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Satoer D, Koudstaal PJ, Visch-Brink E, van der Giessen RS. Cerebellar-Induced Aphasia After Stroke: Evidence for the "Linguistic Cerebellum". CEREBELLUM (LONDON, ENGLAND) 2024; 23:1457-1465. [PMID: 38244134 PMCID: PMC11269354 DOI: 10.1007/s12311-024-01658-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/13/2024] [Indexed: 01/22/2024]
Abstract
The cerebellum is traditionally known to subserve motor functions. However, for several decades, the concept of the "cerebellar cognitive affective syndrome" has evolved. Studies in healthy participants and patients have confirmed the cerebellar role in language. The exact involvement of the cerebellum regarding cerebellar aphasia remains uncertain. We included 43 cerebellar stroke patients who were tested at 3 months post-onset with the Boston Naming Test (BNT), the Token Test (TT), and the Diagnostic Instrument for Mild Aphasia (DIMA). Lesion side (left/right) and volume (cm3) were investigated. Patients significantly deviated on the following: BNT (p<0.001), TT (p<0.05), DIMA subtests: sentences repetition (p=0.001), semantic odd-picture-out (p<0.05), sentence completion (p<0.05) without an effect of lesion location (left/right) or volume (cm3) (p>0.05). Our clinical study confirms a non-lateralized cerebellar aphasia post-stroke, characterized by impairments in word retrieval, phonology, semantics, and syntax resembling cerebral-induced aphasia. The integral cerebellum appears to interact with eloquent cortico-subcortical language areas.
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Affiliation(s)
- Djaina Satoer
- Department of Neurosurgery, Erasmus MC University Medical Center, Dr. Molewaterplein 40, room Na-2106, 3015, GD, Rotterdam, The Netherlands.
| | - Peter J Koudstaal
- Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
| | - Evy Visch-Brink
- Department of Neurosurgery, Erasmus MC University Medical Center, Dr. Molewaterplein 40, room Na-2106, 3015, GD, Rotterdam, The Netherlands
- Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
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Uyar E, Akturk H, Usanmaz S, Kiykim A, Tufan AE, Alibas H, Aydiner O, Somer A, Ozen A, Baris S, Karakoc-Aydiner E. Neurocognitive Impairment in Patients With Ataxia Telangiectasia and Their Unaffected Parents: Is It Similar? Pediatr Neurol 2024; 156:85-90. [PMID: 38733859 DOI: 10.1016/j.pediatrneurol.2024.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 03/13/2024] [Accepted: 04/12/2024] [Indexed: 05/13/2024]
Abstract
BACKGROUND Ataxia telangiectasia (AT) is a genetic multisystemic disorder affecting the nervous system. Data on neurocognitive functioning in AT are limited and focused on patients at various stages of disease. Because of the genetic nature of the disorder, parents of patients may also display subtle neurological problems. This study aimed to evaluate neurocognitive functioning in patients with AT and their unaffected parents. METHODS The study included 26 patients with AT and 41 parents among which 13 patients and 18 parents were evaluated with neurocognitive tests. Clinical and radiological data were reviewed retrospectively. Data were analyzed with descriptive statistics. RESULTS The median ages of patients and parents were 12.5 years (interquartile range [IQR] = 9.5) and 38.0 years (IQR = 12.0), respectively. Median intelligence quotients were 62.0 (IQR = 21.3) and 82.5 (IQR = 16.8), respectively, for patients and parents. Rates of intellectual disability for patients and parents were 100.0% and 83.3%, respectively. Areas of impairment in patients in decreasing order of frequency were motor skills, visual perception/memory, visual-manual coordination, spontaneous/focused and sustained attention (100.0% for each), social judgment, as well as vocabulary and arithmetic skills (75.0% for each). Areas of impairment in unaffected parents in decreasing order of frequency were visual-manual coordination (77.8%), working memory (76.5%), and visual perception and motor skills (66.7% for each). CONCLUSION Intellectual disabilities, visual-spatial disabilities, and reduced visual-motor coordination seem to be similar in patients with AT and their parents. These results should be replicated with larger samples from multiple centers and may form putative cognitive endophenotypes for the disorder.
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Affiliation(s)
- Emel Uyar
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye.
| | - Hacer Akturk
- Istanbul Faculty of Medicine, Division of Pediatric Infectious Diseases and Clinical Immunology, Istanbul University, Istanbul, Turkiye; Division of Pediatric Infectious Diseases, Koc University, Istanbul, Turkiye
| | - Sevil Usanmaz
- Division of Clinical Psychology, Neuron Consultancy, Istanbul, Turkiye
| | - Ayca Kiykim
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant İzzet Baysal University, Bolu, Turkiye
| | - Hande Alibas
- Department of Neurology, Erenkoy Mental and Nervous Diseases Research and Training Hospital, Istanbul, Turkiye
| | - Omer Aydiner
- Interventional Radiology Department, Kartal Lutfi Kirdar City Hospital, Istanbul, Turkiye
| | - Ayper Somer
- Istanbul Faculty of Medicine, Division of Pediatric Infectious Diseases and Clinical Immunology, Istanbul University, Istanbul, Turkiye
| | - Ahmet Ozen
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Safa Baris
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
| | - Elif Karakoc-Aydiner
- Faculty of Medicine, Division of Pediatric Allergy and Immunology Istanbul, Marmara University, Istanbul, Turkiye
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Li L, Liu Y, Shu Y, Liu X, Song Y, Long T, Li K, Xie W, Zeng Y, Zeng L, Huang L, Liu Y, Deng Y, Li H, Peng D. Altered functional connectivity of cerebellar subregions in male patients with obstructive sleep apnea: A resting-state fMRI study. Neuroradiology 2024; 66:999-1012. [PMID: 38671339 DOI: 10.1007/s00234-024-03356-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 04/07/2024] [Indexed: 04/28/2024]
Abstract
PURPOSE Previous studies have demonstrated impaired cerebellar function in patients with obstructive sleep apnea (OSA), which is associated with impaired cognition. However, the effects of OSA on resting-state functional connectivity (FC) in the cerebellum has not been determined. The purpose of this study was to investigate resting-state FC of the cerebellar subregions and its relevance to clinical symptoms in patients with OSA. METHODS Sixty-eight patients with OSA and seventy-two healthy controls (HCs) were included in the study. Eight subregions of the cerebellum were selected as regions of interest, and the FC values were calculated for each subregion with other voxels. A correlation analysis was performed to examine the relationship between clinical and cognitive data. RESULTS Patients with OSA showed higher FC in specific regions, including the right lobule VI with the right posterior middle temporal gyrus and right angular gyrus, the right Crus I with the bilateral precuneus/left superior parietal lobule, and the right Crus II with the precuneus/right posterior cingulate cortex. Furthermore, the oxygen depletion index was negatively correlated with aberrant FC between the right Crus II and the bilateral precuneus / right posterior cingulate cortex in OSA patients (p = 0.004). CONCLUSION The cerebellum is functionally lateralized and closely linked to the posterior default mode network. Higher FC is related to cognition, emotion, language, and sleep in OSA. Abnormal FC may offer new neuroimaging evidence and insights for a deeper comprehension of OSA-related alterations.
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Affiliation(s)
- Lifeng Li
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
- Department of Radiology, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South China, Hengyang, 410000, Hunan Province, China
| | - Yuting Liu
- Department of Ophthalmology, Hunan Children's Hospital, Changsha, 410000, Hunan Province, China
| | - Yongqiang Shu
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Xiang Liu
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Yucheng Song
- School of Computer Science and Engineering, Central South University, Changsha, 410000, Hunan Province, China
| | - Ting Long
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Kunyao Li
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Wei Xie
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Yaping Zeng
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Li Zeng
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Ling Huang
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Yumeng Liu
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Yingke Deng
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China
| | - Haijun Li
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China.
- PET Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Jiangxi Province, Nanchang, 330006, Nanchang Province, China.
| | - Dechang Peng
- Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi Province, China.
- PET Center, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Jiangxi Province, Nanchang, 330006, Nanchang Province, China.
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Klaus J, Stoodley CJ, Schutter DJLG. Neurodevelopmental trajectories of cerebellar grey matter associated with verbal abilities in males with autism spectrum disorder. Dev Cogn Neurosci 2024; 67:101379. [PMID: 38615557 PMCID: PMC11026694 DOI: 10.1016/j.dcn.2024.101379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 03/14/2024] [Accepted: 04/08/2024] [Indexed: 04/16/2024] Open
Abstract
Autism spectrum disorder (ASD) is a neurodevelopmental condition frequently associated with structural cerebellar abnormalities. Whether cerebellar grey matter volumes (GMV) are linked to verbal impairments remains controversial. Here, the association between cerebellar GMV and verbal abilities in ASD was examined across the lifespan. Lobular segmentation of the cerebellum was performed on structural MRI scans from the ABIDE I dataset in male individuals with ASD (N=144, age: 8.5-64.0 years) and neurotypical controls (N=188; age: 8.0-56.2 years). Stepwise linear mixed effects modeling including group (ASD vs. neurotypical controls), lobule-wise GMV, and age was performed to identify cerebellar lobules which best predicted verbal abilities as measured by verbal IQ (VIQ). An age-specific association between VIQ and GMV of bilateral Crus II was found in ASD relative to neurotypical controls. In children with ASD, higher VIQ was associated with larger GMV of left Crus II but smaller GMV of right Crus II. By contrast, in adults with ASD, higher VIQ was associated with smaller GMV of left Crus II and larger GMV of right Crus II. These findings indicate that relative to the contralateral hemisphere, an initial reliance on the language-nonspecific left cerebellar hemisphere is offset by more typical right-lateralization in adulthood.
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Affiliation(s)
- Jana Klaus
- Department of Experimental Psychology, Utrecht University, the Netherlands; Helmholtz Institute, Utrecht, the Netherlands.
| | | | - Dennis J L G Schutter
- Department of Experimental Psychology, Utrecht University, the Netherlands; Helmholtz Institute, Utrecht, the Netherlands
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Campbell T, Diuguid C, Vasaya S, Janda P, Vickers A. Mixed Aphasia Caused by Bilateral Cerebellar Infarcts: a Case Report. CEREBELLUM (LONDON, ENGLAND) 2024; 23:255-259. [PMID: 36690828 DOI: 10.1007/s12311-023-01521-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/16/2023] [Indexed: 01/25/2023]
Abstract
Although neuroanatomical and physiological understanding of the cerebellum has evolved over recent decades and continues to develop, there is much that remains to be expounded upon, especially with regard to nonmotor roles. Neurocognitive and language processing is one area where involvement of the cerebellum is no longer in question, but the extent and mechanism of this relationship have yet to be defined. For example, which of the cerebellar hemispheres is involved continues to be debated. We present a case wherein a thrombus in the basilar artery led to bihemispheric cerebellar strokes with profound mixed effects on the patient's language and cognition. To the authors' knowledge, this is the first reported case of bilateral cerebellar strokes resulting in a mixed aphasia reported in scientific literature. This demonstrates the importance of continued research into a model for cerebellar function and the clinical impact of lesions to various cerebellar regions.
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Affiliation(s)
- Taylor Campbell
- Valley Hospital Medical Center, Las Vegas, USA.
- Las Vegas Neurology Center, 2020 Wellness Way Ste. 300, Las Vegas, NV, 89106, USA.
| | - Christy Diuguid
- Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, 1650 W Charleston Blvd, NV, 89016, Las Vegas, USA
| | - Sannah Vasaya
- Valley Hospital Medical Center, Las Vegas, USA
- Las Vegas Neurology Center, 2020 Wellness Way Ste. 300, Las Vegas, NV, 89106, USA
| | - Paul Janda
- Valley Hospital Medical Center, Las Vegas, USA
- Las Vegas Neurology Center, 2020 Wellness Way Ste. 300, Las Vegas, NV, 89106, USA
- Neurology, Touro University Nevada, Henderson, USA
| | - Aroucha Vickers
- Valley Hospital Medical Center, Las Vegas, USA
- Las Vegas Neurology Center, 2020 Wellness Way Ste. 300, Las Vegas, NV, 89106, USA
- Neurology and Neuro-Ophthalmology, Touro University Nevada, Henderson, USA
- Neuro-Ophthalmology Department, Las Vegas Neurology Center, Las Vegas, USA
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6
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Vlasova RM, Panikratova YR, Pechenkova EV. Systematic Review and Meta-analysis of Language Symptoms due to Cerebellar Injury. CEREBELLUM (LONDON, ENGLAND) 2023; 22:1274-1286. [PMID: 36205825 DOI: 10.1007/s12311-022-01482-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/19/2022] [Indexed: 06/16/2023]
Abstract
To date, cerebellar contribution to language is well established via clinical and neuroimaging studies. However, the particular functional role of the cerebellum in language remains to be clarified. In this study, we present the first systematic review of the diverse language symptoms in spoken language after cerebellar lesion that were reported in case studies for the last 30 years (18 clinical cases from 13 papers), and meta-analysis using cluster analysis with bootstrap and symptom co-occurrence analysis. Seven clusters of patients with similar language symptoms after cerebellar lesions were found. Co-occurrence analysis revealed pairs of symptoms that tend to be comorbid. Our results imply that the "linguistic cerebellum" has a multiform contribution to language function. The most possible mechanism of such contribution is the cerebellar reciprocal connectivity with supratentorial brain regions, where the cerebellar level of the language network has a general modulation function and the supratentorial level is more functionally specified. Based on cerebellar connectivity with supratentorial components of the language network, the "linguistic cerebellum" might be further functionally segregated.
