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The visual system operates rhythmically, through timely coordinated perceptual and attentional processes, involving coexisting patterns in the alpha range (7-13 Hz) at â¼10 Hz, and theta (3-6 Hz) range, respectively. Here we aimed to disambiguate whether variations in task requirements, in terms of attentional demand and side of target presentation, might influence the occurrence of either perceptual or attentional components in behavioral visual performance, also uncovering possible differences in the sampling mechanisms of the two cerebral hemispheres. To this aim, visuospatial performance was densely sampled in two versions of a visual detection task where the side of target presentation was fixed (Task 1), with participants monitoring one single hemifield, or randomly varying across trials, with participants monitoring both hemifields simultaneously (Task 2). Performance was analyzed through spectral decomposition, to reveal behavioral oscillatory patterns. For Task 1, when attentional resources where focused on one hemifield only, the results revealed an oscillatory pattern fluctuating at â¼10 Hz and â¼6-9 Hz, for stimuli presented to the left and the right hemifield, respectively, possibly representing a perceptual sampling mechanism with different efficiency within the left and the right hemispheres. For Task 2, when attentional resources were simultaneously deployed to the two hemifields, a â¼5 Hz rhythm emerged both for stimuli presented to the left and the right, reflecting an attentional sampling process, equally supported by the two hemispheres. Overall, the results suggest that distinct perceptual and attentional sampling mechanisms operate at different oscillatory frequencies and their prevalence and hemispheric lateralization depends on task requirements.
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Ritmo alfa , Atenção , Ritmo Teta , Percepção Visual , Humanos , Atenção/fisiologia , Ritmo Teta/fisiologia , Percepção Visual/fisiologia , Masculino , Feminino , Adulto , Ritmo alfa/fisiologia , Adulto Jovem , Estimulação Luminosa/métodos , Eletroencefalografia/métodos , Visão Ocular/fisiologiaRESUMO
OBJECTIVE: The current electroencephalography (EEG) measurement setup is complex, laborious to set up, and uncomfortable for patients. We hypothesize that differences in EEG signal characteristics for sleep staging between the left and right hemispheres are negligible; therefore, there is potential to simplify the current measurement setup. We aimed to investigate the technical hemispheric differences in EEG signal characteristics along with electrooculography (EOG) signals during different sleep stages. METHODS: Type II portable polysomnography (PSG) recordings of 50 patients were studied. Amplitudes and power spectral densities (PSDs) of the EEG and EOG signals were compared between the left (C3-M2, F3-M2, O1-M2, and E1-M2) and the right (C4-M1, F4-M1, O2-M1, and E2-M2) hemispheres. Regression analysis was performed to investigate the potential influence of sleep stages on the hemispheric differences in PSDs. Wilcoxon signed-rank tests were also employed to calculate the effect size of hemispheres across different frequency bands and sleep stages. RESULTS: The results showed statistically significant differences in signal characteristics between hemispheres, but the absolute differences were minor. The median hemispheric differences in amplitudes were smaller than 3 µv with large interquartile ranges during all sleep stages. The absolute and relative PSD characteristics were highly similar between hemispheres in different sleep stages. Additionally, there were negligible differences in the effect size between hemispheres across all sleep stages. CONCLUSIONS: Technical signal differences between hemispheres were minor across all sleep stages, indicating that both hemispheres contain similar information needed for sleep staging. A reduced measurement setup could be suitable for sleep staging without the loss of relevant information.
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Fases do Sono , Sono , Humanos , Eletroencefalografia/métodos , Polissonografia , EletroculografiaRESUMO
This paper describes the scientific figure of Roger Sperry as a maverick researcher, an original thinker who arrived at definitive notions about the working of the brain mostly by distancing himself from the prevalent views of his peers. After solving the riddle of the functions of the corpus callosum, he won a Nobel prize in physiology or medicine for identifying the different cognitive abilities of the disconnected right and left hemispheres of the human brain. He could have won another Nobel prize for his work on the prenatal formation of behavioral neuronal networks and their growth and development after birth. In the last part of his life, he fought a courageous but inconclusive battle for demonstrating that mental and spiritual factors can direct brain activity and behavior without violating the laws of orthodox neurophysiology. Some nodal points in his scientific career and some sources of inspirations for his thinking are identified and discussed within the historical background of the neurosciences of the twentieth century.
