Spindle frequency activity in the sleep EEG: individual differences and topographic distribution

Focal magnetic transcranial stimulation (TCS) is employed for mapping of the motor cortical output to abductor digiti minimi (ADM) muscle. The aim of this study was to evaluate the interhemispheric asymmetries in normals. Motor maps were obtained through motor evoked potentials (MEPs) recordings from ADM muscle in 20 healthy subjects in right and left hemispheres TCS. Measurement of several indexes such as excitability threshold, MEPs amplitude, MEPs latency, and silent period duration did not show differences between the hemispheres. Moreover, no interhemispheric asymmetries were found when the amplitude ratio values were analyzed. The hand motor cortical area, as represented by the number of responsive sites (3.6 vs. 3.5) and the "hot spot" site localization presented a fairly symmetrical organization. Absolute values displayed a relatively wide intersubject variability, while their interhemispheric differences were extremely restricted. This observation can offer a new tool in diagnosing and following up neurological disorders affecting the central motor system, mainly for those concerning monohemispheric lesions.     

A new pressure ulcer risk assessment scale for individuals with spinal cord injury

The topography of somatosensory evoked magnetic fields (SEFs) following stimulation of the upper and lower lips was investigated in 6 normal subjects. When the lateral side of the upper lip was stimulated, P20m and its counterpart, N20m, were identified in the hemisphere contralateral to the stimulated side. The equivalent current dipoles (ECDs) of N20m-P20m were considered to be located in lip area of the primary sensory cortex (SI). Middle latency deflections (N40m-P40m, N60m-P60m, and N80m-P80m) were identified in bilateral hemispheres. Their ECDs were located in the SI in both hemispheres. Long latency deflections (P110m-N110m) were recognized in both hemispheres, and their ECDs were located inferior to the SI, in an area considered to be the secondary sensory cortex (SII). When the midline of the lip was stimulated, similar short and middle latency deflections was also identified, but SII deflections (P110m-N110m) were decreased in amplitude. When the lower lip was stimulated, the ECDs of short and middle latency deflections were located at a site in the SI inferior to or near those elicited by upper lip stimulation. The ECDs of P110m-N110m were located in an area of the SII similar to that upon stimulation of the upper lip, but their orientations were different.     

Increased asymmetries in 2-deoxyglucose uptake in the brain of freely moving congenitally acallosal mice

To investigate the role of the corpus callosum in the expression of functional brain asymmetries, we compared left and right uptake of [14C]2-deoxyglucose in 43 brain regions measured in 10 C57B1/6 mice with a normal corpus callosum and in 12 congenitally acallosal mice, after 45 min of free activity in a novel, large open-field arena. The metabolic patterns across the brain appeared to be similar in the two groups of mice, as well as the average direction of asymmetry in tracer incorporation, which was higher at right in most of the brain regions for both acallosals and controls. However, the direction of the metabolic asymmetries of any given region was not consistent across individual animals. The largest asymmetries were found in the central auditory nuclei in both groups of mice, with extreme values in some acallosals. Significantly larger asymmetries were found in acallosal mice for the brain and the cortex as a whole, as well as for the lateral geniculate and pretectal nuclei, the olfactory tubercles, and retrosplenial, infrarhinal and perirhinal cortices. The metabolic asymmetries of the thalamic sensory nuclei were correlated with the asymmetries of the corresponding sensory cortical fields in the acallosal, but not in control mice. On the other hand, asymmetries of the cortical regions were largely intercorrelated in control mice, resulting in a general activation of one hemisphere over the other, while in acallosals they were more independent, resulting in a "patchy" pattern of cortical asymmetries. These results suggest that callosal agenesis, combined with the occurrence of ipsilateral Probst bundles, leads to a loss of co-ordination in the activation of different sensory and motor areas. The impaired co-ordination might then be distributed through cortico-subcortical loops, resulting in larger asymmetries throughout the brain. Thus, a normal corpus callosum appears to balance and synchronize metabolic brain activity, perhaps by smoothing the effects of asymmetrically activated ascending systems.     

