Characterization of Empathy Deficits following Prefrontal Brain Damage: The Role of the Right Ventromedial Prefrontal Cortex

2003 ◽  
Vol 15 (3) ◽  
pp. 324-337 ◽  
Author(s):  
S. G. Shamay-Tsoory ◽  
R. Tomer ◽  
B. D. Berger ◽  
J. Aharon-Peretz
Keyword(s):  
Prefrontal Cortex ◽  
Brain Damage ◽  
Cognitive Flexibility ◽  
Right Hemisphere ◽  
Ventromedial Prefrontal Cortex ◽  
Fundamental Aspect ◽  
Affect Recognition ◽  
Healthy Controls ◽  
Empathic Response ◽  
The Right

Impaired empathic response has been described in patients following brain injury, suggesting that empathy may be a fundamental aspect of the social behavior disturbed by brain damage. However, the neuroanatomical basis of impaired empathy has not been studied in detail. The empathic response of patients with localized lesions in the prefrontal cortex (n = 25) was compared to responses of patients with posterior (n = 17) and healthy control subjects (n = 19). To examine the cognitive processes that underlie the empathic ability, the relationships between empathy scores and the performance on tasks that assess processes of cognitive flexibility, affect recognition, and theory of mind (TOM) were also examined. Patients with prefrontal lesions, particularly when their damage included the ventromedial prefrontal cortex, were significantly impaired in empathy as compared to patients with posterior lesions and healthy controls. However, among patients with posterior lesions, those with damage to the right hemisphere were impaired, whereas those with left posterior lesions displayed empathy levels similar to healthy controls. Seven of nine patients with the most profound empathy deficit had a right ventromedial lesion. A differential pattern regarding the relationships between empathy and cognitive performance was also found: Whereas among patients with dorsolateral prefrontal damage empathy was related to cognitive flexibility but not to TOM and affect recognition, empathy scores in patients with ventromedial lesions were related to TOM but not to cognitive flexibility. Our findings suggest that prefrontal structures play an important part in a network mediating the empathic response and specifically that the right ventromedial cortex has a unique role in integrating cognition and affect to produce the empathic response.

scholarly journals The role of prefrontal cortex in working memory: examining the contents of consciousness

1998 ◽  
Vol 353 (1377) ◽  
pp. 1819-1828 ◽  
Author(s):  
◽  
S. M. Courtney ◽  
L. Petit ◽  
J. V. Haxby ◽  
L. G. Ungerleider
Keyword(s):  
Working Memory ◽  
Prefrontal Cortex ◽  
Visual Processing ◽  
Right Hemisphere ◽  
Functional Organization ◽  
Spatial Working Memory ◽  
Domain Specificity ◽  
Long Term Memory ◽  
Present Evidence ◽  
The Right

Working memory enables us to hold in our ‘mind's eye’ the contents of our conscious awareness, even in the absence of sensory input, by maintaining an active representation of information for a brief period of time. In this review we consider the functional organization of the prefrontal cortex and its role in this cognitive process. First, we present evidence from brain–imaging studies that prefrontal cortex shows sustained activity during the delay period of visual working memory tasks, indicating that this cortex maintains on–line representations of stimuli after they are removed from view. We then present evidence for domain specificity within frontal cortex based on the type of information, with object working memory mediated by more ventral frontal regions and spatial working memory mediated by more dorsal frontal regions. We also propose that a second dimension for domain specificity within prefrontal cortex might exist for object working memory on the basis of the type of representation, with analytic representations maintained preferentially in the left hemisphere and image–based representations maintained preferentially in the right hemisphere. Furthermore, we discuss the possibility that there are prefrontal areas brought into play during the monitoring and manipulation of information in working memory in addition to those engaged during the maintenance of this information. Finally, we consider the relationship of prefrontal areas important for working memory, both to posterior visual processing areas and to prefrontal areas associated with long–term memory.

scholarly journals The appropriacy of fluency tests in assessing epileptic seizure lateralization in children with partial epilepsy

Psihologija ◽  
2008 ◽  
Vol 41 (2) ◽  
pp. 195-211
Author(s):  
Jasmina Vuksanovic ◽  
Milena Djuric
Keyword(s):  
Left Hemisphere ◽  
Right Hemisphere ◽  
Partial Epilepsy ◽  
Quantitative Comparison ◽  
Control Group ◽  
Healthy Children ◽  
Healthy Controls ◽  
Seizure Focus ◽  
Qualitative And Quantitative ◽  
The Right

