CNTM-05. Left hemisphere gliomas induce a plastic bi-hemispheric language network further characterized by lobe specific glioma data

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi225-vi225
Author(s):  
Matthew Ramsey ◽  
Shashwat Tripathi ◽  
Mohit Saxena ◽  
Matthew Tate

Abstract Primary brain tumors are among the most burdensome diagnoses patients can receive as they often carry with them externally obvious and significant detriments to motor and speech. The stroke model is severely limited by the inherent nature of the insult to the brain: binary, relatively instantaneous and defined by vascular boundaries. We instead have chosen to study glioma-induced neuroplasticity in patients with gliomas as presentation is over a significantly longer time course with a gradient of insult to language activation areas instead of immediate ablation. Chart review was conducted on 545 patients who completed fMRI imaging from 2013–2019 while completing 1+ of the following language tasks: antonyms, reading comprehension, rhyming, word generation and picture naming. A total of 117 patients’ fMRI scans were included in the final analysis which entailed both a cluster-based analysis in FSL and a 34 gyral, mask-based analysis using FEATquery. Right hemisphere gliomas (RHG) were first established as a reliable control group by averaging anatomically significant voxels across all five language tasks (LT) yielding a core conserved network. Left hemisphere gliomas (LHG) were then directly compared to the RHG language tasks. We found LHG induced global reorganization of the conserved language network with little evidence for direct homologous recruitment of functional structures. Instead, a generalized right hemisphere recruitment is observed with 87% of non-zero masks shifting their laterality index to the right hemisphere. Furthermore, in each of the five LT, the LHG activates fewer total suprathreshold voxels in both the mask and cluster based analyses while having a higher peak intensity within the activated clusters. A preliminary analysis of frontal LHG compared to temporal LHG reveals increased contralateral recruitment in the frontal subgroup with more direct homologous recruitment. This nuanced understanding of existing mechanisms for neuroplasticity can aid in our future intentional manipulation for therapeutic benefit.

Psihologija ◽  
2008 ◽  
Vol 41 (2) ◽  
pp. 195-211
Author(s):  
Jasmina Vuksanovic ◽  
Milena Djuric

Fluency tests are frequently used in clinical practice to asses executive functions. The literature data are not unequivocal although in a great number of papers is pointed out the importance of the left hemisphere, specially of the left frontal lobes in the mediation of phonological fluency and the right hemisphere in the mediation of nonverbal fluency. This paper considers the suitability of fluency tests for the detection of left versus right seizure laterality. The sample consisted of thirty-two epilepsy patients divided into two groups: LHF-participants with the seizure focus in the left hemisphere (n=16), and DHF-participants with the seizure focus in the right hemisphere (n=16), and K-the control group of t age-matched healthy children (n=50) aged 7-11 years. The qualitative and quantitative comparison of the phonological and nonverbal fluency performance was carried out in consideration of the seizure laterality as well as compared to the healthy controls. The results of phonological fluency performance revealed that the performance of the LHF group was significantly reduced as compared to both DHF and K group. The analysis of nonverbal fluency performance revealed that the performance of the DHF group was significantly reduced as compared to both LHF and K group The qualitative analysis obtained valuable data, which could additionally contribute to the neuropsychological evaluation of the left versus right seizure laterality.


2014 ◽  
Vol 8 (3) ◽  
pp. 207-215 ◽  
Author(s):  
Lucia Iracema Zanotto de Mendonça

Transcranial brain stimulation (TS) techniques have been investigated for use in the rehabilitation of post-stroke aphasia. According to previous reports, functional recovery by the left hemisphere improves recovery from aphasia, when compared with right hemisphere participation. TS has been applied to stimulate the activity of the left hemisphere or to inhibit homotopic areas in the right hemisphere. Various factors can interfere with the brain's response to TS, including the size and location of the lesion, the time elapsed since the causal event, and individual differences in the hemispheric language dominance pattern. The following questions are discussed in the present article: [a] Is inhibition of the right hemisphere truly beneficial?; [b] Is the transference of the language network to the left hemisphere truly desirable in all patients?; [c] Is the use of TS during the post-stroke subacute phase truly appropriate? Different patterns of neuroplasticity must occur in post-stroke aphasia.


