Temporal Coding of Reward Value in Monkey Ventral Striatal Tonically Active Neurons.

The rostromedioventral striatum is critical for behavior dependent on evaluating rewards. We asked what contribution tonically active neurons (TANs), the putative striatal cholinergic interneurons, make in coding reward value in this part of the striatum. Two female monkeys were given the option to accept or reject an offered reward in each trial, the value of which was signaled by a visual cue. Forty-five percent of the TANs use temporally modulated activity to encode information about discounted value. These responses were significantly better represented using principal component analysis than by just counting spikes. The temporal coding is straightforward: the spikes are distributed according to a sinusoidal envelope of activity that changes gain, ranging from positive to negative according to discounted value. Our results show that the information about the relative value of an offered reward is temporally encoded in neural spike trains of TANs. This temporal coding may allow well tuned, coordinated behavior to emerge.SIGNIFICANCE STATEMENT Ever since the discovery that neurons use trains of pulses to transmit information, it seemed self-evident that information would be encoded into the pattern of the spikes. However, there is not much evidence that spike patterns encode cognitive information. We find that a set of interneurons, the tonically active neurons (TANs) in monkeys' striatum, use temporal patterns of response to encode information about the discounted value of offered rewards. The code seems straightforward: a sinusoidal envelope that changes gain according to the discounted value of the offer, describes the rate of spiking across time. This temporal modulation may provide a means to synchronize these interneurons and the activity of other neural elements including principal output neurons.

Stimulus-based and task-based attention modulate auditory stream segregation context effects.

Previous studies have shown that perceptual segregation increases after listening to longer tone sequences, an effect known as buildup. More recently, an effect of prior frequency separation (Δƒ) has been discovered: presenting tone sequences with a small Δƒ biases following sequences with an intermediate Δƒ to be segregated into two separate streams, whereas presenting context sequences with a large Δƒ biases following sequences to be integrated into one stream. Here we investigated how attention and task demands influenced these effects of prior stimuli by having participants perform one of three tasks during the context: making streaming judgments on the tone sequences, detecting amplitude modulation in the tones, and performing a visual task while ignoring the tones. Results from two experiments showed that although the effect of prior Δƒ was present across all conditions, the effect was reduced whenever streaming judgments were not made during the context. Experiment 2 showed that streaming was reduced during the beginning of a test sequence only when participants performed the visual task during the context. These experiments suggest that task-based and stimulus-based attention differentially affect distinct influences of prior stimuli, and are consistent with the contribution of distinct levels of processing that affect auditory segregation. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

The emerging role of transcranial magnetic resonance imaging-guided focused ultrasound in functional neurosurgery.

To review the emerging role of transcranial MR-guided focused ultrasound as a treatment and research modality for functional neurological disorders, we summarize recent clinical and preclinical studies. Clinical trials have investigated the safety and efficacy of thermal lesions created by transcranial, high-intensity focused ultrasound. Preclinical work has additionally investigated the ability to disrupt the blood-brain barrier and to produce reversible neuromodulation with focused ultrasound utilizing lower intensities. We discuss ongoing trials and future avenues of investigation. © 2016 International Parkinson and Movement Disorder Society.

Structural and Functional MRI Differences in Master Sommeliers: A Pilot Study on Expertise in the Brain.

Our experiences, even as adults, shape our brains. Regional differences have been found in experts, with the regions associated with their particular skill-set. Functional differences have also been noted in brain activation patterns in some experts. This study uses multimodal techniques to assess structural and functional patterns that differ between experts and non-experts. Sommeliers are experts in wine and thus in olfaction. We assessed differences in Master Sommeliers' brains, compared with controls, in structure and also in functional response to olfactory and visual judgment tasks. MRI data were analyzed using voxel-based morphometry as well as automated parcellation to assess structural properties, and group differences between tasks were calculated. Results indicate enhanced volume in the right insula and entorhinal cortex, with the cortical thickness of the entorhinal correlating with experience. There were regional activation differences in a large area involving the right olfactory and memory regions, with heightened activation specifically for sommeliers during an olfactory task. Our results indicate that sommeliers' brains show specialization in the expected regions of the olfactory and memory networks, and also in regions important in integration of internal sensory stimuli and external cues. Overall, these differences suggest that specialized expertise and training might result in enhancements in the brain well into adulthood. This is particularly important given the regions involved, which are the first to be impacted by many neurodegenerative diseases.

