scholarly journals Evaluation of two infants with myotonic dystrophy by the McFie's diagram from the results of WISC

1998 ◽  
Vol 56 (3B) ◽  
pp. 633-638 ◽  
Author(s):  
CRISTINA MARIA DUARTE WIGG ◽  
LUIZ ANTONIO ALVES DURO

In this paper the authors disclose the result of a research carried out on two brothers whose parents were first cousins, being the gene transmitted by the father. The psychological test Wechsler Intelligence Scale of Children (WISC) was used in two occasions in order to assess the verbal and non-verbal skills. FRM and IRM were nine and eleven-year-old respectively, in the first examination, being the former thirteen and the latter fifteen-year-old on the second one. A comparison between the McFie's diagram and the WISC scores was made: the McFie's diagram showed the impairment severity in each cortical lobe when the left hemisphere was compared with the right one. The McFie's diagram was made from WISC's scores: the McFie's diagram showed the impairment severity in each cortical lobe when the left hemisphere was compared with the right one. On the second examination the performance was worse than in the first, mainly in the non-verbal aspects. The IRM's diagram showed a reduction in the right frontal and parietal lobes. In the FRM's diagram a reduction in the left frontal, temporal and parietal lobes, and also, in the right parietal lobe was found. The visual-spatial constructive aspects showed greatest impairment in this result.

2020 ◽  
Vol 35 (4) ◽  
pp. 448-457
Author(s):  
Usama Tariq ◽  
Alicia Parker ◽  
Leila Saadatpour ◽  
Leilani Doty ◽  
Kenneth M Heilman

Abstract Background/Objectives Whereas rare cases of hemispatial visual neglect have been reported in patients with a neurodegenerative disease, quadrantic visuospatial neglect has not been described. We report a patient with probable posterior cortical atrophy who demonstrated lower right-sided quadrantic visuospatial neglect, together with allocentric vertical neglect. Methods/Results A 68-year-old man initially noted deficits in reading and writing. Subsequently, he developed other cognitive deficits. On vertical line bisections, he deviated upward, and on horizontal line bisections, he deviated to the left. These deviations together suggest that this man’s neglect might be most severe in his right (head/body-centered) lower (below eye level) visual space. When attempting to perform vertical line bisections in all four egocentric quadrants, his upward deviations were largest in the right lower quadrant. On a cancelation test, he revealed bilateral lower (ventral) allocentric neglect but not egocentric neglect. This patient’s magnetic resonance imaging revealed cortical atrophy, most prominent in the left parietal lobe. Discussion Previous research in stroke patients has demonstrated that the parietal lobes are important in mediating attention to contralateral and inferior visual space. The presence of left parietal atrophy may have induced this right lower (ventral) egocentric inattention as well as bilateral ventral allocentric inattention. Although to our knowledge there have been no prior reports of a patient with right lower quadrantic and lower vertical allocentric visuospatial neglect, patients are rarely tested for these forms of neglect, and this patient illustrates the importance of evaluating patients for these and other forms of neglect.


2020 ◽  
Vol 35 (6) ◽  
pp. 1044-1044
Author(s):  
Leonard S ◽  
Hall T

Abstract Objective Extant literature supports the “Two-Stream Hypothesis” of visual processing including a ventral stream (connecting the occipital lobe to the temporal lobe) and a dorsal stream (connecting the occipital lobe to the parietal lobe), but is not traditionally believed to involve the frontal lobe. Method “Eddie”, a healthy 14-year-old male, sustained a penetrating brain injury by accidentally lodging a pool cue through his right orbital bones and piercing his right frontal lobe through to the skull. He was ambulatory, awake, and alert on arrival to the ED, with a laceration, swelling, and bleeding of the eyelid. A cranial CT revealed a complex orbital roof fracture, injury to the orbit, and right frontal contusions. Eddie underwent a right supraorbital craniotomy with repair of the orbital roof fracture and debridement of bony fragments. Post-operative MRI revealed right frontal parenchymal edema and patchy areas of contusion. Results Neuropsychological evaluation revealed a robust cognitive reserve including verbal skills, working memory, processing speed, and word reading skills in the high average. Eddie demonstrated significant discrepancies in visually mediated skills including relatively weaker visual–spatial skills (24 standard score (SS) points lower than verbal skills), fluid reasoning with visual problem-solving (30 SS points lower than verbal skills), low average judgment of line orientation, and a discrepancy between verbal and visual memory. He also demonstrated mild difficulties consistent with his right orbito-frontal injury including weaknesses regarding impulsivity, self-monitoring, planning, and task approach. Conclusions The current case demonstrates possible involvement of the frontal lobe in the visual processing pathways.


