scholarly journals Right-sided brain lesions predominate among patients with lesional mania: evidence from a systematic review and pooled lesion analysis

2018 ◽  
Author(s):  
J. Bernardo Barahona-Corrêa ◽  
Gonçalo Cotovio ◽  
Rui M. Costa ◽  
Ricardo Ribeiro ◽  
Ana Velosa ◽  
...  

ABSTRACTBackgroundDespite claims that lesional mania is associated with right-hemisphere lesions, supporting evidence is scarce, and association with specific brain areas has not been demonstrated.AimsTo test whether focal brain lesions in lesional mania are more often right-than left-sided, and if lesions converge on areas relevant to mood regulation.MethodsWe performed a systematic literature search (PROSPERO registration CRD42016053675) on PubMed and Web-Of-Science, using terms that reflected diagnoses and structures of interest, and lesional mechanisms. Two researchers reviewed the articles separately according to PRISMA Guidelines, to select reports of adult-onset hypomania, mania or mixed state following a focal brain lesion. When available, eligible lesion images were manually traced onto the corresponding slices of MNI space, and lesion topography analyzed using standard brain atlases. Pooled-analyses of individual patient data were performed.ResultsData from 207 lesional mania patients was extracted from 110 reports. Among patients with focal lesions (N=197) more patients had lesions involving the right (84.3%) than the left (34.5%) hemisphere. Among 54 lesion images that were available, right-sided predominance of lesions was confirmed, and found to be was conserved across multiple brain regions, including the temporal lobe, fusiform gyrus and thalamus. These, in addition to several frontal lobe areas, were also identified as preferential lesion sites in comparisons with control lesions.ConclusionsPooled-analyses, based on the most comprehensive dataset of lesional mania available to date, confirm a preferential association with right-hemisphere lesions, while suggesting that several brain areas/circuits, relevant to mood regulation, are most frequently affected.

2020 ◽  
Author(s):  
Isabelle Hesling

The modalities of communication are the sum of the expression dimension (linguistics) and the expressivity dimension (prosody), both being equally important in language communication. The expressivity dimension which comes first in the act of speech, is the basis on which phonemes, syllables, words, grammar and morphosyntax, i.e., the expression dimension of speech is superimposed. We will review evidence (1) revealing the importance of prosody in language acquisition and (2) showing that prosody triggers the involvement of specific brain areas dedicated to sentences and word-list processing. To support the first point, we will not only rely on experimental psychology studies conducted in newborns and young children but also on neuroimaging studies that have helped to validate these behavioral experiments. Then, neuroimaging data on adults will allow for concluding that the expressivity dimension of speech modulates both the right hemisphere prosodic areas and the left hemisphere network in charge of the expression dimension


2021 ◽  
Vol 11 (3) ◽  
pp. 354
Author(s):  
Kyoung Lee ◽  
Sang Yoo ◽  
Eun Ji ◽  
Woo Hwang ◽  
Yeun Yoo ◽  
...  

Lateropulsion (pusher syndrome) is an important barrier to standing and gait after stroke. Although several studies have attempted to elucidate the relationship between brain lesions and lateropulsion, the effects of specific brain lesions on the development of lateropulsion remain unclear. Thus, the present study investigated the effects of stroke lesion location and size on lateropulsion in right hemisphere stroke patients. The present retrospective cross-sectional observational study assessed 50 right hemisphere stroke patients. Lateropulsion was diagnosed and evaluated using the Scale for Contraversive Pushing (SCP). Voxel-based lesion symptom mapping (VLSM) analysis with 3T-MRI was used to identify the culprit lesion for SCP. We also performed VLSM controlling for lesion volume as a nuisance covariate, in a multivariate model that also controlled for other factors contributing to pusher behavior. VLSM, combined with statistical non-parametric mapping (SnPM), identified the specific region with SCP. Lesion size was associated with lateropulsion. The precentral gyrus, postcentral gyrus, inferior frontal gyrus, insula and subgyral parietal lobe of the right hemisphere seemed to be associated with the lateropulsion; however, after adjusting for lesion volume as a nuisance covariate, no lesion areas were associated with the SCP scores. The size of the right hemisphere lesion was the only factor most strongly associated with lateropulsion in patients with stroke. These results may be useful for planning rehabilitation strategies of restoring vertical posture and understanding the pathophysiology of lateropulsion in stroke patients.


1989 ◽  
Vol 47 (2) ◽  
pp. 254-255
Author(s):  
Juliano Luís Fontanari

Taking into account recent data on linguistics of production and comprehension in aphasia, a protocol was executed including the several types of implicatures. The protocol was applied to 90 subjects classified according to the localization of cerebral lesions, as shown by CT. Results are discussed in report to clinical manifestations of brain lesions, as aphasia, apraxia, agnosia, and intelligence and pragmatics disturbances. Discussion supports the impression that there is a mechanism that correlates extra-linguistics contexts with the 'said' at the right hemisphere.