1983 ◽  
Vol 11 (1) ◽  
pp. 65-76 ◽  
Author(s):  
John Meissner ◽  
Michael Pirot

Twenty males with a strong right hand preference underwent 120 simple reaction time trials to a 500 hz auditory stimulus presented to right, left and both ears. Ten Transcendental Meditators served as their own controls in twenty minute meditation and relaxation conditions and were also compared to a ten Non-Meditator control group who relaxed only in two 20-minute conditions. The reaction time trials were administered after the conditions. When the ears were compared to each other a significant right-ear (left hemisphere) advantage (REA) occurred in all relaxation conditions of the Meditator and Non-Meditator control groups. However, no REA emerged after meditation conditions of the Meditator group. The Meditator group after meditation compared to their own baseline relaxation condition showed a significant suppression of reaction time latencies to stimulation delivered to the left hemisphere and a significant facilitation to stimulation delivered to the right hemisphere. The meaning of these findings suggest Transcendental Meditation is an attentional strategy that disrupts the usual biases of the brain which also has implications as a clinical method. A neuropsychological explanation of the results suggest a comprehensive theory of Transcendental Meditation.


2005 ◽  
Vol 93 (3) ◽  
pp. 1209-1222 ◽  
Author(s):  
Timothy Verstynen ◽  
Jörn Diedrichsen ◽  
Neil Albert ◽  
Paul Aparicio ◽  
Richard B. Ivry

Functional imaging studies have revealed recruitment of ipsilateral motor areas during the production of sequential unimanual finger movements. This phenomenon is more prominent in the left hemisphere during left-hand movements than in the right hemisphere during right-hand movements. Here we investigate whether this lateralization pattern is related specifically to the sequential structure of the unimanual action or generalizes to other complex movements. Using event-related fMRI, we measured activation changes in the motor cortex during three types of unimanual movements: repetitions of a sequence of movements with multiple fingers, repetitive “chords” composed of three simultaneous key presses, and simple repetitive tapping movements with a single finger. During sequence and chord movements, strong ipsilateral activation was observed and was especially pronounced in the left hemisphere during left-hand movements. This pattern was evident for both right-handed and, to a lesser degree, left-handed individuals. Ipsilateral activation was less pronounced in the tapping condition. The site of ipsilateral activation was shifted laterally, ventrally, and anteriorly with respect to that observed during contralateral movements and the time course of activation implied a role in the execution rather than planning of the movement. A control experiment revealed that strong ipsilateral activity in left motor cortex is specific to complex movements and does not depend on the number of required muscles. These findings indicate a prominent role of left hemisphere in the execution of complex movements independent of the sequential nature of the task.


2020 ◽  
Vol 117 (38) ◽  
pp. 23477-23483 ◽  
Author(s):  
Olumide A. Olulade ◽  
Anna Seydell-Greenwald ◽  
Catherine E. Chambers ◽  
Peter E. Turkeltaub ◽  
Alexander W. Dromerick ◽  
...  

We have long known that language is lateralized to the left hemisphere (LH) in most neurologically healthy adults. In contrast, findings on lateralization of function during development are more complex. As in adults, anatomical, electrophysiological, and neuroimaging studies in infants and children indicate LH lateralization for language. However, in very young children, lesions to either hemisphere are equally likely to result in language deficits, suggesting that language is distributed symmetrically early in life. We address this apparent contradiction by examining patterns of functional MRI (fMRI) language activation in children (ages 4 through 13) and adults (ages 18 through 29). In contrast to previous studies, we focus not on lateralization per se but rather on patterns of left-hemisphere (LH) and right-hemisphere (RH) activation across individual participants over age. Our analyses show significant activation not only in the LH language network but also in their RH homologs in all of the youngest children (ages 4 through 6). The proportion of participants showing significant RH activation decreases over age, with over 60% of adults lacking any significant RH activation. A whole-brain correlation analysis revealed an age-related decrease in language activation only in the RH homolog of Broca’s area. This correlation was independent of task difficulty. We conclude that, while language is left-lateralized throughout life, the RH contribution to language processing is also strong early in life and decreases through childhood. Importantly, this early RH language activation may represent a developmental mechanism for recovery following early LH injury.