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Affiliation(s)
- Roza M Vlasova
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA.
| | - Yana R Panikratova
- Laboratory of Neuroimaging and Multimodal Analysis, Mental Health Research Center, Moscow, Russia
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Alotaibi S, Alsaleh A, Wuerger S, Meyer G. Rapid neural changes during novel speech-sound learning: An fMRI and DTI study. BRAIN AND LANGUAGE 2023; 245:105324. [PMID: 37741162 DOI: 10.1016/j.bandl.2023.105324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 09/05/2023] [Accepted: 09/12/2023] [Indexed: 09/25/2023]
Abstract
While the functional and microstructural changes that occur when we learn new language skills are well documented, relatively little is known about the time course of these changes. Here a combined functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) study that tracks neural change over three days of learning Arabic phonetic categorization as a new language (L-training) is presented. Twenty adult native English-speaking (L-native) participants are scanned before and after training to perceive and produce L-training phonetic contrasts for one hour on three consecutive days. A third (Chinese) language is used as a control language (L-control). Behavioral results show significant performance improvement for L-training in both learnt tasks; the perception and production task. Imaging analysis reveals that, training-related hemodynamic fMRI signal and fractional anisotropy (FA) value increasing can be observed, in the left inferior frontal gyrus (LIFG) and positively correlated with behavioral improvement. Moreover, post training functional connectivity findings show a significant increasing between LIFG and left inferior parietal lobule for L-training. These results indicate that three hours of phonetic categorization learning causes functional and microstructural changes that are typically associated with much more long-term learning.
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Affiliation(s)
- Sahal Alotaibi
- Radiology Dept, Applied Medical Sciences, Taif University, Taif 21944, Saudi Arabia; Faculty of Health & Life Sciences, University of Liverpool, Liverpool L69 7ZA, United Kingdom
| | - Alanood Alsaleh
- Radiological Sciences Dept, Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sophie Wuerger
- Clinical and Cognitive Neuroscience Group, Dept of Psychology, University of Liverpool, Liverpool L69 7ZA, United Kingdom
| | - Georg Meyer
- Clinical and Cognitive Neuroscience Group, Dept of Psychology, University of Liverpool, Liverpool L69 7ZA, United Kingdom; Virtual Engineering Centre, Digital Innovation Facility, University of Liverpool, L69 3RF, United Kingdom.
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8
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Danielli E, Simard N, DeMatteo CA, Kumbhare D, Ulmer S, Noseworthy MD. A review of brain regions and associated post-concussion symptoms. Front Neurol 2023; 14:1136367. [PMID: 37602240 PMCID: PMC10435092 DOI: 10.3389/fneur.2023.1136367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 07/12/2023] [Indexed: 08/22/2023] Open
Abstract
The human brain is an exceptionally complex organ that is comprised of billions of neurons. Therefore, when a traumatic event such as a concussion occurs, somatic, cognitive, behavioral, and sleep impairments are the common outcome. Each concussion is unique in the sense that the magnitude of biomechanical forces and the direction, rotation, and source of those forces are different for each concussive event. This helps to explain the unpredictable nature of post-concussion symptoms that can arise and resolve. The purpose of this narrative review is to connect the anatomical location, healthy function, and associated post-concussion symptoms of some major cerebral gray and white matter brain regions and the cerebellum. As a non-exhaustive description of post-concussion symptoms nor comprehensive inclusion of all brain regions, we have aimed to amalgamate the research performed for specific brain regions into a single article to clarify and enhance clinical and research concussion assessment. The current status of concussion diagnosis is highly subjective and primarily based on self-report of symptoms, so this review may be able to provide a connection between brain anatomy and the clinical presentation of concussions to enhance medical imaging assessments. By explaining anatomical relevance in terms of clinical concussion symptom presentation, an increased understanding of concussions may also be achieved to improve concussion recognition and diagnosis.
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Affiliation(s)
- Ethan Danielli
- School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada
- Imaging Research Centre, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada
- KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
| | - Nicholas Simard
- Imaging Research Centre, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada
- Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON, Canada
| | - Carol A. DeMatteo
- ARiEAL Research Centre, McMaster University, Hamilton, ON, Canada
- Department of Rehabilitation Sciences, McMaster University, Hamilton, ON, Canada
| | - Dinesh Kumbhare
- School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada
- Imaging Research Centre, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada
- KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
- Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada
| | - Stephan Ulmer
- Neurorad.ch, Zurich, Switzerland
- Department of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Germany
| | - Michael D. Noseworthy
- School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada
- Imaging Research Centre, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada
- Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON, Canada
- ARiEAL Research Centre, McMaster University, Hamilton, ON, Canada
- Department of Radiology, McMaster University, Hamilton, ON, Canada
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9
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Keser Z, Meier EL, Stockbridge MD, Breining BL, Hillis AE, Sebastian R. Corticocerebellar White Matter Integrity Is Related to Naming Outcome in Post-Stroke Aphasia. NEUROBIOLOGY OF LANGUAGE (CAMBRIDGE, MASS.) 2023; 4:404-419. [PMID: 37588128 PMCID: PMC10426388 DOI: 10.1162/nol_a_00107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 04/03/2023] [Indexed: 08/18/2023]
Abstract
Studies have shown that the integrity of white matter tracts connecting different regions in the left cerebral hemisphere is important for aphasia recovery after stroke. However, the impact of the underlying structural connection between the cortex and the cerebellum in post-stroke aphasia is poorly understood. We studied the microstructural integrity of the cerebellum and the corticocerebellar connections and their role in picture naming. Fifty-six patients with left cerebral infarcts (sparing the cerebellum) underwent diffusion tensor imaging (DTI) and Boston Naming Test. We compared the fractional anisotropy (FA) and mean diffusivity (MD) values of the right and the left cerebellum (lobular gray and white matter structures) and cerebellocortical connections. Recursive feature elimination and Spearman correlation analyses were performed to evaluate the relationship between naming performance and the corticocerebellar connections. We found that the right, relative to left, cerebellar structures and their connections with the left cerebrum showed lower FA and higher MD values, both reflecting lower microstructural integrity. This trend was not observed in the healthy controls. Higher MD values of the right major cerebellar outflow tract were associated with poorer picture naming performance. Our study provides the first DTI data demonstrating the critical importance of ascending and descending corticocerebellar connections for naming outcomes after stroke.
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Affiliation(s)
- Zafer Keser
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Neurology, Mayo Clinic, Rochester, MN, USA
| | - Erin L. Meier
- Department of Communication Sciences and Disorders, Northeastern University, Boston, MA, USA
| | - Melissa D. Stockbridge
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Bonnie L. Breining
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Argye E. Hillis
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Cognitive Science, Johns Hopkins University, Baltimore, MD, USA
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Rajani Sebastian
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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Fafrowicz M, Ceglarek A, Olszewska J, Sobczak A, Bohaterewicz B, Ostrogorska M, Reuter-Lorenz P, Lewandowska K, Sikora-Wachowicz B, Oginska H, Hubalewska-Mazgaj M, Marek T. Dynamics of working memory process revealed by independent component analysis in an fMRI study. Sci Rep 2023; 13:2900. [PMID: 36808174 PMCID: PMC9938907 DOI: 10.1038/s41598-023-29869-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 02/11/2023] [Indexed: 02/20/2023] Open
Abstract
Human memory is prone to errors in many everyday activities but also when cultivating hobbies such as traveling and/or learning a new language. For instance, while visiting foreign countries, people erroneously recall foreign language words that are meaningless to them. Our research simulated such errors in a modified Deese-Roediger-McDermott paradigm for short-term memory with phonologically related stimuli aimed at uncovering behavioral and neuronal indices of false memory formation with regard to time-of-day, a variable known to influence memory. Fifty-eight participants were tested in a magnetic resonance (MR) scanner twice. The results of an Independent Component Analysis revealed encoding-related activity of the medial visual network preceding correct recognition of positive probes and correct rejection of lure probes. The engagement of this network preceding false alarms was not observed. We also explored if diurnal rhythmicity influences working memory processes. Diurnal differences were seen in the default mode network and the medial visual network with lower deactivation in the evening hours. The GLM results showed greater activation of the right lingual gyrus, part of the visual cortex and the left cerebellum in the evening. The study offers new insight into the mechanisms associated with false memories, suggesting that deficient engagement of the medial visual network during the memorization phase of a task results in short-term memory distortions. The results shed new light on the dynamics of working memory processes by taking into account the effect of time-of-day on memory performance.
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Affiliation(s)
- Magdalena Fafrowicz
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348, Krakow, Poland.
| | - Anna Ceglarek
- Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348, Krakow, Poland.
| | - Justyna Olszewska
- grid.267474.40000 0001 0674 4543Department of Psychology, University of Wisconsin-Oshkosh, Oshkosh, WI USA
| | - Anna Sobczak
- grid.5522.00000 0001 2162 9631Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348 Krakow, Poland
| | - Bartosz Bohaterewicz
- grid.433893.60000 0001 2184 0541Department of Psychology of Individual Differences, Psychological Diagnosis and Psychometrics, Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland
| | - Monika Ostrogorska
- grid.5522.00000 0001 2162 9631Chair of Radiology, Medical College, Jagiellonian University, Krakow, Poland
| | - Patricia Reuter-Lorenz
- grid.214458.e0000000086837370Department of Psychology, University of Michigan, Ann Arbor, MI USA
| | - Koryna Lewandowska
- grid.5522.00000 0001 2162 9631Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348 Krakow, Poland
| | - Barbara Sikora-Wachowicz
- grid.5522.00000 0001 2162 9631Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348 Krakow, Poland
| | - Halszka Oginska
- grid.5522.00000 0001 2162 9631Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348 Krakow, Poland
| | - Magdalena Hubalewska-Mazgaj
- grid.413454.30000 0001 1958 0162Department of Drug Addiction Pharmacology, Maj Institute of Pharmacology, Polish Academy of Sciences, Krakow, Poland
| | - Tadeusz Marek
- grid.5522.00000 0001 2162 9631Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, Lojasiewicza Street 4, 30-348 Krakow, Poland
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Pellegrino M, Ben-Soussan TD, Paoletti P. A Scoping Review on Movement, Neurobiology and Functional Deficits in Dyslexia: Suggestions for a Three-Fold Integrated Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3315. [PMID: 36834011 PMCID: PMC9966639 DOI: 10.3390/ijerph20043315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/08/2023] [Accepted: 02/12/2023] [Indexed: 06/18/2023]
Abstract
Developmental dyslexia is a common complex neurodevelopmental disorder. Many theories and models tried to explain its symptomatology and find ways to improve poor reading abilities. The aim of this scoping review is to summarize current findings and several approaches and theories, focusing on the interconnectedness between motion, emotion and cognition and their connection to dyslexia. Consequently, we present first a brief overview of the main theories and models regarding dyslexia and its proposed neural correlates, with a particular focus on cerebellar regions and their involvement in this disorder. After examining different types of intervention programs and remedial training, we highlight the effects of a specific structured sensorimotor intervention named Quadrato Motor Training (QMT). QMT utilizes several cognitive and motor functions known to be relevant in developmental dyslexia. We introduce its potential beneficial effects on reading skills, including working memory, coordination and attention. We sum its effects ranging from behavioral to functional, structural and neuroplastic, especially in relation to dyslexia. We report several recent studies that employed this training technique with dyslexic participants, discussing the specific features that distinguish it from other training within the specific framework of the Sphere Model of Consciousness. Finally, we advocate for a new perspective on developmental dyslexia integrating motion, emotion and cognition to fully encompass this complex disorder.
