUSION

Our findings in TD children and adolescents can be interpreted as reflecting different processing modes (more integrative in the right and more specialized in the left hemisphere). These asymmetries and the "division of labor" between hemispheres implied by them appear to be diminished in autism spectrum disorder.

Changes in the corpus callosum in women with late-stage bipolar disorder

OBJECTIVE

This study investigated the differences in corpus callosum (CC) volumes between women with early-stage and late-stage bipolar I (BP I) disorder using the criteria previously described in the literature.

METHOD

We compared women with early- and late-stage BP I using criteria described in the Staging Systems Task Force Report of the International Society for Bipolar Disorders. We included 20 patients with early stage and 21 patients with late-stage BP I and a group of 25 healthy controls. Patients and controls underwent structural magnetic resonance imaging. Information on the clinical features of bipolar disorder was collected using a standardized questionnaire. Anatomical volumes of five regions of CC were compared between the three groups.

RESULTS

Women with late-stage BP I disorder had reduced posterior CC volumes compared with early-stage bipolar I patients and controls (F = 6.05; P = 0.004). The difference was significant after controlling for age, comorbidity with post-traumatic stress disorder, psychotic symptoms during mood episodes, and current use of medication.

CONCLUSION

The posterior CC was significantly decreased in volume in women with late-stage bipolar disorder. These findings suggest that CC may be an anatomical target of neuroprogression in the course of bipolar disorder in women.

Reduced posterior corpus callosum area in suicidal and non-suicidal patients with bipolar disorder

BACKGROUND

Impulsivity is a characteristic of bipolar disorder (BD) that can contribute to the risk for suicidal behavior. Evidence suggests that gray and white matter abnormalities are linked with impulsivity, but little is known about the association between corpus callosum (CC) and impulsivity in BD. We examined the CC area and impulsivity in euthymic bipolar I patients, with and without lifetime history of suicide attempts, and in healthy controls.

METHODS

Nineteen bipolar patients with a suicide attempt history (BP-S), 21 bipolar patients without suicide attempt history (BP-NS), and 22 healthy controls (HC) underwent clinical assessment by the Structured Clinical Interview with the DSM-IV axis I (SCID-I), the Barratt Impulsiveness Scale (BIS-11), and MRI scan.

RESULTS

No differences were observed for any CC subregion between BP-S and BP-NS groups. There was a significant reduction in the genu (p=0.04) and isthmus areas (p=0.01), in bipolar patients compared with HC. In the BP-S group, the BIS-11 total (p=0.01), attention (p=0.001) and non-planning (p=0.02) impulsivity scores were significantly higher than in the BP-NS and HC groups.

LIMITATIONS

These results cannot establish causality because of the cross-sectional nature of the study.

CONCLUSION

This report potentially provides evidence that a reduction in the CC area is present even in non-symptomatic bipolar patients, which may be evidence of a biological trait marker for BD. Furthermore, the study demonstrated that BP-S group had higher impulsivity even during euthymia, which points to a sustained association between lifetime history of suicide attempts and impulsivity in BD.

Cerebral Asymmetry: A Quantitative, Multifactorial, and Plastic Brain Phenotype

The longitudinal fissure separates the human brain into two hemispheres that remain connected through the corpus callosum. The left and the right halves of the brain resemble each other, and almost every structure present in one side has an equivalent structure in the other. Despite this exceptional correspondence, the two hemispheres also display important anatomical differences and there is marked lateralization of certain cognitive and motor functions such as language and handedness. However, the mechanisms that underlie the establishment of these hemispheric specializations, as well as their physiological and behavioral implications, remain largely unknown. Thanks to recent advances in neuroimaging, a series of studies documenting variation in symmetry and asymmetry as a function of age, gender, brain region, and pathological state, have been published in the past decade. Here, we review evidence of normal and atypical cerebral asymmetry, and the factors that influence it at the macrostructural level. Given the prominent role that cerebral asymmetry plays in the organization of the brain, and its possible implication in neurodevelopmental and psychiatric conditions, further research in this area is anticipated.