Toward an Integrated Zebrafish Health Management Program Supporting Cancer and Neuroscience Research.

Zebrafish is already one of the most used model organisms in biomedical sciences and other research fields. It is therefore becoming increasingly important to assure that zebrafish maintained in laboratory aquaculture conditions are raised and housed under rigorous standards that promote health and welfare to guarantee the required quality and reproducibility of research data. Specifying the programs each facility is adopting would be the first step to achieve this by allowing other facilities to compare, improve, and discuss their protocols and fish performance. We provide in this article a detailed description of an integrated facility health management program, with protocols and readouts, fully designed and aimed at maximizing fish health, welfare, and performance for research.

Evidence for high-level feature encoding and persistent memory during auditory stream segregation.

A test sequence of alternating low-frequency (A) and high-frequency (B) tones in a repeating ". . . ABAB . . ." pattern is more likely to be heard as 2 segregated streams of tones when it is preceded by an isofrequency inducer sequence whose frequency matches either the A- or B-tone frequency (e.g., ". . . BBBB . . .") of the test, a phenomenon referred to as stream biasing. Low-level processes such as stimulus-selective adaptation of frequency-tuned neurons within early auditory processing stages have been thought by some to mediate stream biasing; however, the current study tested for the involvement of higher level processes. Inducers whose frequency matched neither the A- nor B-tone frequency (e.g., ". . . CCCC . . .") sometimes facilitated stream biasing. Stream biasing was also sensitive to complex features of the inducer sequence, namely whether the rhythmic pattern of the inducer matched the rhythm of the ABAB test. Stream biasing occurred even when an 8-s silent interval separated the inducer and test sequences, a time span longer than previously recognized (Beauvois & Meddis, 1997). These results suggest the involvement of persistent activation of high-level representations that affect perception.

Preliminary evidence for reduced auditory lateral suppression in schizophrenia.

BACKGROUND: Well-documented auditory processing deficits such as impaired frequency discrimination and reduced suppression of auditory brain responses in schizophrenia (SZ) may contribute to abnormal auditory functioning in everyday life. Lateral suppression of non-stimulated neurons by stimulated neurons has not been extensively assessed in SZ and likely plays an important role in precise encoding of sounds. Therefore, this study evaluated whether lateral suppression of activity in auditory cortex is impaired in SZ. METHODS: SZ participants and control participants watched a silent movie with subtitles while listening to trials composed of a 0.5s control stimulus (CS), a 3s filtered masking noise (FN), and a 0.5s test stimulus (TS). The CS and TS were identical on each trial and had energy corresponding to the high energy (recurrent suppression) or low energy (lateral suppression) portions of the FN. Event-related potentials were recorded and suppression was measured as the amplitude change between CS and TS. RESULTS: Peak amplitudes of the auditory P2 component (160-260ms) showed reduced lateral but not recurrent suppression in SZ participants. CONCLUSIONS: Reduced lateral suppression in SZ participants may lead to overlap of neuronal populations representing different auditory stimuli. Such imprecise neural representations may contribute to the difficulties SZ participants have in discriminating complex stimuli in everyday life.

Effects of attention to and awareness of preceding context tones on auditory streaming.

This study determined whether facilitation of auditory stream segregation could occur when facilitating context tones are accompanied by other sounds. Facilitation was measured as the likelihood of a repeated context tone that could match the low (A) or high (B) frequency of a repeating ABA test to increase the likelihood of hearing the test as segregated. We observed this type of facilitation when matching tones were alone, or with simultaneous bandpass noises or continuous speech, neither of which masked the tones. However, participants showed no streaming facilitation when a harmonic complex masked the context tones. Mistuning or desynchronizing the context tone relative to the rest of the complex did not facilitate streaming, despite the fact that the context tone was accessible to awareness and attention. Even presenting the context tone in a separate ear from the rest of the harmonic complex did not facilitate streaming, ruling out peripheral interference. Presenting the test as mistuned or desynchronized tones relative to complex tones eliminated the possibility that timbre changes from context to test interfered with facilitation resulting from the context. These results demonstrate the fragility of streaming facilitation and show that awareness of and attention to the context tones are not sufficient to overcome interference.

Loss and persistence of implicit memory for sound: evidence from auditory stream segregation context effects.

