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Song C, Zhang X, Zhang Y, Han S, Ma K, Mao X, Lian Y, Cheng J. Comparision of spontaneous brain activity between hippocampal sclerosis and MRI-negative temporal lobe epilepsy. Epilepsy Behav 2024; 157:109751. [PMID: 38820678 DOI: 10.1016/j.yebeh.2024.109751] [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: 12/27/2023] [Revised: 03/05/2024] [Accepted: 03/21/2024] [Indexed: 06/02/2024]
Abstract
BACKGROUND Hippocampal sclerosis (HS) is a prevalent cause of temporal lobe epilepsy (TLE). However, up to 30% of individuals with TLE present negative magnetic resonance imaging (MRI) findings. A comprehensive grasp of the similarities and differences in brain activity among distinct TLE subtypes holds significant clinical and scientific importance. OBJECTIVE To comprehensively examine the similarities and differences between TLE with HS (TLE-HS) and MRI-negative TLE (TLE-N) regarding static and dynamic abnormalities in spontaneous brain activity (SBA). Furthermore, we aimed to determine whether these alterations correlate with epilepsy duration and cognition, and to determine a potential differential diagnostic index for clinical utility. METHODS We measured 12 SBA metrics in 38 patients with TLE-HS, 51 with TLE-N, and 53 healthy volunteers. Voxel-wise analysis of variance (ANOVA) and post-hoc comparisons were employed to compare these metrics. The six static metrics included amplitude of low-frequency fluctuations (ALFF), fractional amplitude of low-frequency fluctuations (fALFF), regional homogeneity (ReHo), voxel-mirrored homotopic connectivity (VMHC), degree centrality (DC), and global signal correlation (GSCorr). Additionally, six corresponding dynamic metrics were assessed: dynamic ALFF (dALFF), dynamic fALFF (dfALFF), dynamic ReHo (dReHo), dynamic DC (dDC), dynamic VMHC (dVMHC), and dynamic GSCorr (dGSCorr). Receiver operating characteristic (ROC) curve analysis of abnormal indices was employed. Spearman correlation analyses were also conducted to examine the relationship between the abnormal indices, epilepsy duration and cognition scores. RESULTS Both TLE-HS and TLE-N presented as extensive neural network disorders, sharing similar patterns of SBA alterations. The regions with increased fALFF, dALFF, and dfALFF levels were predominantly observed in the mesial temporal lobe, thalamus, basal ganglia, pons, and cerebellum, forming a previously proposed mesial temporal epilepsy network. Conversely, decreased SBA metrics (fALFF, ReHo, dReHo, DC, GSCorr, and VMHC) consistently appeared in the lateral temporal lobe ipsilateral to the epileptic foci. Notably, SBA alterations were more obvious in patients with TLE-HS than in those with TLE-N. Additionally, patients with TLE-HS exhibited reduced VMHC in both mesial and lateral temporal lobes compared with patients with TLE-N, with the hippocampus displaying moderate discriminatory power (AUC = 0.759). Correlation analysis suggested that alterations in SBA indicators may be associated with epilepsy duration and cognitive scores. CONCLUSIONS The simultaneous use of static and dynamic SBA metrics provides evidence supporting the characterisation of both TLE-HS and TLE-N as complex network diseases, facilitating the exploration of mechanisms underlying epileptic activity and cognitive impairment. Overall, SBA abnormality patterns were generally similar between the TLE-HS and TLE-N groups, encompassing networks related to TLE and auditory and occipital visual functions. These changes were more pronounced in the TLE-HS group, particularly within the mesial and lateral temporal lobes.
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Affiliation(s)
- Chengru Song
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Xiaonan Zhang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Yong Zhang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Shaoqiang Han
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Keran Ma
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Xinyue Mao
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
| | - Yajun Lian
- Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
| | - Jingliang Cheng
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China; Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China; Key Laboratory of Imaging Intelligence Research Medicine of Henan Province.
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Vigren P, Eriksson M, Gauffin H, Duffau H, Milos P, Eek T, Dizdar N. Awake craniotomy in epilepsy surgery includes previously inoperable patients with preserved efficiency and safety. Int J Neurosci 2023:1-6. [PMID: 37929598 DOI: 10.1080/00207454.2023.2279498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 10/31/2023] [Indexed: 11/07/2023]
Abstract
Introduction: Whilst awake craniotomy has been widely used historically in epilepsy surgery, the safety and efficacy of this approach in epilepsy surgery has been sparsely investigated in controlled studies. The objective of this study is to investigate the safety and efficacy of awake resection in epilepsy surgery and focuses on the possibility to widen surgical indications with awake surgery. Methods: Fifteen patients operated with awake epilepsy surgery were compared to 30 matched controls undergoing conventional/asleep epilepsy surgery. The groups were compared with regard to neurological complications, seizure control and location of resection. Results: Regarding seizure control, 86% of patients in the awake group reached Engel grade 1-2 compared to 73% in the control group, operated with conventional/asleep surgery, not a statistically significant difference. Neither was there a statistical significant difference regarding postoperative neurological complications. However, there was a significant difference in location of the resection when comparing the two groups. Of the 15 patients operated with awake intraoperative mapping, four had previously been considered as non-operable by epilepsy surgery centres, due to vicinity to eloquent brain regions and predicted risk of post-operative neurological deficits. Discussion: The results show that awake epilepsy surgery yields similar level of seizure control when compared to conventional asleep surgery, with maintained safety in regard to neurological complications. Furthermore, the results indicate that awake craniotomy in epilepsy surgery is feasible and possible in patients otherwise regarded as inoperable with epileptigenic zone in proximity to eloquent brain structures.