Comparison of magnetoencephalography, functional MRI, and motor evoked potentials in the localization of the sensory-motor cortex

To clarify the topographical relationship between peri-Rolandic lesions and the central sulcus, we carried out presurgical functional mapping by using magnetoencephalography (MEG), functional magnetic resonance imaging (f-MRI), and motor evoked potentials (MEPs) on 5 patients. The sensory cortex was identified by somatosensory evoked magnetic fields using MEG (magnetic source imaging (MSI)). The motor area of the hand region was identified using f-MRI, during a hand squeezing task. In addition, transcranial magnetic stimulation localized the hand motor area on the scalp, which was mapped onto the MRI. In all cases, the sensory cortex was easily identified by MSI and the results of MSI correlated well with the findings obtained by the intraoperative recording of somatosensory evoked potentials. In contrast, the motor cortex could not be localized by f-MRI due to either the activated signal of the large cortical vein or the lack of any functional activation in the area of peri-lesional edema. MEPs were also unable to localize the entire motor strip. Therefore, at present, MSI is considered to be the most reliable method to localize peri-Rolandic lesions [corrected].     

Behavioral deficits in groups with cerebral vascular lesions.

Established 3 groups of patients with cerebrovascular disease (right hemisphere, left hemisphere, or generalized involvement) by matching 15 triads for age, sex, education, and duration of diagnosed cerebrovascular disease. Intergroup and intragroup comparisons were made of results on a large battery of measures, including psychometric intelligence, motor strength and speed, psychomotor performance, and sensory functions. Tests given included halstead's finger tapping test, halstead's tactual performance test, and wechsler-bellevue, form i, verbal and performance iq values. Significant differences were found between groups with lateralized lesions, whereas the group with generalized involvement tended to occupy an intermediate position. The group with left cerebral damage had a significantly lower verbal than performance iq, whereas this relationship was reversed in the group with right cerebral damage. Motor, psychomotor, and sensory functions were consistently impaired on the side contralateral to the damage hemisphere for the groups with lateralized lesions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Primary motor cortex asymmetry is correlated with handedness in capuchin monkeys (cebus apella).

Humans exhibit a population-wide tendency toward right-handedness, and structural asymmetries of the primary motor cortex are associated with hand preference. Reported are similar asymmetries correlated with hand preference in a New World monkey (Cebus apella) that does not display population-level handedness. Asymmetry of central sulcus depth is significantly different between left-handed and right-handed individuals as determined by a coordinated bimanual task. Left-handed individuals have a deeper central sulcus in the contralateral hemisphere; right-handed individuals have a more symmetrical central sulcus depth. Cerebral hemispheric specialization for hand preference is not uniquely human and may be more common among primates in general. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lateralized response to cortical injury in the rat: Interhemispheric interaction.

Two experiments, with 92 male Sprague-Dawley rats, examined the role of interhemispheric interaction in the production of spontaneous hyperactivity following right but not left frontal cortical suction lesions. Bilateral lesions, either simultaneous or left followed 1 wk later by right, led to spontaneous hyperactivity and bilateral depletions of cortical norepinephrine concentrations. Ss given corpus callosum sectioning as neonates and frontal cortical suction lesions as adults developed spontaneous hyperactivity only when the right hemisphere was injured. Data suggest that lateralized spontaneous hyperactivity as elicited by small suction lesions of the right hemisphere does not depend on interhemispheric release or interaction and that at least the cortical mechanism is in the right hemispere itself. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interhemispheric relations in processing hierarchical patterns: Evidence from normal and commissurotomized subjects.

On the basis of a review of neuropsychological evidence for several component processes of responding to global and local levels of hierarchically structured patterns, L. C. Robertson and M. R. Lamb (see record 1991-24938-001) hypothesized that interhemispheric communication between posterior cortexes would disrupt the typically interfering effects of global patterns on local response. These studies confirmed this hypothesis in 3 commissurotomized Ss. The normal interaction between visual field presentation and global or local level was present in normal Ss and all 3 patients, but global interference was absent or even reversed in patients. These data are discussed as they relate to the function of the corpus callosum and functional hemisphere asymmetries in responding to global and local levels of hierarchical forms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diffuse proliferative lupus nephritis in a patient with ulcerative colitis

PURPOSE: To compare activation of the ipsilateral cerebral hemisphere during tactile sensory and motor tasks involving the right and left hands. METHODS: Eight volunteers had functional MR imaging to measure the extent of cerebral hemisphere activation during a motor task and sensory task involving each hand. Hemispheric indexes (left hemisphere activation minus right hemisphere activation)/(left hemisphere activation plus right hemisphere activation) were computed for each hand and each task. The indexes for two tasks and the two hands were compared. RESULTS: The left-hand motor tasks activated the ipsilateral hemisphere in right handers significantly more than did the right-hand tasks. Motor tasks produced a greater activation of the ipsilateral hemisphere than did the sensory tasks. No significant differences were found between the hemispheric indexes for the right-hand and left-hand sensory tasks. CONCLUSION: This study confirms findings of a previous study, showing that the left hemisphere is active in left-hand motor tasks. Activation of the ipsilateral hemisphere is significantly less pronounced during sensory tasks than during motor tasks.     