An important question is the extent to which declines in memory over time are due to passive loss or active interference from other stimuli. The purpose of the present study was to determine the extent to which implicit memory effects in the perceptual organization of sound sequences are subject to loss and interference. Toward this aim, we took advantage of two recently discovered context effects in the perceptual judgments of sound patterns, one that depends on stimulus features of previous sounds and one that depends on the previous perceptual organization of these sounds. The experiments measured how listeners' perceptual organization of a tone sequence (test) was influenced by the frequency separation, or the perceptual organization, of the two preceding sequences (context1 and context2). The results demonstrated clear evidence for loss of context effects over time but little evidence for interference. However, they also revealed that context effects can be surprisingly persistent. The robust effects of loss, followed by persistence, were similar for the two types of context effects. We discuss whether the same auditory memories might contain information about basic stimulus features of sounds (i.e., frequency separation), as well as the perceptual organization of these sounds.

The role of the subthalamic nucleus in cognition.

Because the complex functions of the basal ganglia have been increasingly studied over the past several decades, the understanding of the role of the subthalamic nucleus (STN) in motor and cognitive functions has evolved. The traditional role in motor function ascribed to the STN, based on its involvement in the cortico-striato-thalamo-cortical motor loops, the pathologic STN activity seen in Parkinson's disease, and the benefits in motor symptoms following STN lesions and deep brain stimulation, has been revised to include wider cognitive functions. The increased attention focused on such nonmotor functions housed within the STN partially arose from the observed cognitive and affective side effects seen with STN deep brain stimulation. The multiple modalities of research have corroborated these findings and have provided converging evidence that the STN is critically involved in cognitive processes. In particular, numerous experiments have demonstrated the involvement of the STN in high-conflict decisions. The different STN functions appear to be related to activity in anatomically distinct subregions, with the ventral STN contributing to high-conflict decision-making through its role in the hyperdirect pathway involving the prefrontal cortex.

Gamma knife surgery of pediatric gliomas.

OBJECT: While some low-grade pediatric gliomas may be cured with resection, many patients harbor tumors that cannot be completely resected safely, are difficult to access via an open surgical approach, or recur. Gamma Knife surgery may be beneficial in the treatment of these tumors. METHODS: The authors reviewed a consecutive series of 24 pediatric patients treated at the authors' institution between 1989 and 2011. All patients harbored tumors that were either surgically inaccessible or had evidence of residual or recurrent growth after resection. Progression-free survival was evaluated and correlated with clinical variables. Additional outcomes evaluated were clinical outcome, imaging response, and overall survival. RESULTS: Between 1989 and 2011, 13 male and 11 female patients (median age 11 years, range 4-18 years) with gliomas were treated. Tumor pathology was pilocytic astrocytoma (WHO Grade I) in 15 patients (63%), WHO Grade II in 4 (17%), and WHO Grade III in 1 (4%). The tumor pathology was not confirmed in 4 patients (17%). The mean tumor volume at the time of treatment was 2.4 cm(3). Lesions were treated with a median maximum dose of 36 Gy, median of 3 isocenters, and median marginal dose of 15 Gy. The median duration of imaging follow-up was 74 months, and the median duration of clinical follow-up was 144 months. The tumors responded with a median decrease in volume of 71%. At last follow up, a decrease in tumor size of at least 50% was demonstrated in 18 patients (75%) and complete tumor resolution was achieved in 5 (21%). Progression-free survival at last follow-up was achieved in 20 patients (83%). Progression was documented in 4 patients (17%), with 3 patients requiring repeat resection and 1 patient dying. The initial tumor volume was significantly greater in patients with disease progression (mean volume 4.25 vs 2.0 cm(3), p < 0.001). Age, tumor pathology, tumor location, previous radiation, Karnofsky Performance Scale score, symptom duration, and target dosage did not differ significantly between the 2 groups. CONCLUSIONS: Gamma Knife surgery can provide good clinical control of residual or recurrent gliomas in pediatric patients. Worse outcomes in the present series were associated with larger tumor volumes at the time of treatment.

Evidence for stimulus-general impairments on auditory stream segregation tasks in schizophrenia.

