scholarly journals Aphasia and a Dual-Stream Language Model in a 4-Year-Old Female with Landau–Kleffner Syndrome

2021 ◽  
Author(s):  
Michiko Kawai ◽  
Yuichi Abe ◽  
Masato Yumoto ◽  
Masaya Kubota
Keyword(s):  
Language Comprehension ◽  
Speech Processing ◽  
Right Hemisphere ◽  
Contextual Information ◽  
Language Model ◽  
Superior Temporal Gyrus ◽  
Epileptogenic Zone ◽  
The Right ◽  
The Brain ◽  
Stream Model

AbstractLandau–Kleffner syndrome (LKS) is a rare neurological disorder characterized by acquired aphasia. LKS presents with distinctive electroencephalography (EEG) findings, including diffuse continuous spike and wave complexes (CSW), particularly during sleep. There has been little research on the mechanisms of aphasia and its origin within the brain and how it recovers. We diagnosed LKS in a 4-year-old female with an epileptogenic zone located primarily in the right superior temporal gyrus or STG (nondominant side). In the course of her illness, she had early signs of motor aphasia recovery but was slow to regain language comprehension and recover from hearing loss. We suggest that the findings from our patient's brain imaging and the disparity between her recovery from expressive and receptive aphasias are consistent with the dual-stream model of speech processing in which the nondominant hemisphere also plays a significant role in language comprehension. Unlike aphasia in adults, the right-hemisphere disorder has been reported to cause delays in language comprehension and gestures in early childhood. In the period of language acquisition, it requires a process of understanding what the words mean by integrating and understanding the visual, auditory, and contextual information. It is thought that the right hemisphere works predominantly with respect to its integrating role.

scholarly journals Provocation and prediction of visual peripersonal neglect-like symptoms in preoperative planning and during awake brain surgery

2021 ◽  
Author(s):  
Viktória Tamás ◽  
Gabriella Sebestyén ◽  
Szilvia Anett Nagy ◽  
Péter Zsolt Horváth ◽  
Ákos Mérei ◽  
...  
Keyword(s):  
Preoperative Planning ◽  
Right Hemisphere ◽  
Superior Temporal Gyrus ◽  
Low Grade ◽  
Navigated Transcranial Magnetic Stimulation ◽  
Resonance Imaging ◽  
Parietal Area ◽  
Routine Magnetic Resonance Imaging ◽  
Visuospatial Functions ◽  
The Right

AbstractNeglect is a severe neuropsychological/neurological deficit that usually develops due to lesions of the posterior inferior parietal area of the right hemisphere and is characterized by a lack of attention to the left side. Our case is a proven right-handed, 30-year-old female patient with a low-grade glioma, which was located in the temporo-opercular region and also in the superior temporal gyrus of the right hemisphere. Upon presurgical planning, the motor, language, and visuospatial functions were mapped. In order to achieve this, the protocol for routine magnetic resonance imaging and navigated transcranial magnetic stimulation has been expanded, accordingly.

Neurospect Findings in Patients Exposed to Neurotoxic Chemicals

1994 ◽  
Vol 10 (4-5) ◽  
pp. 561-571
Author(s):  
Gunnar Heuser ◽  
Ismael Mena ◽  
Francisca Alamos
Keyword(s):  
Elderly Patients ◽  
Qualitative Analysis ◽  
Right Hemisphere ◽  
Young Patients ◽  
Chronic Fatigue ◽  
Psychiatric Symptomatology ◽  
Elderly Individuals ◽  
Parietal Lobes ◽  
The Right ◽  
The Brain