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.

scholarly journals Reducing future fears by suppressing the brain mechanisms underlying episodic simulation

2016 ◽  
Vol 113 (52) ◽  
pp. E8492-E8501 ◽  
Author(s):  
Roland G. Benoit ◽  
Daniel J. Davies ◽  
Michael C. Anderson
Keyword(s):  
Prefrontal Cortex ◽  
Dorsolateral Prefrontal Cortex ◽  
Ventromedial Prefrontal Cortex ◽  
Episodic Simulation ◽  
Dorsolateral Prefrontal ◽  
Future Events ◽  
The Right ◽  
Development Of Anxiety ◽  
The Brain

Imagining future events conveys adaptive benefits, yet recurrent simulations of feared situations may help to maintain anxiety. In two studies, we tested the hypothesis that people can attenuate future fears by suppressing anticipatory simulations of dreaded events. Participants repeatedly imagined upsetting episodes that they feared might happen to them and suppressed imaginings of other such events. Suppressing imagination engaged the right dorsolateral prefrontal cortex, which modulated activation in the hippocampus and in the ventromedial prefrontal cortex (vmPFC). Consistent with the role of the vmPFC in providing access to details that are typical for an event, stronger inhibition of this region was associated with greater forgetting of such details. Suppression further hindered participants’ ability to later freely envision suppressed episodes. Critically, it also reduced feelings of apprehensiveness about the feared scenario, and individuals who were particularly successful at down-regulating fears were also less trait-anxious. Attenuating apprehensiveness by suppressing simulations of feared events may thus be an effective coping strategy, suggesting that a deficiency in this mechanism could contribute to the development of anxiety.

Regional cerebral perfusion correlates with anxiety in neuropsychiatric SLE: evidence for a mechanism distinct from depression

Lupus ◽  
2019 ◽  
Vol 28 (14) ◽  
pp. 1678-1689 ◽  
Author(s):  
E Papadaki ◽  
E Kavroulakis ◽  
G Bertsias ◽  
A Fanouriakis ◽  
D Karageorgou ◽  
...  
Keyword(s):  
Blood Flow ◽  
Prefrontal Cortex ◽  
Dorsolateral Prefrontal Cortex ◽  
Cerebral Blood Volume ◽  
Ventromedial Prefrontal Cortex ◽  
Anterior Cingulate ◽  
Anxiety And Depression ◽  
Healthy Controls ◽  
Dorsolateral Prefrontal ◽  
Depression Symptomatology

The study examined the hypothesis that hypoperfusion in brain areas known to be involved in emotional disturbances in primary psychiatric disorders is also linked to emotional difficulties in systemic lupus erythematosus (SLE) and that these are not secondary to the physical and social burden incurred by the disease. Nineteen SLE patients without overt neuropsychiatric manifestations (non-NPSLE), 31 NPSLE patients, and 23 healthy controls were examined. Dynamic susceptibility contrast MRI was used and cerebral blood flow and cerebral blood volume values were estimated in six manually selected regions of interest of brain regions suspected to play a role in anxiety and depression (dorsolateral prefrontal cortex, ventromedial prefrontal cortex, anterior cingulate cortex, hippocampi, caudate nuclei and putamen). NPSLE patients reported high rates of anxiety and depression symptomatology. Significantly reduced cerebral blood flow and cerebral blood volume values were detected in the NPSLE group compared to healthy controls in the dorsolateral prefrontal cortex and ventromedial prefrontal cortex, bilaterally. Within the NPSLE group, anxiety symptomatology was significantly associated with lower perfusion in frontostriatal regions and in the right anterior cingulate gyrus. Importantly, the latter associations appeared to be specific to anxiety symptoms, as they persisted after controlling for depression symptomatology and independent of the presence of visible lesions on conventional MRI. In conclusion, hypoperfusion in specific limbic and frontostriatal regions is associated with more severe anxiety symptoms in the context of widespread haemodynamic disturbances in NPSLE.

scholarly journals Gene expression profiling of the dorsolateral and medial orbitofrontal cortex in schizophrenia

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Mihovil Mladinov ◽  
Goran Sedmak ◽  
Heidi R. Fuller ◽  
Mirjana Babić Leko ◽  
Davor Mayer ◽  
...  
Keyword(s):  
Gene Expression ◽  
Prefrontal Cortex ◽  
Cognitive Processing ◽  
Orbitofrontal Cortex ◽  
Right Hemisphere ◽  
Transcriptome Profiling ◽  
Differentially Expressed ◽  
Unknown Etiology ◽  
Dorsolateral Prefrontal ◽  
The Right

