scholarly journals The Role of the Parietal Lobe in Visual Extinction Studied with Transcranial Magnetic Stimulation

2009 ◽  
Vol 21 (10) ◽  
pp. 1946-1955 ◽  
Author(s):  
Lorella Battelli ◽  
George A. Alvarez ◽  
Thomas Carlson ◽  
Alvaro Pascual-Leone

Interhemispheric competition between homologous areas in the human brain is believed to be involved in a wide variety of human behaviors from motor activity to visual perception and particularly attention. For example, patients with lesions in the posterior parietal cortex are unable to selectively track objects in the contralesional side of visual space when targets are simultaneously present in the ipsilesional visual field, a form of visual extinction. Visual extinction may arise due to an imbalance in the normal interhemispheric competition. To directly assess the issue of reciprocal inhibition, we used fMRI to localize those brain regions active during attention-based visual tracking and then applied low-frequency repetitive transcranial magnetic stimulation over identified areas in the left and right intraparietal sulcus to asses the behavioral effects on visual tracking. We induced a severe impairment in visual tracking that was selective for conditions of simultaneous tracking in both visual fields. Our data show that the parietal lobe is essential for visual tracking and that the two hemispheres compete for attentional resources during tracking. Our results provide a neuronal basis for visual extinction in patients with parietal lobe damage.

2018 ◽  
Author(s):  
Qun Ye ◽  
Futing Zou ◽  
Hakwan Lau ◽  
Yi Hu ◽  
Sze Chai Kwok

AbstractMetacognition is the capacity to introspectively monitor and control one’s own cognitive processes. Previous anatomical and functional neuroimaging findings implicated the important role of precuneus in metacognition processing, especially during mnemonic tasks. However, the issue of whether this medial parietal cortex is a domain-specific region that supports mnemonic metacognition remains controversial. Here, we focally disrupted this parietal area with repetitive transcranial magnetic stimulation in healthy participants of both sexes, seeking to ascertain its functional necessity for metacognition for memory versus perceptual decisions. Perturbing the precuneal activity impaired the metacognitive efficiency selectively in the memory judgment of temporal-order, but not in perceptual discrimination. Moreover, the correlation in individuals’ metacognitive efficiency between the domains disappeared when the precuneus was perturbed. Together with the previous finding that lesion to the anterior prefrontal cortex impairs perceptual but not mnemonic metacognition, we double dissociated the macro-anatomical underpinnings for the two kinds of metacognitive capacity in an interconnected network of brain regions.SIGNIFICANCE STATEMENTTheories on the neural basis of metacognition have thus far largely centered on the role of prefrontal cortex. Here we refined the theoretical framework through characterizing a unique precuneal involvement in mnemonic metacognition with a noninvasive but inferentially powerful method: transcranial magnetic stimulation. By quantifying meta-cognitive efficiency across two distinct domains (memory vs. perception) that are matched for stimulus characteristics, we reveal an instrumental – and highly selective – role of the precuneus in mnemonic metacognition. These causal evidence corroborate ample clinical reports that parietal lobe lesions often produce inaccurate self-reports of confidence in memory recollection and establish that the precuneus as a nexus for the introspective ability to evaluate the success of memory judgment in humans.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Davide Giampiccolo ◽  
Henrietta Howells ◽  
Ina Bährend ◽  
Heike Schneider ◽  
Giovanni Raffa ◽  
...  