Exposures to neurotoxic chemicals such as pesticides, glues, solvents, etc. are known to induce neurologic and psychiatric symptomatology. We report on 41 patients 16 young patients (6 males, 10 females, age 34 8 yrs.) and 25 elderly patients (9 males, 16 females, age 55 7 yrs). Fifteen of them were exposed to pesticides, and 29 to solvents. They were studied with quantitative and qualitative analysis of regional cerebral bood flow (rCBF), performed with 30 mCi of Xe-133 by inhalation, followed by 30 mCi of Tc-HMPAO given intravenously. Imaging was performed with a brain dedicated system, distribution of rCBF was assessed with automatic ROI definition, and HMPAO was normalized to maximal pixel activity in the brain. Results of Xe rCBF are expressed as mean and S.D. in ml/min/100g, and HMPAO as mean and S.D. uptake per ROI, and compared with age-matched controls 10 young and 20 elderly individuals. Neurotoxics HMPAO Uptake Young Elderly R. Orbital frontal R. Dorsal frontal .70 .66 p < 0.05 R. Temporal .64 p < 0.001 R. Parietal .66 .66 We conclude that patients exposed to chemicals present with diminished CBF, worse in the right hemisphere, with random presentation of areas of hypoperfusion, more prevalent in the dorsal frontal and parietal lobes. These findings are significantly different from observations in patients with chronic fatigue and depression, suggesting primary cortical effect, possibly due to a vasculitis process.

scholarly journals Prefrontal High Gamma in ECoG tags periodicity of musical rhythms in perception and imagination

2019 ◽  
Author(s):  
S. A. Herff ◽  
C. Herff ◽  
A. J. Milne ◽  
G. D. Johnson ◽  
J. J. Shih ◽  
...  
Keyword(s):  
Auditory Processing ◽  
Right Hemisphere ◽  
Brain Activity ◽  
Activity Patterns ◽  
Superior Temporal Gyrus ◽  
Gamma Activity ◽  
Rhythm Perception ◽  
High Gamma ◽  
The Right ◽  
Musical Rhythms

AbstractRhythmic auditory stimuli are known to elicit matching activity patterns in neural populations. Furthermore, recent research has established the particular importance of high-gamma brain activity in auditory processing by showing its involvement in auditory phrase segmentation and envelope-tracking. Here, we use electrocorticographic (ECoG) recordings from eight human listeners, to see whether periodicities in high-gamma activity track the periodicities in the envelope of musical rhythms during rhythm perception and imagination. Rhythm imagination was elicited by instructing participants to imagine the rhythm to continue during pauses of several repetitions. To identify electrodes whose periodicities in high-gamma activity track the periodicities in the musical rhythms, we compute the correlation between the autocorrelations (ACC) of both the musical rhythms and the neural signals. A condition in which participants listened to white noise was used to establish a baseline. High-gamma autocorrelations in auditory areas in the superior temporal gyrus and in frontal areas on both hemispheres significantly matched the autocorrelation of the musical rhythms. Overall, numerous significant electrodes are observed on the right hemisphere. Of particular interest is a large cluster of electrodes in the right prefrontal cortex that is active during both rhythm perception and imagination. This indicates conscious processing of the rhythms’ structure as opposed to mere auditory phenomena. The ACC approach clearly highlights that high-gamma activity measured from cortical electrodes tracks both attended and imagined rhythms.

scholarly journals Discerning the functional networks behind processing of music and speech through human vocalizations

2018 ◽  
Author(s):  
Arafat Angulo-Perkins ◽  
Luis Concha
Keyword(s):  
Speech Processing ◽  
Music Perception ◽  
Right Hemisphere ◽  
Musical Training ◽  
Inferior Frontal Gyrus ◽  
Functional Divergence ◽  
Premotor Cortex ◽  
Superior Temporal Gyrus ◽  
Magnetic Resonance Images ◽  
Biological Traits

ABSTRACT Musicality refers to specific biological traits that allow us to perceive, generate and enjoy music. These abilities can be studied at different organizational levels (e.g., behavioural, physiological, evolutionary), and all of them reflect that music and speech processing are two different cognitive domains. Previous research has shown evidence of this functional divergence in auditory cortical regions in the superior temporal gyrus (such as the planum polare), showing increased activity upon listening to music, as compared to other complex acoustic signals. Here, we examine brain activity underlying vocal music and speech perception, while we compare musicians and non-musicians. We designed a stimulation paradigm using the same voice to produce spoken sentences, hummed melodies, and sung sentences; the same sentences were used in speech and song categories, and the same melodies were used in the musical categories (song and hum). Participants listened to this paradigm while we acquired functional magnetic resonance images (fMRI). Different analyses demonstrated greater involvement of specific auditory and motor regions during music perception, as compared to speech vocalizations. This music sensitive network includes bilateral activation of the planum polare and temporale, as well as a group of regions lateralized to the right hemisphere that included the supplementary motor area, premotor cortex and the inferior frontal gyrus. Our results show that the simple act of listening to music generates stronger activation of motor regions, possibly preparing us to move following the beat. Vocal musical listening, with and without lyrics, is also accompanied by a higher modulation of specific secondary auditory cortices such as the planum polare, confirming its crucial role in music processing independently of previous musical training. This study provides more evidence showing that music perception enhances audio-sensorimotor activity, crucial for clinical approaches exploring music based therapies to improve communicative and motor skills.

