Callosal transfer in schizophrenia: Too much or too little?

Evidence from diverse sources has pointed to an abnormality in callosal transfer in schizophrenia. To examine this further, a test was devised that measures Stroop interference and facilitation within and between the cerebral hemispheres. 46 heterogeneous schizophrenic patients were tested, and it was found that lateralized Stroop effects were equivalent in the left and right hemispheres and did not differ from normal or psychiatric (affective disorder) control Ss. In control Ss, Stroop effects that required interhemispheric transfer of coded information were reduced relative to those requiring intrahemispheric transfer, whereas among schizophrenic Ss, greater Stroop effects were found in the interhemispheric condition, presumably reflecting increased callosal connectivity. An index of callosal transfer did not correlate with gender, age, or IQ in any of the groups, nor did it relate to clinical characteristics in the schizophrenic Ss. The results support a specific functional abnormality of excessive callosal transfer in schizophrenia, though its role in pathogenesis remains unspecified. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Application of transcranial Doppler sonography to evaluate cerebral hemodynamics in carotid artery disease. Comparative analysis of different hemodynamic variables

BACKGROUND AND PURPOSE: Transcranial Doppler sonography in combination with manipulation of cerebral resistance vessels is widely used to screen patients with suspected intracranial hemodynamic disturbances. Maximal flow velocity (Vmax), mean flow velocity (Vmean), cerebral pulsatility index (CPi), and cerebral resistance index (CRi) have all been used to describe cerebral hemodynamics. The present study examined CO2 reactivity of the above hemodynamic variables with respect to its variability between different age groups and its capability to discriminate between normal and abnormal findings. METHODS: Absolute and relative CO2 reactivity of Vmax, Vmean, CRi, and CPi were determined in both hemispheres in 30 young and 37 elderly control subjects and in 245 consecutive patients with strictly unilateral symptomatic (n = 101) or asymptomatic (n = 144) carotid artery disease (> 80% stenosis or occlusion). RESULTS: Hemispheric reactivities of Vmean, CRi, and CPi were significantly age dependent. Hemispheric Vmax reactivity and interhemispheric differences of individual reactivities (except absolute CPi reactivity) did not vary with age and could therefore be used to define normal values. Patient classification according to these values revealed different frequencies of subjects with pathological findings (3% for hemispheric Vmax reactivity, 5% to 7% for interhemispheric differences of Vmax or Vmean reactivity, 39% and 45% for interhemispheric differences of relative CRi and CPi reactivity, respectively). CONCLUSIONS: Hemispheric reactivities are less suitable to evaluate cerebral hemodynamics than interhemispheric differences, since most of the latter do not vary with age. However, interhemispheric differences vary with respect to their discriminatory power. Power is low for interhemispheric differences of Vmax and Vmean reactivity, since the corresponding frequencies of abnormal findings do not differ from the 5% frequency expected in the reference population (reference range defined as mean +/- 2 SD). With respect to the discriminatory power, interhemispheric differences of relative CRi and CPi reactivity may be superior to other parameters.     

Coherence analysis of the human sleep electroencephalogram

Animal studies have shown that the sleep-related oscillations in the frequency range of spindles and slow-waves, and in the gamma band occur synchronously over large parts of the cerebral cortex. Coherence analysis was used to investigate these oscillations in the human sleep electroencephalogram. In all-night electroencephalogram recordings from eight young subjects power and coherence spectra within and between cerebral hemispheres were computed from bipolar derivations placed bilaterally along the antero-posterior axis. The 0.75-50 Hz range was examined with a resolution of 0.25 Hz. Distinct peaks in coherence were present in non-rapid eye movement sleep but not in rapid eye movement sleep. The most prominent and consistent peak was seen in the range of sleep spindles (13-14 Hz), and additional peaks were present in the alpha band (9-10 Hz) and low delta band (1-2 Hz). Whereas coherence in the spindle range was highest in stage 2, the alpha peak was most prominent in slow-wave sleep (stages 3 and 4). Interhemispheric coherence at 30 Hz was higher in rapid eye movement sleep than in non-rapid eye movement sleep. There were also marked sleep state-independent regional differences. Coherence between homologous interhemispheric derivations was high in the low frequency range and declined with increasing frequencies, whereas coherence of intrahemispheric and non-homologous interhemispheric derivations was at a low level throughout the spectra. It is concluded that coherence analysis may provide insights into large-scale functional connectivities of brain regions during sleep. The high coherence of sleep spindles is an indication for their widespread and quasi-synchronous occurrence throughout the cortex and may point to their specific role in the sleep process.     