Individual differences in reading skill and language lateralisation: a cluster analysis

Individual differences in reading and cerebral lateralisation were investigated in 200 college students who completed reading assessments and divided visual field word recognition tasks, and received a structural MRI scan. Prior studies on this data set indicated that little variance in brain-behaviour correlations could be attributed to the effects of sex and handedness variables (Chiarello, Welcome, Halderman, & Leonard, 2009; Chiarello, Welcome, Halderman, Towler, et al., 2009; Welcome et al., 2009). Here a more bottom-up approach to behavioural classification (cluster analysis) was used to explore individual differences that need not depend on a priori decisions about relevant subgroups. The cluster solution identified four subgroups of college age readers with differing reading skill and visual field lateralisation profiles. These findings generalised to measures that were not included in the cluster analysis. Poorer reading skill was associated with somewhat reduced VF asymmetry, while average readers demonstrated exaggerated RVF/left hemisphere advantages. Skilled readers had either reduced asymmetries, or asymmetries that varied by task. The clusters did not differ by sex or handedness, suggesting that there are identifiable sources of variance among individuals that are not captured by these standard participant variables. All clusters had typical leftward asymmetry of the planum temporale. However, the size of areas in the posterior corpus callosum distinguished the two subgroups with high reading skill. A total of 17 participants, identified as multivariate outliers, had unusual behavioural profiles and differed from the remainder of the sample in not having significant leftward asymmetry of the planum temporale. A less buffered type of neurodevelopment that is more open to the effects of random genetic and environmental influences may characterise such individuals.

White matter connectivity in bipolar disorder

There is evidence that intra- and inter-hemispheric white matter communication, mainly fronto-limbic and callosal connectivity, is impaired in bipolar disorder as reported in several magnetic resonance (MR) diffusion imaging studies. In this review we will discuss diffusion imaging studies that examined white matter integrity in patients with bipolar disorder, trying to outline future research strategies.

Changes in hemiplegic grasp following distributed repetitive intervention: a case series

The purpose of this pilot study was to investigate the efficacy of a distributed model of repetitive and focused intervention on grasp force, and clinical and functional hand measures in persons with chronic hemiplegia and limited hand recovery from self-reported stroke. A case series design was used. Focused repetitive unilateral and bilateral interventions were provided in a distributed manner (three times a week for 6 weeks) to three persons with upper limb hemiplegia of more than 1 year. Data from instrumented grasp force, and clinical and functional measures were obtained at weeks 0, 3, 6 and 9. Each participant improved in at least one measure of grasp force, as well as in clinical skill and function. All participants improved in the quality of handwriting. Improved outcomes remained above baseline levels following 3 weeks of non-intervention. The findings are compatible with current evidence of adaptive cortical plasticity following increased repetition. The findings show that, for these three persons, distributed repetitive practice was sufficient to effect change. Localization by cerebral area affected is not possible, nor is it possible to parse the effectiveness of any component of the intervention. A larger group study is warranted to determine whether similar results may be found for other persons with chronic hemiplegia. Future studies should incorporate kinematic handwriting analysis and a greater range of functional tasks.

DTI studies of corpus callosum in bipolar disorder

Although the pathogenesis of bipolar disorder is still not completely understood, there is evidence from imaging studies that abnormalities in inter-hemispheric communication may play a major role in the pathophysiology of bipolar disorder. In the present review, we discuss the most consistent findings from diffusion imaging studies exploring corpus callosum integrity in bipolar disorder.

Structural correlates of functional language dominance: a voxel-based morphometry study

BACKGROUND AND PURPOSE

The goal of this study was to explore the structural correlates of functional language dominance by directly comparing the brain morphology of healthy subjects with left- and right-hemisphere language dominance.

METHODS

Twenty participants were selected based on their language dominance from a cohort of subjects with known language lateralization. Structural differences between both groups were assessed by voxel-based morphometry, a technique that automatically identifies differences in the local gray matter volume between groups using high-resolution T1-weighted magnetic resonance images.

RESULTS

The main findings can be summarized as follows: (1) Subjects with right-hemisphere language dominance had significantly larger gray matter volume in the right hippocampus than subjects with left-hemisphere language dominance. (2) Leftward structural asymmetries in the posterior superior temporal cortex, including the planum temporale (PT), were observed in both groups.