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Affiliation(s)
- Michele Pellegrino
- Research Institute for Neuroscience, Education and Didactics, Patrizio Paoletti Foundation for Development and Communication, 06081 Assisi, Italy
| | - Tal Dotan Ben-Soussan
- Research Institute for Neuroscience, Education and Didactics, Patrizio Paoletti Foundation for Development and Communication, 06081 Assisi, Italy
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12
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Zheng K, Xu X, Ji Y, Fang H, Gao F, Huang G, Su B, Bian L, Zhang G, Ren C. Continuous theta burst stimulation-induced suppression of the right fronto-thalamic-cerebellar circuit accompanies improvement in language performance in poststroke aphasia: A resting-state fMRI study. Front Aging Neurosci 2023; 14:1079023. [PMID: 36711202 PMCID: PMC9877515 DOI: 10.3389/fnagi.2022.1079023] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 12/21/2022] [Indexed: 01/13/2023] Open
Abstract
Background Continuous theta burst stimulation (cTBS) is a specific paradigm of repetitive transcranial magnetic stimulation (rTMS) with an inhibitory effect on cortical excitability for up to 60 min after less than 1 min of stimulation. The right posterior superior temporal gyrus (pSTG), homotopic to Wernicke's area in the left hemisphere, may be a potential stimulation target based on its critical role in semantic processing. The objective of this study was to explore whether cTBS over the right pSTG can promote language improvements in aphasic patients and the underlying mechanism. Methods A total of 34 subjects with aphasia were randomly assigned to undergo 15 sessions of either 40-s inhibitory cTBS over the right pSTG (the cTBS group) or sham stimulation (the sham group), followed by 30 min of speech and language therapy. Subjects underwent resting-state functional magnetic resonance imaging (rs-fMRI), and the aphasia quotient (AQ) of the Chinese version of the Western Aphasia Battery (WAB) was calculated before and after the intervention. This randomized controlled trial was registered in the Chinese Clinical Trial Registry (No. ChiCTR210052962). Results After treatment, the language performance of the cTBS group was higher than that of the sham group in terms of the WAB-AQ score (p = 0.010) and the WAB scores for auditory comprehension (p = 0.022) and repetition (p = 0.035). The fractional amplitude of low-frequency fluctuations (fALFF) was significantly decreased in the pars triangularis of the inferior frontal gyrus (IFG), right middle frontal gyrus, right thalamus, and left cerebellar crus I. Clusters in the left orbitofrontal cortex exhibited increased fALFF. The change in WAB comprehension scores were significantly correlated with the change in the fALFF of the right IFG pars triangularis in both groups. Greatly increased functional connectivity was observed between the right pars triangularis and left paracingulate gyrus and between the right pSTG and right angular gyrus and the posterior cingulate gyrus with pre-and post-treatment between the two groups. Conclusion Our findings indicate that cTBS of the right pSTG may improve language production by suppressing intrinsic activity of the right fronto-thalamic-cerebellar circuit and enhancing the involvement of the right temporoparietal region.
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Affiliation(s)
- Kai Zheng
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Xinlei Xu
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Yingying Ji
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Hui Fang
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Fanglan Gao
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Guilan Huang
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Bin Su
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Li Bian
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China
| | - Guofu Zhang
- The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China,Guofu Zhang, ✉
| | - Caili Ren
- Department of Neurorehabilitation, Wuxi Central Rehabilitation Hospital, The Affiliated Mental Health Center of Jiangnan University, Wuxi, Jiangsu, China,*Correspondence: Caili Ren, ✉
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13
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Yuan Q, Li H, Du B, Dang Q, Chang Q, Zhang Z, Zhang M, Ding G, Lu C, Guo T. The cerebellum and cognition: further evidence for its role in language control. Cereb Cortex 2022; 33:35-49. [PMID: 35226917 DOI: 10.1093/cercor/bhac051] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 12/27/2021] [Accepted: 01/26/2022] [Indexed: 11/14/2022] Open
Abstract
The cognitive function of the human cerebellum could be characterized as enigmatic. However, researchers have attempted to detail the comprehensive role of the cerebellum in several cognitive processes in recent years. Here, using functional magnetic resonance imaging (fMRI) and transcranial direct current stimulation (tDCS), we revealed different functions of bilateral cerebellar lobules in bilingual language production. Specifically, brain activation showed the bilateral posterolateral cerebellum was associated with bilingual language control, and an effective connectivity analysis built brain networks for the interaction between the cerebellum and the cerebral cortex. Furthermore, anodal tDCS over the right cerebellum significantly optimizes language control performance in bilinguals. Together, these results reveal a precise asymmetrical functional distribution of the cerebellum in bilingual language production, suggesting that the right cerebellum is more involved in language control. In contrast, its left counterpart undertakes a computational role in cognitive control function by connecting with more prefrontal, parietal, subcortical brain areas.
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Affiliation(s)
- Qiming Yuan
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Hehui Li
- Center for Brain Disorders and Cognitive Sciences, Shenzhen University, Shenzhen 518061, China
| | - Boqi Du
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Qinpu Dang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Qianwen Chang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Zhaoqi Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Man Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Guosheng Ding
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
| | - Chunming Lu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
| | - Taomei Guo
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
- Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing 100875, China
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Nakatani H, Nakamura Y, Okanoya K. Respective Involvement of the Right Cerebellar Crus I and II in Syntactic and Semantic Processing for Comprehension of Language. CEREBELLUM (LONDON, ENGLAND) 2022:10.1007/s12311-022-01451-y. [PMID: 35927417 DOI: 10.1007/s12311-022-01451-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/28/2022] [Indexed: 06/15/2023]
Abstract
The right posterolateral portions of the cerebellum (crus-I/II) are involved in language processing. However, their functional role in language remains unknown. The cerebellum is hypothesized to acquire an internal model that is a functional copy of mental representations in the cerebrum and to contribute to cognitive function. In this research, based on the cerebellar internal model hypothesis, we conducted task-based and resting-state functional magnetic resonance imaging (fMRI) experiments to investigate the role of the cerebellum in the syntactic and semantic aspects of comprehension of sentences. In a syntactic task, participants read sentences with center-embedded hierarchical structures. The hierarchical level-dependent activity was found in the right crus-I as well as Broca's area (p < 0.05, voxel-based small volume correction (SVC)). In a semantic task, the participants read three types of sentences for investigation of sentence-level, phrase-level, and word-level semantic processing. The semantic level-dependent activity was found in the right crus-II as well as in the left anterior temporal lobe and the left angular gyrus (p < 0.05, voxel-based SVC). Moreover, the right crus-I/II showed significant activity when the cognitive load was high. Resting-state fMRI demonstrated intrinsic functional connectivity between the right crus-I/II and language-related regions in the left cerebrum (p < 0.05, voxel-based SVC). These findings suggest that the right crus-I and crus-II are involved, respectively, in the syntactic and semantic aspects of sentence processing. The cerebellum assists processing of language in the cerebrum when the cognitive load is high.
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Affiliation(s)
- Hironori Nakatani
- School of Information and Telecommunication Engineering, Tokai University, 2-3-23, Minato-ku, TakanawaTokyo, 108-8619, Japan.
- RIKEN Center for Brain Science, 2-1, Hirosawa, Wako, Saitama, 351-0198, Japan.
| | - Yuko Nakamura
- The Center for Evolutionary Cognitive Sciences, Graduate School of Art and Sciences, The University of Tokyo, 3-8-1, Meguro-ku, KomabaTokyo, 153-8902, Japan
- Institute for Diversity & Adaptation of Human Mind (UTIDAHM), The University of Tokyo, 3-8-1, Meguro-ku, KomabaTokyo, 153-8902, Japan
| | - Kazuo Okanoya
- RIKEN Center for Brain Science, 2-1, Hirosawa, Wako, Saitama, 351-0198, Japan
- The Center for Evolutionary Cognitive Sciences, Graduate School of Art and Sciences, The University of Tokyo, 3-8-1, Meguro-ku, KomabaTokyo, 153-8902, Japan
- Institute for Diversity & Adaptation of Human Mind (UTIDAHM), The University of Tokyo, 3-8-1, Meguro-ku, KomabaTokyo, 153-8902, Japan
- Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1, Komaba, Meguro-ku, Tokyo, 153-8902, Japan
- Teikyo University, Advanced Comprehensive Research Organization, 2-21-1, Kaga, Itabashi-ku, Tokyo, 173-0003, Japan
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Pang L, Fan B, Chen Z, Chen Z, Lv C, Zheng J. Disruption of Cerebellar–Cerebral Functional Connectivity in Temporal Lobe Epilepsy and the Connection to Language and Cognitive Functions. Front Neurosci 2022; 16:871128. [PMID: 35837122 PMCID: PMC9273908 DOI: 10.3389/fnins.2022.871128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 05/27/2022] [Indexed: 01/26/2023] Open
Abstract
ObjectiveTo investigate the changes in the cerebellar-cerebral language network in temporal lobe epilepsy (TLE) patients from the cerebellar perspective, the research analyzes the changes of language and cognitive network in terms of functional connectivity (FC), as well as their efficiency of the reorganization were evaluated basing on relationship between the network metrics and neuropsychological scale scores.Methods30 TLE patients and 30 healthy controls were recruited. Brain activity was evaluated by voxel-mirrored homotopic connectivity analysis (VMHC). Two groups were analyzed and compared in terms of language FC using the following methods: Seed-to-Voxel analysis, pairwise correlations [region of interest(ROI)-to-ROI] and graph theory. Correlation analysis was performed between network properties and neuropsychological score.ResultsCompared with healthy participants, VMHC values in the Cerebellum Anterior Lobe, Frontal Lobe, Frontal_Sup_R/L, Cingulum_Ant_R/L, and Cingulum_Mid_R/L were decreased in TLE patients. Decreased FC was observed from the Cerebelum_10_R to the left inferior frontal gyrus, from the Cerebelum_6_R to the left Lingual Gyrus, from the Cerebelum_4_5_R to left Lingual Gyrus, left Cuneal Cortex and Precuneous Cortex, from the Cerebelum_3_R to Brain-Stem, and from the Cerebelum_Crus1_L to Cerebelum_6_R in TLE patients. The FC was enhanced between bilateral Cingulum_Mid and angular gyrus and frontoparietal insular cranium, between Frontal_Sup_Med L and left/right superior temporal gyrus (pSTG l/r), while it was decreased between left middle temporal gyrus and pSTG l/r. Compared with controls, the Betweenness Centrality (BC) of the right superior marginal gyrus (SMG), Temporal_Pole_Mid_R and Temporal_Mid_L as well as the Degree Centrality (DC) and Nodal Efficiency (NE) of the right SMG were lower in TLE patients. Further analysis showed that decreased VMHC in bilateral Cerebellum Anterior Lobe was positively correlated with the Boston Naming Test score in TLE patients, but it was negatively correlated with the Verbal Fluency Test score. The NE and DC of SMG_R were both negatively correlated with visual perception score in Montreal Cognitive Assessment.ConclusionOur results suggest that presence of abnormalities in the static functional connectivity and the language and cognitive network of TLE patients. Cerebellum potentially represents an intervention target for delaying or improving language and cognitive deficits in patients with TLE.
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Zheng K, Chen M, Shen Y, Xu X, Gao F, Huang G, Ji Y, Su B, Song D, Fang H, Liu P, Ren C. Cerebellar Continuous Theta Burst Stimulation for Aphasia Rehabilitation: Study Protocol for a Randomized Controlled Trial. Front Aging Neurosci 2022; 14:909733. [PMID: 35721014 PMCID: PMC9201405 DOI: 10.3389/fnagi.2022.909733] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 05/03/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundLanguage recovery is limited in moderate to severe post-stroke aphasia patients. Repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising tool in improving language dysfunctions caused by post-stroke aphasia, but the treatment outcome is as yet mixed. Considerable evidence has demonstrated the essential involvement of the cerebellum in a variety of language functions, suggesting that it may be a potential stimulation target of TMS for the treatment of post-stroke aphasia. Theta burst stimulation (TBS) is a specific pattern of rTMS with shorter stimulation times and better therapeutic effects. The effect of continuous TBS (cTBS) on the cerebellum in patients with aphasia with chronic stroke needs further exploration.MethodsIn this randomized, sham-controlled clinical trial, patients (n = 40) with chronic post-stroke aphasia received 10 sessions of real cTBS (n = 20) or sham cTBS (n = 20) over the right cerebellar Crus I+ a 30-min speech-language therapy. The Western Aphasia Battery (WAB) serves as the primary measure of the treatment outcome. The secondary outcome measures include the Boston Diagnostic Aphasia Examination, Boston Naming Test and speech acoustic parameters. Resting-state fMRI data were also obtained to examine treatment-induced changes in functional connectivity of the cerebro-cerebellar network. These outcome measures are assessed before, immediately after, and 12 weeks after cerebellar cTBS intervention.DiscussionThis protocol holds promise that cerebellar cTBS is a potential strategy to improve language functions in chronic post-stroke aphasia. The resting-state fMRI may explore the neural mechanism underlying the aphasia rehabilitation with cerebellar cTBS.
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Affiliation(s)
- Kai Zheng
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Mingyun Chen
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Ying Shen
- Rehabilitation Medicine Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Xinlei Xu
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Fanglan Gao
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Guilan Huang
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Yingying Ji
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Bin Su
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Da Song
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Hui Fang
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
| | - Peng Liu
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- Peng Liu,
| | - Caili Ren
- Department of Neurorehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi, China
- The Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi, China
- *Correspondence: Caili Ren,
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17
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Erdal Y, Perk S, Keskinkılıc C, Bayramoglu B, Soydan Mahmutoglu A, Emre U. The assessment of cognitive functions in patients with isolated cerebellar infarctions: A follow-up study. Neurosci Lett 2021; 765:136252. [PMID: 34536512 DOI: 10.1016/j.neulet.2021.136252] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 09/10/2021] [Accepted: 09/13/2021] [Indexed: 11/30/2022]
Abstract
The role of the cerebellum on cognitive functions have been well-defined; however, the information related to the progress in time process is limited. In this study, we aimed to evaluate the cognitive function of patients with isolated cerebellar infarction in both the acute stage and the follow-up period. Twenty-three patients with isolated cerebellar infarction and 22 healthy control were examined through an extensive neuropsychological assessment battery. The patients were evaluated in the acute stage and at least six months after the stroke in the follow-up period. There were no significant differences between the patients and the controls regarding age (52.2 ± 7.0 and 54.9 ± 6.6, p = 0.184) and gender (Female/Male: 6/17 and 7/15, p = 0.672). There was no statistically significant difference between patients with right cerebellar infarction and left cerebellar infarction in terms of cognitive functions. Verbal fluency, attention, and verbal and non-verbal episodic memory scores were significantly lower in patient group in the acute stage when compared to the control group. When the follow-up evaluation was compared to acute stage, it was revealed that patients had recovered in all areas; however, less improvement was seen in word reading time. Our results support that lesions of the cerebellum affect cognitive functions in the acute stage. However, the improvement was demonstrated in all cognitive functions in the follow-up period.