2019 ◽  
Author(s):  
Widjajalaksmi Kusumaningsih ◽  
Nur Indah Lestari ◽  
Herdiman Purba

Abstract Background: Dysphagia is a frequent occurrence following stroke. Various brain regions have been shown to control deglutition. However, it is still controversial as to which of the two hemispheres plays more important role in deglutition, and which injured hemisphere is more likely to cause the specific patterns of dysphagia seen in stroke patients. An accurate estimate of the incidence of dysphagia will be critical to assess benefits of dysphagia interventions. Objective: To investigate whether patterns of dysphagia are associated with the location of brain lesion in stroke patients and to examine whether pharyngeal strengthening exercise and hyolaryngeal exercise are proper for patients, based on the findings of FEES and location of brain lesion. Methods: The subjects were stroke outpatients who visited our clinic from January 2016 to April 2018. To localize brain lesion, Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) have been employed. The locations of brain lesions were classified into cortical, subcortical, and brain stem. FEES was conducted to assess the patterns of deglutition disorders. These data were collected via retrospective chart review. Results: Of the 11 subjects, mean age (SD) was 62.73 (8.67) years and seven (63.64%) subjects were male. All subjects got ischemic stroke, eight (72.73%) had right hemispheric lesion and three (27.27%) had left hemispheric lesion. By brain lesion, there were nine subcortical, five cortical, and four brain stem lesions. All FEES findings, especially standing secretion, penetration, residue, and reduced hypopharynx sensitivity were higher in subcortical lesion, followed by brain stem and cortical lesion successively. Conclusion: Right hemisphere was involved more than left hemisphere in dysphagia patients. Standing secretion, penetration, residue, and reduced hypopharynx sensitivity occurs more often in subcortical lesion. Further studies on big samples in a perspective structure are needed. Based on this result, there is a place for pharyngeal strengthening exercise and hyolaryngeal complex range of motion and strengthening exercise to be implemented to the patients with neurogenic dysphagia after stroke.


2020 ◽  
Author(s):  
Charalabos Papageorgiou ◽  
Anastasios E. Giannopoulos ◽  
Athanasios S. Fokas ◽  
Paul M. Thompson ◽  
Nikolaos C. Kapsalis ◽  
...  

ABSTRACTHumans are equipped with the so-called Mental Time Travel (MTT) ability, which allows them to consciously construct and elaborate past or future scenes. The mechanisms underlying MTT remain elusive. This study focused on the late positive potential (LPP) and alpha oscillations, considering that LPP covaries with the temporal continuity whereas the alpha oscillations index the temporal organization of perception. To that end, subjects were asked to focus on performing two mental functions engaging working memory, which involved mental self-projection into either the present-past (PP) border or the present-future (PF) border. To evaluate underlying mechanisms, the evoked frontal late positive potentials (LPP) as well as their cortical sources were analyzed via the standardized low-resolution brain electromagnetic tomography (sLORETA) technique. The LPP amplitudes - in the left lateral prefrontal areas that were elicited during PF tasks - were significantly higher than those associated with PP, whereas opposite patterns were observed in the central and right prefrontal areas. Crucially, the LPP activations of both the PP and PF self-projections overlapped with the brain’s default mode network and related interacting areas. Finally, we found enhanced alpha-related activation with respect to PP in comparison to PF, predominantly over the right hemisphere central brain regions (specifically, the precentral gyrus). These findings confirm that the two types of self-projection, as reflected by the frontally-distributed LPP, share common cortical resources that recruit different brain regions in a balanced way. This balanced distribution of brain activation might signify that biological time tends to behave in a homeostatic way.


2017 ◽  
Vol 4 (7) ◽  
pp. 170172 ◽  
Author(s):  
Conor M. Steckler ◽  
J. Kiley Hamlin ◽  
Michael B. Miller ◽  
Danielle King ◽  
Alan Kingstone

Owing to the hemispheric isolation resulting from a severed corpus callosum, research on split-brain patients can help elucidate the brain regions necessary and sufficient for moral judgement. Notably, typically developing adults heavily weight the intentions underlying others' moral actions, placing greater importance on valenced intentions versus outcomes when assigning praise and blame. Prioritization of intent in moral judgements may depend on neural activity in the right hemisphere's temporoparietal junction, an area implicated in reasoning about mental states. To date, split-brain research has found that the right hemisphere is necessary for intent-based moral judgement. When testing the left hemisphere using linguistically based moral vignettes, split-brain patients evaluate actions based on outcomes, not intentions. Because the right hemisphere has limited language ability relative to the left, and morality paradigms to date have involved significant linguistic demands, it is currently unknown whether the right hemisphere alone generates intent-based judgements. Here we use nonlinguistic morality plays with split-brain patient J.W. to examine the moral judgements of the disconnected right hemisphere, demonstrating a clear focus on intent. This finding indicates that the right hemisphere is not only necessary but also sufficient for intent-based moral judgement, advancing research into the neural systems supporting the moral sense.