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Visual field maps in human early extrastriate areas (V2 and V3) are traditionally thought to form mirror-image representations which surround the primary visual cortex (V1). According to this scheme, V2 and V3 form nearly symmetrical halves with respect to the calcarine sulcus, with the dorsal halves representing lower contralateral quadrants, and the ventral halves representing upper contralateral quadrants. This arrangement is considered to be consistent across individuals, and thus predictable with reasonable accuracy using templates. However, data that deviate from this expected pattern have been observed, but mainly treated as artifactual. Here, we systematically investigate individual variability in the visual field maps of human early visual cortex using the 7T Human Connectome Project (HCP) retinotopy dataset. Our results demonstrate substantial and principled inter-individual variability. Visual field representation in the dorsal portions of V2 and V3 was more variable than in their ventral counterparts, including substantial departures from the expected mirror-symmetrical patterns. In addition, left hemisphere retinotopic maps were more variable than those in the right hemisphere. Surprisingly, only one-third of individuals had maps that conformed to the expected pattern in the left hemisphere. Visual field sign analysis further revealed that in many individuals the area conventionally identified as dorsal V3 shows a discontinuity in the mirror-image representation of the retina, associated with a Y-shaped lower vertical representation. Our findings challenge the current view that inter-individual variability in early extrastriate cortex is negligible, and that the dorsal portions of V2 and V3 are roughly mirror images of their ventral counterparts.
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Córtex Visual , Campos Visuais , Humanos , Vias Visuais , Mapeamento Encefálico , Lobo OccipitalRESUMO
Neural coding of auditory stimulus frequency is well-documented; however, the cortical signals and perceptual correlates of pitch have not yet been comprehensively investigated. This study examined the temporal patterns of event-related potentials (ERP) in response to single tones of pitch chroma, with an assumption that these patterns would be more prominent in musically-trained individuals than in non-musically-trained individuals. Participants with and without musical training (N = 20) were presented with seven notes on the C major scale (C4, D4, E4, F4, G4, A4, and B4), and whole-brain activities were recorded. A linear regression analysis between the ERP amplitude and the seven notes showed that the ERP amplitude increased or decreased as the frequency of the pitch increased. Remarkably, these linear correlations were anti-symmetric between the hemispheres. Specifically, we found that ERP amplitudes of the left and right frontotemporal areas decreased and increased, respectively, as the pitch frequency increased. Although linear slopes were significant in both groups, the musically-trained group exhibited marginally steeper slope, and their ERP amplitudes were most discriminant for frequency of tone of pitch at earlier latency than in the non-musically-trained group (~ 460 ms vs ~ 630 ms after stimulus onset). Thus, the ERP amplitudes in frontotemporal areas varied according to the pitch frequency, with the musically-trained participants demonstrating a wider range of amplitudes and inter-hemispheric anti-symmetric patterns. Our findings may provide new insights on cortical processing of musical pitch, revealing anti-symmetric processing of musical pitch between hemispheres, which appears to be more pronounced in musically-trained people. Supplementary Information: The online version contains supplementary material available at 10.1007/s13534-023-00274-y.
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Stroke is a leading cause of death worldwide. Multiple factors influence the severity of stroke. Normal functional and biological differences seen between the hemispheres may also be related to stroke severity. In the present study, we examined the differences in the severity of stroke as a function of stroke side, and whether patients' vagal nerve activity moderated such differences. We included 87 patients with an ischemic stroke, whose medical records were retrospectively examined for background information (age, gender), stroke side and severity by NIHSS, length of stay in hospital, inflammation such as C-reactive protein, and vagal nerve activity. The vagal activity was indexed by patients' heart-rate variability (HRV), fluctuations in the intervals between normal heartbeats, derived from patients' ECG. Results revealed that patients with left-side stroke had significantly worse NIHSS scores (10.6) than those with right-sided stroke (7.6, p < 0.05). However, when dividing the sample into those with low versus high HRV (at the median), only when HRV was low, did patients with left-side stroke have a worse NIHSS score (10.9) compared to those with right-sided stroke (6.5, p < 0.05). In contrast, no differences in stroke severity were seen between left stroke (10.2) and right stoke (8.7, p > 0.05), when HRV was high. These results tended to remain the same when statistically controlling for age effects, which was related to NIHSS, but not to the stroke side. These findings suggest that patients with left-sided stroke may have more severe strokes than those with right-sided ones, but that adequate vagal nerve activity may protect against such differences. Possible mechanisms and suggestions for future directions are provided.