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Affiliation(s)
- Yuksel Erdal
- Health Sciences University, Istanbul Training and Research Hospital, Department of Neurology, Istanbul, Turkey.
| | - Seyma Perk
- Health Sciences University, Istanbul Training and Research Hospital, Department of Psychology, Istanbul, Turkey
| | - Cahit Keskinkılıc
- Health Sciences University, Bakırkoy Dr. Mazhar Osman Training and Research Hospital, Department of Neuropsychology, Istanbul, Turkey
| | - Banu Bayramoglu
- Health Sciences University, Bakırkoy Dr. Mazhar Osman Training and Research Hospital, Department of Neurology, Istanbul, Turkey
| | - Abdullah Soydan Mahmutoglu
- Health Sciences University, Istanbul Training and Research Hospital, Department of Radiology, Istanbul, Turkey
| | - Ufuk Emre
- Health Sciences University, Istanbul Training and Research Hospital, Department of Neurology, Istanbul, Turkey
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Zenke JK, Rahman S, Guo Q, Leung AWS, Gomaa NA. Central Processing in Tinnitus: fMRI Study Outlining Patterns of Activation Using an Auditory Discrimination Task in Normal Versus Tinnitus Patients. Otol Neurotol 2021; 42:e1170-e1180. [PMID: 34086638 DOI: 10.1097/mao.0000000000003194] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Elucidate brain activity differences between patients with tinnitus and controls. STUDY DESIGN Cross-sectional cohort study. SETTING Outpatient Otolaryngology clinic. PATIENTS Three cohorts; 8 controls, 12 with subjective idiopathic tinnitus (tinnitus without hearing loss), and 12 with both tinnitus and hearing loss. INTERVENTION An auditory oddball identification task was performed in fMRI scanner. MAIN OUTCOME MEASURES Task performance and Tinnitus Handicap Inventory (THI) scores were recorded. Brain activation maps were generated comparing deviant and standard tones as well as at rest. One-way and two-way T-contrasts were generated in addition to multiple regression modeling which identified significant brain regions predicting tinnitus, disease severity, duration, and task performance. RESULTS Task performance worsened in tinnitus patients with increased auditory workload, in terms of additional hearing loss. THI score and grade correlated with false alarms. The limbic system, heschel's gyrus, angular gyrus and cerebellum have a significant effect on both brain behavior in patients with tinnitus, and predictability of tinnitus and its behavioral implications. CONCLUSION Increased auditory workload resulted in poorer task performance. Moreover, it is possible to predict auditory task performance in patients with tinnitus by looking at the activity of specific regions of interest. Heschl's gyrus, angular gyrus, cerebellar, and limbic system activity are important contributors to neurological activity associated with tinnitus. Finally, predictive modeling may influence further research surrounding tinnitus treatment.
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Affiliation(s)
- Julianna K Zenke
- Division of Otolaryngology Head and Neck Surgery, Department of Surgery
| | | | - Qi Guo
- Faculty of Medicine and Dentistry
| | - Ada W S Leung
- Neuroscience and Mental Health Institute
- Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Nahla A Gomaa
- Division of Otolaryngology Head and Neck Surgery, Department of Surgery
- Faculty of Medicine and Dentistry
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Abstract
SCA36 is an autosomal dominant spinocerebellar ataxia (SCA) affecting many families from Costa da Morte, a northwestern region of Spain. It is caused by an intronic GGCCTG repeat expansion in NOP56. In order to characterize the cognitive and affective manifestations of this cerebellar disease, a group of 30 SCA36 mutation carriers (11 preataxic and 19 ataxic patients) were assessed with a comprehensive battery of standardized tests. Phonological verbal fluency - but not semantic fluency - was already mildly impaired in preataxic subjects. In ataxic patients, both phonological and semantic fluencies were significantly below normal. Depression, while more frequent and prominent in ataxic patients, was also often present in the preataxic stage. This is the first systematic study supporting the presence of a mild cerebellar cognitive and affective syndrome in SCA36. Routine evaluation of cognitive and emotional spheres in SCA36 patients as well as asymptomatic mutation carriers should allow early detection and timely therapeutic intervention.
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Lupo M, Olivito G, Angelini L, Funghi G, Pignatelli F, Siciliano L, Leggio M, Clausi S. Does the cerebellar sequential theory explain spoken language impairments? A literature review. CLINICAL LINGUISTICS & PHONETICS 2021; 35:296-309. [PMID: 32290716 DOI: 10.1080/02699206.2020.1745285] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 03/01/2020] [Accepted: 03/17/2020] [Indexed: 06/11/2023]
Abstract
During the past decades, converging evidence from clinical, neuroimaging and neuroanatomical studies has demonstrated the key role of the cerebellum in the processing of non-motor aspects of language. Although more is known about the way in which the cerebellum participates in the mechanisms involved in written language, there is ambiguous information on its role in other aspects of language, such as in non-motor aspects of spoken language. Thus, to contribute additional insight into this important issue, in the present work, we review several original scientific papers focusing on the most frequent non-motor spoken language impairments evidenced in patients affected by cerebellar pathology, namely, verbal working memory, grammar processing and verbal fluency impairments. Starting from the collected data, we provide a common interpretation of the spoken language disorders in cerebellar patients, suggesting that sequential processing could be the main mechanism by which the cerebellum participates in these abilities. Indeed, according to the cerebellar sequential theory, spoken language impairments could be due to altered cerebellar function to supervise, synchronize and coordinate the activity of different functional modules, affecting the correct optimization of linguistic processing.
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Affiliation(s)
- M Lupo
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - G Olivito
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - L Angelini
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - G Funghi
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - F Pignatelli
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - L Siciliano
- PhD Program in Behavioral Neuroscience, Sapienza University of Rome, Rome, Italy
| | - M Leggio
- Ataxia Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - S Clausi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
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21
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Cogdell‐Brooke LS, Sowden PT, Violante IR, Thompson HE. A meta-analysis of functional magnetic resonance imaging studies of divergent thinking using activation likelihood estimation. Hum Brain Mapp 2020; 41:5057-5077. [PMID: 32845058 PMCID: PMC7643395 DOI: 10.1002/hbm.25170] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 07/09/2020] [Accepted: 08/02/2020] [Indexed: 12/16/2022] Open
Abstract
There are conflicting findings regarding brain regions and networks underpinning creativity, with divergent thinking tasks commonly used to study this. A handful of meta-analyses have attempted to synthesise findings on neural mechanisms of divergent thinking. With the rapid proliferation of research and recent developments in fMRI meta-analysis approaches, it is timely to reassess the regions activated during divergent thinking creativity tasks. Of particular interest is examining the evidence regarding large-scale brain networks proposed to be key in divergent thinking and extending this work to consider the role of the semantic control network. Studies utilising fMRI with healthy participants completing divergent thinking tasks were systematically identified, with 20 studies meeting the criteria. Activation Likelihood Estimation was then used to integrate the neuroimaging results across studies. This revealed four clusters: the left inferior parietal lobe; the left inferior frontal and precentral gyrus; the superior and medial frontal gyrus and the right cerebellum. These regions are key in the semantic network, important for flexible retrieval of stored knowledge, highlighting the role of this network in divergent thinking.
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Affiliation(s)
| | - Paul T. Sowden
- Department of PsychologyUniversity of WinchesterWinchesterUK
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22
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Argiris G, Stern Y, Habeck C. Reference Ability Neural Network-selective functional connectivity across the lifespan. Hum Brain Mapp 2020; 42:644-659. [PMID: 33108673 PMCID: PMC7814764 DOI: 10.1002/hbm.25250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 09/20/2020] [Accepted: 10/07/2020] [Indexed: 12/27/2022] Open
Abstract
Previous studies have demonstrated that four latent variables, or reference abilities (RAs), can account for the majority of age-related changes in cognition: these being episodic memory, fluid reasoning, speed of processing, and vocabulary. In the current study, we focused on RA-selective functional connectivity patterns that vary with both age and behavior. We analyzed fMRI data from 287 community-dwelling adults (20-80 years) on a battery of tests relating to the four RAs (three tests per RA = 12 tests). Functional connectivity values were calculated between a pre-defined set of 264 ROIs (nodes). Across all participants, we (a) identified connections (edges) that correlated with an RA-specific indicator variable and, indexing only these edges; (b) performed linear regression analysis per edge, regressing indicator correlations (Model 1) and connectivity values (Model 2) on Age, Behavioral Performance, and the Interaction term; and (c) took the conjunction of significant edges between models. Results revealed a different subset of edges for each RA whose connectivity strength and domain-selectivity varied with age and behavior. Strikingly, the fluid reasoning RA was particularly vulnerable to the effects of age and displayed the most extensive connectivity and selectivity "footprint" for behavior. These findings indicate that different functional networks are recruited across RA, with fluid reasoning displaying a special status among them.
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Affiliation(s)
- Georgette Argiris
- Cognitive Neuroscience Division, Columbia University, New York, New York, USA
| | - Yaakov Stern
- Cognitive Neuroscience Division, Columbia University, New York, New York, USA
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23
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Guell X, Schmahmann J. Cerebellar Functional Anatomy: a Didactic Summary Based on Human fMRI Evidence. THE CEREBELLUM 2020; 19:1-5. [PMID: 31707620 DOI: 10.1007/s12311-019-01083-9] [Citation(s) in RCA: 107] [Impact Index Per Article: 26.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The cerebellum is relevant for virtually all aspects of behavior in health and disease. Cerebellar findings are common across all kinds of neuroimaging studies of brain function and dysfunction. A large and expanding body of literature mapping motor and non-motor functions in the healthy human cerebellar cortex using fMRI has served as a tool for interpreting these findings. For example, results of cerebellar atrophy in Alzheimer's disease in caudal aspects of Crus I/II and medial lobule IX can be interpreted by consulting a large number of task, resting-state, and gradient-based reports that describe the functional characteristics of these specific aspects of the cerebellar cortex. Here, we provide a concise summary that outlines organizational principles observed consistently across these studies of normal cerebellar organization. This basic framework may be useful for investigators performing or reading experiments that require a functional interpretation of human cerebellar topography.
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Affiliation(s)
- Xavier Guell
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA, USA. .,Department of Brain and Cognitive Sciences, McGovern Institute for Brain Research at MIT, Massachusetts Institute of Technology, 43 Vassar St., Cambridge, MA, USA.
| | - Jeremy Schmahmann
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA, USA
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24
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Vanacôr CN, Isolan GR, Yu YH, Telles JPM, Oberman DZ, Rabelo NN, Figueiredo EG. Microsurgical anatomy of language. Clin Anat 2020; 34:154-168. [PMID: 32918507 DOI: 10.1002/ca.23681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 08/21/2020] [Accepted: 09/05/2020] [Indexed: 11/09/2022]
Abstract
The localizationist model, which focused on classical cortical areas such as Broca's and Wernicke's, can no longer explain how language processing works. Over recent years, several studies have revealed new language-related cortical and subcortical areas, resulting in a transition from localizationist concepts to a hodotopical model. These studies have described language processing as an extensive and complex network of multiple interconnected cortical areas and subcortical pathways, differing from the classical circuit described by the localizationist perspective. The hodotopical model was made possible by a paradigm shift in the treatment of cerebral tumors, especially low-grade gliomas: total or subtotal tumor resections with cortical and subcortical mapping on awake patients have become the gold standard treatment for lesions located in the dominant hemisphere. In this article, we review current understating of the microsurgical anatomy of language.
