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Biomedical subjects

D Y von Cramon

Publications and source records attributed to D Y von Cramon.

At least 19 recordsLinked to original sources

Connectivity-Based Parcellation of Broca's Area.

It is generally agreed that the cerebral cortex can be segregated into structurally and functionally distinct areas. Anatomical subdivision of Broca's area has been achieved using different microanatomical criteria, such as cytoarchitecture and distribution of neuroreceptors. However, brain function also strongly depends upon anatomical connectivity, which therefore forms a sensible criterion for the functio-anatomical segregation of cortical areas. Diffusion-weighted magnetic resonance (MR) imaging offers the opportunity to apply this criterion in the individual living subject. Probabilistic tractographic methods provide excellent means to extract the connectivity signatures from diffusion-weighting MR data sets. The correlations among these signatures may then be used by an automatic clustering method to identify cortical regions with mutually distinct and internally coherent connectivity. We made use of this principle to parcellate Broca's area. As it turned out, 3 subregions are discernible that were identified as putative Brodmann area (BA) 44, BA45, and the deep frontal operculum. These results are discussed in the light of previous evidence from other methods in both human and nonhuman primates. We conclude that plausible results can be achieved by the proposed technique, which cannot be obtained by any other method in vivo. For the first time, there is a possibility to investigate the anatomical subdivision of Broca's area noninvasively in the individual living human subject.

Adult↗

Cognitive priming in sung and instrumental music: activation of inferior frontal cortex.

Neural correlates of the processing of musical syntax-like structures have been investigated via expectancy violation due to musically unrelated (i.e., unexpected) events in musical contexts. Previous studies reported the implication of inferior frontal cortex in musical structure processing. However - due to the strong musical manipulations - activations might be explained by sensory deviance detection or repetition priming. Our present study investigated neural correlates of musical structure processing with subtle musical violations in a musical priming paradigm. Instrumental and sung sequences ended on related and less-related musical targets. The material controlled sensory priming components, and differences in target processing required listeners' knowledge on musical structures. Participants were scanned with functional Magnetic Resonance Imaging (fMRI) while performing speeded phoneme and timbre identification judgments on the targets. Behavioral results acquired in the scanner replicated the facilitation effect of related over less-related targets. The blood oxygen level-dependent (BOLD) signal linked to target processing revealed activation of right inferior frontal areas (i.e., inferior frontal gyrus, frontal operculum, anterior insula) that was stronger for less-related than for related targets, and this was independent of the material carrying the musical structures. This outcome points to the implication of inferior frontal cortex in the processing of syntactic relations also for musical material and to its role in the processing and integration of sequential information over time. In addition to inferior frontal activation, increased activation was observed in orbital gyrus, temporal areas (anterior superior temporal gyrus, posterior superior temporal gyrus and sulcus, posterior middle temporal gyrus) and supramarginal gyrus.

Adult↗

The effects of insulin on the central nervous system--focus on appetite regulation.

Appetite and satiety are subject to complex regulation, with neuroendocrine mechanisms playing an important role. The central nervous system is attracting increasing attention as a target tissue for many hormones such as leptin, PYY3-36, ghrelin, glucagon-like-peptide 1 and many others. Among its many well-known functions, insulin is also a potent anorexigenic hormone, and insulin receptors are widely distributed throughout the central nervous system. One way to advance our understanding of central nervous regulation of hunger and satiety in humans is to develop suitable neuroimaging techniques for use in various clinical and experimental conditions. Several studies have been performed using functional magnetic resonance imaging and positron emission tomography to identify areas of the brain that are differentially activated by alteration of the feeding state. These preliminary data are taking shape as a complex neuronal network involving the hypothalamus, thalamus, limbic and paralimbic areas including the insular cortex and the anterior cingulate gyrus and the orbitofrontal cortex. Continuous efforts to understand hormonal effects on these pathways may advance our understanding of human obesity.

Animals↗

Clinical insights into paraneoplastic cerebellar degeneration.

Neuroimaging is usually unremarkable in paraneoplastic cerebellar degeneration (PCD), at least in the early stages of the disease. A patient with proven PCD is reported in whom it could be shown that cerebellar atrophy evolved very rapidly and was present in early imaging studies. Even with the use of the whole spectrum of modern diagnostic tools, the underlying malignancy can be difficult to diagnose. In addition to mammography, MRI is recommended in these cases and repeat FDG-PET may be necessary.

Adult↗

Revisiting the role of Broca's area in sentence processing: syntactic integration versus syntactic working memory.