Neuro-ophthalmic complications of acute varicella

In 16 patients suffering from migraine without aura, we examined quantitative EEG and steady-state visual evoked potentials (SSVEPs) at 27 Hz stimulation during the critical phase of migraine and in attack-free periods. The main spontaneous EEG abnormalities found during the critical phase were the slowing and asymmetry of the dominant frequency in the alpha range. The amplitude of the SSVEP F1 component was significantly reduced during the attack phase compared with the intercritical phase; in the latter condition the visual reactivity to 27 Hz stimulus was increased over almost the entire scalp compared with normal subjects. The EEG abnormalities confirm a fluctuating modification of alpha activity during the migraine attack, probably related to a functional disorder. The suppression of visual reactivity during the migraine attack could be related to a phenomenon of neuronal depolarization such as spreading depression, occurring in a situation of central neuronal increased excitability predisposing to migraine attacks.     

Prefrontal dysfunction in young acute neuroleptic-naive schizophrenic patients: a resting and activation SPECT study

Regional cerebral blood flow (rCBF) was measured with single photon emission computed tomography (SPECT) in six neuroleptic-naive, young, acute schizophrenic patients and six normal control subjects. We evaluated rCBF changes in prefrontal areas at rest and during a prefrontal activation task, the Wisconsin Card Sorting Test (WCST). Schizophrenic patients had significantly higher prefrontal blood flow than did control subjects during the resting conditions. During activation, the control group showed significant increases in prefrontal blood flow, whereas the schizophrenic group did not. These results suggest that at rest there is no evidence of hypofrontality, whereas hyperfrontality seems to be the most frequent pattern in our selected sample of young acute neuroleptic-naive schizophrenic patients. Furthermore, schizophrenic patients seem to be unable to increase prefrontal blood flow under conditions that challenge the prefrontal cortex.     

Interhemispheric interrelationships in the visual cortex of cats following unilateral polarization and photic stimulation of different intensity

Anodic polarization of the parastriate area in the right hemisphere causes in symmetric regions of cat's visual cortex dynamic changes in EPs, interhemispheric functional asymmetry and interhemispheric relations, depending on the intensity of photic stimulation. The sequence of phases of interhemispheric callosal relations and characteristics of interaction between callosal and extracallosal influences were traced in different periods of polarization excitation. It was found that interhemispheric callosal and extracallosal influences lead either to stabilization of initial EP levels and interhemispheric asymmetry or to their change depending on conditions of photostimulation and on the stage in the formation of polarization site.     

Aggression and the EEG: A quantitative analysis.

80 male offenders (mean age 33.93 yrs) at a psychiatric security hospital completed scales of aggression and hostility and were rated on previous history of assaulative behavior. Two psychiatrists agreed that 45 Ss had personality disorders and 35 were psychotic. Low frequency analysis was employed to obtain measures of EEG abundance at rest, during repetitive auditory stimulation, and during the cold pressor test. Neither within the sample as a whole nor within personality disorders alone was any relation found between resting abundance and aggression. More aggressive Ss tended to have a higher dominant frequency at rest, less increase in theta during monotonous stimulation, and greater alpha reactivity to cold pressor stimulation. Results are not in accord with the view that a high prevalence of theta activity characterizes aggressive offenders. The evidence of greater cortical excitability in aggressive patients suggests that persistent aggression is associated with a dominance of the ergotropic system. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The hemispheric functional specialization of visual perception

In this review the modern concepts on psychophysical mechanisms of hemispheric functional specialization of human visual perception are considered. The problems are discussed on three basic historical aspects: interhemispheric relations in patients with localized cerebral lesions, interhemispheric differences in the "Bisected Brain", and the functional asymmetry in the intact brain. The neuropsychological data on recognition of geometric figures, faces and objects, and also electrophysiological results on the event-related brain potentials are deliberated. Special attention is given to the own data of authors dedicated to importance role of the right hemisphere in the brain interhemispheric functional asymmetry in control subjects and alcoholics. Several problems on learning and influence of emotions on visuospatial recognition are discussed. The dichotomous approach to brain functional asymmetry are not shared, the hypothesis on intersupplementary cooperation in hemispheric specialization and interaction of the brain hemispheres are supported.     