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Affiliation(s)
- Patrick Vigren
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Neurosurgery, Region Östergötland, Östergötland, Sweden
- Department of Neurology, Region Östergötland, Östergötland, Sweden
- Department of Neurosurgery, Region Örebro Län, Örebro Län, Sweden
| | - Martin Eriksson
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Neurosurgery, Region Östergötland, Östergötland, Sweden
| | - Helena Gauffin
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Neurology, Region Östergötland, Östergötland, Sweden
| | - Hugues Duffau
- Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France
| | - Peter Milos
- Department of Neurosurgery, Region Östergötland, Östergötland, Sweden
| | - Tom Eek
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Neurology, Region Östergötland, Östergötland, Sweden
| | - Nil Dizdar
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Neurology, Region Östergötland, Östergötland, Sweden
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Kamarajan C, Pandey AK, Chorlian DB, Meyers JL, Kinreich S, Pandey G, Subbie-Saenz de Viteri S, Zhang J, Kuang W, Barr PB, Aliev F, Anokhin AP, Plawecki MH, Kuperman S, Almasy L, Merikangas A, Brislin SJ, Bauer L, Hesselbrock V, Chan G, Kramer J, Lai D, Hartz S, Bierut LJ, McCutcheon VV, Bucholz KK, Dick DM, Schuckit MA, Edenberg HJ, Porjesz B. Predicting Alcohol-Related Memory Problems in Older Adults: A Machine Learning Study with Multi-Domain Features. Behav Sci (Basel) 2023; 13:bs13050427. [PMID: 37232664 DOI: 10.3390/bs13050427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Revised: 05/08/2023] [Accepted: 05/11/2023] [Indexed: 05/27/2023] Open
Abstract
Memory problems are common among older adults with a history of alcohol use disorder (AUD). Employing a machine learning framework, the current study investigates the use of multi-domain features to classify individuals with and without alcohol-induced memory problems. A group of 94 individuals (ages 50-81 years) with alcohol-induced memory problems (the memory group) were compared with a matched control group who did not have memory problems. The random forests model identified specific features from each domain that contributed to the classification of the memory group vs. the control group (AUC = 88.29%). Specifically, individuals from the memory group manifested a predominant pattern of hyperconnectivity across the default mode network regions except for some connections involving the anterior cingulate cortex, which were predominantly hypoconnected. Other significant contributing features were: (i) polygenic risk scores for AUD, (ii) alcohol consumption and related health consequences during the past five years, such as health problems, past negative experiences, withdrawal symptoms, and the largest number of drinks in a day during the past twelve months, and (iii) elevated neuroticism and increased harm avoidance, and fewer positive "uplift" life events. At the neural systems level, hyperconnectivity across the default mode network regions, including the connections across the hippocampal hub regions, in individuals with memory problems may indicate dysregulation in neural information processing. Overall, the study outlines the importance of utilizing multidomain features, consisting of resting-state brain connectivity data collected ~18 years ago, together with personality, life experiences, polygenic risk, and alcohol consumption and related consequences, to predict the alcohol-related memory problems that arise in later life.
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Affiliation(s)
- Chella Kamarajan
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Ashwini K Pandey
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - David B Chorlian
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Jacquelyn L Meyers
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Sivan Kinreich
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Gayathri Pandey
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Stacey Subbie-Saenz de Viteri
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Jian Zhang
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Weipeng Kuang
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Peter B Barr
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
| | - Fazil Aliev
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, NJ 08854, USA
| | - Andrey P Anokhin
- Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63110, USA
| | | | - Samuel Kuperman
- Department of Psychiatry, University of Iowa, Iowa City, IA 52242, USA
| | - Laura Almasy
- The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Alison Merikangas
- The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Sarah J Brislin
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, NJ 08854, USA
| | - Lance Bauer
- Department of Psychiatry, University of Connecticut, Farmington, CT 06030, USA
| | - Victor Hesselbrock
- Department of Psychiatry, University of Connecticut, Farmington, CT 06030, USA
| | - Grace Chan
- Department of Psychiatry, University of Iowa, Iowa City, IA 52242, USA
- Department of Psychiatry, University of Connecticut, Farmington, CT 06030, USA
| | - John Kramer
- Department of Psychiatry, University of Iowa, Iowa City, IA 52242, USA
| | - Dongbing Lai
- Indiana University School of Medicine, Indianapolis, IN 46202, USA
| | - Sarah Hartz
- Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63110, USA
| | - Laura J Bierut
- Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63110, USA
| | - Vivia V McCutcheon
- Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63110, USA
| | - Kathleen K Bucholz
- Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO 63110, USA
| | - Danielle M Dick
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, NJ 08854, USA
| | - Marc A Schuckit
- Department of Psychiatry, University of California, San Diego, CA 92103, USA
| | | | - Bernice Porjesz
- Henri Begleiter Neurodynamics Lab, Department of Psychiatry and Behavioral Science, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
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Sone D, Ahmad M, Thompson PJ, Baxendale S, Vos SB, Xiao F, de Tisi J, McEvoy AW, Miserocchi A, Duncan JS, Koepp MJ, Galovic M. Optimal Surgical Extent for Memory and Seizure Outcome in Temporal Lobe Epilepsy. Ann Neurol 2021; 91:131-144. [PMID: 34741484 PMCID: PMC8916104 DOI: 10.1002/ana.26266] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 10/21/2021] [Accepted: 10/31/2021] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Postoperative memory decline is an important consequence of anterior temporal lobe resection (ATLR) for temporal lobe epilepsy (TLE), and the extent of resection may be a modifiable factor. This study aimed to define optimal resection margins for cognitive outcome while maintaining a high rate of postoperative seizure freedom. METHODS This cohort study evaluated the resection extent on postoperative structural MRI using automated voxel-based methods and manual measurements in 142 consecutive patients with unilateral drug refractory TLE (74 left, 68 right TLE) who underwent standard ATLR. RESULTS Voxel-wise analyses revealed that postsurgical verbal memory decline correlated with resections of the posterior hippocampus and inferior temporal gyrus, whereas larger resections of the fusiform gyrus were associated with worsening of visual memory in left TLE. Limiting the posterior extent of left hippocampal resection to 55% reduced the odds of significant postoperative verbal memory decline by a factor of 8.1 (95% CI 1.5-44.4, p = 0.02). Seizure freedom was not related to posterior resection extent, but to the piriform cortex removal after left ATLR. In right TLE, variability of the posterior extent of resection was not associated with verbal and visual memory decline or seizures after surgery. INTERPRETATION The extent of surgical resection is an independent and modifiable risk factor for cognitive decline and seizures after left ATLR. Adapting the posterior extent of left ATLR might optimize postoperative outcome, with reduced risk of memory impairment while maintaining comparable seizure-freedom rates. The current, more lenient, approach might be appropriate for right ATLR. ANN NEUROL 2021.