AbstractSchizophrenia is a complex polygenic disorder of unknown etiology. Over 3,000 candidate genes associated with schizophrenia have been reported, most of which being mentioned only once. Alterations in cognitive processing - working memory, metacognition and mentalization - represent a core feature of schizophrenia, which indicates the involvement of the prefrontal cortex in the pathophysiology of this disorder. Hence we compared the gene expression in postmortem tissue from the left and right dorsolateral prefrontal cortex (DLPFC, Brodmann's area 46), and the medial part of the orbitofrontal cortex (MOFC, Brodmann's area 11/12), in six patients with schizophrenia and six control brains. Although in the past decade several studies performed transcriptome profiling in schizophrenia, this is the first study to investigate both hemispheres, providing new knowledge about possible brain asymmetry at the level of gene expression and its relation to schizophrenia. We found that in the left hemisphere, twelve genes from the DLPFC and eight genes from the MOFC were differentially expressed in patients with schizophrenia compared to controls. In the right hemisphere there was only one gene differentially expressed in the MOFC. We reproduce the involvement of previously reported genes TARDBP and HNRNPC in the pathogenesis of schizophrenia, and report seven novel genes:

Evidence of altered dominance in children with congenital spastic hemiplegia

1995 ◽  
Vol 1 (3) ◽  
pp. 261-270 ◽  
Author(s):  
Marit Korkman ◽  
Lennart von Wendt
Keyword(s):  
Brain Damage ◽  
Left Hemisphere ◽  
Neuropsychological Tests ◽  
Right Hemisphere ◽  
Individual Variability ◽  
Right Hemisphere Damage ◽  
Spastic Hemiplegia ◽  
Ear Advantage ◽  
The Right ◽  
High Degree

AbstractThe study aimed at investigating lateralization effects and signs of transfer and crowding in children with congenital lateralized brain damage with the aid of a dichotic listening test, a chimeric test, and verbal and nonverbal neuropsychological tests. Thirty-three children with spastic hemiplegia and 86 control children (age 5.0–12.0 yr) were assessed. Children with left-hemisphere damage (n = 17) were found to have a pathological left-ear advantage for verbal material, and children with right-hemisphere damage (n = 16) were found to have a pathological right visual half-field advantage for visual material. Children with left-hemisphere damage and a left-ear advantage on the dichotic test were also found to have a right visual half-field advantage on the chimeric test, which was regarded as a sign of reversed dominance. No verbal or nonverbal differences emerged between the left-hemisphere and the right-hemisphere damage groups, nor did differences emerge when the children were reclassified by considering children with left-hemisphere damage and signs of reversed dominance as having damage to the nondominant hemisphere. It was concluded that although lateralized brain damage may alter the dominance for verbal and visual functions, there is still considerable inter-individual variability with respect to inter- and intrahemispheric neural adjustment to damage. The dichotic and the chimeric tests did not indicate the presence of brain damage accurately, but they indicated the lateralization of damage in children with stated abnormality with a high degree (91.3%) of accuracy. (JINS, 1995, I, 261–270.)

Phrase comprehension after brain damage

1982 ◽  
Vol 3 (3) ◽  
pp. 263-278 ◽  
Author(s):  
Rita Sloan Berndt ◽  
Alfonso Caramazza
Keyword(s):  
Brain Damage ◽  
Left Hemisphere ◽  
Language Comprehension ◽  
Right Hemisphere ◽  
The Other ◽  
Right Hemisphere Damage ◽  
Dimensional Adjectives ◽  
Neurologically Normal ◽  
The Right

ABSTRACTComprehension of six dimensional adjectives was found to be intact in groups of left hemisphere-damaged, right hemisphere-damaged and neurologically normal patients. Phrases with those adjectives were interpreted quite differently by left hemisphere-damaged patients than by the other two groups, and a subgroup of left-damaged patients appeared to be responsible for that group's deviant responses to phrases such as slightly bigger. All patients in the left-damaged group had some difficulty with negative phrases such as not big, however. Patients with right hemisphere-damage had difficulty interpreting only negative phrases with small. Results are interpreted with reference to Luria's discussion of semantic aphasia, and with regard to recent findings concerning the role of the right hemisphere in language comprehension.