CONCLUSIONS

Our study does not support the still prevalent view that asymmetries of the PT are related in a direct way to functional language lateralization. The structural differences found in the hippocampus underline the importance of the medial temporal lobe in the neural language network. They are discussed in the context of recent findings attributing a critical role of the hippocampus in the development of language lateralization.

Behavioural indexes of callosal functioning in Williams syndrome

Williams syndrome (WS) is a neurogenetic disorder that stems from a microdeletion on chromosome 7. Recent anatomical studies have found evidence for corpus callosum abnormalities in WS. However, to date, the impact of these structural differences on callosal functionality remains unclear. The aim of the present study was to investigate interhemispheric communication and hemispheric asymmetry in individuals with WS relative to mental age-matched controls. This was assessed using bilateral and unilateral presentations of visual stimuli in a picture-naming task. Results found both groups to exhibit a bilateral field advantage and a left visual advantage on unilateral presentations. However, while a significant performance increase with age was found for controls, no such correlation was found for individuals with WS. Taken together, these findings suggest that despite some evidence for an atypical developmental pathway in WS, both interhemispheric communication and hemispheric asymmetry are functionally intact in this population.

Behavioral correlates of corpus callosum size: anatomical/behavioral relationships vary across sex/handedness groups

There are substantial individual differences in the size and shape of the corpus callosum and such differences are thought to relate to behavioral lateralization. We report findings from a large scale investigation of relationships between brain anatomy and behavioral asymmetry on a battery of visual word recognition tasks. A sample of 200 individuals was divided into groups on the basis of sex and consistency of handedness. We investigated differences between sex/handedness groups in callosal area and relationships between callosal area and behavioral predictors. Sex/handedness groups did not show systematic differences in callosal area or behavioral asymmetry. However, the groups differed in the relationships between area of the corpus callosum and behavioral asymmetry. Among consistent-handed males, callosal area was negatively related to behavioral laterality. Among mixed-handed males and consistent-handed females, behavioral laterality was not predictive of callosal area. The most robust relationship was observed in mixed-handed females, in whom behavioral asymmetry was positively related to callosal area. Our study demonstrates the importance of considering brain/behavior relationships within sub-populations, as relationships between behavioral asymmetry and callosal anatomy varied across subject groups.

A large-scale investigation of lateralization in cortical anatomy and word reading: are there sex differences?

The authors report findings of a large-scale, multitask investigation of sex differences in both structural asymmetries and lateralization of word reading. Two hundred participants were tested in eight divided visual field lexical tasks, and each received a structural magnetic resonance imaging scan. The authors examined whether there was evidence for sex differences in overall measures of neuroanatomical and behavioral lateralization, in specific language tasks and brain regions, and in variation in asymmetry within and across tasks and brain regions. There was very little evidence for sex differences on any behavioral measure. The few indications of sex differences in the current report accounted for 2% or less of the individual variation in asymmetry and could not be replicated in independent subsamples. No sex differences were observed in the asymmetry of structures in Broca's and Wernicke's areas such as pars triangularis, pars opercularis, the planum temporale, planum parietale, or Heschl's gyrus. There were also no sex differences in the variability of neuroanatomical asymmetries within or between brain regions. However, a significant relationship between planum temporale and behavioral asymmetry was restricted to men.

Functional relevance of interindividual differences in temporal lobe callosal pathways: a DTI tractography study

The midsagittal corpus callosum is topographically organized, that is, with regard to their cortical origin several subtracts can be distinguished within the corpus callosum that belong to specific functional brain networks. Recent diffusion tensor tractography studies have also revealed remarkable interindividual differences in the size and exact localization of these tracts. To examine the functional relevance of interindividual variability in callosal tracts, 17 right-handed male participants underwent structural and diffusion tensor magnetic resonance imaging. Probabilistic tractography was carried out to identify the callosal subregions that interconnect left and right temporal lobe auditory processing areas, and the midsagittal size of this tract was seen as indicator of the (anatomical) strength of this connection. Auditory information transfer was assessed applying an auditory speech perception task with dichotic presentations of consonant-vowel syllables (e.g., /ba-ga/). The frequency of correct left ear reports in this task served as a functional measure of interhemispheric transfer. Statistical analysis showed that a stronger anatomical connection between the superior temporal lobe areas supports a better information transfer. This specific structure-function association in the auditory modality supports the general notion that interindividual differences in callosal topography possess functional relevance.