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In the present study, we examined hemispheric differences in the representation and processing of temporally structured auditory stimuli. Neuronal responses evoked by sinusoidally frequency modulated (FM) tones, frequency sweeps, amplitude modulated (AM) tones and noise, click trains with constant inter-click intervals and natural vocalizations were recorded from the left (LAC) and right (RAC) auditory cortices in adult (4-6 months old) anaesthetized F344 rats. Using vector strength, modulation-transfer functions, van Rossum distances, or direction-selectivity index, representation and processing of structured auditory stimuli were compared in the LAC and the RAC. The RAC generally tended to exhibit a higher ability to synchronize with the stimulus, a higher reproducibility of responses, and a higher proportion of direction-selective units. The LAC, on the other hand, mostly had higher relative response magnitudes in the modulation transfer functions. Importantly, the hemispheric differences were dependent on the type of the stimulus and there was also a significant inter-individual variability. Our findings indicate that neural coding in the RAC is based more on timing of action potentials (temporal code), while the LAC uses more the response magnitudes (rate code). It is thus necessary to distinguish between the type of the neural code and the stimulus feature it encodes and reconsider the simple opinion about dominance of the LAC for temporal processing, as it may not hold in general for all types of temporally structured stimuli.
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Córtex Auditivo , Percepção do Tempo , Ratos , Animais , Estimulação Acústica , Reprodutibilidade dos Testes , Ratos Endogâmicos F344 , Percepção Auditiva/fisiologia , Córtex Auditivo/fisiologia , Potenciais Evocados AuditivosRESUMO
To understand how neural networks in the left (LH) and right (RH) cerebral hemispheres contribute to different aspects of language comprehension, in two experiments we measured event-related potentials (ERPs) as right-handed participants read sentences, some of which contained morphosyntactic and thematic role violations. Replicating prior work (Kuperberg et al., 2006), in Experiment 1 thematic role violations elicited both an N400 and a (semantic) P600 effect. Morphosyntactic violations elicited effects that differed as a function of participants' familial sinistrality (the presence [FS+] or absence [FS-] of a left-handed biological relative): FS+ participants showed a (syntactic) P600 effect whereas FS- participants showed a biphasic N400 and P600 response. To assess whether this difference reflects different underlying patterns of lateralization, in Experiment 2 target words were presented using visual half-field (VF) presentation. Indeed, for morphosyntactic violations, the FS- group elicited an asymmetric pattern, showing a P600 effect only with LH-biased presentation and an N400 effect in both VFs (cf. Lee and Federmeier, 2015). In contrast, FS+ participants showed a bilateral (N400-only) response pattern. This provides further evidence of FS-based differences in hemispheric contributions to syntactic processing. Strikingly, we found that, when lateralized, thematic role violations did not elicit a P600 effect, suggesting that this effect requires contributions from both hemispheres. The different response patterns for morphosyntactic and thematic role animacy violations across FS and VF also point to a processing difference in the comprehension mechanisms underlying the semantic and syntactic P600, which had heretofore been assumed to be variants of the same component.
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Potenciais Evocados , Semântica , Humanos , Masculino , Feminino , Potenciais Evocados/fisiologia , Eletroencefalografia , Idioma , Leitura , Compreensão/fisiologiaRESUMO
The relationship between the age of acquisition (AoA) of words and their cerebral hemispheric representation is controversial because the experimental results have been contradictory. However, most of the lexical processing experiments were performed with stimuli consisting of written words. If we want to compare the processing of words learned very early in infancy-when children cannot read-with words learned later, it seems more logical to employ spoken words as experimental stimuli. This study, based on the auditory lexical decision task, used spoken words that were classified according to an objective criterion of AoA with extremely distant means (2.88 vs. 9.28 years old). As revealed by the reaction times, both early and late words were processed more efficiently in the left hemisphere, with no AoA × Hemisphere interaction. The results are discussed from a theoretical point of view, considering that all the experiments were conducted using adult participants.