scholarly journals Artistic Production Following Brain Damage: A Study of Three Artists

Leonardo ◽  
2011 ◽  
Vol 44 (5) ◽  
pp. 405-410 ◽  
Author(s):  
Anjan Chatterjee ◽  
Bianca Bromberger ◽  
William B. Smith ◽  
Rebecca Sternschein ◽  
Page Widick
Keyword(s):  
Brain Damage ◽  
Right Hemisphere ◽  
Neural Basis ◽  
Left Brain ◽  
Right Hemisphere Damage ◽  
Right Brain ◽  
Art Production ◽  
The Right ◽  
Left Brain Damage ◽  
Insight Into

We know little about the neurologic bases of art production. The idea that the right brain hemisphere is the “artistic brain” is widely held, despite the lack of evidence for this claim. Artists with brain damage can offer insight into these laterality questions. The authors used an instrument called the Assessment of Art Attributes to examine the work of two individuals with left-brain damage and one with right-hemisphere damage. In each case, their art became more abstract and distorted and less realistic. They also painted with looser strokes, less depth and more vibrant colors. No unique pattern was observed following right-brain damage. However, art produced after left-brain damage also became more symbolic. These results show that the neural basis of art production is distributed across both hemispheres in the human brain.

scholarly journals Morphology of Pyramidal Neurons in the Rat Prefrontal Cortex: Lateralized Dendritic Remodeling by Chronic Stress

2007 ◽  
Vol 2007 ◽  
pp. 1-14 ◽  
Author(s):  
Claudia Perez-Cruz ◽  
Jeanine I. H. Müller-Keuker ◽  
Urs Heilbronner ◽  
Eberhard Fuchs ◽  
Gabriele Flügge
Keyword(s):  
Prefrontal Cortex ◽  
Pyramidal Neurons ◽  
Right Hemisphere ◽  
Anterior Cingulate ◽  
Chronic Restraint Stress ◽  
Hemispheric Difference ◽  
Infralimbic Cortex ◽  
Dendritic Length ◽  
The Right ◽  
Apical Dendrites

The prefrontal cortex (PFC) plays an important role in the stress response. We filled pyramidal neurons in PFC layer III with neurobiotin and analyzed dendrites in rats submitted to chronic restraint stress and in controls. In the right prelimbic cortex (PL) of controls, apical and distal dendrites were longer than in the left PL. Stress reduced the total length of apical dendrites in right PL and abolished the hemispheric difference. In right infralimbic cortex (IL) of controls, proximal apical dendrites were longer than in left IL, and stress eliminated this hemispheric difference. No hemispheric difference was detected in anterior cingulate cortex (ACx) of controls, but stress reduced apical dendritic length in left ACx. These data demonstrate interhemispheric differences in the morphology of pyramidal neurons in PL and IL of control rats and selective effects of stress on the right hemisphere. In contrast, stress reduced dendritic length in the left ACx.

Metabolic abnormality in the right dorsolateral prefrontal cortex in patients with obsessive–compulsive disorder: proton magnetic resonance spectroscopy

2016 ◽  
Vol 29 (3) ◽  
pp. 164-169 ◽  
Author(s):  
Shin-Eui Park ◽  
Nam-Gil Choi ◽  
Gwang-Woo Jeong
Keyword(s):  
Prefrontal Cortex ◽  
Dorsolateral Prefrontal Cortex ◽  
Proton Magnetic Resonance ◽  
Proton Magnetic Resonance Spectroscopy ◽  
Resonance Spectroscopy ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dorsolateral Prefrontal ◽  
The Right

ObjectiveProton magnetic resonance spectroscopy (1H-MRS) was used to evaluate metabolic changes in the dorsolateral prefrontal cortex (DLPFC) in patients with obsessive–compulsive disorder (OCD).MethodsIn total, 14 OCD patients (mean age 28.9±7.2 years) and 14 healthy controls (mean age 32.6±7.1 years) with no history of neurological and psychiatric illness participated in this study. Brain metabolite concentrations were measured from a localised voxel on the right DLPFC using a 3-Tesla 1H-MRS.ResultsThe metabolic concentration of myo-inositol in patients with OCD increased significantly by 52% compared with the healthy controls, whereas glutamine/glutamate was decreased by 11%. However, there were no significant differences in N-acetylaspartate, choline, lactate and lipid between the two groups.ConclusionThese findings would be helpful to understand the pathophysiology of OCD associated with the brain metabolic abnormalities in the right DLPFC.

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