2001 ◽  
Vol 13 (5) ◽  
pp. 698-710 ◽  
Author(s):  
Matthew F. S. Rushworth ◽  
Michael Krams ◽  
Richard E. Passingham

It is widely agreed that visuospatial orienting attention depends on a network of frontal and parietal areas in the right hemisphere. It is thought that the visuospatial orienting role of the right parietal lobe is related to its role in the production of overt eye movements. The experiments reported here test the possibility that other parietal regions may be important for directing attention in relation to response modalities other than eye movement. Specifically, we used positron emission tomography (PET) to test the hypothesis that a ‘left’ parietal area, the supramarginal gyrus, is important for attention in relation to limb movements (Rushworth et al., 1997; Rushworth, Ellison, & Walsh, in press). We have referred to this process as ‘motor attention’ to distinguish it from orienting attention. In one condition subjects spent most of the scanning period covertly attending to ‘left’ hand movements that they were about to make. Activity in this first condition was compared with a second condition with identical stimuli and movement responses but lacking motor attention periods. Comparison of the conditions revealed that motor attention related activity was almost exclusively restricted to the ‘left’ hemisphere despite the fact that subjects only ever made ipsilateral, left-hand responses. Left parietal activity was prominent in this comparison, within the parietal lobe the critical region for motor attention was the supramarginal gyrus and the adjacent anterior intraparietal sulcus (AIP), a region anterior to the posterior parietal cortex identified with orienting attention. In a second part of the experiment we compared a condition in which subjects covertly rehearsed verbal responses with a condition in which they made verbal responses immediately without rehearsal. A comparison of the two conditions revealed verbal rehearsal-related activity in several anterior left hemisphere areas including Broca's area. The lack of verbal rehearsal-related activity in the left supra-marginal gyrus confirms that this area plays a direct role in motor attention that cannot be attributed to any strategy of verbal mediation. The results also provide evidence concerning the importance of ventral premotor (PMv) and Broca's area in motor attention and language processes.


2020 ◽  
Author(s):  
Alfredo Spagna ◽  
Dimitri J. Bayle ◽  
Zaira Romeo ◽  
Lydia Yahia-Cherif ◽  
Ana B. Chica ◽  
...  

AbstractDo we need attention to become aware of an external event? We used magnetoencephalography (MEG) in human participants to assess the effects of nonpredictive and predictive supra-threshold peripheral visual cues on the conscious perception of near-threshold Gabor patches. Both nonpredictive and predictive valid cues increased the number of detected targets, and shifted the response criterion towards a more liberal decision. Predictive cues unexpectedly induced a greater sensitivity (d’) for invalid trials than for valid trials. With nonpredictive cues, seen targets were associated with right-lateralized frontoparietal feed-forward and feedback sweeps. For seen targets there was increased connectivity among visual regions, and between these areas and the inferior parietal lobes and the anterior insular cortices (AIC), bilaterally. Valid predictive cues interacted with conscious target detection, with greater activation of areas mostly located in the left hemisphere, especially in the frontoparietal network and temporoparietal junction, and induced an increased connectivity between the right AIC and areas of the visual ventral stream in the seen condition only. Thus, neural activity induced by nonpredictive and predictive spatial cues can enhance conscious visual perception through distinct mechanisms, mostly relying on frontoparietal activity in the right or left hemisphere, respectively. Connectivity involving the AIC participates in shaping the interaction between attention and conscious visual perception.Significance StatementDo we need to pay attention to external objects in order to become aware of them? Characterizing the spatiotemporal dynamics of attentional effects on visual perception is critical to understand how humans process information coming from relevant aspects of their environment. Participants detected near-threshold visual targets preceded by supra-threshold spatial cues with varying degrees of predictivity, while their brain activity was recorded using magnetoencephalography. Results demonstrated that spatial cues, especially when predictive, biased participants’ conscious perception through an early recruitment of frontoparietal regions. This work highlights an interactive pattern between spatial attention and consciousness, as shown by the effects of attention-related regions on visual sensory cortices bilaterally, consistent with the hypothesis that attention is a pathway to conscious perception.