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Aprendizagem , Leitura , Adulto , Criança , Humanos , Fatores Etários , Tempo de ReaçãoRESUMO
The perceptual feature of a task such as how a task goal is perceived influences performance and coordination of bimanual actions in neurotypical adults. To assess how bimanual task goal modifies paretic and non-paretic arm performance and bimanual coordination in individuals with stroke affecting left and right hemispheres, 30 participants with hemispheric stroke (15 right-hemisphere damage-RHD); 15 left-hemisphere damage-LHD) and 10 age-matched controls performed reach-to-grasp and pick-up actions under bimanual common-goal (i.e., two physically coupled dowels), bimanual independent-goal (two physically uncoupled dowels), and unimanual conditions. Reach-to-grasp time and peak grasp aperture indexed motor performance, while time lags between peak reach velocities, peak grasp apertures, and peak pick-up velocities of the two hands characterized reach, grasp, and pick-up coordination, respectively. Compared to unimanual actions, bimanual actions significantly slowed non-paretic arm speed to match paretic arm speed, thus affording no benefit to paretic arm performance. Detriments in non-paretic arm performance during bimanual actions was more pronounced in the RHD group. Under common-goal conditions, movements were faster with smaller peak grasp apertures compared to independent-goal conditions for all groups. Compared to controls, individuals with stroke demonstrated poor grasp and pick-up coordination. Of the patient groups, patients with LHD showed more pronounced deficits in grasp coordination between hands. Finally, grasp coordination deficits related to paretic arm motor deficits (upper extremity Fugl-Meyer score) for LHD group, and to Trail-Making Test performance for RHD group. Findings suggest that task goal and distinct clinical deficits influence bimanual performance and coordination in patients with left- and right-hemispheric stroke.
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Objetivos , Acidente Vascular Cerebral , Adulto , Lateralidade Funcional , Mãos , Força da Mão , Humanos , Movimento , Desempenho Psicomotor , Acidente Vascular Cerebral/complicaçõesRESUMO
The idea that individual differences in resting frontal EEG alpha activity have "trait-like" features that are associated with stress vulnerabilities presumes that these physiological patterns should be stable across time. We know, however, relatively little regarding the very long-term (i.e., ≥10 years) stability of resting frontal EEG alpha power and asymmetry in typically or atypically developing populations. Here, we examined the long-term stability of regional electroencephalogram (EEG) alpha (8-13 Hz) power and asymmetry at rest across a decade in the oldest known prospectively followed cohort of extremely low birth weight (ELBW; <1000 g) adult survivors and normal birth weight (NBW; >2500 g) controls. Regional EEG was collected at rest from the left and right frontal (F3, F4) and parietal (P3, P4) scalp sites using a stretchable cap during baseline eyes-open and eyes-closed conditions in young adulthood (ages 21-25 years) and again in adulthood (ages 30-35 years). We found moderate stability in regional EEG absolute alpha spectral power measures across all scalp sites for each birth weight group between the young adulthood and adulthood assessments. As well, we found the frontal alpha asymmetry measure was stable, albeit weakly, between the two assessment periods only in the NBW group. However, parietal alpha asymmetry was weak-to-moderately stable for each birth weight group across the 10-year period. Findings are discussed in terms of their implications for understanding associations between individual differences in frontal and parietal brain activity at rest and long-term stress vulnerability in typical and atypical development.
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Eletroencefalografia , Recém-Nascido de Peso Extremamente Baixo ao Nascer , Adulto , Peso ao Nascer , Estudos de Coortes , Humanos , Recém-Nascido de Peso Extremamente Baixo ao Nascer/fisiologia , Recém-Nascido , Estudos Longitudinais , Adulto JovemRESUMO
This study investigated the roles of cross-hemispheric communications in promoting left-lateralized syntactic processing in the brain. Fifty-six young right-handers without familial sinistrality background underwent a divided visual field ERP grammaticality judgment experiment to assess syntactic processing in each hemisphere. Two behavioral tasks -the bilateral flanker task and bilateral word matching task, were used to assess cross-hemispheric inhibition and transmission. Grand average ERP data showed a significant P600 grammaticality effect in the left hemisphere (LH) only; however, individual variations in the P600 responses were observed in both hemispheres. Results of correlational analyses showed that larger LH P600 effects were associated with slower inter-hemispheric transmissions; smaller right hemisphere (RH) P600 effects were associated with more effective RH inhibition. These results yielded support for both the callosal distance hypothesis and the inhibition hypothesis for language lateralization and demonstrated that different aspects of cross-hemispheric communications jointly influence the degree of syntactic lateralization.