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Affiliation(s)
- Daichi Sone
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK.,Department of Psychiatry, The Jikei University School of Medicine, Tokyo, Japan
| | - Maria Ahmad
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - Pamela J Thompson
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - Sallie Baxendale
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - Sjoerd B Vos
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK.,Centre for Medical Image Computing (CMIC), University College London, London, UK.,Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - Fenglai Xiao
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK
| | - Jane de Tisi
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - Andrew W McEvoy
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - Anna Miserocchi
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK
| | - John S Duncan
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK
| | - Matthias J Koepp
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK
| | - Marian Galovic
- Department of Clinical and Experimental Epilepsy, University College London Queen Square Institute of Neurology, London, UK.,Magnetic Resonance Imaging Unit, Epilepsy Society, Chalfont St Peter, UK.,Department of Neurology, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland
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5
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Jun S, Kim JS, Chung CK. Prediction of Successful Memory Encoding Based on Lateral Temporal Cortical Gamma Power. Front Neurosci 2021; 15:517316. [PMID: 34113226 PMCID: PMC8185029 DOI: 10.3389/fnins.2021.517316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 03/30/2021] [Indexed: 11/29/2022] Open
Abstract
Prediction of successful memory encoding is important for learning. High-frequency activity (HFA), such as gamma frequency activity (30–150 Hz) of cortical oscillations, is induced during memory tasks and is thought to reflect underlying neuronal processes. Previous studies have demonstrated that medio-temporal electrophysiological characteristics are related to memory formation, but the effects of neocortical neural activity remain underexplored. The main aim of the present study was to evaluate the ability of gamma activity in human electrocorticography (ECoG) signals to differentiate memory processes into remembered and forgotten memories. A support vector machine (SVM) was employed, and ECoG recordings were collected from six subjects during verbal memory recognition task performance. Two-class classification using an SVM was performed to predict subsequently remembered vs. forgotten trials based on individually selected frequencies (low gamma, 30–60 Hz; high gamma, 60–150 Hz) at time points during pre- and during stimulus intervals. The SVM classifier distinguished memory performance between remembered and forgotten trials with a mean maximum accuracy of 87.5% using temporal cortical gamma activity during the 0- to 1-s interval. Our results support the functional relevance of ECoG for memory formation and suggest that lateral temporal cortical HFA may be utilized for memory prediction.
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Affiliation(s)
- Soyeon Jun
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea.,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea
| | - June Sic Kim
- Research Institute of Basic Sciences, Seoul National University, Seoul, South Korea
| | - Chun Kee Chung
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea.,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea
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6
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Dickenson JA, Diamond L, King JB, Jenson K, Anderson JS. Understanding heterosexual women's erotic flexibility: the role of attention in sexual evaluations and neural responses to sexual stimuli. Soc Cogn Affect Neurosci 2021; 15:447-465. [PMID: 32415978 PMCID: PMC7308660 DOI: 10.1093/scan/nsaa058] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 02/10/2020] [Accepted: 04/13/2020] [Indexed: 11/13/2022] Open
Abstract
Many women experience desires, arousal and behavior that run counter to their sexual orientation (orientation inconsistent, 'OI'). Are such OI sexual experiences cognitively and neurobiologically distinct from those that are consistent with one's sexual orientation (orientation consistent, 'OC')? To address this question, we employed a mindful attention intervention-aimed at reducing judgment and enhancing somatosensory attention-to examine the underlying attentional and neurobiological processes of OC and OI sexual stimuli among predominantly heterosexual women. Women exhibited greater neural activity in response to OC, compared to OI, sexual stimuli in regions associated with implicit visual processing, volitional appraisal and attention. In contrast, women exhibited greater neural activity to OI, relative to OC, sexual stimuli in regions associated with complex visual processing and attentional shifting. Mindfully attending to OC sexual stimuli reduced distraction, amplified women's evaluations of OC stimuli as sexually arousing and deactivated the superior cerebellum. In contrast, mindfully attending to OI sexual stimuli amplified distraction, decreased women's evaluations of OI stimuli as sexually arousing and augmented parietal and temporo-occipital activity. Results of the current study constrain hypotheses of female erotic flexibility, suggesting that sexual orientation may be maintained by differences in attentional processing that cannot be voluntarily altered.