2007 ◽  
Vol 18 (2) ◽  
pp. 65-80 ◽  
Author(s):  
C. M. J. Braun ◽  
S. Desjardins ◽  
S. Gaudelet ◽  
A. Guimond

The psychic tonus model (Braun and colleagues, 1999, 2002, 2003, 2006) states that the left hemisphere is a “booster” of internal experience and behavior in general, and that the right hemisphere is a “dampener”. Twenty-five patients with a “positive” extreme disturbance of body schema (somatoparaphrenia) and 37 patients with a “negative” disturbance of body schema (autotopagnosia or Gerstmann’s syndrome), all following a unilateral parietal lesion, were found in the literature and were analyzed to test predictions from Braun’s “psychic tonus” model. As expected, patients with a positive syndrome had a right hemisphere lesion significantly more frequently, and those with a negative syndrome had a left hemisphere lesion significantly more frequently. Thus the psychic tonus model of hemispheric specialization, previously supported with regard to psychomotor baseline, libido, talkativeness, memory, auditory and visual perceptual tonus, now incorporates the tonus of representation of the body (body schema) in the parietal lobes.


2000 ◽  
Vol 12 (4) ◽  
pp. 583-600 ◽  
Author(s):  
M. L. Phan ◽  
K. L. Schendel ◽  
G. H. Recanzone ◽  
L. C. Robertson

Lesion and electrophysiological studies indicate that the parietal lobes play a role in visual spatial attention and in computing the spatial coordinates of visual input. Fewer studies have investigated the role of the parietal lobe in auditory spatial processing, and an extensive comparison of visual and auditory spatial processing in humans with parietal lobe lesions has yet to be conducted. We have studied such localization abilities in a Balint's syndrome patient (RM) who has bilateral parietal lobe lesions. The results indicated that this patient had a significant deficit in both visual and auditory localization relative to age-matched controls. Unlike the controls, however, RM's auditory localization ability either matched or exceeded his visual localization ability depending on the task. Accordingly, RM exhibited “auditory capture”, but not “visual capture” under conditions where control subjects showed the opposite pattern. These results are consistent with hypotheses that the parietal lobes are involved in creating multiple spatial representations and in shifting from one spatial reference point to another, but suggest that these parietal structures are not necessary for the integration of multiple sensory stimuli resulting in capture effects.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Oliver Gray ◽  
Lewis Fry ◽  
Daniela Montaldi

Abstract Our understanding of the inferior parietal lobe (IPL) remains challenged by inconsistencies between neuroimaging and neuropsychological perspectives. To date, others assume that hemispheric specialisation of the IPL is linked with the type of processing; attention processing in the right hemisphere; memory retrieval and semantic judgement in the left hemisphere. Here, we provide compelling evidence associating the type of information being processed with the recruitment of each hemisphere’s IPL. In a meta-analysis, we classify 121 previous fMRI reports of IPL activity arising from episodic memory retrieval, according to the type of information that characterises each fMRI contrast. We demonstrate that the left IPL is more consistently associated with retrieval of the semantic (95% of eligible contrasts) than perceptual aspects of memory (83%). In contrast, the right IPL is more consistently associated with the retrieval of perceptual (97%), than semantic aspects of memory (43%). This work revises assumptions of how the IPL contributes to healthy cognition and has major implications for IPL-related neuropsychological deficits.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Giorgio Arcara ◽  
Rachele Pezzetta ◽  
S. Benavides-Varela ◽  
G. Rizzi ◽  
S. Formica ◽  
...  