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Eletroencefalografia , Lateralidade Funcional , Encéfalo/fisiologia , Eletroencefalografia/métodos , Lateralidade Funcional/fisiologia , Humanos , Inibição Psicológica , IdiomaRESUMO
OBJECTIVE: Epilepsy is associated with both changes in brain connectivity and memory function, usually studied in the chronic patients. The aim of this study was to explore the presence of connectivity alterations measured by EEG in the parietofrontal network in patients with temporal lobe epilepsy (TLE), and to examine episodic memory, at the time point of diagnosis. METHODS: The parietofrontal network of newly diagnosed patients with TLE (N = 21) was assessed through electroencephalography (EEG) effective connectivity and compared with that of matched controls (N = 21). Furthermore, we assessed phenomenological aspects of episodic memory in both groups. Association between effective connectivity and episodic memory were assessed through correlation. RESULTS: Patients with TLE displayed decreased episodic (p ≤ 0.001, t = -5.18) memory scores compared with controls at the time point of diagnosis. The patients showed a decreased right parietofrontal connectivity (p = 0.03, F = 4.94) compared with controls, and significantly weaker connectivity in their right compared with their left hemisphere (p = 0.008, t = -2.93). There were no significant associations between effective connectivity and episodic memory scores. CONCLUSIONS: We found changes in both memory function and connectivity at the time point of diagnosis, supporting the notion that TLE involves complex memory functions and brain networks beyond the seizure focus to strongly interconnected brain regions, already early in the disease course. Whether the observed connectivity changes can be interpreted as functionally important to the alterations in memory function, it remains speculative.
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Hemispheric differences in emotional processing have been observed for over half a century, leading to multiple theories classifying differing roles for the right and left hemisphere in emotional processing. Conventional acceptance of these theories has had lasting clinical implications for the treatment of mood disorders. The theory that the left hemisphere is broadly associated with positively valenced emotions, while the right hemisphere is broadly associated with negatively valenced emotions, drove the initial application of repetitive transcranial magnetic stimulation (rTMS) for the treatment of major depressive disorder (MDD). Subsequent rTMS research has led to improved response rates while adhering to the same initial paradigm of administering excitatory rTMS to the left prefrontal cortex (PFC) and inhibitory rTMS to the right PFC. However, accumulating evidence points to greater similarities in emotional regulation between the hemispheres than previously theorized, with potential implications for how rTMS for MDD may be delivered and optimized in the near future. This review will catalog the range of measurement modalities that have been used to explore and describe hemispheric differences, and highlight evidence that updates and advances knowledge of TMS targeting and parameter selection. Future directions for research are proposed that may advance precision medicine and improve efficacy of TMS for MDD.
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A variety of evidence supports the dominance of the right hemisphere in perceptual and visuo-spatial processing. Although growing evidence shows a strong link between alpha oscillations and the functionality of the visual system, asymmetries in alpha oscillatory patterns still need to be investigated. Converging findings indicate that the typical alpha desynchronization occurring in the transition from the eyes-closed to the eyes-open resting state might represent an index of reactivity of the visual system. Thus, investigating hemispheric asymmetries in EEG reactivity at the opening of the eyes in brain-lesioned patients may shed light on the contribution of specific cortical sites and each hemisphere in regulating the oscillatory patterns reflecting the functionality of the visual system. To this aim, EEG signal was recorded during eyes-closed and eyes-open resting state in hemianopic patients with posterior left or right lesions, patients without hemianopia with anterior lesions and healthy controls. Hemianopics with both left and right posterior lesions showed a reduced alpha reactivity at the opening of the eyes, suggesting that posterior cortices have a pivotal role in the functionality of alpha oscillations. However, right-lesioned hemianopics showed a greater dysfunction, demonstrated by a reactivity reduction more distributed over the scalp, compared to left-lesioned hemianopics. Moreover, they also revealed impaired reactivity in the theta range. This favors the hypothesis of a specialized role of the right hemisphere in orchestrating oscillatory patterns, both coordinating widespread alpha oscillatory activity and organizing focal processing in the theta range, to support visual processing at the opening of the eyes.
