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.     

MR imaging of the corpus callosum

The corpus callosum is the major axonal commissure of the brain, connecting the two cerebral hemispheres and providing communication between the cortical and subcortical neurons. With MR imaging in the sagittal plane, the corpus callosum can be depicted in great detail. We review the normal anatomy, development, and process of myelination of the corpus callosum. The MR features of various pathologic conditions involving the corpus callosum are described. Finally, we discuss the evolving role of MR imaging in neuropsychiatric diseases with respect to the corpus callosum.     

Partial development of the corpus callosum

PURPOSE: To determine whether the MR findings of callosal dysgenesis suggest that the partially formed corpus callosum in humans is the result of arrested growth or delayed continued development. METHODS: The MR scans of 25 patients with callosal dysgenesis were reviewed to determine whether the observed corpus callosum corresponded to the form and position of a portion of a normal corpus callosum, as suggested by a theory of arrested growth. RESULTS: In 10 of the 25 cases, the partially formed corpus callosum corresponded to a portion of a normal corpus callosum. In the remaining 15 cases, the partially formed corpus callosum was located posterior to the expected location of a normal genu and inferior to the expected location of a normal body. CONCLUSIONS: Corpus callosum dysgenesis in humans may be caused by arrested growth in some cases; in other cases it is most likely caused by delayed continued development that attempts to compensate for earlier abnormalities in the evolution of midline structures.     

Micronized flavonoid therapy in internal hemorrhoids of pregnancy

To determine the prevalence of corpus callosum atrophy in chronic alcoholics and its relationship to cognitive function and brain atrophy, a prospective clinicoradiologic study was carried out in 28 right-handed male patients with chronic alcoholism and 14 age- and sex-matched right-handed control subjects. Clinical evaluation, neuropsychological testing and measurement of the midsagittal corpus callosum area and thickness (genu, truncus and splenium), as well as the frontal lobe index and the width of the cortical sulci on T1- and T2-weighted magnetic resonance images were performed. Compared to controls, alcoholics had significantly decreased corpus callosum area and thickness, mainly in the genu. Two-thirds had a corpus callosum area 2 SD below the mean of the control group. The sagittal area of the corpus callosum body correlated negatively with the degree of frontal and cortical atrophies (r = -0.5579 and -0.6853, respectively p < 0.01, both). Alcoholics with corpus callosum atrophy exhibited impairment of visual and logical memories (p < 0.05 both) and those with reduced thickness of the genu showed impairment of frontal lobe tasks (p < 0.05). The reduction of corpus callosum indices (age-corrected) also correlated with the total lifetime dose of ethanol consumed (r = 0.6107, p < 0.001), but was not related to nutritional status or electrolyte imbalance. Atrophy of the corpus callosum is common among alcoholic patients and may reflect the severity and pattern of cortical damage. The degree of this atrophy also correlated with the severity of ethanol intake.     

Nutritional status of onchocerciasis patients. 1. An investigation of protein-calorie malnutrition

The case of corpus callosum lipoma that was accidentally discovered during the routine brain examination by computed tomography had been described. The CT features of corpus callosum lipoma were described as well as differential-diagnostic differences with epidermoid cyst agenesia of corpus callosum and cyst of the pellucid septum (cavum vergae).     

Effects of unilateral parietal lesions on spatial localization in the rat.

In the 1st of 2 experiments, rats with left or right parietal lesions and controls were tested in place and landmark navigation in the water maze. Right parietal lesions resulted in deficits in both tasks, but especially landmark navigation. Lateralized effects appeared mainly in latency to find the platform. Exp 2 investigated the role of the corpus callosum. Split-brain rats with unilateral parietal lesions were tested on the same 2 tasks. Place and landmark deficits were particularly severe, but lateralization was weaker. Callosum section had its own effect, impairing the learning of both tasks. There appear to be additive effects of unilateral cortical lesions and bisection of the hemispheres. The impairment from left lesions equaled the right-lesion deficit because of the interruption of compensatory information from the intact right hemisphere and the effect of callosum section itself. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reading and the corpus callosum: An MRI family study of volume and area.

This study examines the corpus callosum in 68 readers nested in 24 families. Callosa were measured and controlled for whole brain volume, intelligence, and gender. The relation of corpus callosum size to the within-family variance of oral reading was investigated with various measurements: volume, midsagittal area, and anterior-to-posterior one-fifth area segmentations. Because this is the first known publication of MRI calculations of corpus callosum volume, some basic questions about bilateral symmetry and the efficacy of area versus volumetric measurements were explored. Results suggest that better readers within families have larger midsagittal areas at the midbody. Although reliably measured, volume did not contribute to oral reading but was highly correlated with area. Bilateral volumes of the corpus callosum were symmetric. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intermanual transfer in the monkey as a function of amount of callosal sparing

The effects of commissure section, task difficulty and overtraining on the intermanual transfer of tactile learning have been examined. Twenty-one rhesus monkeys were allocated to 4 groups. One group was subjected to complete transection of the corpus callosum, massa intermedia and posterior commissure. Some of this group also sustained a cerebellar section. A second group received a similar division of the commissures but with part of the posterior body of the corpus callosum left intact. A third group received similar division of the commissures but with the posterior commissure left intact. The fourth group formed an unoperated control group. Animals with only the posterior commissure left intact showed little or no transfer. Animals with partial callosal lesions showed significantly greater transfer than animals with total transections, but were impaired relative to the unoperated controls. Estimates have been made of the number of callosal fibres left intact in the animals with partial callosal lesions. These estimates have been correlated with transfer. The correlation was significant on only one task. Neither task difficulty nor overtraining were found to affect transfer significantly. The comparison of transfer of the submodalities of size and roughness was inconclusive.     

