Functional organization of the left inferior precentral sulcus: dissociating the inferior frontal eye field and the inferior frontal junction.

Two eye fields have been described in the human lateral frontal cortex: the frontal eye field (FEF) and the inferior frontal eye field (iFEF). The FEF has been extensively studied and has been found to lie at the ventral part of the superior precentral sulcus. Much less research, however, has focused on the iFEF. Recently, it was suggested that the iFEF is located at the dorsal part of the inferior precentral sulcus. A similar location was proposed for the inferior frontal junction area (IFJ), an area thought to be involved in cognitive control processes. The present study used fMRI to clarify the topographical and functional relationship of the iFEF and the IFJ in the left hemispheres of individual participants. The results show that both the iFEF and the IFJ are indeed located at the dorsal part of the inferior precentral sulcus. Nevertheless, the activations were spatially dissociable in every individual examined. The IFJ was located more towards the depth of the inferior precentral sulcus, close to the junction with the inferior frontal sulcus, whereas the iFEF assumed a more lateral, posterior and superior position. Furthermore, the results provided evidence for a functional double dissociation: the iFEF was activated only in a comparison of saccades vs. button presses, but not in a comparison of incongruent vs. congruent Stroop conditions, while the opposite pattern was found at the IFJ. These results provide evidence for a spatial and functional dissociation of two directly adjacent areas in the left posterior frontal lobe.

[Survey of risks related to static magnetic fields in ultra high field MRI]. / Bestandsaufnahme zu Risiken durch statische Magnetfelder im Zusammenhang mit der Ultrahochfeld-MRT.

In magnetic resonance imaging (MRI), substantial improvements with respect to sensitivity are expected due to the development of so-called ultra high field scanners, i. e., whole-body scanners with a magnetic field strength of 7 T or above. Users of this technology need to evaluate this benefit for potential risks since commercially available systems are not certified as a medical device for human use. This review provides a detailed survey of static field bioeffects related to the exposure of subjects being scanned, to occupational exposure, and to exposure of the general public under consideration of current standards and directives. According to present knowledge, it is not expected that exposure of human subjects to static magnetic fields of 7 T implies a specific risk of damage or disease provided that known contraindications are observed. The available database does not permit definition of exact thresholds for harmful effects. However, experience from previous application of ultra high field MRI indicates that transient phenomena, such as vertigo, nausea, metallic taste, or magneto-phosphenes, are more frequently observed. In particular, movements in the field or the gradient of the fringe field seem to lead to detectable effects. Besides such observations, there is a strong demand for systematic investigation of potential interaction mechanisms related to static field exposure during MRI examinations.

Crossed nonaphasia in a dextral with left hemispheric lesions: a functional magnetic resonance imaging study of mirrored brain organization.

BACKGROUND: General conclusions concerning mechanisms of cerebral lateralization may be learned from the investigation of functional brain organization in patients with anomalous lateralization. CASE DESCRIPTION: The functional organization of language, attention, and motor performance was investigated in a 42-year-old patient with crossed nonaphasia by means of functional MRI. The strongly right-handed man experienced a left middle cerebral artery infarction documented by MRI without exhibition of aphasia. However, the left hemispheric stroke was accompanied by visuospatial impairment, right-sided slight sensory and motor paresis, and right homonymous hemianopia. No history of familial sinistrality or prior neurological illness was present. Functional MR language mapping revealed strong right hemispheric activation in inferior frontal and superior temporal cortices. Finger tapping with the right hand recruited ipsilateral premotor and motor areas as well as supplementary motor cortex. A Stroop task, usually strongly associated with left-sided inferior frontal activation in dextrals, resulted in strong right hemispheric frontal activation. CONCLUSIONS: From our data there is clear evidence that different modalities, such as language perception and production, attention, and motor performance, are processed exclusively by 1 hemisphere when atypical cerebral dominance is present.

Cortical reafferentation following left subcortical hemorrhage: a serial functional MR study.

A 48-year-old patient who had aphasia due to a left subcortical hemorrhage underwent three follow-up examinations to assess MR signal changes accompanying recovery. A word classification task was applied. During the 6-month follow-up period, we observed a dynamic change from negative toward positive blood oxygenation level-dependent MR signals, i.e., task-related reafferentation of eloquent cortices occurred. Clinical improvement from aphasia paralleled the MR signal changes.

The possible contribution of the septal region to memory.