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Affiliation(s)
- Clarissa Nunes Vanacôr
- Postgraduate Program in Medicine - Surgical Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.,CEANNE (Centro Avançado de Neurologia e Neurocirurgia), Porto Alegre, Brazil.,Moinhos De Vento Hospital, Porto Alegre, Brazil
| | - Gustavo Rassier Isolan
- Postgraduate Program in Medicine - Surgical Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.,CEANNE (Centro Avançado de Neurologia e Neurocirurgia), Porto Alegre, Brazil
| | - Yang Han Yu
- Division of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - João Paulo Mota Telles
- Division of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | | | - Nícollas Nunes Rabelo
- Division of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Eberval Gadelha Figueiredo
- Division of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
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25
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Mousavi N, Nazari MA, Babapour J, Jahan A. Electroencephalographic characteristics of word finding during phonological and semantic verbal fluency tasks. Neuropsychopharmacol Rep 2020; 40:254-261. [PMID: 32757253 PMCID: PMC7722674 DOI: 10.1002/npr2.12129] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 06/06/2020] [Accepted: 06/22/2020] [Indexed: 12/29/2022] Open
Abstract
Aims Verbal Fluency is sensitive to brain damage and is employed to assess language abilities like the size of vocabulary and the semantic‐lexical networks’ integrity and executive functioning abilities particularly inhibition, working memory, and self‐monitoring. Various studies revealed oscillatory changes related to word retrieval during different tasks. However, there are not enough studies on electroencephalographic characteristics of word retrieval routes (phonological or semantic pathway) during free recall. The purpose of our study was to investigate electroencephalography power relationship with semantic and phonological word finding routes during verbal fluency. Methods In this within‐subject study, the electroencephalography of 20 healthy participants was recorded during written category and letter fluency tasks and compared with the rest state. Absolute power of the signals in delta (1‐3.5 Hz), theta (4‐7.5 Hz), alpha (8‐12 Hz), and beta (12.5‐30 Hz) was calculated in three lobes (frontal, parietal, and temporal). Results A repeated measures ANOVA showed significant interaction of condition × lobe × frequency × side (P < .001). Post hoc test for each lobe showed significant changes in the absolute power of delta, theta and beta for frontal, delta and theta for parietal, and theta and beta for temporal lobes (P‐values < .05). Conclusion Searching the words by phonological entries is associated with decreased beta and increased theta in left frontal lobe. These changes are not necessary for semantic word retrieval strategy. Word retrieval either by phonological entries or semantic categories is accompanied by increased delta in frontal and parietal lobes. Decreased beta and increased theta bands in the left frontal lobe are associated with phonological word retrieval strategy while during semantic word finding, increased beta was observed in the left temporal lobe.![]()
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Affiliation(s)
- Najva Mousavi
- Division of Cognitive Neuroscience, University of Tabriz, Tabriz, Iran
| | | | - Jalil Babapour
- Psychology Department, University of Tabriz, Tabriz, Iran
| | - Ali Jahan
- Department of Speech Therapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
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26
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Neuroanatomic Correlates for the Neuropsychological Manifestations of Chiari Malformation Type I. World Neurosurg 2020; 136:462-469. [PMID: 32204298 DOI: 10.1016/j.wneu.2020.01.149] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/15/2020] [Indexed: 01/13/2023]
Abstract
Chiari malformation comprises a spectrum of congenital malformations characterized by a herniation of the cerebellar tonsils below the foramen magnum. Chiari malformation type I (CM-I) is the most prevalent subtype seen in clinical practice. This condition variably compresses the cerebellum and medulla-spinal cord junction secondary to malformation of the posterior fossa. Most neurologists and neurosurgeons recognize the sensorimotor and lower brainstem manifestations that result in the clinical picture of CM-I. The effects of CM-I on cognitive functioning, however, and their impact on neuropsychological performance are poorly understood, despite having long been recognized. This article reviews neuropsychological deficits demonstrated by individuals with CM-I, and explores cerebellocortical neuroanatomic pathways to provide possible rationale for the neurocognitive impairments present in affected individuals.
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Holloway ZR, Paige NB, Comstock JF, Nolen HG, Sable HJ, Lester DB. Cerebellar Modulation of Mesolimbic Dopamine Transmission Is Functionally Asymmetrical. THE CEREBELLUM 2020; 18:922-931. [PMID: 31478166 DOI: 10.1007/s12311-019-01074-w] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Cerebral and cerebellar hemispheres are known to be asymmetrical in structure and function, and previous literature supports that asymmetry extends to the neural dopamine systems. Using in vivo fixed potential amperometry with carbon fiber microelectrodes in anesthetized mice, the current study assessed hemispheric lateralization of stimulation-evoked dopamine in the nucleus accumbens (NAc) and the influence of the cerebellum in regulating this reward-associated pathway. Our results suggest that cerebellar output can modulate mesolimbic dopamine transmission, and this modulation contributes to asymmetrically lateralized dopamine release. Dopamine release did not differ between hemispheres when evoked by medial forebrain bundle (MFB) stimulation; however, dopamine release was significantly greater in the right NAc relative to the left when evoked by electrical stimulation of the cerebellar dentate nucleus (DN). Furthermore, cross-hemispheric talk between the left and right cerebellar DN does not seem to influence mesolimbic release given that lidocaine infused into the DN opposite to the stimulated DN did not alter release. These studies may provide a neurochemical mechanism for studies identifying the cerebellum as a relevant node for reward, motivational behavior, saliency, and inhibitory control. An increased understanding of the lateralization of dopaminergic systems may reveal novel targets for pharmacological interventions in neuropathology of the cerebellum and extending projections.
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Affiliation(s)
- Zade R Holloway
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA
| | - Nick B Paige
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA
| | - Josiah F Comstock
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA
| | - Hunter G Nolen
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA
| | - Helen J Sable
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA
| | - Deranda B Lester
- Department of Psychology, University of Memphis, Memphis, TN, 38152-3520, USA.
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28
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Meinhold T, Hofer W, Pieper T, Kudernatsch M, Staudt M. Presurgical Language fMRI in Children, Adolescents and Young Adults : A Validation Study. Clin Neuroradiol 2020; 30:691-704. [PMID: 31960077 DOI: 10.1007/s00062-019-00852-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 10/27/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE To validate four established, child-friendly functional magnetic resonance imaging (fMRI) language tasks (word chain task [WCT], vowel identification task [VIT], synonym task [SYT] and beep story task [BST]) in a predominantly pediatric cohort. METHODS Intracarotid amobarbital procedures (IAP) (n = 17) and unchanged language after hemispherotomy (n = 6) were used as gold standards. The fMRI activations of nine regions of interest (ROI) in the frontal, temporal and parietal lobes as well as in the cerebellum were visually assessed in 23 fMRI examinations (in total 117 fMRI task sessions) of 23 patients (age range 10.0-23.0 years) with drug-refractory epilepsies. RESULTS The ROIs were considered valid when they showed activation in more than 25% of all sessions for the respective task and never showed false lateralization (in comparison to gold standards). Thus, 13 valid, task-specific ROIs were identified: 5 ROIs for the WCT (frontal operculum, inferior frontal gyrus, middle frontal gyrus, intraparietal sulcus, cerebellum), 3 ROIs for the VIT (frontal operculum, inferior frontal gyrus, middle frontal gyrus), 3 ROIs for the SYT (frontal operculum, inferior frontal gyrus, temporal language area) and 2 ROIs for the BST (inferior frontal gyrus, middle frontal gyrus). CONCLUSION Clinical fMRI using the battery of four tasks is a valid tool for lateralizing language in children, adolescents and young adults. Each task proved to be specifically useful, which confirms that applying different tasks increases the probability of diagnosing language dominance in presurgical candidates.
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Affiliation(s)
- Theresa Meinhold
- Center for Pediatric Neurology, Neurorehabilitation and Epileptology, Schön Clinic Vogtareuth, Krankenhausstraße 20, 83569, Vogtareuth, Germany. .,Department of Pediatric Neurology and Developmental Medicine, Children's Hospital, University of Tübingen, Tübingen, Germany.
| | - Wiebke Hofer
- Center for Pediatric Neurology, Neurorehabilitation and Epileptology, Schön Clinic Vogtareuth, Krankenhausstraße 20, 83569, Vogtareuth, Germany
| | - Tom Pieper
- Center for Pediatric Neurology, Neurorehabilitation and Epileptology, Schön Clinic Vogtareuth, Krankenhausstraße 20, 83569, Vogtareuth, Germany
| | - Manfred Kudernatsch
- Center for Neurosurgery and Epilepsy Surgery, Schön Klinik Vogtareuth, Vogtareuth, Germany.,Research Institute "Rehabilitation, Transition, Palliation", PMU Salzburg, Salzburg, Austria
| | - Martin Staudt
- Center for Pediatric Neurology, Neurorehabilitation and Epileptology, Schön Clinic Vogtareuth, Krankenhausstraße 20, 83569, Vogtareuth, Germany.,Department of Pediatric Neurology and Developmental Medicine, Children's Hospital, University of Tübingen, Tübingen, Germany
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29
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Tabassi Mofrad F, Schiller NO. Cognitive demand modulates connectivity patterns of rostral inferior parietal cortex in cognitive control of language. Cogn Neurosci 2019; 11:181-193. [DOI: 10.1080/17588928.2019.1696764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- Fatemeh Tabassi Mofrad
- Leiden University Centre for Linguistics, Leiden 2300, The Netherlands
- Leiden Institute for Brain and Cognition, RC Leiden 2300, The Netherlands
- Cognitive Psychology Unit, Leiden University, AK Leiden 2333, The Netherlands
- Department of Applied Linguistics, Tarbiat Modares University, Tehran, Iran
| | - Niels O. Schiller
- Leiden University Centre for Linguistics, Leiden 2300, The Netherlands
- Leiden Institute for Brain and Cognition, RC Leiden 2300, The Netherlands
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30
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Yuan B, Zhang N, Yan J, Cheng J, Lu J, Wu J. Resting-state functional connectivity predicts individual language impairment of patients with left hemispheric gliomas involving language network. NEUROIMAGE-CLINICAL 2019; 24:102023. [PMID: 31693978 PMCID: PMC6838935 DOI: 10.1016/j.nicl.2019.102023] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 09/05/2019] [Accepted: 09/27/2019] [Indexed: 01/26/2023]
Abstract
Language deficits following brain tumors should consider the dynamic interactions between different tumor growth kinetics and functional network reorganization. We measured the resting-state functional connectivity of 126 patients with left cerebral gliomas involving language network areas, including 77 patients with low-grade gliomas (LGG) and 49 patients with high-grade gliomas (HGG). Functional network mapping for language was performed by construction of a multivariate machine learning-based prediction model of individual aphasia quotient (AQ), a summary score that indicates overall severity of language impairment. We found that the AQ scores for HGG patients were significantly lower than those of LGG patients. The prediction accuracy of HGG patients (R2 = 0.27, permutation P = 0.007) was much higher than that of LGG patients (R2 = 0.09, permutation P = 0.032). The rsFC regions predictive of LGG's AQ involved the bilateral frontal, temporal, and parietal lobes, subcortical regions, and bilateral cerebro-cerebellar connections, mainly in regions belonging to the canonical language network. The functional network of language processing for HGG patients showed strong dependence on connections of the left cerebro-cerebellar connections, limbic system, and the temporal, occipital, and prefrontal lobes. Together, our findings suggested that individual language processing of glioma patients links large-scale, bilateral, cortico-subcortical, and cerebro-cerebellar functional networks with different network reorganizational mechanisms underlying the different levels of language impairments in LGG and HGG patients.
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Affiliation(s)
- Binke Yuan
- Center for Language and Brain, Shenzhen Institute of Neuroscience, Shenzhen, China
| | - Nan Zhang
- Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China; Glioma Surgery Division, Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Jing Yan
- Department of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Jingliang Cheng
- Department of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Junfeng Lu
- Glioma Surgery Division, Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Jinsong Wu
- Glioma Surgery Division, Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China; Shanghai Key Laboratory of Medical Image Computing and Computer Assisted Intervention, Shanghai, China.
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31
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Argyropoulos GPD, Watkins KE, Belton-Pagnamenta E, Liégeois F, Saleem KS, Mishkin M, Vargha-Khadem F. Neocerebellar Crus I Abnormalities Associated with a Speech and Language Disorder Due to a Mutation in FOXP2. CEREBELLUM (LONDON, ENGLAND) 2019; 18:309-319. [PMID: 30460543 PMCID: PMC6517346 DOI: 10.1007/s12311-018-0989-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Bilateral volume reduction in the caudate nucleus has been established as a prominent brain abnormality associated with a FOXP2 mutation in affected members of the 'KE family', who present with developmental orofacial and verbal dyspraxia in conjunction with pervasive language deficits. Despite the gene's early and prominent expression in the cerebellum and the evidence for reciprocal cerebellum-basal ganglia connectivity, very little is known about cerebellar abnormalities in affected KE members. Using cerebellum-specific voxel-based morphometry (VBM) and volumetry, we provide converging evidence from subsets of affected KE members scanned at three time points for grey matter (GM) volume reduction bilaterally in neocerebellar lobule VIIa Crus I compared with unaffected members and unrelated controls. We also show that right Crus I volume correlates with left and total caudate nucleus volumes in affected KE members, and that right and total Crus I volumes predict the performance of affected members in non-word repetition and non-verbal orofacial praxis. Crus I also shows bilateral hypo-activation in functional MRI in the affected KE members relative to controls during non-word repetition. The association of Crus I with key aspects of the behavioural phenotype of this FOXP2 point mutation is consistent with recent evidence of cerebellar involvement in complex motor sequencing. For the first time, specific cerebello-basal ganglia loops are implicated in the execution of complex oromotor sequences needed for human speech.
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Affiliation(s)
- G P D Argyropoulos
- Cognitive Neuroscience and Neuropsychiatry Section, UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
- Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | - K E Watkins
- Department of Experimental Psychology, University of Oxford, Oxford, UK
| | - E Belton-Pagnamenta
- Cognitive Neuroscience and Neuropsychiatry Section, UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
- School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
| | - F Liégeois
- Cognitive Neuroscience and Neuropsychiatry Section, UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
| | - K S Saleem
- Laboratory of Neuropsychology, National Institute of Mental Health, Bethesda, MD, USA
| | - M Mishkin
- Laboratory of Neuropsychology, National Institute of Mental Health, Bethesda, MD, USA
| | - F Vargha-Khadem
- Cognitive Neuroscience and Neuropsychiatry Section, UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK.