BACKGROUND: Auditory impairments in schizophrenia have been demonstrated previously, especially for tasks requiring precise encoding of frequency, although it is unclear the extent to which they have difficulty using pitch information and other cues to segregate sounds. We determined the extent to which those with schizophrenia have difficulty using pitch information and other auditory cues to segregate sounds that are presented sequentially. METHODS: Ten participants with schizophrenia and nine healthy/normal control participants completed a battery of tasks that tested for the ability to perform sequential auditory stream segregation using pitch, amplitude modulation, or inter-aural phase difference as cues to segregation. RESULTS: All three sequential segregation tasks showed reduced tendency for those with schizophrenia to perceive segregated sounds, compared to control participants. CONCLUSIONS: These findings extend prior research by demonstrating a general impairment on sequential sound segregation tasks in schizophrenia, and not just on tasks that require precise encoding of frequency. Together, the pattern of results provide evidence that auditory impairments in schizophrenia result from selective abnormalities in neural circuits that carry out specific computations necessary for stream segregation, as opposed to an impairment in processing specific cues.

Auditory stream segregation impairments in schizophrenia.

We used behavior and event-related potentials (ERPs) to examine auditory stream segregation in people with schizophrenia and control participants. During each trial, a context pattern was presented, consisting of low (A) and high (B) tones and silence (-) in a repeating ABA- pattern, with a frequency separation (Δf) of 3, 6, or 12 semitones. Next, a test ABA-pattern was presented that always had a 6-semitone Δf. Larger Δf during the context resulted in more perception of two streams and larger N1 and P2 ERPs, but less perception of two streams during the test pattern. These effects of Δf were smaller in schizophrenia. Individuals with schizophrenia also showed a reduced effect of prior perceptual judgments. Overall, the findings demonstrate that people with schizophrenia have abnormalities in segregating sounds. These abnormalities result from difficulties utilizing frequency cues in addition to reduced temporal context effects.

Decompressive craniectomy in pediatric traumatic brain injury: a review of the literature.

BACKGROUND: Pediatric traumatic brain injury accounts for approximately 37,000 hospitalizations and 2,685 deaths in the United State annually. The 2003 guidelines consolidated and summarized the body of literature on this subject. Among the material covered was the role of surgical management of elevated intracranial pressure. Here we review the guideline recommendations, recent literature on the topic, and important recent results in the adult population. METHODS: A Medline literature review was performed to identify studies published since 2000 addressing decompressive craniectomy in the pediatric and adult populations. Important articles included in the 2003 guidelines were also reviewed. All references were reviewed to identify additional relevant studies. RESULTS: There is little new data that addresses the key issues for investigation proposed in the 2003 pediatric guidelines. The only randomized trial in the pediatric population remains a 2001 study, which demonstrated a benefit of decompressive craniectomy. One recent randomized trial in adults demonstrated no benefit of the procedure and an additional randomized trial in adults is underway. No pediatric randomized trial is planned. Smaller, non-randomized series appear to support the practice. CONCLUSION: Based on the only randomized trial in children and the abundance of smaller studies, it is our belief that decompressive craniectomy does provide a benefit in terms of the management of intracranial hypertension and overall outcome in children.

Attention, awareness, and the perception of auditory scenes.

Auditory perception and cognition entails both low-level and high-level processes, which are likely to interact with each other to create our rich conscious experience of soundscapes. Recent research that we review has revealed numerous influences of high-level factors, such as attention, intention, and prior experience, on conscious auditory perception. And recently, studies have shown that auditory scene analysis tasks can exhibit multistability in a manner very similar to ambiguous visual stimuli, presenting a unique opportunity to study neural correlates of auditory awareness and the extent to which mechanisms of perception are shared across sensory modalities. Research has also led to a growing number of techniques through which auditory perception can be manipulated and even completely suppressed. Such findings have important consequences for our understanding of the mechanisms of perception and also should allow scientists to precisely distinguish the influences of different higher-level influences.

Pattern specificity in the effect of prior Δƒ on auditory stream segregation.

During repeating sequences of low (A) and high (B) tones, perception of two separate streams ("streaming") increases with greater frequency separation (Δƒ) between the A and B tones; in contrast, a prior context with large Δƒ results in less streaming during a subsequent test pattern. The purpose of the present study was to investigate what aspects of the context pattern are necessary for this context effect to occur. Simply changing the B-tone frequency without an alternating A tone present was not sufficient to cause the effect of prior Δƒ, but rather a melodic change between A and B tones was necessary. We further investigated the extent to which the context and test patterns needed to have similar rhythms (xxx-xxx-) and melodies (up-down-flat-up-down), and found that a maximal prior-Δƒ effect occurred when the rhythmic patterns of the context and test were similar, regardless of the melodic structure. Thus, the effect of prior Δƒ on streaming depended on the presence of (1) at least one melodic change in the context, and (2) similar rhythmic patterns in the context and test.