Contraction and relaxation velocities of the normal left ventricle using pulsed-wave tissue Doppler echocardiography

OBJECTIVE: To investigate whether atrophy of the corpus callosum is associated with cognitive impairment and cerebral cortical hypometabolism in corticobasal degeneration. DESIGN: Prospective clinicoradiological correlation with magnetic resonance imaging and positron emission tomography. SETTING: A university hospital. PATIENTS: Eight right-handed patients with clinically diagnosed corticobasal degeneration (mean+/-SD age, 64+/-8 years). MAIN OUTCOME MEASURES: Midsagittal corpus callosum area-skull area ratio (on T1-weighted magnetic resonance images), the sum of the scaled scores of the 6 subtests on the Wechsler Adult Intelligence Scale-Revised (Digit Span, Arithmetic, Picture Arrangement, Object Assembly, Block Design, and Digit Symbol), and cerebral metabolic rate of glucose (measured with positron emission tomography by using fludeoxyglucose F 18 as a tracer). RESULTS: Compared with 36 age-matched right-handed control subjects, the patients had significantly decreased callosal area-skull area ratio. The reduction in this ratio was greatest in the middle half of the corpus callosum. The atrophy of the corpus callosum was accompanied by a decreased mean cortical glucose metabolic rate with hemispheric asymmetry and a decrease in the sum of the scaled subtest scores of the Wechsler Adult Intelligence Scale-Revised. CONCLUSIONS: Atrophy of the corpus callosum with middle predominance is present in corticobasal degeneration, and this atrophy is associated with cognitive impairment and cerebral cortical hypometabolism with hemispheric asymmetry. Atrophy of the corpus callosum might reflect the severity of the disconnection between cortical regions, and this may be an important factor in the development of cerebral cortical dysfunction in corticobasal degeneration.     

Lateralization of emotionality in right parietal cortex of the rat.

Lesions of right parietal cortex in the rat increase activity in the open field compared with left parietal lesions, especially after section of the corpus callosum. Left or right motor or medial frontal cortex lesions do not have a lateralized effect. This evidence of a localized asymmetry between the cerebral hemispheres strongly implies that right parietal cortex has a role in emotionality in this species. Our findings suggest a functional similarity to right parietal cortex in man. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical picture of autoimmune hemolytic anemia

We describe a boy who has gelastic epilepsy, precocious puberty, hypothalamic hamartoma, and agenesis of the corpus callosum. We believe that this is the first documented case in which agenesis of the corpus callosum has been associated with hypothalamic hamartoma and gelastic epileptic syndrome in a child.     

Line Bisection in the Split Brain.

The authors examined line bisection in 4 patients with resection of the corpus callosum and in 22 control participants. The control participants showed a leftward bias, especially with the left hand, implying right-hemispheric dominance in spatial attention. Two patients with anterior callosotomy showed similar biases, suggesting that the anterior callosum plays only a small role. A patient with complete callosotomy showed a strong right bias, regardless of hand use. A patient with posterior callosotomy showed the opposite pattern: a strong left bias, regardless of hand use. These data suggest that the posterior corpus callosum normally plays a role in line bisection and that the resection of the posterior corpus callosum produces consistent bias. The direction of the bias depends on which hemisphere assumes control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of ethnicity on disease patterns in 472 Orientals with systemic lupus erythematosus

We provide evidence for anisotropic diffusion in rat corpus callosum and hippocampus. The preferential diffusion pathway in corpus callosum is along the myelinated axon fibres; in the hippocampus diffusion is easier along the transversal axis (x) than along the sagittal (y) or vertical (z) axes. In all areas studied, i.e. in the cortex, corpus callosum and hippocampus, the mean ECS volume fraction alpha (alpha = ECS volume/total tissue volume) ranged between 0.20 and 0.22 and mean non-specific uptake k' was between 4.0 and 5.9 x 10(-3) s-1. Diffusional anisotropy in the hippocampus may be of importance for extrasynaptic transmission and in the 'cross-talk' between synapses.     