2014 ◽  
Vol 26 (9) ◽  
pp. 2021-2027 ◽  
Author(s):  
Elise A. Piazza ◽  
Michael A. Silver

Previous research has shown that the right hemisphere processes low spatial frequencies more efficiently than the left hemisphere, which preferentially processes high spatial frequencies. These studies have typically measured RTs to single, briefly flashed gratings and/or have directed observers to attend to a particular spatial frequency immediately before making a judgment about a subsequently presented stimulus. Thus, it is unclear whether the hemispheres differ in perceptual selection from multiple spatial frequencies that are simultaneously present in the environment, without bias from selective attention. Moreover, the time course of hemispheric asymmetry in spatial frequency processing is unknown. We addressed both of these questions with binocular rivalry, a measure of perceptual selection from competing alternatives over time. Participants viewed a pair of rivalrous orthogonal gratings with different spatial frequencies, presented either to the left or right of central fixation, and continuously reported which grating they perceived. At the beginning of a trial, the low spatial frequency grating was perceptually selected more often when presented in the left hemifield (right hemisphere) than in the right hemifield (left hemisphere), whereas the high spatial frequency grating showed the opposite pattern of results. This hemispheric asymmetry in perceptual selection persisted for the entire 30-sec stimulus presentation, continuing long after stimulus onset. These results indicate stable differences in the resolution of ambiguity across spatial locations and demonstrate the importance of considering sustained differences in perceptual selection across space when characterizing conscious representations of complex scenes.


2013 ◽  
Vol 27 (3) ◽  
pp. 142-148 ◽  
Author(s):  
Konstantinos Trochidis ◽  
Emmanuel Bigand

The combined interactions of mode and tempo on emotional responses to music were investigated using both self-reports and electroencephalogram (EEG) activity. A musical excerpt was performed in three different modes and tempi. Participants rated the emotional content of the resulting nine stimuli and their EEG activity was recorded. Musical modes influence the valence of emotion with major mode being evaluated happier and more serene, than minor and locrian modes. In EEG frontal activity, major mode was associated with an increased alpha activation in the left hemisphere compared to minor and locrian modes, which, in turn, induced increased activation in the right hemisphere. The tempo modulates the arousal value of emotion with faster tempi associated with stronger feeling of happiness and anger and this effect is associated in EEG with an increase of frontal activation in the left hemisphere. By contrast, slow tempo induced decreased frontal activation in the left hemisphere. Some interactive effects were found between mode and tempo: An increase of tempo modulated the emotion differently depending on the mode of the piece.


Author(s):  
Elizabeth Schechter

This chapter defends the 2-agents claim, according to which the two hemispheres of a split-brain subject are associated with distinct intentional agents. The empirical basis of this claim is that, while both hemispheres are the source or site of intentions, the capacity to integrate them in practical reasoning no longer operates interhemispherically after split-brain surgery. As a result, the right hemisphere-associated agent, R, and the left hemisphere-associated agent, L, enjoy intentional autonomy from each other. Although the positive case for the 2-agents claim is grounded mainly in experimental findings, the claim is not contradicted by what we know of split-brain subjects’ ordinary behavior, that is, the way they act outside of experimental conditions.


Author(s):  
Patrizia Bisiacchi ◽  
Elisa Cainelli

AbstractAsymmetry characterizes the brain in both structure and function. Anatomical asymmetries explain only a fraction of functional variability in lateralization, with structural and functional asymmetries developing at different periods of life and in different ways. In this work, we perform a scoping review of the cerebral asymmetries in the first brain development phases. We included all English-written studies providing direct evidence of hemispheric asymmetries in full-term neonates, foetuses, and premature infants, both at term post-conception and before. The final analysis included 57 studies. The reviewed literature shows large variability in the used techniques and methodological procedures. Most structural studies investigated the temporal lobe, showing a temporal planum more pronounced on the left than on the right (although not all data agree), a morphological asymmetry already present from the 29th week of gestation. Other brain structures have been poorly investigated, and the results are even more discordant. Unlike data on structural asymmetries, functional data agree with each other, identifying a leftward dominance for speech stimuli and an overall dominance of the right hemisphere in all other functional conditions. This generalized dominance of the right hemisphere for all conditions (except linguistic stimuli) is in line with theories stating that the right hemisphere develops earlier and that its development is less subject to external influences because it sustains functions necessary to survive.


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