The hemispheric relationships of the human brain during the recovery of consciousness after a long-term coma: an EEG analysis

Analysis of the intra- and interhemispheric EEG coherence in the dynamics of coma regress and its comparison with the clinical stages of postcomatose recovery period revealed both specific interhemispheric rearrangements of the structure of intercentral functional relations, which developed in parallel with the recovery at first of the visual, and then speech functions, and the adaptive-compensatory changes in activity of the regulatory systems, which provide the recovery of mental functions. It is emphasized that the interhemispheric EEG coherence asymmetry, its character and dynamics are significant for formation of neurophysiological mechanisms of consciousness and the course of compensatory processes under the extreme conditions.     

Progressive study of EEG and evoked potentials in Lafora disease

OBJECTIVE: The aim of this paper is to present a simultaneous evolutionary study of EEG and multimodality evoked potentials (EP) in a patient with progressive myoclonus epilepsy (PME) with Lafora bodies in the sweat glands from the axillary skin biopsy. CLINICAL CASE: The EEG showed progressive deterioration characteristic of this entity. Epileptiform activity was modified in distribution and morphology throughout the sickness. Abnormalities appeared in serial sleep records, although with acceptable preservation of its structure. The EEG findings supported the diagnosis of PME prior to clinical suspicion. A gradual increase in the somatosensory EP amplitude was observed, leading to an early giant configuration. However, an asymmetry persisted between both hemispheres, with the right cortex being more affected. Recording simultaneously on C3 and C4 after unilateral stimulation, a high-amplitude ipsilateral response was found in both hemispheres, suggesting hyperexcitability of cortical and subcortical neural structures. CONCLUSION: These somatosensory EP findings--progressive deterioration, interhemispheric asymmetry and ipsilateral giant response--have not, to our knowledge, been previously described.     

Cortical Networks Generating Movement-Related EEG Rhythms in Alzheimer's Disease: An EEG Coherence Study.

Patients with mild Alzheimer's disease (AD) present with abnormally strong values of frontal and ipsilateral central sensorimotor rhythms. The authors tested 2 working hypotheses of the related electroencephalographic (EEG) coherence: disconnection, defined as a sign of a reduced coordination within the frontoparietal and interhemispheric networks, and cooperation, defined as a reflection of the reorganization of the brain sensorimotor networks. Results showed that, compared with healthy controls, patients with mild AD had an unreactive and abnormally low interhemispheric EEG coherence and an unreactive and abnormally high frontoparietal EEG coherence. These findings support the hypothesis of an impaired mechanism of sensorimotor cortical coupling (disconnection) in mild AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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.     

Interhemispheric EEG coherence in men with abnormal sexual behavior

Interhemispheric interactions were examined in individuals with abnormal sexual behaviour by means of method of evaluation of coherent EEG properties in symmetric points of two hemispheres in different levels of awakening and in elaboration of cognitive tests related with preferential activation of one of two hemispheres. It was determined that EEG of the individuals who had committed sexual deliquency and had the signs of paraphilia was characterized by diffuse elevation of the degree of interhemispheric coherence in alpha-activity in the state of both passive and active awakening and by its local elevation in theta-activity. The results obtained might testify to the disorders either in cortical-subcortical interactions and in the cortical processes and permitted to suppose the decrease of degree of functional hemispheric lateralization in persons with paraphilias.     