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Affiliation(s)
- Janna A Dickenson
- Human Sexuality, California Institute of Integral Studies, San Francisco, CA 94103, USA.,Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA
| | - Lisa Diamond
- Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA
| | - Jace B King
- Department of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.,Program in Neuroscience, University of Utah, Salt Lake City, UT 84108, USA
| | - Kay Jenson
- Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA
| | - Jeffrey S Anderson
- Department of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.,Program in Neuroscience, University of Utah, Salt Lake City, UT 84108, USA.,Department of Bioengineering, University of Utah, Salt Lake City, UT 84108, USA
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7
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Postchemotherapy hippocampal functional connectivity patterns in patients with breast cancer: a longitudinal resting state functional MR imaging study. Brain Imaging Behav 2021; 14:1456-1467. [PMID: 30877468 DOI: 10.1007/s11682-019-00067-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The hippocampus plays a key role in cognitive function and emotion regulation due to its wide connection with the whole brain. This study examined the acute effect of chemotherapy on hippocampal and subfield functional connectivity and neuropsychological status in breast cancer patients (BC). This IRB approved study included 29 BC and 25 age matched healthy controls (HCs) who underwent resting state functional magnetic resonance imaging (Rs-fMRI), neuropsychological tests and blood examinations at baseline and one week after completing chemotherapy or in the same time interval. Within-group comparisons and group-by-time interactions analysis of hippocampus- and subregion- based functional connectivity were performed between the two groups. Functional connectivity changes were correlated with changes of blood examination and neuropsychological test scores in the BC group. The BC group had higher depression and anxiety scores, poorer performance on visual mobility, auditory memory and executive function than HCs (p < 0.05), and significantly abnormal estrodiol, total cholesterol and triglycerides (p < 0.05). BC survivors showed significant hippocampal functional connectivity changes mainly in the left insula, temporal lobe (Gaussian Random Field theory correction, P < 0.001) and the left inferior frontal gyrus (P < 0.01). The functional connections from the anterior hippocampus to the left temporal lobe were greater than the posterior hippocampus (P < 0.05). The hippocampus functional connectivity alterations were closely related to changes in depression scores, estrodiol and triglycerides (all p < 0.05). Chemotherapy induced especially anterior hippocampal functional connectivity abnormality, which is related to depression symptom, estrodiol and triglycerides disorders.
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Vigren P, Eriksson M, Duffau H, Wretman A, Lindehammar H, Milos P, Richter J, Karlsson T, Gauffin H. Experiences of awake surgery in non-tumoural epilepsy in eloquent localizations. Clin Neurol Neurosurg 2020; 199:106251. [PMID: 33031989 DOI: 10.1016/j.clineuro.2020.106251] [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: 07/20/2020] [Revised: 09/22/2020] [Accepted: 09/23/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND Whilst modern awake intraoperative mapping has been widely accepted and implemented in the last decades in neuro-oncology, sparse reports have been published on the safety and efficiency of this approach in epilepsy surgery. METHOD This article reports four cases with different locations of epileptogenic zones as examples of possible safe and efficient resections. RESULT The results of the resections on seizure control were Engel 1 (no disabling seizures) in all cases and no patient experienced significant neurological deficits. DISCUSSION The discussion focuses on aspects of the future of epilepsy surgery in a hodotopical paradigm.
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Affiliation(s)
- Patrick Vigren
- Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden; Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden
| | - Martin Eriksson
- Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden
| | - Hugues Duffau
- Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France
| | - Anna Wretman
- Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Behavioral Science, Linköping University, Sweden
| | - Hans Lindehammar
- Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden; Department of Neurophysiology, Linköping University Hospital, Region Östergötland, Sweden
| | - Peter Milos
- Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden
| | - Johan Richter
- Department of Neurosurgery, Linköping University Hospital, Region Östergötland, Sweden
| | - Thomas Karlsson
- Department of Behavioral Science, Linköping University, Sweden
| | - Helena Gauffin
- Department of Neurology, Linköping University Hospital, Region Östergötland, Sweden; Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences Linköping University, Linköping, Sweden.
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9
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Phase-based coordination of hippocampal and neocortical oscillations during human sleep. Commun Biol 2020; 3:176. [PMID: 32313064 PMCID: PMC7170909 DOI: 10.1038/s42003-020-0913-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Accepted: 03/25/2020] [Indexed: 01/09/2023] Open
Abstract
During sleep, new memories undergo a gradual transfer from hippocampal (HPC) to neocortical (NC) sites. Precisely timed neural oscillations are thought to mediate this sleep-dependent memory consolidation, but exactly how sleep oscillations instantiate the HPC-NC dialog remains elusive. Employing overnight invasive electroencephalography in ten neurosurgical patients, we identified three broad classes of phase-based communication between HPC and lateral temporal NC. First, we observed interregional phase synchrony for non-rapid eye movement (NREM) spindles, and N2 and rapid eye movement (REM) theta activity. Second, we found asymmetrical N3 cross-frequency phase-amplitude coupling between HPC slow oscillations (SOs) and NC activity spanning the delta to high-gamma/ripple bands, but not in the opposite direction. Lastly, N2 theta and NREM spindle synchrony were themselves modulated by HPC SOs. These forms of interregional communication emphasize the role of HPC SOs in the HPC-NC dialog, and may offer a physiological basis for the sleep-dependent reorganization of mnemonic content.