A particularly well-documented, intelligent patient (H.I.) with very selective, minute, but most likely bilateral damage of the basal forebrain including the septal region is presented. Though behavioral progress was found for a number of areas, she remained deficient, especially in long-term memory. The severest and largely modality-nonspecific deficits were observed in recall (as opposed to recognition) situations. As a peculiar finding which we would attribute to septal damage, H.I. was mainly affected in tests containing emotional (especially emotionally negative) stimuli, or certain flavours. While this involvement might have helped her in memorizing material judged as positive, it was of negative influence under other circumstances. The septal area may serve as an interface contributing a specific combination of emotional flavour and evaluating (feedback) judgement to a larger (septo-hippocampal-amygdalar) memory and learning processing network.

Dissociation of memory retrieval and search processes: an event-related fMRI study.

A cognitive task can often be subdivided into several subprocesses, which follow a specific temporal order. Here, we report an event-related functional magnetic resonance imaging (fMRI) experiment on memory search, in which the temporal onset of search in primary memory was varied relative to retrieval from secondary memory. Furthermore, previous behavioral studies demonstrated that search times in primary memory depend on the number of items in a memory set, whereas retrieval from secondary memory is a set-size independent process. We analyzed the dependency of the blood oxygenation level dependent (BOLD)-response on the temporal onset of memory search on the one hand and on memory set size on the other hand to differentiate the contribution of retrieval from secondary memory, maintenance in primary memory, item search in primary memory, and response-related processes. The timing of activation followed cue presentation bilaterally in the middle frontal gyri (Brodmann area (BA) 9,46) and the inferior parts of the precentral gyri (BA6). In all other regions of interest (ROI), supplementary motor area (SMA), posterior parietal cortex, antero-superior insula, and primary motor cortex, the onset of activation was delayed with delayed probe presentation, ruling out participation in retrieval from secondary memory. The amplitude of the BOLD-response increased with increasing memory set size in all ROI except primary motor cortex and left posterior parietal cortex. All areas with cue-associated BOLD onset, suggesting involvement in retrieval, showed prolonged BOLD activation, suggesting that they also support maintenance of the retrieved information.

Functional organization of the lateral premotor cortex: fMRI reveals different regions activated by anticipation of object properties, location and speed.

Previous studies have provided evidence that the lateral premotor cortex (PMC) is involved in representations triggered by attended sensory events. However, while the functional specificity of subregions of this large cortical structure has been intensively investigated in the monkey, little is known about functional differences within human lateral premotor areas. In the present study, functional magnetic resonance imaging was used to investigate if attending to object-specific (O), spatial (S), or temporal (T) properties of the same sensory event, i.e. moving objects, involves different premotor areas. We found a frontoparietal 'prehension network' comprising the pre-supplementary motor area (preSMA), the ventral PMC, and the left anterior intraparietal sulcus (aIPS) to be activated independently of the attended stimulus property, but most intensively during object-related attention. Moreover, several areas were exclusively activated according to the attended stimulus property. Particularly, different PMC regions responded to the Object (O) task (left superior ventrolateral PMC), the Spatial (S) task (dorsolateral PMC), and the Timing (T) task (frontal opercular cortex (FOP)). These results indicate that the representation of different stimulus dimensions engage distinct premotor areas and, therefore, that there is a functional specificity of lateral premotor subregions.

The role of coherence and cohesion in text comprehension: an event-related fMRI study.

Text processing requires inferences for establishing coherence between successive sentences. In neuropsychological studies and brain imaging studies, these coherence-building processes have been ascribed to the right hemisphere. On the other hand, there is evidence for prefrontal brain damage causing non-aphasic language disorders, in which text level processes are impaired. In this study, we used an event-related, whole-head fMRI methodology to evaluate the contributions of prefrontal areas and the right hemisphere to coherence building. We scanned 12 participants while they read 120 sentence pairs and judged their coherence. Four conditions were used, resulting from crossing coherence and cohesion (i.e. the presence of a lexical connection). A behavioral pretest confirmed that cohesion aided establishing coherence, whereas it hindered the detection of coherence breaks. In the fMRI study, all language conditions yielded activation in left frontolateral and temporolateral regions, when compared to a physical control task. The differences due to coherence of the sentence pairs were most evident in larger activation for coherent as compared to incoherent sentence pairs in the left frontomedian wall, but also in posterior cingulate and precuneal regions. Finally, a left inferior prefrontal area was sensitive to the difficulty of the task, and in particular to the increase in processing costs when cohesion falsely indicated coherence. These results could not provide evidence for a special involvement of the right hemisphere during inferencing. Rather, they suggest that the left frontomedian cortex plays an important role in coherence building.

Neurocognition of auditory sentence comprehension: event related fMRI reveals sensitivity to syntactic violations and task demands.