Asymmetry of language activation relates to regional callosal morphology following early cerebral injury

The anatomical factors underlying reorganization of language representation are yet to be elucidated, although correlations between asymmetric structures and language lateralization have been identified. Previous research has implicated the corpus callosum in the development of language lateralization. This study examined the relationship between callosal morphology and language asymmetry, using letter fluency functional magnetic resonance imaging, in 13 patients with focal epilepsy and 8 healthy controls. Regional callosal thickness was determined without relying on a priori delineation of callosal segments. We predicted that language asymmetry measured by fMRI activation laterality scores would be correlated with regional callosal thickness in both groups. However, only the degree of language activation asymmetry was significantly correlated with callosal thickness in the isthmus and the midbody of patients, and there was a significant interaction between the groups with respect to callosal thickness and language activation asymmetry. These data suggest that callosal pathways may be important for language reorganization in the context of early cerebral injury.

The role of white matter for the pathophysiology of schizophrenia

Inter- and intra-hemispheric connectivity disturbances have been suggested to play a major role in schizophrenia. To this extent, diffusion weighted imaging (DWI) is a relatively new technique examining subtle white matter microstructure organization. DWI studies in schizophrenia strongly suggest that white matter communication is disrupted. This supports the hypothesis that there is a cortico-cortical and transcallosal altered connectivity in schizophrenia, which may be relevant for the pathophysiology and the cognitive disturbances of the disorder. Future longitudinal diffusion and functional imaging studies targeting brain communication together with genetic investigations should further characterize white matter pathology in schizophrenia and its relevance for the development of the illness.

Activation of human auditory cortex during speech perception: effects of monaural, binaural, and dichotic presentation

We used a rapid event-related functional magnetic resonance imaging (fMRI) paradigm to compare cortical activation to speech tokens presented monaurally to each ear, binaurally, and dichotically. Two forms of dichotic conditions were examined: one presented consonant-vowel (CV) syllables simultaneously to each ear while the other paired a CV syllable with a non-speech stimulus (band-limited noise). Right-handed adults were asked to differentially respond to serially presented target and distractor CV syllables. Activations were localized with reference to anatomic segmentation algorithms that allowed us to distinguish between activity in primary (PAC) and non-primary auditory cortex (NPAC). Monaural CV syllables presented to the right ear (CVR) produced highly asymmetric activations in left PAC and NPAC. A similar but reduced left hemisphere (LH) bias was evident in binaural presentation, when monaural syllables were paired with contra-aural noise, and in dichotic CV-CV presentations. However, LH activation was two times larger to CVR than any other condition, while RH activation to CVR was insubstantial. By contrast, a small rightward asymmetry in PAC activation was observed from monaural left ear (CVL) presentation. In all conditions except CVL, magnitude of response favored left PAC and NPAC. CV processing across different listening conditions disclosed complex interactions in activation. Our results confirm the superiority of left NPAC in speech processing and suggest comparable left lateralization in PAC. The findings suggest that monaural CV presentation may be more useful than previously anticipated. The paradigm developed here may hold some promise in investigations where abnormal hemispheric balance of speech processing is suspected.

Behavioral evidence of prolonged interhemispheric transfer time among psychopathic offenders

Several lines of evidence suggest the possibility of abnormal interhemispheric communication in psychopathy, but there have been few direct empirical studies. To address this gap in the literature, the authors examined one important aspect of interhemispheric communication, the efficiency with which information is transferred across the corpus callosum. Using A. T. Poffenberger's (1912) paradigm for estimating interhemispheric transfer time (IHTT) from simple motor responses to lateralized stimuli, the authors found a substantially prolonged IHTT among psychopathic criminals relative to nonpsychopathic criminals. This prolonged IHTT was somewhat more pronounced when participants were using their right hand to respond. This study provides initial behavioral evidence of slowed interhemispheric transfer in psychopathy.