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)     

Lipoatrophy induced by recombinant human insulin injection

Agenesis of the corpus callosum (ACC) is a relatively common brain abnormality resulting from developmental defects either limited to the structures leading to the proper formation of the corpus callosum or involving the embryo forebrain more generally. ACC is genetically heterogeneous with autosomal dominant, autosomal recessive, and X linked inheritance and has also been reported in subjects with aneuploidies involving several chromosomes. Among them, distal 6q deletions have been consistently reported in association with ACC, suggesting that there is a gene in the deleted region whose haploinsufficiency impairs normal corpus callosum development. We have studied a child with ACC with Probst bundles and a deletion at 6q25 of about 8 cM, from D6S1496 to D6S437. Probst bundles are the axons that should have formed the corpus callosum but, unable to cross the midline owing to absence of the massa commissuralis, they run longitudinally along the medial walls of the lateral ventricles from the frontal to the occipital lobes. Thus, their presence suggests that a gene located in the 6q deleted region is specifically involved in the formation of the massa commissuralis and that its haploinsufficiency leads to primary ACC.     

Apropos of lichen sclerosus of the vulva

Among the very rare intracerebral lipomas, those of the corpus callosum are the most frequent. Due to the advanced technology and the frequent use of ultrasonography these lesions are diagnosed more and more often. A female neonate was admitted to our hospital because of a progressive thrombocytopenia. Pregnancy was complicated by an autoimmune thrombocytopenia of the mother. While there were no remarkable findings on clinical presentation, a sonogram of the brain revealed an area of increased echogenicity in the midline which was interpreted as an intracerebral hemorrhage. In absence of any respective clinical signs a magnet-resonance-tomography of the brain was performed leading to the hypothesis of a lipoma of the corpus callosum (LCC) that could be verified by a densitometry in a cranial computer tomography (CT). Obviously, the initially performed sonogram was misinterpreted as an intracerebral hemorrhage due to the coincidence with the thrombocytopenia. At last the discrepancy of clinical and ultrasonographical findings led to the diagnosis by magnet-resonance-tomography and CT scan. Knowledge of the typical sonographic appearance of an LCC may be helpful for the differential diagnosis of this rare lesion even in fetal ultrasound.     

Incontinentia pigmenti: clinical and neuroradiologic features

Developmental brain malformations and destructive processes of unknown etiology were described in incontinentia pigmenti (IP). Two patients, a male and a female, with characteristic skin lesions and central nervous system (CNS) involvement are reported. Neuroradiological examinations revealed hypoplasia of corpus callosum, neuronal heterotopias, and periventricular white matter damage. No specific infectious, inflammatory, or metabolic abnormalities were identified. These neuroradiographic findings may suggest that an ischemic pathogenetic mechanism occurred prenatally. We speculate that the brain damage in IP may occur during CNS development and in successive stages. Magnetic resonance imaging appears more useful to detect white matter lesions and brain malformations in patients with IP.     

Variations in human corpus callosum do not predict gender: A study using magnetic resonance imaging.

Controversy exists in the neuropsychological literature concerning the existence of gender-associated differences in cognitive functioning and in hemispheric lateralization of cognitive functions. A recent study, based on 14 brains obtained at autopsy, reported sex differences in the splenium of the human corpus callosum and suggested that the larger splenium in females reflects less hemispheric lateralization, or "specialization," than the male brain for visuospatial functions. Our measurements of the human corpus callosum using magnetic resonance images of 37 living subjects failed to confirm reported sex differences in the splenium. A marginally significant sex-related difference in minimum body width and an age-related decrease in anteroposterior distance were found. Most striking were the large variations in callosal size and shape among individuals regardless of age or gender. Existing knowledge of the functions of the corpus callosum does not permit correlations between variations in callosal size and shape and variations in cognitive functions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Partial callosotomy and left-right response differentiation in the rat: Separate anterior and posterior facilitatory effects.

Earlier research demonstrated that complete section of the corpus callosum in the rat reduced the number of trials required to acquire a left–right response differentiation (LRRD). This study was designed to investigate whether the facilitatory effect on LRRD could be produced by section of an anatomical subdivision of the callosum. Rats with sections of the anterior or posterior corpus callosum mastered the LRRD task faster than sham Ss, but more slowly than rats with total callosal section; section of the middle portion of the callosum had no such effect. The partial facilitatory effects of anterior and posterior callosotomy appear to be independent and suggest that the callosal intermixing of lateral information, which contributes to left–right confusion, occurs at both the sensory and motor levels of processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Abnormal callosal morphology in male adult dyslexics: relationships to handedness and phonological abilities

The classical notion that developmental dyslexia may somehow relate to impaired communication between hemispheres has not yet received convincing support. Sixteen dyslexic adults and 12 controls received a high resolution brain MRI scan for morphometric study of the corpus callosum. Automatized measurements of callosal area and calculation of indices defining the general morphology of the callosal mid-surface were performed. Each participant received global intelligence and reading achievement evaluation; dyslexics were further proposed specific neuropsychological tests specially designed to explore the mechanisms of reading impairment. It just appears from the group comparisons (1) that the dyslexics' corpus callosum displays a more circular and evenly thicker general shape, and (2) that the midsagittal surface is on the average larger than in controls, in particular in the isthmus. Moreover, the different morphometric characteristics of the dyslexic brain correlated with the degree of impairment on various tests exploring phonological abilities. In vivo morphometry of the corpus callosum may provide valuable hints for understanding developmental learning disorders and their consequences in adults.