The present study investigates the sensitivity of distinct brain regions to the syntactic processing of running speech. Experimental conditions varied the grammaticality of sentence types (correct vs. incorrect). Moreover, two different groups of subjects listened to the same sentence material, but followed two different task instructions. All participants were asked to listen to the auditory stimuli and to perform in a grammaticality judgment-task, whereas only half of the subjects were instructed to additionally repair incorrect sentences covertly. Significantly increased brain responses occurred in several left temporal areas as a function of sentences' grammaticality, particularly, in the 'pure' judgment-group. Spatial extent as well as the strength of focal brain activation changed as a function of grammaticality and task demand. A generally enhanced pattern of local blood supply to the right peri-sylvian cortex could be observed when individuals additionally realized the repair-task. In particular, the right inferior frontal gyrus (pars opercularis and pars triangularis) and the right temporal transverse gyrus (Heschl's gyrus) were more strongly affected by the repair-task demand. In contrast, an anterior portion of the superior temporal gyrus (planum polare) displayed increased activation bilaterally. Although left hemisphere activation varied clearly as a function of a sentence's grammaticality, the present findings demonstrate an involvement of the right peri-sylvian cortex, in particular, when task demands explicitly require an on-line repair. The results as a whole suggest a reconsideration of the notion that auditory language comprehension is restricted to the left hemisphere. The underlying mechanisms and the respective roles of both the left and the right hemisphere during speech processing are discussed.

Prefrontal cortex activation in task switching: an event-related fMRI study.

When a switch between two tasks has to be carried out, performance is slower than in trials where the same task is performed repeatedly. This finding has been attributed to time-consuming control processes required for task switching. Previous results of other paradigms investigating cognitive control processes suggested that prefrontal cortex is involved in executive control. We used event-related fMRI to investigate prefrontal cortex involvement in task switching. Regions in the lateral prefrontal and premotor cortex bilaterally, the anterior insula bilaterally, the left intraparietal sulcus, the SMA/pre-SMA region and the cuneus/precuneus were activated by the task repetition condition and showed additional activation in the task switch condition. This confirmed the hypothesis that lateral prefrontal cortex is involved in task switching. However, the results also showed that this region is neither the only region involved in task switching nor a region specifically involved in task switching.

Time estimation as a neuronal network property: a lesion study.

The neural substrate of estimating short temporal intervals is still unknown. We investigated the ability of patients with infarctions of the middle cerebral artery of either the left or the right hemisphere to estimate verbally and produce time intervals of seconds by counting. Patients showed long-lasting and stable deficits in time estimation in both methods, with either extreme acceleration or deceleration in apparent time compared with healthy controls. A lesion of the posterior part of the supralenticular white matter proved to be responsible for these deficits. Disruption of interneuronal communication therefore leads to a lasting alteration of a learned time-pacing synchronized to conventional time units.

Cortical areas and the control of self-determined finger movements: an fMRI study.

We investigated cortical areas involved in the control of self-determined finger movements. In a tapping task, subjects tapped with different movement frequencies in two different movement conditions (predetermined vs self-determined). fMRI provided evidence for the involvement of the horizontal and ascending parts of the intraparietal sulcus (IPS), the left superior frontal gyrus and the posterior cingulate gyrus in the control of self-determined finger movements. Higher movement frequency increased the extent of activated area only in the horizontal part of IPS. The results suggest a major role of the IPS in controlling sequences of finger movements. This area probably serves as a region for integration of motor, sensory and sensorimotor feedback information used for movement control.

Cerebral correlates of working memory for temporal information.

Studies of neural correlates of working memory functions in the auditory-verbal, visuo-spatial and visuo-object domain suggest a category-specific organization of working memory processes in prefrontal cortex. Here, we used fMRI to explore brain areas that underlie different working memory operations directed to the temporal domain, which so far has been widely neglected. Significant activations related to memory updating and comparison processes were found right-accentuated in prefrontal and lateral premotor cortices. Furthermore, both subvocal rhythm encoding and maintenance enhanced left-lateralized activity in Broca's and supplementary motor area as well as in the sensorimotor cortex. Hemispheric lateralization effects of brain activity during temporal processing tasks may depend on the presence or absence of subvocal rehearsal strategies.

Domain-specific distribution of working memory processes along human prefrontal and parietal cortices: a functional magnetic resonance imaging study.

This study reinvestigated the functional neuroanatomy of phonological and visual working memory in humans. Articulatory suppression was used to deprive the human subjects of species-specific verbal strategies in order to make the functional magnetic resonance imaging results more comparable to findings in non-human primates. Both phonological and visual working memory processes activated similar prefronto-parietal networks but were found to be differentially distributed along several cortical structures, in particular along the anterior and posterior parts of the intermediate frontal sulcus. These results suggest that a domain-specific topographical organization of neural working memory mechanisms in the primate brain is conserved in evolution. However, the findings also underline the critical dynamic influence that the additional availability of language may have on working memory processes and their functional implementation in the human brain.