Asymmetry of the interhemispheric visuomotor integration in callosal agenesis

We measured visuomotor responses following the Poffenberger paradigm in an acallosal boy, without other detectable neural defects. In this task crossed and uncrossed RT reflect the time of intra- and interhemispheric integration and the difference (CUD) estimates the interhemispheric transfer time. CUDs in the hemifields were largely asymmetrical in this subject, suggesting that visuomotor processing is extremely lengthened when the right hemisphere (RH) detects the light and the left hemisphere (LH) controls the motor output whereas it is very fast in the opposite direction. This asymmetry, which is present in comparable data available from the literature, may indicate the functional superiority of the LH in controlling the ipsilateral hand, as suggested by recent MRI findings.     

Magnetoencephalographic mapping: basic of a new functional risk profile in the selection of patients with cortical brain lesions

OBJECTIVE: Surgical management of cortical lesions adjacent to or within the eloquent cerebral cortex requires a critical risk: benefit analysis of the procedure before intervention. This study introduced a measure of surgical risk, based on preoperative magnetoencephalographic (MEG) sensory and motor mapping, and tested its value in predicting surgical morbidity. METHODS: Forty patients (21 men and 19 women; mean age, 36.5 yr) with cortical lesions (12 arteriovenous malformations and 28 tumors) in the vicinity of the sensorimotor cortex were classified into high-, medium-, or low-risk categories by using the MEG-defined functional risk profile (FRP). This was based on the minimal distance between the lesion margin and the sensory and motor MEG sources, superimposed on a magnetic resonance imaging scan. Case management decisions were based on the MEG mapping-derived FRP in combination with biopsy pathological findings, radiographic findings, and anatomic characteristics of the lesion. A recently developed protocol was used to transform MEG source locations into the stereotactic coordinate system. This procedure provided intraoperative access to MEG data in combination with stereotactic anatomic data displays routinely available on-line during surgery. RESULTS: It was determined that 11 patients diagnosed as having gliomas had high FRPs. The margin of the lesion was less than 4 mm from the nearest MEG dipole or involved the central sulcus directly. A nonoperative approach was used for six patients of this group, based on the MEG mapping-derived FRP. In the group with arteriovenous malformations, 6 of 12 patients with high or medium FRPs underwent nonoperative therapy. The remaining 28 patients, whose lesions showed satisfactory FRPs, underwent uneventful lesion resection, without postoperative neurological deficits. CONCLUSION: Our results suggest that MEG mapping-derived FRPs can serve as powerful tools for use in presurgical planning and during surgery.     

Postural asymmetries and language lateralization in humans (Homo sapiens).

Is hemispheric specialization for speech more closely related to left hemisphere specialization for manual skill and sequencing, as is usually supposed, or to control of asymmetries in whole body posture, as recent findings of right-handedness in nonhuman primates suggest? This question can be evaluated in the 10% of humans who have mixed handedness and footedness. Footedness entails postural asymmetry, and persons with mixed limb preferences often prefer the hand ipsilateral to the preferred foot in asymmetrical actions for which whole body postural adjustments are obligatory (e.g., throwing). The dichotic listening test, an indicator of language laterality, was administered to 4 groups of 48 persons with the 4 possible combinations of hand and foot preference. As in 2 past studies, language lateralization was somewhat more strongly related to postural asymmetries than to asymmetries in manual skill and sequencing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dissociation of letter and picture naming resulting from callosal disconnection

