Activation of regional cerebral blood flow by a memorization task in early Parkinson's disease patients and normal subjects

The role of dominant striatum in language: a study using intraoperative electrical stimulations

BACKGROUND

The role of the striatum in language remains poorly understood. Intraoperative electrical stimulation during surgery for tumours involving the caudate nucleus or putamen in the dominant hemisphere might be illuminating.

OBJECTIVES

To study the role of these structures in language, with the aim of avoiding postoperative definitive aphasia.

METHODS

11 patients with cortico-subcortical low grade gliomas were operated on while awake, and striatal functional mapping was done. Intraoperative direct electrical stimulation was used while the patients carried out motor and naming tasks during the resection.

RESULTS

In five cases of glioma involving the dominant putamen, stimulations induced anarthria, while in six cases of glioma involving the dominant caudate, stimulations elicited perseveration. There was no motor effect. The striatum was systematically preserved. Postoperatively, all patients except one had transient dysphasia which resolved within three months.

CONCLUSIONS

There appear to be two separate basal ganglia systems in language, one mediated by the putamen which might have a motor role, and one by the caudate which might have a role in cognitive control. These findings could have implications for surgical strategy in lesions involving the dominant striatum.

Correlations between reaction time and cerebral blood flow during motor preparation

We show using positron emission tomography in normal volunteers that for four tasks involving motor preparation, regional cerebral blood flow in the ipsilateral cerebellum is negatively correlated with reaction time. Each of the tasks presented subjects with different amounts of advanced information (from none to partial to full information) prior to a signal to move one of two possible fingers in one of two possible directions. The cerebellum was the only brain area that was correlated with reaction time in all the conditions. These results are compatible with the idea that the cerebellum plays an important role in the preparation and initiation of motion.

Common and distinct neural substrates for pragmatic, semantic, and syntactic processing of spoken sentences: an fMRI study

Extracting meaning from speech requires the use of pragmatic, semantic, and syntactic information. A central question is: Does the processing of these different types of linguistic information have common or distinct neuroanatomical substrates? We addressed this issue using functional magnetic resonance imaging (fMRI) to measure neural activity when subjects listened to spoken normal sentences contrasted with sentences that had either (A) pragmatical, (B) semantic (selection restriction), or (C) syntactic (subcategorical) violations sentences. All three contrasts revealed robust activation of the left-inferior-temporal/fusiform gyrus. Activity in this area was also observed in a combined analysis of all three experiments, suggesting that it was modulated by all three types of linguistic violation. Planned statistical comparisons between the three experiments revealed (1) a greater difference between conditions in activation of the left-superior-temporal gyrus for the pragmatic experiment than the semantic/syntactic experiments; (2) a greater difference between conditions in activation of the right-superior and middle-temporal gyrus in the semantic experiment than in the syntactic experiment; and (3) no regions activated to a greater degree in the syntactic experiment than in the semantic experiment. These data show that, while left- and right-superior-temporal regions may be differentially involved in processing pragmatic and lexico-semantic information within sentences, the left-inferior-temporal/fusiform gyrus is involved in processing all three types of linguistic information. We suggest that this region may play a key role in using pragmatic, semantic (selection restriction), and subcategorical information to construct a higher representation of meaning of sentences.

Comparison of brain activation during word retrieval done silently and aloud using fMRI

Using functional MRI we compared the patterns of activation in an effortful word retrieval task (stem completion) performed both silently and aloud. The silent and overt conditions showed expected differences in activation magnitude in regions such as primary motor cortex. Some regions, such as frontal operculum and dorsolateral frontal cortex, showed similar activation magnitude across conditions. Thalamus was more active on the left in both conditions and showed a symmetric drop in activity in the silent compared with the overt condition. Putamen was also more active in the overt condition and showed a larger decrease in activity on the right than on the left in the silent compared with the overt condition. Thus it appears that silent and overt performance of this task engage the thalamus and putamen in different ways.

Brain correlates of memory processes in patients with dementia of Alzheimer's type: a SPECT Activation Study

Task-induced changes in regional cerebral blood flow (rCBF) during verbal episodic memory activation were compared in 17 right-handed patients with dementia of the Alzheimer's type (DAT) and 20 healthy volunteers. Regional cerebral blood flow was assessed using single photon emission computed tomography (SPECT) and an injection of 133Xe (xenon, isotope of mass 133) in 21 regions of interest (ROI) during rest, passive listening to 36 words, and memorizing of a 12-word list repeated three times. In healthy subjects, memory-listening comparison showed activation of a distributed system involving several left-sided ROI, especially the posterior inferior frontal region. In patients with DAT, the same pattern of activation was found for listening-rest comparison, and no significant changes were found in memory-listening comparison. During listening compared with rest, significant activation was observed in left-sided hypoperfused regions. A significant correlation between memory performance and rCBF recorded in patients with DAT during the memory task was found only in the right lateral frontal region, a region that was not hypoperfused significantly in patients. The involvement of this region might relate to either retrieval effort or actual performance of patients with DAT on the memory task.

Understanding functional neuroimaging methods based on neurovascular coupling

Functional neuroimaging techniques are usually grouped according to the employed apparatus into functional magnetic resonance imaging techniques (fMRI), nuclear medicine approaches such as single photon emission tomography (SPET) or positron emission tomography (PET), and optical approaches (measurement of intrinsic signals, near infrared spectroscopy (NIRS)). However, the physiological parameters that are measured with these methods do not necessarily follow this technical classification. On the one hand, using different imaging modalities the same physiological parameters are measured and on the other hand, using the same imaging devices completely different physiological parameters can be assessed. The present article covers those functional neuroimaging methods which measure the vascular response to functional brain activation (PET, SPET, fMRI and NIRS). First, starting with the traditional grouping of these methods, it is outlined how the specific methods assess vascular changes associated with brain activation in order to localize brain function. Based on the understanding of the underlying physiological events, subsequently, a new classification of functional neuroimaging methods is proposed.

Parkinson's disease affects automatic and spares intentional verbal learning. A stochastic approach to explicit learning processes

We studied word list and paired associates learning in patients with idiopathic Parkinson's disease and normal controls by means of a two-stage stochastic model, which allows independent measurements of encoding, storage and retrieval abilities. We preliminarily ascertained that the model components were both sufficient and necessary to account for the overall performance of the subjects, and then compared the learning abilities between the two groups. Parkinson's disease patients were selectively impaired in identifying well-known engrams, for which learning is superfluous, and in automatic retrieval, namely in abilities that do not need attentional effort. By contrast, they were unimpaired in encoding and intentional retrieval, which require a purposeful effort. The automatic-voluntary dissociation of Parkinson's disease patients' motor behaviour is, therefore, paralleled by some features of their memory performance.

The functional anatomy of attention in humans: cerebral blood flow changes induced by reading, naming, and the Stroop effect

We measured changes in regional cerebral blood flow (rCBF) induced by reading, naming, and the Stroop effect in 12 right-handed normal volunteers. rCBF was quantified with a single-photon emission computerized tomograph after intravenous injection of 133Xe. Data were analyzed using predetermined regions of interest and a linear model. A significant relative activation was revealed in the right superior mesial frontal region during the Stroop effect.