Disconnection Syndrome in Callosal Agenesis. In: Lassonde M, Jeeves MA, editors. Callosal Agenesis. Boston: Springer US; 1994. pp. 275-84. [DOI: 10.1007/978-1-4613-0487-6_27]

Physical, motor, sensory and developmental features associated with agenesis of the corpus callosum

BACKGROUND

The study objective was to develop a profile of characteristics and diagnostic indicators of agenesis of the corpus callosum (ACC) using a large sample of individuals with ACC and their siblings. Very few previous studies have been able to access large populations in order to develop a comprehensive profile.

METHODS

Caregivers of 720 individuals with ACC and 219 siblings, the largest sample studied to date, provided surveys with data on diagnoses, physical characteristics, developmental patterns and physical functioning.

RESULTS

Compared with siblings, individuals with ACC exhibited a pattern of delayed motor development, difficulty with balance and bimanual movements, large head size, poor muscle tone, poor depth perception, reduced pain perception, sleeping difficulties and an increased proportion of left and mixed handedness.

CONCLUSIONS

These results extend previous descriptions but are also consistent with published reports that used small samples and single case studies. The data provide a profile that has implications for early detection and intervention of individuals with ACC as well as for highlighting future research directions to extend knowledge about ACC.

Visual information process in Williams syndrome: intact motion detection accompanied by typical visuospatial dysfunctions

It has been suggested that visuospatial cognitive disabilities seen in children with Williams syndrome (WMS) are related to a dysfunction of the dorsal stream in the visual information analysis system. We investigated whether visual motion detection is also impaired in WMS because it is one of the main functions of the dorsal stream. Using various psychophysical examinations and magnetoencephalography, we studied a child with WMS who had the typical features of the syndrome. We found profound impairments in the visuospatial cognitions, as previously reported in WMS. In contrast, he had normal ability for the direction discrimination of coherent motion on a background of randomly moving dots, and he perceived apparent motion as do normal children. Furthermore, the latencies of both responses to the coherent and incoherent motions as measured by magnetoencephalography were within the mean +/- 2 SD among normal adults and the estimated origins were near the human homologue of V5/MT (visual area 5/middle temporal area). The results indicate that the visuospatial cognitive deficits in WMS can occur without impairment of the visual motion detection. We consider that the deficits are caused by a restricted dysfunction of the neural groups for position and three-dimensional form perceptions in the dorsal stream of the visual system, though other possibilities are not excluded.

Spatial attention in agenesis of the corpus callosum: shifting attention between visual fields

The role of the corpus callosum in spatially selective visual attention is uncertain. Research using commissurotomy and callosotomy patients has attempted to determine if the corpus callosum plays a role in reorienting attention between visual fields, as if spatial attention is unitary or divisible between the cerebral hemispheres. Reorienting of selective visuospatial attention within versus between visual fields was tested in 10 individuals with agenesis of the corpus callosum (ACC) and nine matched controls. Spatially focused attention to the most likely location of target appearance was created using both peripheral sensory cues and central symbolic cues in separate tests. Results demonstrated that individuals with ACC have significantly greater difficulty reorienting attention to an invalidly cued target stimulus occurring in the opposite visual field. However, this effect did not interact with the type of cueing (sensory or symbolic). Individuals with ACC did not differ from controls either with respect to the laterality of within-field reorientation of attention, or with respect to the most efficient direction of between-field shifting of attention. Since congenital absence of the corpus callosum significantly reduces efficiency in the reorienting of attention between visual fields, spatial attention cannot be completely unified based on a subcortical mechanism and the mobilization of attentional resources within each hemisphere must depend on callosal processes.

Absence of interhemispheric transfer of unilateral visuomotor learning in young children and individuals with agenesis of the corpus callosum

This study was undertaken to investigate the role of the corpus callosum in interhemispheric transfer of unilateral visuomotor learning. In the first experiment, the cross-manual performance of 4 callosal agenesis participants was compared to that of 4 age- and IQ-matched controls. In the second experiment, normal children of different ages (6-7 and 11-12 years) and adults were submitted to the same task to assess the impact of callosal maturation on interhemispheric transfer. Participants had to make aiming movements from a starting position toward either a central or a lateral target on the same side as the hand used, while maintaining central fixation. Prior to training, a pretest was performed with the hand contralateral to the hand used during learning. Participants were then submitted to a posttest with the untrained hand. All participants learned the unilateral aiming task in the learning phase, as evidenced by a reduction in spatial errors with an increasing number of practice trials. However, acallosal participants and children aged 6 to 7 years failed to transfer the acquired skill from the trained to the untrained hemisphere. These findings suggest that interhemispheric transfer of visuomotor skills cannot be assumed by other structures in the case of agenesis or morphological immaturity of the corpus callosum. The results further indicate that unilateral visuomotor learning leads to the formation of a single, unihemispheric engram in the absence, whether functional or anatomical, of the corpus callosum.