Most previous neuroimaging studies of sentence processing have associated Broca's area with syntactic processing; however, the exact nature of the processes subserved by this brain region is yet not well understood. Although some authors suggest that Brodmann area (BA) 44 of the left inferior frontal gyrus (i.e., Broca's area) is relevant for syntactic integration processes, others claim that it is associated with working memory mechanisms relevant for language processing. To dissociate these two possible functions, the present study investigated hemodynamic responses elicited while participants processed German indirect wh-questions. Activation increases were observed in left BA 44 together with superior temporal areas and right hemispheric homologues for sentences with noncanonical word order, in which a verb argument was dislocated from its canonical position over a relatively long distance. In these sentences, syntactic working memory load was assumed to be greatest. In contrast, no activation increase was elicited by object-initial as opposed to subject-initial sentences that did not differ with respect to working memory costs but with respect to syntactic integration costs. These data strongly suggest that Broca's area plays a critical role in syntactic working memory during online sentence comprehension.

Adult↗

A construction of an averaged representation of human cortical gyri using non-linear principal component analysis.

Because of the complex shape of human cortical gyri and great variation between individuals, development of effective representation schemes which allow establishment of correspondence between individuals, extraction of average structure of a population, and co-registration has proved very difficult. We introduce an approach which extracts line representations of gyri at different depths from high resolution MRI, labels main gyri semi-automatically, and extracts a template from a population using non-linear principal component analysis. The method has been tested on data from 96 healthy human volunteers. The model captures the most salient shape features of all major cortical gyri, and can be used for inter-subject registration, for investigating regionalized inter-subject variability, and for inter-hemispheric comparisons.

Algorithms↗

Closed head injury and perceptual processing in dual-task situations.

Using a classical psychological refractory period (PRP) paradigm we investigated whether increased interference between dual-task input processes is one possible source of dual-task deficits in patients with closed-head injury (CHI). Patients and age-matched controls were asked to give speeded motor reactions to an auditory and a visual stimulus. The perceptual difficulty of the visual stimulus was manipulated by varying its intensity. The results of Experiment 1 showed that CHI patients suffer from increased interference between dual-task input processes, which is related to the salience of the visual stimulus. A second experiment indicated that this input interference may be specific to brain damage following CHI. It is not evident in other groups of neurological patients like Parkinson's disease patients. We conclude that the non-interfering processing of input stages in dual-tasks requires cognitive control. A decline in the control of input processes should be considered as one source of dual-task deficits in CHI patients.

Acoustic Stimulation↗

[Mrt-based morphometry. A current assessment].

Morphometry offers new approaches for in vivo characterization of many neurologic and psychiatric pathologies. A survey of recent publications only hints at the attractiveness of magnetic resonance-based morphometry: published findings are heterogeneous, partly contradictory, and not always plausible in terms of known neuropathologic correlates. Hence, the sensitivity of the applied methods should be questioned. Three parameters affect the variance in morphometric findings: (1) knowledge about normal morphologic variability, (2) confounding physiologic parameters, and (3) methodologic misuse. Sound knowledge about the morphologic variability of the normal brain is vital for the assessment of volumetric findings. Large morphologic variability may also interfere with the precision of morphometric methods. The multitude of possible confounding physiologic parameters raises the necessity of precise subject control. Magnetic resonance scanning artefacts require rigid protocols, and application of the rather complex and sensitive methods demands profound insight into the techniques.

Anthropometry↗

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.

Adult↗

Impaired hemodynamics and neural activation? A fMRI study of major cerebral artery stenosis.

Functional MRI motor mapping was performed in two women with unilateral high-grade stenosis of the middle cerebral artery (MCA) to determine the influence of impaired hemodynamics on the blood oxygenation level dependent (BOLD) response. In both patients no structural lesions were present in primary motor pathways. A redistribution of the motor network to the healthy hemisphere was the main indicator of chronic hemodynamic compromise.

Adult↗

[Long-term life changes and stress sequelae for spouses of stroke patients].

OBJECTIVE: This study investigates the long-term effect of stroke on the quality of life and health of patients' spouses. METHOD: Twenty-six spouses of stroke patients were interviewed by means of standardized questionnaires and qualitative interviews. The study participants had been living with the consequences of stroke for 3 years on average when the interviews were carried out. RESULTS: A stroke is often followed by considerable changes in everyday life and by role shifts within the relationship. In particular, depressive and aggressive changes in the patient's behaviour are experienced as burdensome. In addition to impairments in quality of life, psychological and psychosomatic troubles can also from the burden experienced. Depressive symptoms are the main factor in these negative consequences: the more a patient is assessed as depressive, the more his/her spouse reports health problems and poor quality of life. DISCUSSION: Long-term changes in everyday life and partnership can bring about significant chronic burden for the spouses of stroke patients. Hence, offers of support and counseling are required not only in the acute and post-acute stages of stroke, but also after inpatient rehabilitation has ended.