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Blackmon K, Barr WB, Morrison C, MacAllister W, Kruse M, Pressl C, Wang X, Dugan P, Liu AA, Halgren E, Devinsky O, Thesen T. Cortical gray-white matter blurring and declarative memory impairment in MRI-negative temporal lobe epilepsy. Epilepsy Behav 2019; 97:34-43. [PMID: 31181427 PMCID: PMC8162756 DOI: 10.1016/j.yebeh.2019.05.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 04/06/2019] [Accepted: 05/08/2019] [Indexed: 11/26/2022]
Abstract
Magnetic resonance imaging (MRI)-negative temporal lobe epilepsy (TLE) may be a distinct syndrome from TLE with mesial temporal sclerosis (TLE-MTS). Imaging and neuropsychological features of TLE-MTS are well-known; yet, these features are only beginning to be described in MRI-negative TLE. This study examined whether a quantitative measure of cortical gray and white matter blurring (GWB) was elevated in the temporal lobes ipsilateral to the seizure onset zone of individuals with MRI-negative TLE relative to TLE-MTS and healthy controls (HCs) and whether GWB elevations were associated with neuropsychological comorbidity. Gray-white matter blurring from 34 cortical regions and hippocampal volumes were quantified and compared across 28 people with MRI-negative TLE, 15 people with TLE-MTS, and 51 HCs. Declarative memory was assessed with standard neuropsychological tests and the intracarotid amobarbital procedure (IAP). In the group with MRI-negative TLE (left and right onsets combined), hippocampal volumes were within normal range but GWB was elevated, relative to HCs, across several mesial and lateral temporal lobe regions ipsilateral to the seizure onset zone. Gray-white matter blurring did not differ between the groups with TLE-MTS and HC or between the groups with TLE-MTS and MRI-negative TLE. The group with MRI-negative TLE could not be distinguished from the group with TLE-MTS on any of the standard neuropsychological tests; however, ipsilateral hippocampal volumes and IAP memory scores were lower in the group with TLE-MTS than in the group with MRI-negative TLE. The group with left MRI-negative TLE had lower general cognitive abilities and verbal fluency relative to the HC group, which adds to the characterization of neuropsychological comorbidities in left MRI-negative TLE. In addition, ipsilateral IAP memory performance was reduced relative to contralateral memory performance in MRI-negative TLE, indicating some degree of ipsilateral memory dysfunction. There was no relationship between hippocampal volume and IAP memory scores in MRI-negative TLE; however, decreased ipsilateral IAP memory scores were correlated with elevated GWB in the ipsilateral superior temporal sulcus of people with left MRI-negative TLE. In sum, GWB elevations in the ipsilateral temporal lobe of people with MRI-negative TLE suggest that GWB may serve as a marker for reduced structural integrity in regions in or near the seizure onset zone. Although mesial temporal abnormalities might be the major driver of memory dysfunction in TLE-MTS, a loss of structural integrity in lateral temporal lobe regions may contribute to IAP memory dysfunction in MRI-negative TLE.
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Affiliation(s)
- Karen Blackmon
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America; St. George's University School of Medicine, Department of Physiology, Neuroscience, and Behavioral Sciences, West Indies, Grenada.
| | - William B. Barr
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America
| | - Chris Morrison
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America
| | - William MacAllister
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America,University of Calgary, Alberta Children’s Hospital, Calgary, Alberta, Canada
| | - Michelle Kruse
- St. George’s University School of Medicine, Department of Physiology, Neuroscience, and Behavioral Sciences, West Indies, Grenada
| | - Christina Pressl
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America,The Rockefeller University, Laboratory of Neural Systems, New York, NY 10065, United States of America
| | - Xiuyuan Wang
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America,New York University School of Medicine, Department of Radiology, New York, NY 10016, United States of America
| | - Patricia Dugan
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America
| | - Anli A. Liu
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America
| | - Eric Halgren
- University of California San Diego, Multimodal Imaging Laboratory, San Diego, CA 92093, United States of America
| | - Orrin Devinsky
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America
| | - Thomas Thesen
- New York University School of Medicine, Department of Neurology, Epilepsy Division, New York, NY 10016, United States of America,St. George’s University School of Medicine, Department of Physiology, Neuroscience, and Behavioral Sciences, West Indies, Grenada
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Jun S, Kim JS, Chung CK. Direct Stimulation of Human Hippocampus During Verbal Associative Encoding Enhances Subsequent Memory Recollection. Front Hum Neurosci 2019; 13:23. [PMID: 30804768 PMCID: PMC6371751 DOI: 10.3389/fnhum.2019.00023] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 01/18/2019] [Indexed: 11/16/2022] Open
Abstract
Previous studies have reported conflicting results regarding the effect of direct electrical stimulation of the human hippocampus on memory performance. A major function of the hippocampus is to form associations between individual elements of experience. However, the effect of direct hippocampal stimulation on associative memory remains largely inconclusive, with most evidence coming from studies employing non-invasive stimulation. Here, we therefore tested the hypothesis that direct electrical stimulation of the hippocampus specifically enhances hippocampal-dependent associative memory. To test this hypothesis, we recruited surgical patients with implanted subdural electrodes to perform a word pair memory task during which the hippocampus was stimulated. Our results indicate that stimulation of the hippocampus during encoding helped to build strong associative memories and enhanced recollection in subsequent trials. Moreover, stimulation significantly increased theta power in the lateral middle temporal cortex during successful memory encoding. Overall, our findings indicate that hippocampal stimulation positively impacts performance during a word pair memory task, suggesting that successful memory encoding involves the temporal cortex, which may act together with the hippocampus.