BACKGROUND: Detailed mapping of the corpus callosum for functional fractionation in humans remains incomplete. OBJECTIVE: To examine separable interhemispheric transfer of visual information by callosal fibers, especially in the splenium. METHODS: We examined callosal disconnection signs in a 14-year-old boy with a lesion confined to the posterior part of the splenium and reviewed reported cases with callosal lesions. RESULTS AND CONCLUSION: The patient presented with left hemialexia as the only manifestation of callosal disconnection syndrome. The only difficulty demonstrated was in reading aloud or copying letters, which were presented tachistoscopically to the left visual field, with his right hand. He could copy letters presented to his left visual field with his left hand, however. Therefore, left hemialexia was not due to hemiamblyopia or hemineglect. There was no anomia for pictures and colors in the left visual field. MRI revealed that the lesion was limited to the ventroposterior end of the splenium. Review of 40 reported patients with callosal lesions suggests that the anterior to middle part of the splenium is involved in transferring picture information from the language-nondominant hemisphere to the language-dominant hemisphere and that the ventroposterior part is involved in transferring letter information.     

Structural basis of cortical synchronization. II. Effects of cortical lesions

1. To understand the structural basis of the different types of interhemispheric synchronizations described in the preceding paper, we made sections of the corpus callosum and lesions of extrastriate cortex. We measured the effects of such operations on the frequency of encounter, width and strength of T, C, and H peaks in cross-correlation histograms computed from single-unit and multiunit recordings from areas 17-18 of opposite cortical hemispheres in the cat. 2. Sectioning of the corpus callosum led to a complete abolition of T and C couplings and a strong reduction of encounter rate and strength of H coupling. A section limited to the posterior half of the corpus callosum abolished T and C couplings completely. This suggests that T and C couplings are mediated by the direct reciprocal connections between visual cortical areas circulating through the posterior part of the corpus callosum. 3. The encounter rate of H peaks depended on the extent of the callosal cut. Larger lesions gave a more pronounced reduction of the number of H peaks. From this observation we conclude that H peaks are at least partially mediated by polysynaptic pathways involving widely distributed cortical regions. 4. Extensive lesions of extrastriate cortex were made by aspiration of the gray matter or injections of ibotenic acid. These lesions removed the direct inputs from cortical areas sending ipsilateral as well as contralateral inputs to the area 17-18 border region. Encounter rate and coupling strength of C and H peaks were decreased, whereas little effect was observed on T peaks. 5. These results demonstrate that all types of interhemispheric synchronization are mediated by corticocortical connections and that T and C peaks are generated by reciprocal connections between areas 17 and 18 of each hemisphere. Feedback connections play a role in mediating or facilitating the C and H types of interhemispheric synchronization.     

Differential patterns of language and motor reorganization following early left hemisphere lesion: a PET study

OBJECTIVE: There is extensive evidence for post-lesional plasticity in the language and motor domains. We examined possible domain-specific differences in reorganizational patterns, hypothesizing that interhemispheric reorganization would be predominantly homotopic for language, but predominantly nonhomotopic for motor control. DESIGN: Using oxygen 15-water positron emission tomography, regional cerebral blood flow was studied during rest, listening to sentences, repetition of sentences, and finger tapping of the right hand. Task-specific primary, secondary, and tertiary regions of interest were defined according to the degree of regional involvement in language/motor functions as documented in previous studies. Regional activations were compared within and across functional domains. PATIENTS: Nine patients (aged 4-20 years) with unilateral left hemisphere lesion involving both the primary motor and perisylvian language cortices were studied. Two samples of healthy adults were included for additional comparisons. MAIN OUTCOME MEASURE: Hemispheric asymmetry of blood flow changes within regions of interest. RESULTS: As predicted, rightward asymmetry of activations in primary and secondary regions was stronger for language than for movement, but the expected inverse difference for tertiary regions (greater rightward asymmetry of motor activations) was not found. Within-domain comparisons showed that for listening to sentences, rightward asymmetry was strongest in primary and weakest in tertiary regions, whereas the inverse differences were found for movement. CONCLUSION: The findings suggest a greater potential for homotopic interhemispheric reorganization in the language than in the motor domain. Interhemispheric motor reorganization was generally limited.     

Redundancy gains for visual search after complete commissurotomy.