Effects of FGFs on the morphogenic potency and AER-maintenance activity of cultured progress zone cells of chick limb bud

Under conditions of rabbit chronic experiments, it was shown by means of the spectral-coherence analysis that the motor polarization dominant formed by the application of DC anode to the sensorimotor cortex produced a novel structure of the intercentral relations between electrical processes not only in the ipsi-, but in the contralateral brain hemisphere. A certain "isolation" of the primary focus was observed in the cortex of the "dominant" hemisphere, which was manifested in a decrease in its delta-range coherent relations with the other cortical areas. At the dominant optimum (in interstimulus intervals), an interhemispheric asymmetry in the EEG coherence spectra was observed in the delta band between the sensorimotor cortical areas, ventroposterolateral thalamic nuclei, and CA3 fields of the dorsal hippocampi. The asymmetry increased during the testing auditory stimulation. Development of the alpha- and beta-band interhemispheric asymmetry in the structures in question coincided with realization of the motor "dominant" reaction and was suggested to be associated with movement organization.     

Hippocampal volume reduction in male schizophrenic patients

Using magnetic resonance imaging of the brain, we examined volumetric measurements of total brain, hemispheres, lateral ventricles and the hippocampus/amygdala complex in male subjects (41 first-episode schizophrenics, 30 chronic schizophrenic patients and 32 healthy controls). We found significantly smaller total brain size in the chronic schizophrenic group, significantly larger lateral ventricles in both patient groups and hippocampal volume reduction bilaterally in first-episode patients (-13.2% left, -12.05% right) and chronic patients (-10.6% left, -10.5% right) compared to controls--irrespective of diagnostic subtype, family history for psychiatric diseases, psychopathology, duration of illness or age at onset.     

Potency assay of diphtheria antitoxin in Vero cell microcultures

A slowly rising cortical potential shift with negative polarity following the imperative stimulus of a forewarned reaction time task, the 'post-imperative negative variation' (PINV), is regularly observed in schizophrenic patients but not in controls. The topography of the PINV suggests that it may originate in frontal cortical regions. We used a task designed to test two putative prefrontal cortical functions: working memory and processing of ambiguity. Nineteen patients with a chronic schizophrenic disorder and 19 control subjects matched for age, sex, and education participated in two experimental sessions. The EEG was recorded from frontal, central, temporal, and parietal leads over both hemispheres using a DC amplifier. PINV amplitudes were generally larger in patients than in controls. If the result of comparing physical features of the two successively presented stimuli (warning and imperative stimulus) was ambiguous rather than clear, an augmentation of the PINV amplitudes was seen in both groups. If this comparison required high rather than low involvement of working memory functions, PINV amplitudes were augmented in schizophrenic patients only. Scalp distribution of the PINV indicated a left-hemisphere fronto-central PINV maximum in patients, and a right-hemisphere predominance in controls, which was larger following ambiguous stimulus comparisons. These results suggest that ambiguity during the comparison of physical features of successively presented stimuli may be a general factor of the PINV in schizophrenic patients and healthy controls. Augmented involvement of working memory functions, presumably subserved by the prefrontal cortex, specifically affected the fronto-centrally predominant PINV in schizophrenic patients. This result is compatible with the hypothesis of prefrontal cortical dysfunctions in schizophrenia.     

EEG coherence following acute and chronic clozapine in treatment-resistant schizophrenics.

Electroencephalographic (EEG) coherence is an index of brain regional coupling that has been found to be abnormal in people with schizophrenia but has not been systematically examined in response to neuroleptics. EEG coherence in slow (delta and theta) frequencies was assessed in 17 treatment-resistant people with schizophrenia at baseline, 2 hr after their first oral dose (25 mg) and after 6 weeks of clozapine treatment. Compared with EEG norms, participants exhibited significant interhemispheric and intrahemispheric coherence abnormalities prior to treatment. Both acute and chronic treatments altered coherence but differed with respect to their relationship to symptom reduction and their ability to normalize or augment pretreatment abnormalities. Findings are discussed in relation to "disconnection" theories of schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cerebrovascular reserve capacity many years after vasospasm due to aneurysmal subarachnoid hemorrhage. A transcranial Doppler study with acetazolamide test