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Affiliation(s)
- Soyeon Jun
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea
| | - June Sic Kim
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea.,Research Institute of Basic Sciences, Seoul National University, Seoul, South Korea
| | - Chun Kee Chung
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea.,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea
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Zamora L, Corina D, Ojemann G. Human temporal cortical single neuron activity during working memory maintenance. Neuropsychologia 2016; 86:1-12. [PMID: 27059210 PMCID: PMC4899132 DOI: 10.1016/j.neuropsychologia.2016.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Revised: 03/23/2016] [Accepted: 04/03/2016] [Indexed: 11/19/2022]
Abstract
The Working Memory model of human memory, first introduced by Baddeley and Hitch (1974), has been one of the most influential psychological constructs in cognitive psychology and human neuroscience. However the neuronal correlates of core components of this model have yet to be fully elucidated. Here we present data from two studies where human temporal cortical single neuron activity was recorded during tasks differentially affecting the maintenance component of verbal working memory. In Study One we vary the presence or absence of distracting items for the entire period of memory storage. In Study Two we vary the duration of storage so that distractors filled all, or only one-third of the time the memory was stored. Extracellular single neuron recordings were obtained from 36 subjects undergoing awake temporal lobe resections for epilepsy, 25 in Study one, 11 in Study two. Recordings were obtained from a total of 166 lateral temporal cortex neurons during performance of one of these two tasks, 86 study one, 80 study two. Significant changes in activity with distractor manipulation were present in 74 of these neurons (45%), 38 Study one, 36 Study two. In 48 (65%) of those there was increased activity during the period when distracting items were absent, 26 Study One, 22 Study Two. The magnitude of this increase was greater for Study One, 47.6%, than Study Two, 8.1%, paralleling the reduction in memory errors in the absence of distracters, for Study One of 70.3%, Study Two 26.3% These findings establish that human lateral temporal cortex is part of the neural system for working memory, with activity during maintenance of that memory that parallels performance, suggesting it represents active rehearsal. In 31 of these neurons (65%) this activity was an extension of that during working memory encoding that differed significantly from the neural processes recorded during overt and silent language tasks without a recent memory component, 17 Study one, 14 Study two. Contrary to the Baddeley model, that activity during verbal working memory maintenance often represented activity specific to working memory rather than speech or language.
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Affiliation(s)
- Leona Zamora
- Departments of Psychology University of Washington, Seattle, WA 98195
| | - David Corina
- Departments of Psychology University of Washington, Seattle, WA 98195
| | - George Ojemann
- Department of Neurological Surgery, University of Washington, Harborview Hospital, 325 9 Ave. Box 359924, Seattle, WA 98104
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Blackmon K, Pardoe HR, Barr WB, Ardekani BA, Doyle WK, Devinsky O, Kuzniecky R, Thesen T. The corpus callosum and recovery of working memory after epilepsy surgery. Epilepsia 2015; 56:527-34. [PMID: 25684448 DOI: 10.1111/epi.12931] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/31/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVE For patients with medically intractable focal epilepsy, the benefit of epilepsy surgery must be weighed against the risk of cognitive decline. Clinical factors such as age and presurgical cognitive level partially predict cognitive outcome; yet, little is known about the role of cross-hemispheric white matter pathways in supporting postsurgical recovery of cognitive function. The purpose of this study is to determine whether the presurgical corpus callosum (CC) midsagittal area is associated with pre- to postsurgical change following epilepsy surgery. METHODS In this observational study, we retrospectively identified 24 adult patients from an epilepsy resection series who completed preoperative high-resolution T1 -weighted magnetic resonance imaging (MRI) scans, as well as pre- and postsurgical neuropsychological testing. The total area and seven subregional areas of the CC were measured on the midsagittal MRI slice using an automated method. Standardized indices of auditory-verbal working memory and delayed memory were used to probe cognitive change from pre- to postsurgery. CC total and subregional areas were regressed on memory-change scores, after controlling for overall brain volume, age, presurgical memory scores, and duration of epilepsy. RESULTS Patients had significantly reduced CC area relative to healthy controls. We found a positive relationship between CC area and change in working memory, but not delayed memory; specifically, the larger the CC, the greater the postsurgical improvement in working memory (β = 0.523; p = 0.009). Effects were strongest in posterior CC subregions. There was no relationship between CC area and presurgical memory scores. SIGNIFICANCE Findings indicate that larger CC area, measured presurgically, is related to improvement in working memory abilities following epilepsy surgery. This suggests that transcallosal pathways may play an important, yet little understood, role in postsurgical recovery of cognitive functions.
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Affiliation(s)
- Karen Blackmon
- Department of Neurology, Comprehensive Epilepsy Center, New York University School of Medicine, New York, New York, U.S.A
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14
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Li R, Yu J, Zhang S, Bao F, Wang P, Huang X, Li J. Bayesian network analysis reveals alterations to default mode network connectivity in individuals at risk for Alzheimer's disease. PLoS One 2013; 8:e82104. [PMID: 24324753 PMCID: PMC3855765 DOI: 10.1371/journal.pone.0082104] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Accepted: 10/30/2013] [Indexed: 11/19/2022] Open
Abstract
Alzheimer's disease (AD) is associated with abnormal functioning of the default mode network (DMN). Functional connectivity (FC) changes to the DMN have been found in patients with amnestic mild cognitive impairment (aMCI), which is the prodromal stage of AD. However, whether or not aMCI also alters the effective connectivity (EC) of the DMN remains unknown. We employed a combined group independent component analysis (ICA) and Bayesian network (BN) learning approach to resting-state functional MRI (fMRI) data from 17 aMCI patients and 17 controls, in order to establish the EC pattern of DMN, and to evaluate changes occurring in aMCI. BN analysis demonstrated heterogeneous regional convergence degree across DMN regions, which were organized into two closely interacting subsystems. Compared to controls, the aMCI group showed altered directed connectivity weights between DMN regions in the fronto-parietal, temporo-frontal, and temporo-parietal pathways. The aMCI group also exhibited altered regional convergence degree in the right inferior parietal lobule. Moreover, we found EC changes in DMN regions in aMCI were correlated with regional FC levels, and the connectivity metrics were associated with patients' cognitive performance. This study provides novel sights into our understanding of the functional architecture of the DMN and adds to a growing body of work demonstrating the importance of the DMN as a mechanism of aMCI.