- Great Ormond Street Hospital for Children National Health Foundation Trust, London, UK.
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32
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Visual and Auditory fMRI Paradigms for Presurgical Language Mapping: Convergent Validity and Relationship to Individual Variables. Neurol Res Int 2019; 2019:6728120. [PMID: 31057966 PMCID: PMC6463566 DOI: 10.1155/2019/6728120] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Accepted: 02/13/2019] [Indexed: 11/18/2022] Open
Abstract
Functional MRI (fMRI) has emerged as a safe alternative to invasive procedures for determining hemispheric language dominance prior to neurosurgery. Despite this, there are currently no standardized fMRI protocols that have been explored in healthy controls to determine the influence of individual patient variables on the results, which poses challenges in clinical interpretation of ambiguous findings in patient populations. In addition, most fMRI protocols are not suitable for individuals with visual or intellectual disabilities (IQ<70). In the current study, 61 healthy adults (ages: 18-74 years) completed two fMRI paradigms for language mapping. One paradigm used visually based stimuli and has shown good face validity to date in our center. The second paradigm used auditory stimuli presented at slowed speed and was designed for individuals with visual or cognitive dysfunction but has not yet been used clinically. The paradigms demonstrated 97% agreement in classifying individuals as left-hemisphere, right-hemisphere, and bilaterally dominant. Cases that were classified differently showed bilateral dominance in response to either paradigm. Dominance classification rates for right- and left-handed individuals were largely in keeping with published data. Within the left-handed group, IQ and education were positively correlated with laterality indices generated by both paradigms (r values range: 0.44-0.95, p<0.01), suggesting that individuals with higher IQ and formal education were more likely to be classified as left-hemisphere dominant in the current sample. This study will help improve clinical interpretation of language fMRI maps by identifying factors that might impact results (like IQ). It also offers an alternative paradigm to make this procedure more accessible to a broader range of patients. Future studies will replicate results with a sample of patients with epilepsy across a broad range of intellectual abilities.
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Mariën P, Keulen S, Verhoeven J. Neurological Aspects of Foreign Accent Syndrome in Stroke Patients. JOURNAL OF COMMUNICATION DISORDERS 2019; 77:94-113. [PMID: 30606457 DOI: 10.1016/j.jcomdis.2018.12.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 11/28/2018] [Accepted: 12/17/2018] [Indexed: 06/09/2023]
Abstract
Foreign Accent Syndrome (FAS) is an intriguing motor speech disorder which has captured the interest of the scientific community and media for decades. At the moment, there is no comprehensive model which can account for the pathophysiology of this disorder. This paper presents a review of 112 FAS cases published between 1907 and October 2016: these were analyzed with respect to demographic characteristics, lesion location, associated neurocognitive symptoms, and comorbid speech and language disorders. The analysis revealed that organic-neurogenic FAS is more frequent in women than in men. In organic-neurogenic FAS over half of the patients acquired the foreign accent after a stroke. Their lesions are typically located in the left supratentorial regions of the brain, and generally involve the primary motor cortex and premotor cortex (BA 4 and 6), and/or the basal ganglia. Although neurocognitive data are not consistently reported, vascular FAS patients regularly suffer frontal executive dysfunctions. On the basis of a careful comparison of the cognitive and theoretical accounts of FAS, AoS and ataxic dysarthria, it is concluded that FAS should be regarded a dual component motor speech disorder in which both planning and motor execution of speech may be affected.
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Affiliation(s)
- Peter Mariën
- Clinical and Experimental Neurolinguistics, CLIN, Vrije Universiteit Brussel, Pleinlaan 2, B-1050, Brussels, Belgium; Department of Neurology and Memory Clinic, ZNA Middelheim Hospital, Antwerp, Belgium; Royal Flemish Academy of Belgium for Science and the Arts, Paleis der Academiën, Hertogsstraat 1, B-1000, Brussel, Belgium
| | - Stefanie Keulen
- Clinical and Experimental Neurolinguistics, CLIN, Vrije Universiteit Brussel, Pleinlaan 2, B-1050, Brussels, Belgium
| | - Jo Verhoeven
- Royal Flemish Academy of Belgium for Science and the Arts, Paleis der Academiën, Hertogsstraat 1, B-1000, Brussel, Belgium; Division of Language and Communication Science, City, University of London, Northampton Square, London, EC1V 0HB, UK; Computational Linguistics and Psycholinguistics Research Centre, University of Antwerp, Prinsstraat 13, B-2000, Antwerp, Belgium.
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34
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Zaytseva Y, Fajnerová I, Dvořáček B, Bourama E, Stamou I, Šulcová K, Motýl J, Horáček J, Rodriguez M, Španiel F. Theoretical Modeling of Cognitive Dysfunction in Schizophrenia by Means of Errors and Corresponding Brain Networks. Front Psychol 2018; 9:1027. [PMID: 30026711 PMCID: PMC6042473 DOI: 10.3389/fpsyg.2018.01027] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2017] [Accepted: 05/31/2018] [Indexed: 01/22/2023] Open
Abstract
The current evidence of cognitive disturbances and brain alterations in schizophrenia does not provide the plausible explanation of the underlying mechanisms. Neuropsychological studies outlined the cognitive profile of patients with schizophrenia, that embodied the substantial disturbances in perceptual and motor processes, spatial functions, verbal and non-verbal memory, processing speed and executive functioning. Standardized scoring in the majority of the neurocognitive tests renders the index scores or the achievement indicating the severity of the cognitive impairment rather than the actual performance by means of errors. At the same time, the quantitative evaluation may lead to the situation when two patients with the same index score of the particular cognitive test, demonstrate qualitatively different performances. This may support the view why test paradigms that habitually incorporate different cognitive variables associate weakly, reflecting an ambiguity in the interpretation of noted cognitive constructs. With minor exceptions, cognitive functions are not attributed to the localized activity but eventuate from the coordinated activity in the generally dispersed brain networks. Functional neuroimaging has progressively explored the connectivity in the brain networks in the absence of the specific task and during the task processing. The spatio-temporal fluctuations of the activity of the brain areas detected in the resting state and being highly reproducible in numerous studies, resemble the activation and communication patterns during the task performance. Relatedly, the activation in the specific brain regions oftentimes is attributed to a number of cognitive processes. Given the complex organization of the cognitive functions, it becomes crucial to designate the roles of the brain networks in relation to the specific cognitive functions. One possible approach is to identify the commonalities of the deficits across the number of cognitive tests or, common errors in the various tests and identify their common "denominators" in the brain networks. The qualitative characterization of cognitive performance might be beneficial in addressing diffuse cognitive alterations presumably caused by the dysconnectivity of the distributed brain networks. Therefore, in the review, we use this approach in the description of standardized tests in the scope of potential errors in patients with schizophrenia with a subsequent reference to the brain networks.
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Affiliation(s)
- Yuliya Zaytseva
- National Institute of Mental Health, Klecany, Czechia
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
| | | | | | - Eva Bourama
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
| | - Ilektra Stamou
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
| | - Kateřina Šulcová
- National Institute of Mental Health, Klecany, Czechia
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
| | - Jiří Motýl
- National Institute of Mental Health, Klecany, Czechia
| | - Jiří Horáček
- National Institute of Mental Health, Klecany, Czechia
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
| | | | - Filip Španiel
- National Institute of Mental Health, Klecany, Czechia
- 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia
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Calabria M, Costa A, Green DW, Abutalebi J. Neural basis of bilingual language control. Ann N Y Acad Sci 2018; 1426:221-235. [PMID: 29917244 DOI: 10.1111/nyas.13879] [Citation(s) in RCA: 65] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 05/15/2018] [Accepted: 05/22/2018] [Indexed: 02/05/2023]
Abstract
Acquiring and speaking a second language increases demand on the processes of language control for bilingual as compared to monolingual speakers. Language control for bilingual speakers involves the ability to keep the two languages separated to avoid interference and to select one language or the other in a given conversational context. This ability is what we refer with the term "bilingual language control" (BLC). It is now well established that the architecture of this complex system of language control encompasses brain networks involving cortical and subcortical structures, each responsible for different cognitive processes such as goal maintenance, conflict monitoring, interference suppression, and selective response inhibition. Furthermore, advances have been made in determining the overlap between the BLC and the nonlinguistic executive control networks, under the hypothesis that the BLC processes are just an instantiation of a more domain-general control system. Here, we review the current knowledge about the neural basis of these control systems. Results from brain imaging studies of healthy adults and on the performance of bilingual individuals with brain damage are discussed.
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Affiliation(s)
- Marco Calabria
- Center for Brain and Cognition, Pompeu Fabra University, Barcelona, Spain
| | - Albert Costa
- Center for Brain and Cognition, Pompeu Fabra University, Barcelona, Spain
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
| | - David W Green
- Experimental Psychology, Faculty of Brain Sciences, University College London, London, UK
| | - Jubin Abutalebi
- Centre for Neurolinguistics and Psycholinguistics, Vita-Salute San Raffaele University, Milan, Italy
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Allen-Walker LST, Bracewell RM, Thierry G, Mari-Beffa P. Facilitation of Fast Backward Priming After Left Cerebellar Continuous Theta-Burst Stimulation. CEREBELLUM (LONDON, ENGLAND) 2018; 17:132-142. [PMID: 28875335 PMCID: PMC5849638 DOI: 10.1007/s12311-017-0881-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Traditional theories of backward priming account only for the priming effects found at long stimulus onset asynchronies (SOAs). Here, we suggest that the presence of backward priming at short SOAs may be related to the integrative role of the cerebellum. Previous research has shown that the right cerebellum is involved in forward associative priming. Functional magnetic resonance imaging reveals some activation of the left cerebellar hemisphere during backward priming; but what this activation represents is unclear. Here we explore this issue using continuous theta-burst transcranial magnetic stimulation (cTBS) and associative priming in a lexical decision task. We tested the hypothesis that the left cerebellum plays a role in backward priming and that this is dissociated from the role of the right cerebellum in forward priming. Before and after cTBS was applied to their left and right cerebellar hemispheres, participants completed a lexical decision task. Although we did not replicate the forward priming effect reported in the literature, we did find a significant increase in backward priming after left relative to right cerebellar cTBS. We consider how theories of cerebellar function in the motor domain can be extended to language and cognitive models of backward priming.
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Affiliation(s)
| | - R Martyn Bracewell
- School of Psychology, Bangor University, Bangor, LL57 2AS, UK
- School of Medical Sciences, Bangor University, Bangor, LL57 2AS, UK
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Kalron A, Allali G, Achiron A. Cerebellum and cognition in multiple sclerosis: the fall status matters. J Neurol 2018; 265:809-816. [PMID: 29396679 DOI: 10.1007/s00415-018-8774-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 01/28/2018] [Accepted: 01/29/2018] [Indexed: 11/29/2022]
Abstract
Cerebellar volume has been linked with cognitive performances in MS; however, the association in terms of fall status has never been compared. Therefore, the objective of the current study was to compare cognitive performance with cerebellar volume between MS fallers and non-fallers. The cross-sectional study included 140 PwMS (96 women). MRI volumetric analysis was based on the FreeSurfer image analysis suite. Volumes of the cerebellar gray and white matter were identified as the region of interest. Cognitive function included scores obtained from a computerized cognitive battery of tests. The sample was divided into fallers and non-fallers. MS fallers demonstrated a lower global cognitive performance and reduced gray and white matter cerebellar volumes compared to non-fallers. A significant association was found between total gray and white matter cerebellar volume and visual spatial subdomain (P value = 0.044 and 0.032, respectively) in the non-fallers group. The association remained significant after controlling for the total cranial volume and neurological disability (P value = 0.026 and 0.047, respectively). A relationship was found between the visual spatial score and the left gray matter cerebellum volume; R2 = 0.44, P value = 0.021. We believe that a unique relationship exists between the cerebellum structure and cognitive processing according to fall history in PwMS and should be considered when investigating the association between brain functioning and cognitive performances in MS.