scholarly journals Speech processing and plasticity in the right hemisphere predict variation in adult foreign language learning

NeuroImage ◽  
2019 ◽  
Vol 192 ◽  
pp. 76-87 ◽  
Author(s):  
Zhenghan Qi ◽  
Michelle Han ◽  
Yunxin Wang ◽  
Carlo de los Angeles ◽  
Qi Liu ◽  
...  
Keyword(s):  
Foreign Language ◽  
Language Learning ◽  
Speech Processing ◽  
Right Hemisphere ◽  
Foreign Language Learning ◽  
The Right

scholarly journals Low-frequency electroencephalogram oscillations govern left-eye lateralization during anti-predatory responses in the music frog

2020 ◽  
Vol 223 (21) ◽  
pp. jeb232637
Author(s):  
Jiangyan Shen ◽  
Ke Fang ◽  
Ping Liu ◽  
Yanzhu Fan ◽  
Jing Yang ◽  
...  
Keyword(s):  
Visual Field ◽  
Left Visual Field ◽  
Right Hemisphere ◽  
Brain Area ◽  
Power Spectra ◽  
Low Frequency ◽  
The Right ◽  
Electroencephalogram Eeg ◽  
The Brain ◽  
Steady Velocity

ABSTRACTVisual lateralization is widespread for prey and anti-predation in numerous taxa. However, it is still unknown how the brain governs this asymmetry. In this study, we conducted behavioral and electrophysiological experiments to evaluate anti-predatory behaviors and dynamic brain activities in Emei music frogs (Nidirana daunchina), to explore the potential eye bias for anti-predation and the underlying neural mechanisms. To do this, predator stimuli (a model snake head and a leaf as a control) were moved around the subjects in clockwise and anti-clockwise directions at steady velocity. We counted the number of anti-predatory responses and measured electroencephalogram (EEG) power spectra for each band and brain area (telencephalon, diencephalon and mesencephalon). Our results showed that (1) no significant eye preferences could be found for the control (leaf); however, the laterality index was significantly lower than zero when the predator stimulus was moved anti-clockwise, suggesting that left-eye advantage exists in this species for anti-predation; (2) compared with no stimulus in the visual field, the power spectra of delta and alpha bands were significantly greater when the predator stimulus was moved into the left visual field anti-clockwise; and, (3) generally, the power spectra of each band in the right-hemisphere for the left visual field were higher than those in the left counterpart. These results support that the left eye mediates the monitoring of a predator in music frogs and lower-frequency EEG oscillations govern this visual lateralization.

scholarly journals Stereotactic laser ablation for nonlesional cingulate epilepsy: case report

2018 ◽  
Vol 22 (5) ◽  
pp. 481-488 ◽  
Author(s):  
Ahmad Marashly ◽  
Michelle M. Loman ◽  
Sean M. Lew
Keyword(s):  
Laser Ablation ◽  
Right Hemisphere ◽  
Focal Epilepsy ◽  
Mesial Temporal Lobe Epilepsy ◽  
Epileptogenic Zone ◽  
Seizure Onset Zone ◽  
The Right ◽  
Invasive Evaluation ◽  
Motor Areas