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Affiliation(s)
- Rui Li
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Jing Yu
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- School of Psychology, Southwest University, Chongqing, China
| | | | - Feng Bao
- Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Pengyun Wang
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Xin Huang
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Juan Li
- Center on Aging Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
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15
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Human Temporal Cortical Single Neuron Activity during Language: A Review. Brain Sci 2013; 3:627-41. [PMID: 24961418 PMCID: PMC4061841 DOI: 10.3390/brainsci3020627] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2013] [Accepted: 04/08/2013] [Indexed: 11/17/2022] Open
Abstract
Findings from recordings of human temporal cortical single neuron activity during several measures of language, including object naming and word reading are reviewed and related to changes in activity in the same neurons during recent verbal memory and verbal associative learning measures, in studies conducted during awake neurosurgery for the treatment of epilepsy. The proportion of neurons changing activity with language tasks was similar in either hemisphere. Dominant hemisphere activity was characterized by relative inhibition, some of which occurred during overt speech, possibly to block perception of one’s own voice. However, the majority seems to represent a dynamic network becoming active with verbal memory encoding and especially verbal learning, but inhibited during performance of overlearned language tasks. Individual neurons are involved in different networks for different aspects of language, including naming or reading and naming in different languages. The majority of the changes in activity were tonic sustained shifts in firing. Patterned phasic activity for specific language items was very infrequently recorded. Human single neuron recordings provide a unique perspective on the biologic substrate for language, for these findings are in contrast to many of the findings from other techniques for investigating this.
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16
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Suthana N, Fried I. Percepts to recollections: insights from single neuron recordings in the human brain. Trends Cogn Sci 2012; 16:427-36. [PMID: 22795560 DOI: 10.1016/j.tics.2012.06.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2012] [Revised: 06/11/2012] [Accepted: 06/12/2012] [Indexed: 11/28/2022]
Abstract
Transformation of experience into memories that can guide future behavior is a common ability across species. However, only humans can declare their perceptions and memories of experienced events (episodes). The medial temporal lobe (MTL) is central to episodic memory, yet the neuronal code underlying the translation from sensory information to memory remains unclear. Recordings from neurons within the brain in patients who have electrodes implanted for clinical reasons provide an opportunity to bridge physiology with cognitive theories. Recent evidence illustrates several striking response properties of MTL neurons. Responses are selective yet invariant, associated with conscious perception, can be internally generated and modulated, and spontaneously retrieved. Representation of information by these neurons is highly explicit, suggesting abstraction of information for future conscious recall.
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Affiliation(s)
- Nanthia Suthana
- Department of Neurosurgery, David Geffen School of Medicine and Semel Institute For Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA
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17
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Altered default-mode network activation in mild cognitive impairment compared with healthy aging. Neuroradiology 2012; 54:1195-206. [PMID: 22527687 DOI: 10.1007/s00234-012-1036-6] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2011] [Accepted: 03/23/2012] [Indexed: 12/27/2022]
Abstract
INTRODUCTION Rapidly increasing aging of the world's population is causing a heightened prevalence of Alzheimer's disease (AD) and mild cognitive impairment (MCI). The global burden, caused by this, is tremendous. In order to slow down the progression of the disease and preserve quality of life as much as possible, early identification of subjects at risk is indispensable within this framework. METHODS In the present study, we combined independent component analysis and statistical parametric analysis to identify and compare the default-mode network (DMN) in healthy elderly and patients with MCI, with a special interest for hippocampal and lateral temporal involvement. RESULTS Functional results indicated reduced cortical activation in the DMN for MCI patients, compared with age- and education-matched healthy elderly controls, mainly in the retrosplenial region/posterior cingulate cortex, left hippocampus, and bilateral inferior and middle frontal areas. Increased activation for patients was observed in the medial prefrontal and bilateral middle temporal/angular cortex. Lateral temporal involvement in the DMN was in both the elderly control samples, and the patient group detected and suggested a slightly increased activation, more right than left, in middle temporal areas in the MCI patients, compared with healthy elderly. CONCLUSION Results are discussed with reference to the existing literature on early pathological changes in MCI and AD and subsequent compensation mechanisms in resting state and memory circuits.
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Zhu L, Guo X, Li J, Zheng L, Wang Q, Yang Z. Hippocampal activity is associated with self-descriptiveness effect in memory, whereas self-reference effect in memory depends on medial prefrontal activity. Hippocampus 2011; 22:1540-52. [PMID: 22161969 DOI: 10.1002/hipo.20994] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2011] [Indexed: 11/09/2022]
Abstract
The self has long been regarded as a unique cognitive structure by virtue of its superior mnemonic abilities. Two separate effects result from this self memory facilitation: self-reference effect and self-descriptiveness effect in memory. Self-reference effect denotes that information processed with reference to the self is better remembered than information processed with reference to others, whereas self-descriptiveness effect indicates that items judged to be self-relevant is remembered better than items judged not to be relevant to self during self-reference task. Although there is a compelling connection between self-reference effect in memory and self mentalization processes indexed by the medial prefrontal activity, the underlying mechanisms of the self-descriptiveness effect in memory have remained underspecified. In the present fMRI study, we used a subsequent memory paradigm to examine the neural correlates of self-descriptiveness and self-reference effect in memory. Participants encoded personality traits while performing self-reference and other-reference task (judged the descriptiveness of the traits to themselves or a famous person "Bruce Lee"), and then were given a test of recognition memory outside the scanner. It is revealed that the hippocampal activity corresponded with self-descriptiveness effect in memory, but the activity of the medial prefrontal cortex and perirhinal cortex related to self-reference effect in memory. These findings suggested that the memory boost for self-relevant items relies on the enhanced relational binding mechanisms employed during self-relevant items.