Author(s):  
Angela D. Friederici ◽  
Noam Chomsky

An adequate description of the neural basis of language processing must consider the entire network both with respect to its structural white matter connections and the functional connectivities between the different brain regions as the information has to be sent between different language-related regions distributed across the temporal and frontal cortex. This chapter discusses the white matter fiber bundles that connect the language-relevant regions. The chapter is broken into three sections. In the first, we look at the white matter fiber tracts connecting the language-relevant regions in the frontal and temporal cortices; in the second, the ventral and dorsal pathways in the right hemisphere that connect temporal and frontal regions; and finally in the third, the two syntax-relevant and (at least) one semantic-relevant neuroanatomically-defined networks that sentence processing is based on. From this discussion, it becomes clear that online language processing requires information transfer via the long-range white matter fiber pathways that connect the language-relevant brain regions within each hemisphere and between hemispheres.


Author(s):  
Nada Chaari ◽  
Hatice Camgöz Akdağ ◽  
Islem Rekik

Abstract The estimation of a connectional brain template (CBT) integrating a population of brain networks while capturing shared and differential connectional patterns across individuals remains unexplored in gender fingerprinting. This paper presents the first study to estimate gender-specific CBTs using multi-view cortical morphological networks (CMNs) estimated from conventional T1-weighted magnetic resonance imaging (MRI). Specifically, each CMN view is derived from a specific cortical attribute (e.g. thickness), encoded in a network quantifying the dissimilarity in morphology between pairs of cortical brain regions. To this aim, we propose Multi-View Clustering and Fusion Network (MVCF-Net), a novel multi-view network fusion method, which can jointly identify consistent and differential clusters of multi-view datasets in order to capture simultaneously similar and distinct connectional traits of samples. Our MVCF-Net method estimates a representative and well-centered CBTs for male and female populations, independently, to eventually identify their fingerprinting regions of interest (ROIs) in four main steps. First, we perform multi-view network clustering model based on manifold optimization which groups CMNs into shared and differential clusters while preserving their alignment across views. Second, for each view, we linearly fuse CMNs belonging to each cluster, producing local CBTs. Third, for each cluster, we non-linearly integrate the local CBTs across views, producing a cluster-specific CBT. Finally, by linearly fusing the cluster-specific centers we estimate a final CBT of the input population. MVCF-Net produced the most centered and representative CBTs for male and female populations and identified the most discriminative ROIs marking gender differences. The most two gender-discriminative ROIs involved the lateral occipital cortex and pars opercularis in the left hemisphere and the middle temporal gyrus and lingual gyrus in the right hemisphere.


2019 ◽  
Vol 9 (12) ◽  
pp. 363 ◽  
Author(s):  
Fares Al-Shargie ◽  
Usman Tariq ◽  
Omnia Hassanin ◽  
Hasan Mir ◽  
Fabio Babiloni ◽  
...  

In this paper, we present a method to quantify the coupling between brain regions under vigilance and enhanced mental states by utilizing partial directed coherence (PDC) and graph theory analysis (GTA). The vigilance state is induced using a modified version of stroop color-word task (SCWT) while the enhancement state is based on audio stimulation with a pure tone of 250 Hz. The audio stimulation was presented to the right and left ears simultaneously for one-hour while participants perform the SCWT. The quantification of mental states was performed by means of statistical analysis of indexes based on GTA, behavioral responses of time-on-task (TOT), and Brunel Mood Scale (BRMUS). The results show that PDC is very sensitive to vigilance decrement and shows that the brain connectivity network is significantly reduced with increasing TOT, p < 0.05. Meanwhile, during the enhanced state, the connectivity network maintains high connectivity as time passes and shows significant improvements compared to vigilance state. The audio stimulation enhances the connectivity network over the frontal and parietal regions and the right hemisphere. The increase in the connectivity network correlates with individual differences in the magnitude of the vigilance enhancement assessed by response time to stimuli. Our results provide evidence for enhancement of cognitive processing efficiency with audio stimulation. The BRMUS was used to evaluate the emotional states of vigilance task before and after using the audio stimulation. BRMUS factors, such as fatigue, depression, and anger, significantly decrease in the enhancement group compared to vigilance group. On the other hand, happy and calmness factors increased with audio stimulation, p < 0.05.


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