BACKGROUND AND PURPOSE: Vasospasm in aneurysmal subarachnoid hemorrhage results in proliferative vasculopathy. Systemic hypertension also causes vascular hypertrophy. Both of these histological changes can lead to rigidity of the cerebrovascular system, reducing its autoregulatory capacity. METHODS: Blood flow velocity (BFV) in the middle cerebral artery at rest and cerebrovascular reserve capacity (CVRC) (percent rise in BFV after acetazolamide stimulation) measured by means of transcranial Doppler sonography were studied many years after aneurysmal subarachnoid hemorrhage in patients with proven cerebral vasospasm (mean BFV > 160 cm/s). The BFV under resting conditions and the CVRC values of the ipsilateral and the contralateral hemispheres were measured in 29 patients (mean age, 43 years; mean follow-up, 4.6 years) and compared with those of control subjects. RESULTS: Persistent high BFV (> 120 cm/s) was found in three patients in the peripheral branch of the ipsilateral middle cerebral artery. In the main trunks of the arteries of the anterior circle of Willis, BFV was normal in all cases. CVRC was normal in all patients (ipsilateral, 52 +/- 21%; contralateral, 56 +/- 17%); values did not differ significantly from each other or from the control value (45 +/- 18%). The higher value of CVRC on the contralateral side was found to be statistically significant in selected groups (hypertensive patients and patients with residual infarct on late CT). CONCLUSIONS: Proliferative vasculopathy developed at the time of vasospasm must have resolved and did not reduce late vasoreactivity. Comorbidity with hypertension also did not seem to influence the late vasoreactivity toward normalization.     

Replication of a P50 auditory gating deficit in Australian patients with schizophrenia

Schizophrenic patients reportedly have a deficit in the control of sensitivity to auditory stimuli as shown by the P50 auditory evoked potential wave in a conditioning-testing paradigm that measures suppression of response to a repeated stimulus. Although this finding has been replicated by several US laboratories, one European group has not found differences between schizophrenic patients and normal control subjects. In the present study, investigators in the Schizophrenia Research Center at the Prince of Wales Hospital in Sydney, Australia, selected 22 normal control subjects, 11 acutely ill schizophrenic inpatients, and 11 clinically stable schizophrenic outpatients. Both schizophrenic groups were treated with similar doses of classical neuroleptic medications. Evoked potentials were recorded by an investigator from the US laboratory that initially reported the difference; five averages, each the response to 32 stimulus pairs, were recorded from each subject. The normal control subjects demonstrated significantly more suppression of the P50 response to the repeated stimuli than the schizophrenic groups, as previously reported. There were no significant changes in the suppression measure over the five trials. The suppression of the P50 wave by schizophrenic outpatients was somewhat greater than that by schizophrenic inpatients, but both schizophrenic groups had decreased suppression, compared with the normal subjects. The mean P50 suppression for five averages was successfully used in a logistic regression to classify subjects as normal or schizophrenic. This method was more accurate than attempts to classify subjects with only one average. The mean amplitude of the initial conditioning response did not differ between groups. Schizophrenic patients had slightly shorter mean latencies. There was no direct relationship of P50 suppression to measures of clinical psychopathology.     

Topographic analysis of coherence and propagation of EEG activity during sleep and wakefulness

Overnight sleep EEG recorded from 21 derivations was studied in 8 healthy subjects. The vector autoregressive model was fitted to all 21 channels simultaneously. Ordinary, multiple and partial coherences and directed transfer functions were estimated for sleep stages and wakefulness. Ordinary coherences give rather trivial information that coherence decreases with distance. Partial coherences revealed specific structure that was well repeatable for the subjects studied. Differences in coherence patterns between sleep stages were found by means of statistical tests. An increase of coherence was found for sleep stages 2, 3 and 4. Directed transfer function made possible the identification of the main centers from which EEG activity is spreading during sleep and wakefulness. During sleep the influence of subcortical structures was manifested by propagation of activity from the fronto-central region. The range of this interaction was highest in sleep stages 3 and 4. An EEG analysis, based on the approach of treating time series as a realization of one process and on the simultaneous (not pair-wise) evaluation of signals offers new possibilities in the investigation of synchronization and functional relations in the brain.