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Affiliation(s)
- Lei Zhu
- Department of Psychology, Fudan University, Shanghai, China
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Campo P, Garrido MI, Moran RJ, Maestú F, García-Morales I, Gil-Nagel A, del Pozo F, Dolan RJ, Friston KJ. Remote effects of hippocampal sclerosis on effective connectivity during working memory encoding: a case of connectional diaschisis? Cereb Cortex 2011; 22:1225-36. [PMID: 21810779 PMCID: PMC3357177 DOI: 10.1093/cercor/bhr201] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and characterized changes in effective connectivity while subjects engaged in WM task. Specifically, we compared dynamic causal models, extracted from magnetoencephalographic recordings during verbal WM encoding, in temporal lobe epilepsy patients (with left hippocampal sclerosis) and controls. Bayesian model comparison indicated that the best model (across subjects) evidenced bilateral, forward, and backward connections, coupling inferior temporal cortex (ITC), inferior frontal cortex (IFC), and MTL. MTL damage weakened backward connections from left MTL to left ITC, a decrease accompanied by strengthening of (bidirectional) connections between IFC and MTL in the contralesional hemisphere. These findings provide novel evidence concerning functional interactions between nodes of this fundamental cognitive network and sheds light on how these interactions are modified as a result of focal damage to MTL. The findings highlight that a reduced (top-down) influence of the MTL on ipsilateral language regions is accompanied by enhanced reciprocal coupling in the undamaged hemisphere providing a first demonstration of "connectional diaschisis."
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Affiliation(s)
- Pablo Campo
- Department of Basic Psychology, Autonoma University of Madrid, 28049 Madrid, Spain
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20
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Kalm K, Davis MH, Norris D. Neural mechanisms underlying the grouping effect in short-term memory. Hum Brain Mapp 2011; 33:1634-47. [PMID: 21739525 DOI: 10.1002/hbm.21308] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2010] [Revised: 02/23/2011] [Accepted: 02/23/2011] [Indexed: 11/07/2022] Open
Abstract
Dividing auditory sequence into groups, or imposing rhythmic, tonal, or spatial structure during presentation, improves recall performance. Several competing computational models have been proposed to account for these effects, but little is known about the neural correlates of grouping and hence the representations that encode grouped sequences. The present study used functional magnetic resonance imaging (fMRI) to compare the auditory encoding of grouped and ungrouped lists of sub-span (six letters) and supra-span (nine letters) length in an immediate serial recall (ISR) task. Analysis of activation revealed an extensive premotor and prefrontal network, which was significantly less active when short-term memory (STM) span was exceeded during encoding. Only primary auditory cortex showed an increase in activation when memory span was exceeded. Comparison of activation for grouped and ungrouped lists showed that during the subspan phase bilateral planum temporale showed less activation for grouped stimuli, while during the supra-span phase supramarginal and inferior parietal areas were more active for grouped lists. The magnitude of both temporal and parietal activations predicted enhanced recall of grouped lists. Thus neural signatures of grouping seem to reflect more structured processing in parietal areas instead of reliance on perceptual-auditory processing in temporal regions.
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Affiliation(s)
- Kristjan Kalm
- MRC Cognition and Brain Sciences Unit, Cambridge, UK.
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Ojemann GA, Corina DP, Corrigan N, Schoenfield-McNeill J, Poliakov A, Zamora L, Zanos S. Neuronal correlates of functional magnetic resonance imaging in human temporal cortex. Brain 2010; 133:46-59. [PMID: 19773355 PMCID: PMC2801320 DOI: 10.1093/brain/awp227] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2009] [Revised: 07/15/2009] [Accepted: 07/19/2009] [Indexed: 11/12/2022] Open
Abstract
The relationship between changes in functional magnetic resonance imaging and neuronal activity remains controversial. Data collected during awake neurosurgical procedures for the treatment of epilepsy provided a rare opportunity to examine this relationship in human temporal association cortex. We obtained functional magnetic resonance imaging blood oxygen dependent signals, single neuronal activity and local field potentials from 8 to 300 Hz at 13 temporal cortical sites, from nine subjects, during paired associate learning and control measures. The relation between the functional magnetic resonance imaging signal and the electrophysiologic parameters was assessed in two ways: colocalization between significant changes in these signals on the same paired associate-control comparisons and multiple linear regressions of the electrophysiologic measures on the functional magnetic resonance imaging signal, across all tasks. Significant colocalization was present between increased functional magnetic resonance imaging signals and increased local field potentials power in the 50-250 Hz range. Local field potentials power greater than 100 Hz was also a significant regressor for the functional magnetic resonance imaging signal, establishing this local field potentials frequency range as a neuronal correlate of the functional magnetic resonance imaging signal. There was a trend for a relation between power in some low frequency local field potentials frequencies and the functional magnetic resonance imaging signal, for 8-15 Hz increases in the colocalization analysis and 16-23 Hz in the multiple linear regression analysis. Neither analysis provided evidence for an independent relation to frequency of single neuron activity.
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Affiliation(s)
- George A Ojemann
- Department of Neurological Surgery, Campus Box 356470, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, USA.
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