Activities of Daily Living↗

Analyzing the neocortical fine-structure.

Cytoarchitectonic fields of the human neocortex are defined by characteristic variations in the composition of a general six-layer structure. It is commonly accepted that these fields correspond to functionally homogeneous entities. Diligent techniques were developed to characterize cytoarchitectonic fields by staining sections of post-mortem brains and subsequent statistical evaluation. Fields were found to show a considerable interindividual variability in extent and relation to macroscopic anatomical landmarks. With upcoming new high-resolution magnetic resonance imaging (MRI) protocols, it appears worthwhile to examine the feasibility of characterizing the neocortical fine-structure from anatomical MRI scans, thus, defining neocortical fields by in vivo techniques. A fixated brain hemisphere was scanned at a resolution of approximately 0.3 mm. After correcting for intensity inhomogeneities in the dataset, the cortex boundaries (the white/grey matter and grey matter/background interfaces) were determined as a triangular mesh. Radial intensity profiles following the shortest path through the cortex were computed and characterized by a sparse set of features. A statistical similarity measure between features of different regions was defined, and served to define the extent of Brodmann's Areas 4, 17, 44 and 45 in this dataset.

Aged↗

Intracerebral haemorrhage as a manifestation of Lyme neuroborreliosis?

Lyme Neuroborreliosis (LNB) has repeatedly been reported to cause cerebral vasculitis. However, there is no reliable information about the incidence of cerebral vessel affection. The majority of reports deal with ischaemic consequences, and there are a few reports of subarachnoid haemorrhage (SAH). We report a case of otherwise unexplained intracerebral haemorrhage (ICH) where clinical and laboratory tests have shown LNB. Late stage LNB might not only cause ischaemic, but haemorrhagic stroke as well.

Borrelia burgdorferi↗

Modulation of the lexical-semantic network by auditory semantic priming: an event-related functional MRI study.

The current event-related fMRI study specifies the neuroanatomical correlates of semantic priming and differences in semantic relation types using an auditory primed lexical decision task (LDT). Word pairs consisted of different relation types, associations (key-chain), pure categorical relations (cow-dog), and unrelated words (table-window), as well as word-pseudoword (way-tinne) and pseudoword-pseudoword (ahurn-döva) pairs. The factor lexical status, i.e., the processing of words compared to pseudowords, was associated with activation in the middle temporal gyri and the left striatum. The factor relatedness, i.e., the contrast between unrelated and related target words, was associated with increased activation of the left inferior frontal gyrus, the deep frontal operculum bilaterally, and the middle frontal gyri. A direct contrast between the two semantic relation types indicated that the processing of purely categorical compared to associative information recruits the right precuneus, the isthmus gyrus cinguli, and the cuneus, suggesting more effortful processing of the former information type. The present data show that the factors lexical status, semantic relatedness, and type of semantic relation in a primed LDT modulate the hemodynamic response in cerebral areas that subserve auditory word recognition and subsequent lexical-semantic processing.

Adult↗

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.

Adult↗

[The emotional burden in caregiving relatives of stroke patients].

Sustained psychosocial burdens as a consequence of stroke not only affect the stroke victim but frequently their spouses and significant others as well. The present study analyses the extent of emotional burden in spouses of stroke patients (Beck Depression Inventory, BDI and Beck Anxiety Inventory, BAI), examining the relationships of emotional burden in spouses with the medical assessment regarding stroke severity (Barthel Index, BI) and with the spouses' own perceptions of the stroke patients' impairment (Patient Competency Rating, PCR) as well as determining the factors that were independently associated with emotional burden in spouses. 82 spouses of stroke patients are examined in our study. The questioning was realised on admission into inpatient or partially inpatient rehabilitation centres. Initial results indicated that relatives of stroke victims have higher scores for anxiety compared to the general population. The assessment of disability in the stroke victims by their spouses correlates directly with the psychosocial burden of the spouses. By using this methodology, a high-risk group of spouses could be identified. The predictors of emotional burden in spouses (Anxiety and Depression) are gender of spouse and the spouse's subjective perception of disability in the stroke victim. The age of spouses and medical assessment of the severity of stroke on the other hand have no predictive value for the extent of emotional burden in spouses.

Activities of Daily Living↗