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Affiliation(s)
- Alon Kalron
- Department of Physical Therapy, Sackler Faculty of Medicine, School of Health Professions, Tel-Aviv University, Tel Aviv, Israel. .,Sagol School of Neurosciences, Tel-Aviv University, Tel Aviv, Israel.
| | - Gilles Allali
- Division of Neurology, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland.,Division of Cognitive and Motor Aging, Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA.,Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Anat Achiron
- Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.,Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
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Hoche F, Guell X, Vangel MG, Sherman JC, Schmahmann JD. The cerebellar cognitive affective/Schmahmann syndrome scale. Brain 2018; 141:248-270. [PMID: 29206893 PMCID: PMC5837248 DOI: 10.1093/brain/awx317] [Citation(s) in RCA: 268] [Impact Index Per Article: 44.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2017] [Revised: 09/21/2017] [Accepted: 10/11/2017] [Indexed: 01/19/2023] Open
Abstract
Cerebellar cognitive affective syndrome (CCAS; Schmahmann's syndrome) is characterized by deficits in executive function, linguistic processing, spatial cognition, and affect regulation. Diagnosis currently relies on detailed neuropsychological testing. The aim of this study was to develop an office or bedside cognitive screen to help identify CCAS in cerebellar patients. Secondary objectives were to evaluate whether available brief tests of mental function detect cognitive impairment in cerebellar patients, whether cognitive performance is different in patients with isolated cerebellar lesions versus complex cerebrocerebellar pathology, and whether there are cognitive deficits that should raise red flags about extra-cerebellar pathology. Comprehensive standard neuropsychological tests, experimental measures and clinical rating scales were administered to 77 patients with cerebellar disease-36 isolated cerebellar degeneration or injury, and 41 complex cerebrocerebellar pathology-and to healthy matched controls. Tests that differentiated patients from controls were used to develop a screening instrument that includes the cardinal elements of CCAS. We validated this new scale in a new cohort of 39 cerebellar patients and 55 healthy controls. We confirm the defining features of CCAS using neuropsychological measures. Deficits in executive function were most pronounced for working memory, mental flexibility, and abstract reasoning. Language deficits included verb for noun generation and phonemic > semantic fluency. Visual spatial function was degraded in performance and interpretation of visual stimuli. Neuropsychiatric features included impairments in attentional control, emotional control, psychosis spectrum disorders and social skill set. From these results, we derived a 10-item scale providing total raw score, cut-offs for each test, and pass/fail criteria that determined 'possible' (one test failed), 'probable' (two tests failed), and 'definite' CCAS (three tests failed). When applied to the exploratory cohort, and administered to the validation cohort, the CCAS/Schmahmann scale identified sensitivity and selectivity, respectively as possible exploratory cohort: 85%/74%, validation cohort: 95%/78%; probable exploratory cohort: 58%/94%, validation cohort: 82%/93%; and definite exploratory cohort: 48%/100%, validation cohort: 46%/100%. In patients in the exploratory cohort, Mini-Mental State Examination and Montreal Cognitive Assessment scores were within normal range. Complex cerebrocerebellar disease patients were impaired on similarities in comparison to isolated cerebellar disease. Inability to recall words from multiple choice occurred only in patients with extra-cerebellar disease. The CCAS/Schmahmann syndrome scale is useful for expedited clinical assessment of CCAS in patients with cerebellar disorders.awx317media15678692096001.
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Affiliation(s)
- Franziska Hoche
- Ataxia Unit, Cognitive Behavioral Neurology Unit, Laboratory for Neuroanatomy and Cerebellar Neurobiology, Department of Neurology Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Xavier Guell
- Ataxia Unit, Cognitive Behavioral Neurology Unit, Laboratory for Neuroanatomy and Cerebellar Neurobiology, Department of Neurology Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
- Cognitive Neuroscience Research Unit (URNC), Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Mark G Vangel
- Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Janet C Sherman
- Psychology Assessment Center, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Jeremy D Schmahmann
- Ataxia Unit, Cognitive Behavioral Neurology Unit, Laboratory for Neuroanatomy and Cerebellar Neurobiology, Department of Neurology Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Abstract
During the past decades neuroanatomic, neuroimaging, and clinical studies have substantially changed the long-standing view of the role of the cerebellum as a sole coordinator of sensorimotor function. Currently, the cerebellum is considered to be crucially implicated in a variety of cognitive, affective, social, and behavioral processes as well. In this chapter we aim to summarize a number of critical insights from different research areas (neuroanatomy, functional neuroimaging, clinical practice) that provide evidence for a role of the cerebellum in motor speech and nonmotor language processing in both adults and children. Neuroanatomic studies have provided a robust basis for the development of new insights in the modulatory role of the cerebellum in neurocognition, including nonmotor language processing by means of identifying a dense network of crossed reciprocal connections between the cerebellum and the supratentorial association areas. A topologic distinction has been established between the "motor" cerebellum, projecting to the cortical motor areas, and the "cognitive/affective" cerebellum, connected with the cortical and limbic association areas. Neuroimaging studies have demonstrated cerebellar involvement in several different language tasks, even after controlling for motor aspects. In addition, several clinical studies have identified a variety of nonmotor linguistic deficits after cerebellar disease in both children and adults, implying a prominent role for the cerebellum in linguistic processes. Functional neuroimaging has confirmed the functional impact of cerebellar lesions on remote, structurally intact cortical regions via crossed cerebellocerebral diaschisis. Overall, evidence from neuroanatomic, neuroimaging, and clinical studies shows a (strongly lateralized) involvement of the cerebellum in a broad spectrum of nonmotor language functions through a dense network of crossed and reciprocal cerebellocerebral connections. It is argued that the cerebellum is involved in language in a similar manner as it is involved in motor functions: through monitoring/coordinating cortical functions via timing and sequencing mechanisms.
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Affiliation(s)
- Peter Mariën
- Clinical and Experimental Neurolinguistics, Free University of Brussels, Brussels, Belgium.
| | - Renato Borgatti
- Department of Neuropsychiatry and Neurorehabilitation Unit, Eugenio Medea Scientific Institute, Bosisio Parini, Lecco, Italy
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Wibroe M, Rochat P, Juhler M. Cerebellar Mutism Syndrome and Other Complications After Surgery in the Posterior Fossa in Adults: A Prospective Study. World Neurosurg 2017; 110:e738-e746. [PMID: 29180084 DOI: 10.1016/j.wneu.2017.11.100] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2017] [Accepted: 11/18/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Cerebellar mutism syndrome (CMS) is rarely described in adults; however, data on self-assessed linguistic complications after posterior fossa surgery do not exist. METHODS Through a prospective single-center study, data on 59 tumor operations in the posterior fossa were collected preoperatively as well as 1 week and 1 month postoperatively. Data on self-assessed problems in 5 CMS-related domains, CMS scores, and neurology as well as surgical procedure and complications were obtained. RESULTS Data on CMS-related complications were obtained on 56 of the 59 operations. None was found to have CMS according to the CMS score. Within each of the 5 domains, at least 9 operations (16%) were followed by development or worsening of self-assessed CMS-related complications. Self-assessed complications were found to be most frequent after primary tumor surgeries, although they were significant only for speech and motor complications (P value = 0.01 and 0.02). Speech and language complications occurred more frequently in midline tumors compared with lateral tumors (40% vs. 7%; P = 0.004). Surgical complications were similar to other studies. CONCLUSIONS We propose that speech and language problems in adults undergoing surgery in the posterior fossa occur more frequently than previously assumed. Some of the self-assessed complications might reflect components of the cerebellar cognitive affective syndrome. Our findings are consistent with the fact that midline location of the tumor is one of the few known risk factors for CMS in children. Thus, the cerebellar midline seems to be a vulnerable region for speech and language complications also in adults.
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Affiliation(s)
- Morten Wibroe
- Neurosurgical Department, University Hospital Rigshospitalet, Copenhagen, Denmark; Paediatric Department, University Hospital Rigshospitalet, Copenhagen, Denmark.
| | - Per Rochat
- Neurosurgical Department, University Hospital Rigshospitalet, Copenhagen, Denmark
| | - Marianne Juhler
- Neurosurgical Department, University Hospital Rigshospitalet, Copenhagen, Denmark
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Gao Q, Tao Z, Cheng L, Leng J, Wang J, Yu C, Chen H. Language lateralization during the Chinese semantic task relates to the contralateral cerebra-cerebellar interactions at rest. Sci Rep 2017; 7:14056. [PMID: 29070895 PMCID: PMC5656597 DOI: 10.1038/s41598-017-14600-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Accepted: 10/05/2017] [Indexed: 11/09/2022] Open
Abstract
Aiming to investigate whether handedness-related language lateralization is related to the intrinsic resting-state functional connectivity (RSFC) pattern within the language network, the present study integrated the information of functional activations during a semantic task of Chinese characters and FC in resting-state based on functional magnetic resonance imaging (fMRI) data of healthy left handers (LH) and right handers (RH). RSFC was calculated on a voxel-based level between the seed regions chosen from functional activations during the task and the rest of the brain. The results demonstrated that LH had significantly stronger RSFC than RH between the cerebellum and supratentorial areas of the frontal, parietal and temporal lobe, and between the occipital lobe and frontal/parietal lobe. Correlation analysis showed that RSFC values between right MFG and left cerebellum_crus2, between SMA and right cerebellum_crus2, and between the right cerebellum_crus1 and left MFG were negatively correlated with cerebral laterality index in LH and RH groups. Our results highlight key nodes of Chinese language brain network processing in the cerebellum, and suggest that atypical language dominance relates to stronger crossed reciprocal RSFC in the frontal-cerebellar system. The findings provide new insights into the intrinsic FC substrates underlying the atypical language lateralization of LH.
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Affiliation(s)
- Qing Gao
- School of Mathematical Sciences, University of Electronic Science and Technology of China, Chengdu, 611731, China. .,Center for Information in BioMedicine, Key Laboratory for Neuroinformation of Ministry of Education, Chengdu, 611731, China.
| | - Zhongping Tao
- Information Technology Center, Chengdu Sport University, Chengdu, 610041, P. R. China
| | - Lintao Cheng
- School of Mathematical Sciences, University of Electronic Science and Technology of China, Chengdu, 611731, China.,Center for Information in BioMedicine, Key Laboratory for Neuroinformation of Ministry of Education, Chengdu, 611731, China
| | - Jinsong Leng
- School of Mathematical Sciences, University of Electronic Science and Technology of China, Chengdu, 611731, China
| | - Junping Wang
- Department of Radiology, Tianjin Medical University General Hospital, Tianjin, 300052, China
| | - Chunshui Yu
- Department of Radiology, Tianjin Medical University General Hospital, Tianjin, 300052, China
| | - Huafu Chen
- Center for Information in BioMedicine, Key Laboratory for Neuroinformation of Ministry of Education, Chengdu, 611731, China. .,School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, 610054, China.
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Marangolo P, Fiori V, Caltagirone C, Pisano F, Priori A. Transcranial Cerebellar Direct Current Stimulation Enhances Verb Generation but Not Verb Naming in Poststroke Aphasia. J Cogn Neurosci 2017; 30:188-199. [PMID: 29064340 DOI: 10.1162/jocn_a_01201] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Although the role of the cerebellum in motor function is well recognized, its involvement in the lexical domain remains to be further elucidated. Indeed, it has not yet been clarified whether the cerebellum is a language structure per se or whether it contributes to language processing when other cognitive components (e.g., cognitive effort, working memory) are required by the language task. Neuromodulation studies on healthy participants have suggested that cerebellar transcranial direct current stimulation (tDCS) is a valuable tool to modulate cognitive functions. However, so far, only a single case study has investigated whether cerebellar stimulation enhances language recovery in aphasic individuals. In a randomized, crossover, double-blind design, we explored the effect of cerebellar tDCS coupled with language treatment for verb improvement in 12 aphasic individuals. Each participant received cerebellar tDCS (20 min, 2 mA) in four experimental conditions: (1) right cathodal and (2) sham stimulation during a verb generation task and (3) right cathodal and (4) sham stimulation during a verb naming task. Each experimental condition was run in five consecutive daily sessions over 4 weeks. At the end of treatment, a significant improvement was found after cathodal stimulation only in the verb generation task. No significant differences were present for verb naming among the two conditions. We hypothesize that cerebellar tDCS is a viable tool for recovery from aphasia but only when the language task, such as verb generation, also demands the activation of nonlinguistic strategies.
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Affiliation(s)
- Paola Marangolo
- Università Federico II, Naples, Italy.,IRCCS Fondazione Santa Lucia, Rome, Italy
| | | | - Carlo Caltagirone
- IRCCS Fondazione Santa Lucia, Rome, Italy.,Università degli Studi di Roma Tor Vergata, Rome, Italy
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Neural correlates underlying the comprehension of deceitful and ironic communicative intentions. Cortex 2017; 94:73-86. [DOI: 10.1016/j.cortex.2017.06.010] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2016] [Revised: 12/31/2016] [Accepted: 06/13/2017] [Indexed: 12/27/2022]
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Wibroe M, Cappelen J, Castor C, Clausen N, Grillner P, Gudrunardottir T, Gupta R, Gustavsson B, Heyman M, Holm S, Karppinen A, Klausen C, Lönnqvist T, Mathiasen R, Nilsson P, Nysom K, Persson K, Rask O, Schmiegelow K, Sehested A, Thomassen H, Tonning-Olsson I, Zetterqvist B, Juhler M. Cerebellar mutism syndrome in children with brain tumours of the posterior fossa. BMC Cancer 2017. [PMID: 28637445 PMCID: PMC5480181 DOI: 10.1186/s12885-017-3416-0] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background Central nervous system tumours constitute 25% of all childhood cancers; more than half are located in the posterior fossa and surgery is usually part of therapy. One of the most disabling late effects of posterior fossa tumour surgery is the cerebellar mutism syndrome (CMS) which has been reported in up to 39% of the patients but the exact incidence is uncertain since milder cases may be unrecognized. Recovery is usually incomplete. Reported risk factors are tumour type, midline location and brainstem involvement, but the exact aetiology, surgical and other risk factors, the clinical course and strategies for prevention and treatment are yet to be determined. Methods This observational, prospective, multicentre study will include 500 children with posterior fossa tumours. It opened late 2014 with participation from 20 Nordic and Baltic centres. From 2016, five British centres and four Dutch centres will join with a total annual accrual of 130 patients. Three other major European centres are invited to join from 2016/17. Follow-up will run for 12 months after inclusion of the last patient. All patients are treated according to local practice. Clinical data are collected through standardized online registration at pre-determined time points pre- and postoperatively. Neurological status and speech functions are examined pre-operatively and postoperatively at 1–4 weeks, 2 and 12 months. Pre- and postoperative speech samples are recorded and analysed. Imaging will be reviewed centrally. Pathology is classified according to the 2007 WHO system. Germline DNA will be collected from all patients for associations between CMS characteristics and host genome variants including pathway profiles. Discussion Through prospective and detailed collection of information on 1) differences in incidence and clinical course of CMS for different patient and tumour characteristics, 2) standardized surgical data and their association with CMS, 3) diversities and results of other therapeutic interventions, and 4) the role of host genome variants, we aim to achieve a better understanding of risk factors for and the clinical course of CMS - with the ultimate goal of defining strategies for prevention and treatment of this severely disabling condition. Trial registration Clinicaltrials.gov: NCT02300766, date of registration: November 21, 2014.