AbstractDespite decades of studies, it is still an open question on how and where simple multiplications are solved by the brain. This fragmented picture is mostly related to the different tasks employed. While in neuropsychological studies patients are asked to perform and report simple oral calculations, neuroimaging and neurophysiological studies often use verification tasks, in which the result is shown, and the participant must verify the correctness. This MEG study aims to unify the sources of evidence, investigating how brain activation unfolds in time using a single-digit multiplication production task. We compared the participants' brain activity—focusing on the parietal lobes—based on response efficiency, dividing their responses in fast and slow. Results showed higher activation for fast, as compared to slow, responses in the left angular gyrus starting after the first operand, and in the right supramarginal gyrus only after the second operand. A whole-brain analysis showed that fast responses had higher activation in the right dorsolateral prefrontal cortex. We show a timing difference of both hemispheres during simple multiplications. Results suggest that while the left parietal lobe may allow an initial retrieval of several possible solutions, the right one may be engaged later, helping to identify the solution based on magnitude checking.


2021 ◽  
Author(s):  
Arcara G. ◽  
Pezzetta R. ◽  
Benavides-Varela S. ◽  
Rizzi G. ◽  
Formica S. ◽  
...  

Abstract Despite decades of studies, it is still an open question on how and where simple multiplication is solved by the brain. This fragmented picture is mostly related to the different tasks employed. Although in neuropsychological studies patients are asked to perform and report simple oral calculations, neuroimaging and neurophysiological studies often use verification tasks, in which the result is shown, and the participant must verify the correctness. This MEG study aims to unify the sources of evidence, investigating how brain activation unfolds in time using a single-digit multiplication production task. We compared the participants’ brain activity – focusing on the parietal lobes - based on response efficiency, dividing their responses in fast and slow. Results showed a higher activation for fast, as compared to slow, responses in the left angular gyrus starting after the first operand, and in the right supramarginal gyrus only after the second operand. A whole-brain analysis showed that fast responses had higher activation in the right dorsolateral prefrontal cortex. We show a timing difference of both hemispheres during simple multiplications. Results suggest that while the left parietal lobe may allow an initial retrieval of several possible solutions, the right one may be engaged later, helping to identify the solution based on magnitude checking.


2021 ◽  
Vol 14 (1) ◽  
pp. 80-87
Author(s):  
Marisa Maglaty ◽  
Kevin Woolard

Diagnostic Exercise from The Latin Comparative Pathology Group. Clinical History: 10 year-old, female spayed, Golden Retriever/Poodle mix. This patient had a mass removed laparoscopically from the right adrenal gland (cortical adenoma) and was started on a low dose of prednisone post-operatively. Eight days post-op, she began having cluster seizures and was started on levetiracetam therapy. The following day, the dog was moderately obtunded and stumbling. On neurological examination, mild generalized ataxia was noted along with decreased menace OS, and delayed proprioception in the left pelvic and left thoracic limbs. CBC and chemistry values were unremarkable except for a mild hepatic enzyme elevation. EEG showed seizure-like activity and abnormal brain waves resembling sleep state while awake. MRI revealed an eccentric right-sided mass extending over the frontal and parietal lobes with subtentorial herniation. Due to poor prognosis, euthanasia was elected. Necropsy and Microscopic Findings: Tenuously adhered to the right parietal lobe of the brain and the dura mater is a soft, round, white, plaque-like mass measuring 3.5 x 3.0 x 0.3 cm. The mass is friable and poorly-demarcated from surrounding brain parenchyma. A portion of the mass adheres to the supradjacent surface of the calvarium.


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