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Encéfalo , Percepção Visual , Eletroencefalografia , Cabeça , HumanosRESUMO
Contemporary neuroscientific accounts suggest that ventral anterior temporal lobe (ATL) acts as a bilateral heteromodal semantic hub, which is particularly critical for the specific-level knowledge needed to recognise unique entities, such as familiar landmarks and faces. There may also be graded functional differences between left and right ATL, relating to effects of modality (linguistic versus non-linguistic) and category (e.g., knowledge of people and places). Individual differences in intrinsic connectivity from left and right ATL might be associated with variation in semantic categorisation performance across these categories and modalities. We recorded resting-state fMRI in 74 individuals and, in a separate session, examined semantic categorisation. People with greater connectivity between left and right ATL were more efficient at categorising landmarks (e.g., Eiffel Tower), especially when these were presented visually. In addition, participants who showed stronger connectivity from right than left ATL to medial occipital cortex showed more efficient semantic categorisation of landmarks regardless of modality of presentation. These results can be interpreted in terms of graded differences in the patterns of connectivity across left and right ATL, which give rise to a bilateral yet partially segregated semantic 'hub'. More specifically, right ATL connectivity supports the efficient semantic categorisation of landmarks.
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Individualidade , Semântica , Mapeamento Encefálico , Humanos , Imageamento por Ressonância Magnética , Lobo Temporal/diagnóstico por imagemRESUMO
Background: The dorsolateral prefrontal cortex (DLPFC) in both hemispheres have a central integrative function for motor control and behavior. Understanding the hemispheric difference between DLPFC and ipsilateral motor cortex connection in the resting-state will provide fundamental knowledge to explain the different roles DLPFC plays in motor behavior. Purpose: The current study tested the interactions between the ipsilateral DLPFC and the primary motor cortex (M1) in each hemisphere at rest. We hypothesized that left DLPFC has a greater inhibitory effect on the ipsilateral M1 compared to the right DLPFC. Methods: Fourteen right-handed subjects were tested in a dual-coil paired-pulse paradigm using transcranial magnetic stimulation. The conditioning stimulus (CS) was applied to the DLPFC and the test stimulus (TS) was applied to M1. Interstimulus intervals (ISIs) between CS and TS were 2, 4, 6, 8, 10, 15, 20, 25, and 30 ms. The result was expressed as a percentage of the mean peak-to-peak amplitude of the unconditioned test pulse. Results: There was stronger inhibitory effect for the left compared to the right hemisphere at ISIs of 2 (p = 0.045), 10 (p = 0.006), 15 (p = 0.029) and 20 (p = 0.024) ms. There was no significant inhibition or facilitation at any ISI in the right hemisphere. Conclusions: The two hemispheres have distinct DLPFC and M1 cortico-cortical connectivity at rest. Left hemisphere DLPFC is dominant in inhibiting ipsilateral M1.
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Researchers interested in hemispheric dominance frequently aim to infer latent functional differences between the hemispheres from observed lateral behavioural or brain-activation differences. To be valid, these inferences may not only rely on the observed laterality measures but also need to account for the antecedent probabilities of the studied latent classes. This fact is frequently ignored in the literature, leading to misclassifications especially when considering low probability classes as, for example, "atypical" right hemispheric language dominance. In the present paper, we revisit this inference problem (a) by outlining a general Bayesian framework for the inferential process and (b) by exemplarily applying this framework on the inference of hemispheric dominance for speech processing from dichotic-listening laterality scores. Utilizing large-scale empirical data sets as well as simulation studies, we show that valid inferences also regarding low probable latent classes can be drawn applying the present framework, although within certain boundaries. We further illustrate that repeated laterality measures of the same person may be used to improve the classification outcome. The article additionally provides R package and Shiny app implementations of the suggested Bayesian framework, which allow to explore the boundaries of valid inference for the present and other examples.
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Lateralidade Funcional , Fala , Teorema de Bayes , Humanos , IdiomaRESUMO
Franz Joseph Gall believed that the two cerebral hemispheres are anatomically and functionally similar, so much so that one could substitute for the other following unilateral injuries. He presented this belief during the 1790s in his early public lectures in Vienna, when traveling through Europe between 1805 and 1807, and in the two sets of books he published after settling in France. Gall seemed to derive his ideas about laterality independently of French anatomist Marie François Xavier Bichat (1771-1802), who formulated his "law of symmetry" at about the same time. He would, however, later cite Bichat, whose ideas about mental derangement were different from his own and who also attempted to explain handedness, a subject on which Gall remained silent. The concept of cerebral symmetry would be displaced by mounting clinical evidence for the hemispheres being functionally different, but neither Gall nor Bichat would live to witness the advent of the concept of cerebral dominance.