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Affiliation(s)
- Morten Wibroe
- Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.,Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark
| | - Johan Cappelen
- Department of Neurosurgery, St. Olavs Hospital, Trondheim, Norway
| | - Charlotte Castor
- Department of Paediatrics Lund Skåne University Hospital, Lund, Sweden
| | - Niels Clausen
- Department of Pediatrics, Aarhus University Hospital, Skejby, Aarhus, Denmark
| | - Pernilla Grillner
- Department of Women's and Children's Health, Karolinska Universitetssjukhuset, Stockholm, Sweden
| | - Thora Gudrunardottir
- Posterior Fossa Society.,Department of Oncology and Palliation, North Zealand Hospital, Hillerød, Denmark
| | - Ramneek Gupta
- Center for Biological Sequence Analysis, Technical University of Denmark, Kgs. Lyngby, Denmark
| | - Bengt Gustavsson
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
| | - Mats Heyman
- Department of Women's and Children's Health, Karolinska Universitetssjukhuset, Stockholm, Sweden
| | - Stefan Holm
- Department of Women's and Children's Health, Karolinska Universitetssjukhuset, Stockholm, Sweden
| | - Atte Karppinen
- Department of Neurosurgery, Helsinki University Hospital, Helsinki, Finland
| | - Camilla Klausen
- Department of Neuroradiology, University Hospital of Copenhagen, Rigshospitalet, Copenhagen, Denmark
| | - Tuula Lönnqvist
- Department of Child Neurology, Helsinki University Central Hospital, Helsinki, Finland
| | - René Mathiasen
- Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark
| | - Pelle Nilsson
- Department of Neuroscience, Neurosurgery, Akademiska sjukhuset, Uppsala, Sweden
| | - Karsten Nysom
- Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark
| | - Karin Persson
- Child and Youth Rehabilitation Centre, Habilitation and Technical Aid, Lund, Sweden
| | - Olof Rask
- Department of Paediatrics Lund Skåne University Hospital, Lund, Sweden
| | - Kjeld Schmiegelow
- Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark.,Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.,Division of Pediatric Hematology/Oncology, Perlmutter Cancer Center, Univesity Langone Medical Center, New York, USA
| | - Astrid Sehested
- Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark
| | | | | | - Barbara Zetterqvist
- Department of Clinical Intervention and Technique, Karolinska Institute, Stockholm, Sweden
| | - Marianne Juhler
- Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark. .,Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
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McLachlan NM, Wilson SJ. The Contribution of Brainstem and Cerebellar Pathways to Auditory Recognition. Front Psychol 2017; 8:265. [PMID: 28373850 PMCID: PMC5357638 DOI: 10.3389/fpsyg.2017.00265] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Accepted: 02/10/2017] [Indexed: 12/02/2022] Open
Abstract
The cerebellum has been known to play an important role in motor functions for many years. More recently its role has been expanded to include a range of cognitive and sensory-motor processes, and substantial neuroimaging and clinical evidence now points to cerebellar involvement in most auditory processing tasks. In particular, an increase in the size of the cerebellum over recent human evolution has been attributed in part to the development of speech. Despite this, the auditory cognition literature has largely overlooked afferent auditory connections to the cerebellum that have been implicated in acoustically conditioned reflexes in animals, and could subserve speech and other auditory processing in humans. This review expands our understanding of auditory processing by incorporating cerebellar pathways into the anatomy and functions of the human auditory system. We reason that plasticity in the cerebellar pathways underpins implicit learning of spectrotemporal information necessary for sound and speech recognition. Once learnt, this information automatically recognizes incoming auditory signals and predicts likely subsequent information based on previous experience. Since sound recognition processes involving the brainstem and cerebellum initiate early in auditory processing, learnt information stored in cerebellar memory templates could then support a range of auditory processing functions such as streaming, habituation, the integration of auditory feature information such as pitch, and the recognition of vocal communications.
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Affiliation(s)
- Neil M. McLachlan
- Melbourne School of Psychological Sciences, University of MelbourneMelbourne, VIC, Australia
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The Role of the Pediatric Cerebellum in Motor Functions, Cognition, and Behavior: A Clinical Perspective. Neuroimaging Clin N Am 2017; 26:317-29. [PMID: 27423796 DOI: 10.1016/j.nic.2016.03.003] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
This article discusses the contribution of the pediatric cerebellum to locomotion, ocular motor control, speech articulation, cognitive function, and behavior modulation. Hypotheses on cerebellar function are discussed. Clinical features in patients with cerebellar disorders are outlined. Cerebellar abnormalities in cognitive and behavioral disorders are detailed.
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Cerebellar Cathodal Transcranial Direct Stimulation and Performance on a Verb Generation Task: A Replication Study. Neural Plast 2017; 2017:1254615. [PMID: 28286676 PMCID: PMC5329667 DOI: 10.1155/2017/1254615] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Accepted: 01/12/2017] [Indexed: 02/06/2023] Open
Abstract
The role of the cerebellum in cognitive processing is increasingly recognized but still poorly understood. A recent study in this field applied cerebellar Transcranial Direct Current Stimulation (c-tDCS) to the right cerebellum to investigate the role of prefrontal-cerebellar loops in language aspects of cognition. Results showed that the improvement in participants' verbal response times on a verb generation task was facilitated immediately after cathodal c-tDCS, compared to anodal or sham c-tDCS. The primary aim of the present study is to replicate these findings and additionally to investigate possible longer term effects. A crossover within-subject design was used, comparing cathodal and sham c-tDCS. The experiment consisted of two visits with an interval of one week. Our results show no direct contribution of cathodal c-tDCS over the cerebellum to language task performance. However, one week later, the group receiving cathodal c-tDCS in the first visit show less improvement and increased variability in their verbal response times during the second visit, compared to the group receiving sham c-tDCS in the first visit. These findings suggest a potential negative effect of c-tDCS and warrant further investigation into long term effects of c-tDCS before undertaking clinical studies with poststroke patients with aphasia.
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De Witte E, Wilssens I, De Surgeloose D, Dua G, Moens M, Verhoeven J, Manto M, Mariën P. Apraxia of speech and cerebellar mutism syndrome: a case report. CEREBELLUM & ATAXIAS 2017; 4:2. [PMID: 28074148 PMCID: PMC5217307 DOI: 10.1186/s40673-016-0059-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Accepted: 12/12/2016] [Indexed: 11/10/2022]
Abstract
Background Cerebellar mutism syndrome (CMS) or posterior fossa syndrome (PFS) consists of a constellation of neuropsychiatric, neuropsychological and neurogenic speech and language deficits. It is most commonly observed in children after posterior fossa tumor surgery. The most prominent feature of CMS is mutism, which generally starts after a few days after the operation, has a limited duration and is typically followed by motor speech deficits. However, the core speech disorder subserving CMS is still unclear. Case presentation This study investigates the speech and language symptoms following posterior fossa medulloblastoma surgery in a 12-year-old right-handed boy. An extensive battery of formal speech (DIAS = Diagnostic Instrument Apraxia of Speech) and language tests were administered during a follow-up of 6 weeks after surgery. Although the neurological and neuropsychological (affective, cognitive) symptoms of this patient are consistent with Schmahmann’s syndrome, the speech and language symptoms were markedly different from what is typically described in the literature. In-depth analyses of speech production revealed features consistent with a diagnosis of apraxia of speech (AoS) while ataxic dysarthria was completely absent. In addition, language assessments showed genuine aphasic deficits as reflected by distorted language production and perception, wordfinding difficulties, grammatical disturbances and verbal fluency deficits. Conclusion To the best of our knowledge this case might be the first example that clearly demonstrates that a higher level motor planning disorder (apraxia) may be the origin of disrupted speech in CMS. In addition, identification of non-motor linguistic disturbances during follow-up add to the view that the cerebellum not only plays a crucial role in the planning and execution of speech but also in linguistic processing. Whether the cerebellum has a direct or indirect role in motor speech planning needs to be further investigated.
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Affiliation(s)
- E De Witte
- Clinical and Experimental Neurolinguistics, CLIN, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium
| | - I Wilssens
- Department of Speech and Language Therapy, ZNA Middelheim, Lindendreef 1, B-2020 Antwerp, Belgium
| | - D De Surgeloose
- Department of Radiology, ZNA Middelheim, Lindendreef 1, B-2020 Antwerp, Belgium
| | - G Dua
- Department of Neurosurgery, ZNA Middelheim, Lindendreef 1, B-2020 Antwerp, Belgium
| | - M Moens
- Department of Neurosurgery and Center for Neuroscience, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium
| | - J Verhoeven
- Department of Language and Communication Science, City University London, Northampton Square, London, EC1V 0HB UK
| | - M Manto
- Unité d'Etude du Mouvement, FNRS-ULB, Bruxelles, Belgium
| | - P Mariën
- Clinical and Experimental Neurolinguistics, CLIN, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium ; Department of Neurology & Memory Clinic, ZNA Middelheim Hospital, Lindendreef 1, B-2020 Antwerp, Belgium
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Kepinska O, de Rover M, Caspers J, Schiller NO. Whole-brain functional connectivity during acquisition of novel grammar: Distinct functional networks depend on language learning abilities. Behav Brain Res 2016; 320:333-346. [PMID: 27993693 DOI: 10.1016/j.bbr.2016.12.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 12/06/2016] [Accepted: 12/14/2016] [Indexed: 11/18/2022]
Abstract
In an effort to advance the understanding of brain function and organisation accompanying second language learning, we investigate the neural substrates of novel grammar learning in a group of healthy adults, consisting of participants with high and average language analytical abilities (LAA). By means of an Independent Components Analysis, a data-driven approach to functional connectivity of the brain, the fMRI data collected during a grammar-learning task were decomposed into maps representing separate cognitive processes. These included the default mode, task-positive, working memory, visual, cerebellar and emotional networks. We further tested for differences within the components, representing individual differences between the High and Average LAA learners. We found high analytical abilities to be coupled with stronger contributions to the task-positive network from areas adjacent to bilateral Broca's region, stronger connectivity within the working memory network and within the emotional network. Average LAA participants displayed stronger engagement within the task-positive network from areas adjacent to the right-hemisphere homologue of Broca's region and typical to lower level processing (visual word recognition), and increased connectivity within the default mode network. The significance of each of the identified networks for the grammar learning process is presented next to a discussion on the established markers of inter-individual learners' differences. We conclude that in terms of functional connectivity, the engagement of brain's networks during grammar acquisition is coupled with one's language learning abilities.
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Affiliation(s)
- Olga Kepinska
- Leiden University Centre for Linguistics, Postbus 9515, 2300 RA Leiden, The Netherlands; Leiden Institute for Brain and Cognition, c/o LUMC, Postzone C2-S, P.O. Box 9600, 2300 RC Leiden, The Netherlands.
| | - Mischa de Rover
- Leiden Institute for Brain and Cognition, c/o LUMC, Postzone C2-S, P.O. Box 9600, 2300 RC Leiden, The Netherlands; Department of Anesthesiology, Leiden University Medical Center, Postzone P5-Q, P.O. Box 9600, 2300 RC Leiden, The Netherlands; Faculty of Social Sciences, Institute of Psychology, Clinical Psychology Unit, Pieter de la Court gebouw, Wassenaarseweg 52, 2333 AK Leiden, The Netherlands
| | - Johanneke Caspers
- Leiden University Centre for Linguistics, Postbus 9515, 2300 RA Leiden, The Netherlands; Leiden Institute for Brain and Cognition, c/o LUMC, Postzone C2-S, P.O. Box 9600, 2300 RC Leiden, The Netherlands
| | - Niels O Schiller
- Leiden University Centre for Linguistics, Postbus 9515, 2300 RA Leiden, The Netherlands; Leiden Institute for Brain and Cognition, c/o LUMC, Postzone C2-S, P.O. Box 9600, 2300 RC Leiden, The Netherlands
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