Uncoupled leftward asymmetries for planum morphology and functional language processing

Explanations for left hemisphere language laterality have often focused on hemispheric structural asymmetry of the planum temporale. We examined the association between an index of language laterality and brain morphology in 99 normal adults whose degree of laterality was established using a functional MRI single-word comprehension task. The index of language laterality was derived from the difference in volume of activation between the left and right hemispheres. Planum temporale and brain volume measures were made using structural MRI scans, blind to the functional data. Although both planum temporale asymmetry (t(1,99) = 6.86, p < .001) and language laterality (t(1,99) = 15.26, p < .001) were significantly left hemisphere biased, there was not a significant association between these variables (r(99) = .01,ns). Brain volume, a control variable for the planum temporale analyses, was related to language laterality in a multiple regression (beta = -.30, t = -2.25, p < .05). Individuals with small brains were more likely to demonstrate strong left hemisphere language laterality. These results suggest that language laterality is a multidimensional construct with complex neurological origins.

Hemispheric differences for identification of words and nonwords in urdu-English bilinguals

Hemispheric asymmetry was examined for Urdu-English bilinguals identifying printed Urdu words and nonwords, separated Urdu letter strings, digits, and English nonwords. In all cases, fewer errors occurred when stimuli were presented to the right visual field/left hemisphere (RVF/LH) than to the left visual field/right hemisphere (LVF/RH). Qualitative error patterns suggested that separated Urdu letter strings were processed more serially than Urdu letter strings joined to form words or pronounceable nonwords and more serially on RVF/LH than on LVF/RH trials. This qualitative laterality effect is similar to that found for Hebrew and Arabic but opposite that found for English and suggests that the qualitative manner of processing printed verbal material is influenced by language-specific factors such as scanning direction, orthographic-to-phonological mapping rules, and morphology.

Efficiency of callosal transfer and hemispheric interaction

The corpus callosum (CC) is essential to hemispheric interaction, but it is unclear how individual callosal properties affect interaction between the cerebral hemispheres. A number of studies have demonstrated some relationship between morphology or structure of the CC and measures of hemispheric interaction. However, to the authors' knowledge, none of these studies has been able to show a clear, direct relationship between a behavioral measure of transfer speed through the CC, interhemispheric transfer time (IHTT), and a behavioral measure of hemispheric interaction. Eighty participants were tested over 6 sessions on 2 tasks assessing IHTT and hemispheric interaction. The Poffenberger paradigm was used to measure IHTT, and a divided split-visual-field letter-matching task was used to assess hemispheric interaction. A significant correlation that could not be accounted for by other factors such as functional lateralization, handedness, age, sex, or attention was found between these 2 measures. These results are discussed in relation to CC morphology and structure and functional and structural hemispheric lateralization.

Hemispheric differences in hemodynamics elicited by auditory oddball stimuli

Evidence from neuroimaging studies suggests that the right hemisphere of the human brain might be more specialized for attention than the left hemisphere. However, differences between right and left hemisphere in the magnitude of hemodynamic activity (i.e., 'functional asymmetry') rarely have been explicitly examined in previous neuroimaging studies of attention. This study used a new voxel-based comparison method to examine hemispheric differences in the amplitude of the hemodynamic response in response to infrequent target, infrequent novel, and frequent standard stimuli during an event-related fMRI auditory oddball task in 100 healthy adult participants. Processing of low probability task-relevant target stimuli, or 'oddballs', and low probability task-irrelevant novel stimuli is believed to engage in orienting and attentional processes. It was hypothesized that greater right-hemisphere activation compared to left would be observed to infrequent target and novel stimuli. Consistent with predictions, greater right hemisphere than left frontal, temporal, and parietal lobe activity was observed for target detection and novelty processing. Moreover, asymmetry effects did not differ with respect to age or gender of the participants. The results (1) support the proposal that the right hemisphere is differentially engaged in processing salient stimuli and (2) demonstrate the successful use of a new voxel-based laterality analysis technique for fMRI data.