Abstract In preoperative planning for neurosurgery, both anatomical (diffusion imaging tractography) and functional tools (MR-navigated transcranial magnetic stimulation) are increasingly used to identify and preserve eloquent language structures specific to individuals. Using these tools in healthy adults shows that speech production errors occur mainly in perisylvian cortical sites that correspond to subject-specific terminations of the major language pathway, the arcuate fasciculus. It is not clear whether this correspondence remains in oncological patients with altered tissue. We studied a heterogeneous cohort of 30 patients (fourteen male, mean age 44), undergoing a first or second surgery for a left hemisphere brain tumour in a language-eloquent region, to test whether speech production errors induced by preoperative transcranial magnetic stimulation had consistent anatomical correspondence to the arcuate fasciculus. We used navigated repetitive transcranial magnetic stimulation during picture naming and recorded different perisylvian sites where transient interference to speech production occurred. Spherical deconvolution diffusion imaging tractography was performed to map the direct fronto-temporal and indirect (fronto-parietal and parieto-temporal) segments of the arcuate fasciculus in each patient. Speech production errors were reported in all patients when stimulating the frontal lobe, and in over 90% of patients in the parietal lobe. Errors were less frequent in the temporal lobe (54%). In all patients, at least one error site corresponded to a termination of the arcuate fasciculus, particularly in the frontal and parietal lobes, despite distorted anatomy due to a lesion and/or previous resection. Our results indicate that there is strong correspondence between terminations of the arcuate fasciculus and speech errors. This indicates that white matter anatomy may be a robust marker for identifying functionally eloquent cortex, particularly in the frontal and parietal lobe. This knowledge may improve targets for preoperative mapping of language in the neurosurgical setting.


Perception ◽  
10.1068/p5088 ◽  
2003 ◽  
Vol 32 (11) ◽  
pp. 1328-1338 ◽  
Author(s):  
Agnes P Funk ◽  
John D Pettigrew

Motion-induced blindness (MIB) is a phenomenon, perhaps related to perceptual rivalry, where stationary targets disappear and reappear in a cyclic mode when viewed against a background (mask) of coherent, apparent 3-D motion. Since MIB has recently been shown to share similar temporal properties with binocular rivalry, we probed the appearance–disappearance cycle of MIB using unilateral, single-pulse transcranial magnetic stimulation (TMS)—a manipulation that has previously been shown to influence binocular rivalry. Effects were seen for both hemispheres when the timing of TMS was determined prospectively on the basis of a given subject's appearance–disappearance cycle, so that it occurred on average around 300 ms before the time of perceptual switch. Magnetic stimulation of either hemisphere shortened the time to switch from appearance to disappearance and vice versa. However, TMS of left posterior parietal cortex more selectively shortened the disappearance time of the targets if delivered in phase with the disappearance cycle, but lengthened it if TMS was delivered in the appearance phase after the perceptual switch. Opposite effects were seen in the right hemisphere, although less marked than the left-hemisphere effects. As well as sharing temporal characteristics with binocular rivalry, MIB therefore seems to share a similar underlying mechanism of interhemispheric modulation. Interhemispheric switching may thus provide a common temporal framework for uniting the diverse, multilevel phenomena of perceptual rivalry.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoshinori Kadono ◽  
Keigo Koguchi ◽  
Ken-ichi Okada ◽  
Koichi Hosomi ◽  
Motoki Hiraishi ◽  
...  

AbstractCentral poststroke pain (CPSP) develops after a stroke around the somatosensory pathway. CPSP is hypothesized to be caused by maladaptive reorganization between various brain regions. The treatment for CPSP has not been established; however, repetitive transcranial magnetic stimulation (rTMS) to the primary motor cortex has a clinical effect. To verify the functional reorganization hypothesis for CPSP development and rTMS therapeutic mechanism, we longitudinally pursued the structural and functional changes of the brain by using two male CPSP model monkeys (Macaca fuscata) developed by unilateral hemorrhage in the ventral posterolateral nucleus of the thalamus. Application of rTMS to the ipsilesional primary motor cortex relieved the induced pain of the model monkeys. A tractography analysis revealed a decrease in the structural connectivity in the ipsilesional thalamocortical tract, and rTMS had no effect on the structural connectivity. A region of interest analysis using resting-state functional magnetic resonance imaging revealed inappropriately strengthened functional connectivity between the ipsilesional mediodorsal nucleus of the thalamus and the amygdala, which are regions associated with emotion and memory, suggesting that this may be the cause of CPSP development. Moreover, rTMS normalizes this strengthened connectivity, which may be a possible therapeutic mechanism of rTMS for CPSP.


Sign in / Sign up

Export Citation Format

Share Document