Recurrent astroblastoma treated with gamma knife radiosurgery.

Astroblastomas are exceedingly rare central nervous system tumors. Surgical resection is the standard initial treatment for astroblastomas. Still, some astroblastomas that have been completely resected recur. The optimal treatment for these lesions is unclear. There are no previous reports of the use of Gamma Knife radiosurgery in the treatment of astroblastomas. The patient is a 58 year old woman who had undergone resection of a left parieto-occipital tumor at an outside hospital in 2002, with repeat resection for recurrences in 2005 and 2007. Pathologic analysis at the Mayo Clinic demonstrated the tumor to be a low-grade astroblastoma. Repeat imaging in 2008 again demonstrated recurrence, and the patient was referred to our center for Gamma Knife radiosurgery. Pre and post-contrast T1 stereotactic MR images were obtained and imported into the treatment planning system for the Gamma Knife Perfexion. Two foci of tumor consistent with the patient's known left parietal astroblastoma were identified. A prescription dose of 18.00 Gy to the 50% isodose was delivered, and 16 isocenters were used. Follow-up imaging 17 months post-radiosurgery demonstrated a decrease in tumor size. Gamma Knife radiosurgery represents a useful treatment modality for recurrent astroblastomas. While surgical resection of low grade astroblastomas can be curative, Gamma Knife radiosurgery may be beneficial in cases where gross total resection is not feasible.

Intracortical EEG for the detection of vasospasm in patients with poor-grade subarachnoid hemorrhage.

BACKGROUND: To study the feasibility of utilizing intracortical electroencephalography (ICE) including quantitative EEG (qEEG) analysis for the detection of vasospasm in five consecutive poor-grade SAH patients. METHODS: Intracortical electroencephalography (ICE) was obtained via a single miniature parenchymal 8-contact depth electrode placed at the bedside. Quantitative EEG parameters, calculated on surface EEG and ICE, included alpha/delta ratio (ADR), mean amplitude, suppression percent, and total power. Percent changes between averaged values over 4-6 h of baseline EEG and EEG prior to angiography were calculated. The entire continuous qEEG recording for each patient was then reviewed to determine optimal automated alarm criteria. RESULTS: ICE ADR was the most accurate for predicting angiographic vasospasm (5/5). ICE ADR decreased between baseline and follow-up by 42% (from 0.56 ± 0.07 to 0.32 ± 0.03) for those with vasospasm (N = 3) compared to 17% (0.62 ± 0.06 to 0.51 ± 0.03) for those without (N = 2). A sustained decrease in the ICE ADR from baseline (>25% for ≥ 4 h) occurred in all three patients with angiographically confirmed vasospasm and not in the two without; this decline occurred 1-3 days prior to angiographic confirmation. CONCLUSIONS: Intracortical EEG is promising for detecting ischemia from vasospasm in poor-grade SAH patients, may be superior to scalp EEG, and allow automated detection, particularly using the ADR. Larger studies are needed to better define the effectiveness of this approach.

Effects of prior stimulus and prior perception on neural correlates of auditory stream segregation.

We examined whether effects of prior experience are mediated by distinct brain processes from those processing current stimulus features. We recorded event-related potentials (ERPs) during an auditory stream segregation task that presented an adaptation sequence with a small, intermediate, or large frequency separation between low and high tones (Deltaf), followed by a test sequence with intermediate Deltaf. Perception of two streams during the test was facilitated by small prior Deltaf and by prior perception of two streams and was accompanied by more positive ERPs. The scalp topography of these perception-related changes in ERPs was different from that observed for ERP modulations due to increasing the current Deltaf. These results reveal complex interactions between stimulus-driven activity and temporal-context-based processes and suggest a complex set of brain areas involved in modulating perception based on current and previous experience.

Venous air emboli from intravenous catheterization: a report of iatrogenic intravascular pneumocephalus.

Pneumocephalus in the absence of a recent intracranial or intrathecal procedure is a significant radiographic finding and may be clinically relevant. Pneumocephalus secondary to intravenous catheterization may be a more common finding than previously expected. Although pneumocephalus is often associated with pathological conditions, recognition of a characteristic pattern of intravenous pneumocephalus in the presence of intravenous catheterization may aid the clinician in determining a patient's underlying condition. This unexpected radiographic finding should not necessarily be cause for alarm, and there is no evidence that intravenous pneumocephalus alone is harmful. We present a patient with intravenous pneumocephalus and a review of the literature.