Retrieval of long and short lists from long term memory: a functional magnetic resonance imaging study with human subjects.

Previous studies have shown that reaction time in an item-recognition task with both short and long lists is a quadratic function of list length. This suggests that either different memory retrieval processes are implied for short and long lists or an adaptive process is involved. An event-related functional magnetic resonance imaging study with nine subjects and list lengths varying between 3 and 18 words was conducted to identify the underlying neuronal structures of retrieval from long and short lists. For the retrieval and processing of word-lists a single fronto-parietal network, including premotor, left prefrontal, left precuneal and left parietal regions, was activated. With increasing list length, no additional regions became involved in retrieving information from long-term memory, suggesting that not necessarily different, but highly adaptive retrieval processes are involved.

The therapeutic potential of bromocriptine in neuropsychological rehabilitation of patients with acquired brain damage.

1. Activation of neuropsychological rehabilitation by pharmacological agents is a promising therapeutic strategy. 2. Reports of single cases and case series claim improvement of akinetic mutism, non-fluent aphasia, apathy, attentional and other neuropsychiatric disturbances after treatment with bromocriptine, a D2 dopamine receptor agonist. 3. A critical review of published reports and own experiences discusses the results in the light of pharmacological and neurobiological considerations. 4. Dopaminergic stimulation after certain kinds of brain damage might influence neuronal recovery and/or substitute dopaminergical linked functions after destruction of the corresponding neurons. 5. Although controlled clinical studies are very difficult to design and such evidence is still lacking, preliminary recommendations are given with regard to differential indications, drug regime and evaluation criteria.

Splenial lesions lead to supramodal target detection deficits.

Patients with lesions of the splenium showed higher validity effects of visuospatial cues than did patients with partial lesions of the corpus callosum anterior to the splenium and control participants. Many of the patients tested had also shown a left-ear suppression for consonant-vowel syllables in a previous dichotic listening study. The authors interpret these parallel findings as evidence for the disruption of signals that normally alert the individual to the presence of behaviorally relevant stimuli, possibly originating in the temporoparietal junction area. After splenial lesions, these signals may not reach the contralateral hemisphere, leading to supramodal deficits in target detection, especially under distracting conditions.

Manipulation of working memory information is impaired in Parkinson's disease and related to working memory capacity.

It has been suggested that in patients with Parkinson's disease (PD), difficulties in the manipulation of information, which result in problems in executive tasks, are related to a reduction of working memory capacity (J. D. E. Gabrieli, J. Singh, G. T. Stebbins, & C. G. Goetz, 1996). The present study selectively varied the manipulation demand irrespective of the maintenance requirement. In a group of 14 PD patients, performance declined overproportionally with the increasing task demand and was significantly correlated with a measure of working memory capacity. These results suggest that the complexity of working memory processing may decisively contribute to the exhaustion of resources in PD patients. Increasing complexity may either affect their manipulation ability directly or impede the management of inhibitory control requirements inherent to the task.

The septo-hippocampal pathways and their relevance to human memory: a case report.

The interaction between the septal region and the hippocampal formation appears indispensable for the maintenance of normal memory and learning mechanisms in humans. The disruption of some combination of septo-hippocampal pathways, especially the disruption of the "dorsal route", deteriorates explicit memory functions. The case of a 25-year-old male patient is presented who developed anterograde and to a certain extent retrograde amnesia following rupture and repair of an arteriovenous malformation in the atrium of the left ventricle. A left-sided lesion of the dorsal route involving the posterior cingulate bundle, the longitudinal striae (as part of the supracommissural hippocampus) and the fornix appeared responsible for his mnemonic deficits. The implications of these findings for the understanding of other clinical cases, particularly those with lesions of the septal region, the anterior and posterior singular gyrus/cingulate bundle and the fornix are discussed.

Verbal memory deterioration after unilateral infarct of the internal capsule in an adolescent.

After an infarction in the territory of the anterior perforating arteries, a 15-year-old, previously healthy, left-handed patient developed considerable verbal long term memory disturbances which could be followed up and tested for more than nine months. An extensive memory test battery was used to determine spared and impaired functions. The patient had remote memory disturbances with respect to personal events for the last 5 years and problems in all verbal task tested which required remembering items over time periods exceeding an hour. The patient was indistinguishable from control subjects on short-term memory tests and on a number of nonverbal learning and recognition tests. The crucial lesion for the observed deficits in the genu of the left internal capsule was assumed to have disrupted the anterior and inferior thalamic peduncles, fornix (column), stria terminalis, anterior commissure and the medial part of the globus pallidus. This infarct, therefore, most likely damaged traversing fibres which intercommunicate within the Papez circuit and the basolateral limbic circuit and which in part provide access to cortical memory representing areas.