RESUMO
In the last two decades, a growing body of research showing cerebellar involvement in an increasing number of nonmotor tasks and systems has prompted an expansion of speculations concerning the function of the cerebellum. Here, we tested the predictions of a hypothesis positing cerebellar involvement in sensory data acquisition. Specifically, we examined the effect of global cerebellar degeneration on primary auditory sensory function by means of a pitch discrimination task. The just noticeable difference in pitch between two tones was measured in 15 healthy controls and in 15 high functioning patients afflicted with varying degrees of global cerebellar degeneration caused by hereditary, idiopathic, paraneoplastic, or postinfectious pancerebellitis. Participants also performed an auditory detection task assessing sustained attention, a test of verbal auditory working memory, and an audiometric test. Patient pitch discrimination thresholds were on average five and a half times those of controls and were proportional to the degree of cerebellar ataxia assessed independently. Patients and controls showed normal hearing thresholds and similar performance in control tasks in sustained attention and verbal auditory working memory. These results suggest there is an effect of cerebellar degeneration on primary auditory function. The findings are consistent with other recent demonstrations of cerebellar-related sensory impairments, and with robust cerebellar auditorily evoked activity, confirmed by quantitative meta-analysis, across a range of functional neuroimaging studies dissociated from attention, motor, affective, and cognitive variables. The data are interpreted in the context of a sensory hypothesis of cerebellar function.
Assuntos
Doenças Auditivas Centrais/fisiopatologia , Transtornos da Percepção Auditiva/fisiopatologia , Doenças Cerebelares/fisiopatologia , Cerebelo/fisiopatologia , Discriminação da Altura Tonal/fisiologia , Estimulação Acústica , Adulto , Idoso , Atrofia/complicações , Atrofia/patologia , Atrofia/fisiopatologia , Audiometria , Doenças Auditivas Centrais/etiologia , Doenças Auditivas Centrais/patologia , Vias Auditivas/patologia , Vias Auditivas/fisiopatologia , Transtornos da Percepção Auditiva/etiologia , Transtornos da Percepção Auditiva/patologia , Limiar Auditivo/fisiologia , Doenças Cerebelares/complicações , Doenças Cerebelares/patologia , Cerebelo/patologia , Avaliação da Deficiência , Feminino , Humanos , Masculino , Memória de Curto Prazo/fisiologia , Pessoa de Meia-Idade , Testes Neuropsicológicos , Degenerações Espinocerebelares/complicações , Degenerações Espinocerebelares/patologia , Degenerações Espinocerebelares/fisiopatologiaAssuntos
Encéfalo/fisiologia , Dança/fisiologia , Cerebelo/fisiologia , Dançaterapia , Retroalimentação Fisiológica , Feminino , Lobo Frontal/fisiologia , Humanos , Masculino , Processos Mentais/fisiologia , Córtex Motor/fisiologia , Músculos/fisiologia , Música , Doença de Parkinson/terapia , Tomografia por Emissão de Pósitrons , Equilíbrio Postural/fisiologiaRESUMO
In this PET study, non-musicians passively listened to unfamiliar instrumental music revealed afterward to elicit strongly pleasant feelings. Activations were observed in the subcallosal cingulate gyrus, prefrontal anterior cingulate, retrosplenial cortex, hippocampus, anterior insula, and nucleus accumbens. This is the first observation of spontaneous responses in such limbic and paralimbic areas during passive listening to unfamiliar although liked music. Activations were also seen in primary auditory, secondary auditory, and temporal polar areas known to respond to music. Our findings complement neuroimaging studies of aesthetic responses to music that have used stimuli selected by subjects or designed by experimenters. The observed pattern of activity is discussed in terms of a model synthesizing emotional and cognitive responses to music.