Increased lateralization in rotational side preference in male mice rendered acallosal by prenatal gamma irradiation

In order to test the hypothesis that the ontogenetic development of the corpus callosum is related to the establishment of behavioral laterality, the rotatory behavior in the free-swimming test was studied in male Swiss mice with callosal defects induced by exposure to gamma irradiations at the 16th embryonic day (total dose of 3 Gy). At adulthood, 43 irradiated and 56 non-irradiated mice were submitted to 3 sessions of the free-swimming rotatory test (diameter of the recipient=21 cm; session duration=5 min; inter-test interval=48 h). The number and direction of 30 degrees and 360 degrees turns were recorded. Animals were classified as side-consistent turners (to the right or to the left) when they did not change their preferred side of rotation in all three sessions and in both turning units. In general our results suggested that irradiated animals present more pronounced laterality than non-irradiated ones. In the irradiated group, the percentage of consistent turners was significantly higher than that of non-consistent turners. In the first session, the percentage of animals that presented strong turning preferences in the acallosal group was higher than in the normal group. In first session, the acallosal group presented a higher average number of turns to preferred side than the normal group. Taken together, our results constitute an endorsement to the hypothesis that the normal development of the corpus callosum is related to the establishment of cerebral laterality.

Magnetic resonance findings in bipolar disorder

The MR findings reviewed in this article suggest structural, chemical, and functional abnormalities in specific brain regions participating in mood and cognitive regulation, such as the DLPFC, anterior cingulate, amygdala,STG, and corpus callosum in subjects with bipolar disorder. These abnormalities would represent an altered anterior-limbic network disrupting inter- and intrahemispheric communication and underlying the expression of bipolar disorder. Available studies are limited by several confounding variables, such as small and heterogeneous patient samples, differences in clinical and medication status, and cross-sectional design. It is still unclear whether abnormalities in neurodevelopment or neurodegeneration play a major role in the pathophysiology of bipolar disorder. These processes could act together in a unitary model of the disease, with excessive neuronal pruning/apoptosis during childhood and adolescence being responsible for the onset of the disorder and subsequent neurotoxic mechanisms and impaired neuroplasticity and cellular resilience being responsible for further disease progression. Future MR studies should investigate larger samples of first-episode drug-free patients, pediatric patients, subjects at high risk for bipolar disorder, and unaffected family members longitudinally. Such a study population is crucial to examine systematically whether brain changes are present before the appearance of symptoms (eg, maldevelopment) or whether they develop afterwards, as a result of illness course (eg, neurodegeneration). These studies will also be instrumental in minimizing potentially confounding factors commonly found in adult samples, such as the effects of long-term medication, chronicity, and hospitalizations. Juvenile bipolar patients often have a strong family history of bipolar disorder. Future studies could help elucidate the relevance of brain abnormalities as reflections of genetic susceptibility to the disorder. MR studies associated with genetic, post-mortem, and neuropsychologic studies will be valuable in separating state from trait brain abnormalities and in further characterizing the genetic determinants, the neuropathologic underpinnings, and the cognitive disturbances of bipolar disorder.

Cerebral asymmetries in the level of attention required for word recognition

Words presented to the right visual field (RVF) are recognised more readily than those presented to the left visual field (LVF). This RVF advantage could reflect: (a) the direct connection between the RVF and left hemisphere, (b) an attentional bias directed towards the RVF, or (c) an attentional advantage, where the left hemisphere is able to recognise words using less attention than the right hemisphere. The attentional bias and advantage models were tested in 20 dextral adults during a divided visual field word-naming task. Spatial attention was manipulated with valid, invalid, or neutral central cues. Error and reaction time measures revealed a RVF advantage for word recognition. If the attentional bias model is correct, the RVF advantage should have been attenuated for valid and invalid cues compared to neutral cues. Instead of this, an interaction emerged whereby the cueing effect was stronger for words in the LVF than the RVF. This interaction has been reported previously in studies using peripheral spatial cues. The interaction suggests that the RVF requires less attention to process words than the LVF. This left hemisphere attentional advantage may reflect asymmetries between the hemispheres in their word processing styles.