Stereotactic laser ablation (SLA) is being increasingly used to treat refractory focal epilepsy, especially mesial temporal lobe epilepsy. However, emerging evidence suggests it can be used for extratemporal lobe epilepsy as well.The authors report the case of a 17-year-old male who presented with refractory nocturnal seizures characterized by bilateral arms stiffening or rhythmic jerking lasting several seconds. Semiology suggested an epileptogenic zone close to one of the supplementary sensory motor areas. Electroencephalography showed seizures arising from the central region without consistent lateralization. Brain imaging showed no abnormality. An invasive evaluation using bilateral stereoelectroencephalography (SEEG) was utilized in 2 steps, first to establish the laterality of seizures, and second to further cover the mesial cingulate region of the right hemisphere. Seizures arose from the middle portion of the right cingulate gyrus. Extraoperative electrical mapping revealed that the seizure onset zone was adjacent to eloquent motor areas. SLA targeting the right midcingulate gyrus was performed. The patient has remained seizure free since immediately after the procedure with no postoperative deficits (follow-up of 17 months).This case highlights the utility of SEEG in evaluating difficult-to-localize, focal epilepsy. It also demonstrates that the use of SLA can be extended to nonlesional, extratemporal epilepsies.

Dominance of the Right Hemisphere and Role of Area 2 in Human Kinesthesia

2005 ◽  
Vol 93 (2) ◽  
pp. 1020-1034 ◽  
Author(s):  
Eiichi Naito ◽  
Per E. Roland ◽  
Christian Grefkes ◽  
H. J. Choi ◽  
Simon Eickhoff ◽  
...  
Keyword(s):  
Right Hemisphere ◽  
Anterior Part ◽  
Premotor Cortex ◽  
Superior Temporal Gyrus ◽  
Lateral Part ◽  
Left Hand ◽  
Hemisphere Dominance ◽  
The Right ◽  
Processus Styloideus ◽  
Motor Areas

We have previously shown that motor areas are engaged when subjects experience illusory limb movements elicited by tendon vibration. However, traditionally cytoarchitectonic area 2 is held responsible for kinesthesia. Here we use functional magnetic resonance imaging and cytoarchitectural mapping to examine whether area 2 is engaged in kinesthesia, whether it is engaged bilaterally because area 2 in non-human primates has strong callosal connections, which other areas are active members of the network for kinesthesia, and if there is a dominance for the right hemisphere in kinesthesia as has been suggested. Ten right-handed blindfolded healthy subjects participated. The tendon of the extensor carpi ulnaris muscles of the right or left hand was vibrated at 80 Hz, which elicited illusory palmar flexion in an immobile hand (illusion). As control we applied identical stimuli to the skin over the processus styloideus ulnae, which did not elicit any illusions (vibration). We found robust activations in cortical motor areas [areas 4a, 4p, 6; dorsal premotor cortex (PMD) and bilateral supplementary motor area (SMA)] and ipsilateral cerebellum during kinesthetic illusions (illusion-vibration). The illusions also activated contralateral area 2 and right area 2 was active in common irrespective of illusions of right or left hand. Right areas 44, 45, anterior part of intraparietal region (IP1) and caudo-lateral part of parietal opercular region (OP1), cortex rostral to PMD, anterior insula and superior temporal gyrus were also activated in common during illusions of right or left hand. These right-sided areas were significantly more activated than the corresponding areas in the left hemisphere. The present data, together with our previous results, suggest that human kinesthesia is associated with a network of active brain areas that consists of motor areas, cerebellum, and the right fronto-parietal areas including high-order somatosensory areas. Furthermore, our results provide evidence for a right hemisphere dominance for perception of limb movement.

Asymmetries of Sensory Functions (Spatial and Temporal Discrimination) in Normal Persons

1947 ◽  
Vol 93 (391) ◽  
pp. 318-332 ◽  
Author(s):  
H. H. Fleischhacker
Keyword(s):  
Left Hemisphere ◽  
Right Hemisphere ◽  
Temporal Discrimination ◽  
Mental Symptoms ◽  
The Right ◽  
The Brain ◽  
Sensory Functions

Commenting on the different symptoms produced by disturbances of the left hemisphere (aphasia, apraxia, etc.) and of the right (dreamy states, hallucinations, etc.), Hughlings Jackson on many occasions pointed out that there exists a “duality” of the brain; the anterior parts of the left hemisphere serving more controlled and objective purposes, the posterior parts of the right more subjective† and the anterior parts of the right serving more automatic purposes. Consequently, quoting Bastian and Rosenthal to support him, he tendered the suggestion that “mental” symptoms might be indicative of a disturbance particularly of the posterior parts of the right hemisphere (in right-handed people).

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