Redundant-targets effects (RTE) for visual search were investigated in 2 commissurotomy patients (L.B., N.G.). L.B., who showed no evidence of visual interhemispheric transfer, exhibited a paradoxical enhancement of the redundancy gain in the bilateral compared with the within-hemifield redundant-targets conditions, whereas N.G., who showed evidence of interhemispheric transfer of visual information, exhibited no enhancement of the bilateral redundancy gain. When only uncrossed responses were considered, both bilateral and within-field RTE were evident only when attentional demands were high. Bilateral redundant targets led to stronger gains, some indicative of coactivation, in the slower response hand. The authors suggest that the enhancement of the bilateral RTE comes about by neural coactivation, which is especially pronounced when the slower hemisphere elicits the response. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The genetics and evolution of handedness

At some point in hominid evolution, a mutation may have produced a "dextral" (D) allele, strongly biasing handedness in favor of the right hand and control of speech toward the left cerebral hemisphere. An alternative (chance [C]) allele is presumed directionally neutral, although there are probably other genes that influence asymmetries and that may create a weak bias toward right-handedness (and other asymmetries). Simulations show that the D allele could have spread quite quickly through a population, given even a minuscule advantage of CD heterozygotes over CC and DD homozygotes in terms of reproductive fitness. This heterozygotic advantage would also explain the apparent stability in the relative proportions of left-handers and right-handers. This putative, uniquely human allele may have emerged with the evolution of Homo sapiens in Africa some 150,000 to 200,000 years ago.     

The missing link: the role of interhemispheric interaction in attentional processing

Although interhemispheric interaction via the callosum is most often conceived as a mechanism for transferring sensory information and coordinating processing between the hemispheres, it will be argued here that the callosum also plays an important role in attentional processing. Experiments will be presented that support this viewpoint, both when attention is conceptualized as a resource and when it is conceptualized as a selective mechanism for gating sensory information. Interhemispheric interaction is posited to aid attentional processing because it allows for a division of labor across the hemispheres, and allows for parallel processing so that operations performed in one hemisphere can be insulated from those executed in the other. Given this additional role for interhemispheric processing, it is suggested that the corpus callosum should be considered a component in the network of neural structures that underlie attentional control.     

Handedness and asymmetry of hand representation in human motor cortex

The cortical representation of five simple hand and finger movements in the human motor cortex was determined in left- and right-handed people with whole-head magnetoencephalography. Different movements were found to be represented by spatially segregated dipolar sources in primary motor cortex. The spatial arrangement of neuronal sources for digit and wrist movements was nonsomatotopic and varied greatly between subjects. As an estimator of hand area size in primary motor cortex, we determined the smallest cuboid volume enclosing the five dipole sources within the left and right hemisphere of each subject. Interhemispheric comparison revealed a significant increase of this volume in primary motor cortex opposite to the preferred hand. This asymmetry was due to a greater spatial segregation of neuronal dipole generators subserving different hand and finger actions in the dominant hemisphere. Mean Euclidean distances between dipole sources for different movements were 10.7 +/- 3.5 mm in the dominant and 9.4 +/- 3.5 mm in the nondominant hemisphere (mean +/- SD; P = 0. 01, two-tailed t-test). The expansion of hand representation in primary motor cortex could not simply be attributed to a greater number of pyramidal cells devoted to each particular movement as inferred from current source amplitudes. The degree of hemispheric asymmetry of hand area size in the primary motor cortex was correlated highly with the asymmetry of hand performance in a standardized handedness test (r = -0.76, P < 0.01). These results demonstrate for the first time a biological correlate of handedness in human motor cortex. The expansion of hand motor cortex in the dominant hemisphere may provide extra space for the cortical encoding of a greater motor skill repertoire of the preferred hand.     

A comparative MRI study of the relationship between neuroanatomical asymmetry and interhemispheric connectivity in primates: Implication for the evolution of functional asymmetries.

The authors tested the theory that hemispheric specialization evolved as a consequence of reduced interhemispheric connectivity by examining whether neuroanatomical asymmetries were associated with variation in the ratio of corpus callosum size to brain volume (CC:VOL) and to neocortical surface area (CC:NEO) in human and nonhuman primates. Magnetic resonance images were collected in a sample of 45 primates including 8 New World monkeys, 10 Old World monkeys, 4 lesser apes, 17 great apes, and 6 humans. CC:VOL and CC:NEO were determined and correlated with measures of brain asymmetry. The results indicate that brain asymmetry significantly predicted CC:VOL and CC:NEO. Subsequent analyses revealed that species variation in functional asymmetries in the form of handedness are also inversely related to CC: NEO. Taken together, these results support the hypothesis that leftward brain asymmetries may have evolved as a consequence of reduced interhemispheric connectivity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)