Early Development of Neurophysiological Processes Involved in Normal Reading and Reading Disability: A Magnetic Source Imaging Study

This longitudinal study examined the development of the brain mechanism involved in phonological decoding in beginning readers using magnetic source imaging. Kindergarten students were assigned to 2 groups: those who showed mastery of skills that are important predictors of proficient reading (low-risk group) and those who initially did not show mastery but later benefited from systematic reading instruction and developed average-range reading skills at the end of Grade 1 (high-risk responders). Spatiotemporal profiles of brain activity were obtained during performance of letter-sound and pseudoword naming tasks before and after Grade 1 instruction. With few exceptions, low-risk children showed early development of brain activation profiles that are typical of older skilled readers. Provided that temporoparietal and visual association areas were recruited into the brain mechanism that supported reading, the majority of high-risk responder children benefited from systematic reading instruction and developed adequate reading abilities.

Effects of callosal agenesis on rotational side preference of BALB/cCF mice in the free swimming test

In order to test the hypothesis that the ontogenetic development of the corpus callosum is related to the establishment of behavioral laterality, the rotatory behavior in the free swimming test was studied in male mice of the BALB/cCF strain, in which approximately 20% of the animals present total or partial callosal agenesis. All animals were submitted to three sessions of the free-swimming rotatory test in three different sessions (diameter of the recipient = 21 cm; session duration = 5 min; inter-test interval = 48 h). The number and direction of the 30 and 360 degrees turns were recorded. Animals were classified as side-consistent turners (to the right or to the left) when they did not change their preferred side of rotation in all three sessions and in both turning units. In general our results suggested that acallosal animals present more pronounced laterality than normal ones. In the acallosal group, the percentage of consistent turners was significantly higher than that of non-consistent turners. The percentage of animals that presented strong turning preferences in the acallosal group was higher than in the normal group. In first session, the acallosal group presented a higher average number of turns to preferred side than the normal group. Taken together, our results constitute an endorsement to the hypothesis that the normal development of the corpus callosum is related to the establishment of cerebral laterality.

Stimulus-dominance effects and lateral asymmetries for language in normal subjects and in patients with a single functional hemisphere

The assessment of language laterality by the dichotic fused-words test may be impaired by interference effects revealed by the dominant report of one member of the stimuli-pair. Stimulus-dominance and ear asymmetry were evaluated in normal population (48 subjects of both sex and handedness) and in 2 patients with a single functional hemisphere. Results show that in normals the number of stimulus-dominated responses is five times higher than in patients, and is negatively correlated to the index of laterality. It is suggested that dichotic stimuli may interfere one with another during the subcortical acoustic processing and at cortical level, when competing for verbal output. Subcortical interference accounts for stimulus-dominance in the single-hemisphere patients. In normal subjects, the dichotic discrimination is disturbed mainly during the hemispheric cross-talk needed for the oral-verbal processing of dichotic inputs. The frequency of 'interhemispheric' interference, as well as the extents of ear asymmetry, may both depend on differences in the processing stage of the competing inputs, and then they may be influenced by differential verbal skills of LH and RH. Very unequal levels of verbal analysis of the dichotic stimuli may hinder reciprocal interference during the hemispheric cross-talk thus yielding large ear asymmetries associated to small dominance effects.

Cerebral Asymmetries for Language: Evidence for Structural-Behavioral Correlations

The current investigation tested 20 male right-handers in 5 divided visual field lexical tasks. Asymmetries in Heschl's gyrus, planum temporale, and planum parietale were measured using structural magnetic resonance imaging. Composite task asymmetries were positively correlated with asymmetry of the planum temporale only. There was also an association between the consistency of anatomical and behavioral asymmetries: Individuals who departed the most from the modal pattern of cortical asymmetry across regions also tended to show the greatest variability in asymmetry across tasks. Hence, individual differences in language laterality tasks may be affected by variation in asymmetry of posterior language structures. Additionally, when typical anatomical asymmetries fail to co-occur, there may be a less strictly regulated distribution of function across hemispheres.

Interhemispheric Interaction in Bilateral Redundancy Gain: Effects of Stimulus Format

Previous visual laterality experiments have shown that identification is better when 2 copies of the same stimulus are presented--1 to each hemisphere--than when only a single copy is presented to 1 hemisphere. New experiments were conducted to vary whether the 2 stimuli on a bilaterally redundant trial were physically identical or identical in format in addition to leading to identical responses. Substantial bihemispheric gain was obtained even when the 2 stimuli were perceptually distinctive (e.g., letter trigrams differing in case and font or the same numeric quantity represented by digits and dots). Thus, much of the bihemispheric advantage involves relatively abstract aspects of information processing. However, when the formats were sufficiently distinctive, there were small effects on bihemispheric performance, suggesting some role for less abstract processes that are sensitive to physical characteristics.

Are hemispheric strategy differences independent of the level of performance?

Studies requiring identification of consonant-vowel-consonant (CVC) nonwords have suggested that attention is distributed more slowly or sequentially across the letters when they are presented to the right hemisphere than to the left hemisphere. Two experiments investigated whether hemispheric differences in processing strategy would be reduced with reductions of hemispheric differences in accuracy. The magnitude of visual field differences in accuracy was controlled by manipulating exposure duration, and the effect was observed on visual field differences in processing strategy. For both CVC identification (Experiment 1) and identification of nonletter symbols (Experiment 2), hemispheric strategy differences were independent of differences in accuracy. Both quantitative and qualitative hemispheric differences in processing visual displays appear to depend on the nature of the stimuli and the nature of the processes they invoke.

Upper/lower visual field asymmetry on a spatial relocation memory task

The purpose of this study was to investigate whether the lower visual field advantage reported on a number of visual tasks depends on the activity of neural systems which process information from different spaces. To this end, a double dissociation logic was followed by observing the effects of visual and spatial interference on a relocation memory task performed by 80 volunteers. Results showed that participants were better at relocating stimuli presented in the lower than in the upper visual field. Moreover, a concurrent spatial task, but not a concurrent visual task, disrupted the visual field vertical asymmetry. Those findings confirm that the vertical asymmetry of visual field depends on the spatial processing of incoming stimuli.

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.

Quantitative and qualitative hemispheric asymmetry for processing Japanese kana

Native Japanese speakers identified three-letter kana stimuli presented to the left visual field and right hemisphere (LVF/RH), to the right visual field and left hemisphere (RVF/LH), or to both visual fields and hemispheres simultaneously (BILATERAL trials). There were fewer errors on RVF/LH and BILATERAL trials than on LVF/RH trials. Qualitative analysis of error patterns indicated that there were many fewer errors of first-letter identification than of last-letter identification, suggesting top-to-bottom scanning of the kana characters. In contrast to similar studies presenting nonword letter trigrams to native English speakers, qualitative error patterns were identical for the three visual field conditions. Taken together with the results of earlier studies, the results of the present experiment indicate that the ubiquitous RVF/LH advantage reflects a left-hemisphere superiority for phonetic processing that generalizes across specific languages. At the same time, qualitative aspects of hemispheric asymmetry differ from one language to the next and may depend on such things as the way in which individual characters map onto the pronunciation of words and nonwords.

Influence of learning to read and write on the morphology of the corpus callosum

Variations in the individual anatomy of the corpus callosum have been reported in several conditions. There seem to be genetic influencing factors, but it is impossible to rule out some environmental ones. This study focuses on the question of the environmental factors, using formal learning to read and write as the main difference in the groups to be compared. Based on magnetic resonance imaging sagital images, the contour of the corpus callosum (CC) of 41 carefully selected women (18 illiterate and 23 literate) was digitized. The comparison between the two groups showed a small difference in the region of the CC where parietal fibres are thought to cross. This region is thinner in illiterate subjects. As illiteracy in this group is the result of social constraints, and the two groups that were compared are well matched for other cultural and pragmatic aspects than literacy, the results are interpreted as showing the possible influence of formal learning to read and write, on the biological development of the brain.

The dynamics of interhemispheric collaboration and hemispheric control

This article reviews recent models of how the two hemispheres collaborate to facilitate efficient information processing. The strengths and weaknesses of behavioral techniques and structural and functional neuroimaging techniques are considered as they apply to these problems. The role of the corpus callosum as an equilibrator of activation between the two hemispheres is discussed and linked with its role as a dynamic modulator for the mobilization of hemispheric resources. Issues related to metacontrol and dynamic fluctuations in hemispheric control are also considered.