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Biomedical subjects

G Tassinari

Publications and source records attributed to G Tassinari.

At least 19 recordsLinked to original sources

Taste laterality in the split brain.

Two patients with corpus callosum resection, one complete and the other sparing the genu and the rostrum, were tested for discrimination of three basic taste stimuli (sour, bitter, salty) applied to the right or left sides of the tongue. Responses were made by pointing with either hand to written words or images of visual objects corresponding to the stimuli, a language-based discrimination. In both patients, response accuracy was significantly above chance for both hemitongues but there was a significant advantage for the left side. Reaction time was shorter for left stimuli than for right stimuli but the difference was not significant. Eight normal controls matched for age with the patients performed equally well with right and left hemitongue stimuli and so did a third callosotomy patient with sparing of the posterior callosum, including the splenium. Tactile and visual tests showed that the left hemisphere was responsible for language-based responses in the first two patients. The results confirm and extend previous findings in another callosotomy patient, indicating that: (i) taste information from either side of the tongue can reach the left hemisphere in the absence of the corpus callosum; (ii) the ipsilateral input from the tongue to the left hemisphere is more potent functionally than the contralateral input and (iii) in the normal brain, the corpus callosum, specifically its posterior part including the splenium, appears to equalize the effects of the ipsilateral and contralateral gustatory inputs on the left hemisphere. Taken together with evidence about lateralized taste deficits following unilateral cortical lesions, the results also suggest that the gustatory pathways from tongue to cortex are bilaterally-distributed with an ipsilateral predominance that may be subject to individual variations.

Adult↗

Incomplete gustatory lateralization as shown by analysis of taste discrimination after callosotomy.

The lateral organization of the gustatory pathway in man is incompletely understood. Majority of the studies support an uncrossed projection from each side of the tongue to the cortex, but reports of an opposite crossed organization continue to appear in the neurological literature. We studied the lateral organization of the gustatory pathway in normal controls, a man with a complete callosal agenesis, and a man with a complete section of the corpus callosum, a right anterior-frontal lesion, and language in the left hemisphere. Sapid solutions were applied to one or the other side of the tongue, and subjects reported the taste of the stimulus either verbally or by manually pointing to the name of the taste. There were no differences in accuracy and reaction time between the right and left hemitongues of the controls and the genetically acallosal observer. By contrast, the callosotomy subject showed a constant marked advantage of the left hemitongue over the right for both accuracy and speed of response, though performance with right stimuli was clearly above chance. The left advantage can be attributed to the left hemisphere being favored by the essentially verbal nature of the task, or to the presence of a lesion in cortical gustatory areas in the right hemisphere, or to both factors. Whichever of these hypotheses turns out to be correct, the results unequivocally reject the notion of an exclusively crossed organization of the gustatory pathway from the tongue to the cortex, and favor the notion of a bilaterally distributed organization of this pathway with a marked predominance of the uncrossed over the crossed component.

Adult↗

Volitional covert orienting to a peripheral cue does not suppress cue-induced inhibition of return.

Detection reaction time (RT) at an extrafoveal location can be increased by noninformative precues presented at that location or ipsilaterally to it. This cue-induced inhibition is called inhibition of return or ipsilateral inhibition. We measured detection RT to simple light targets at extrafoveal locations that could be designated for covert orienting by local or distant cues. We found that cue-induced inhibition cooccurred in an additive fashion with the direct effects of covert orienting, i.e., it detracted from facilitation at attended locations and increased the disadvantage for unattended locations. Thus, cue-induced inhibition cannot be suppressed by a volitional covert orienting to the cued location; the co-occurrence of different facilitatory and inhibitory effects confirms the simultaneous operation of multiple independent attentional mechanisms during covert orienting.

Adult↗

Pathways of interhemispheric transfer in normals and in a split-brain subject. A positron emission tomography study.

We studied with PET the intra- and interhemispheric pathways subserving a simple, speeded-up visuomotor task. Six normal subjects and one patient with a complete section of the corpus callosum (M.E.) underwent regional cerebral blood flow (rCBF) measurements under conditions of lateralized tachistoscopic visual presentations in a simple manual reaction time paradigm. Confirming previous behavioural findings, we found that on average crossed hand and/or hemifield conditions, i.e. those requiring an interhemispheric transfer of information, yielded a longer RT than uncrossed conditions. This difference (0.7 ms) was dramatically larger (45.6 ms) in the callosum-sectioned patient M.E. In normal subjects the cortical areas selectively activated in uncrossed and crossed conditions were different. In the former condition, most activation foci were anterior to the ventral anterior commissure (VAC) plane, whereas in the latter there was a prevalent parietal and occipital activation. This shows that a simple model in which the cortical visuo-motor pathways are similar in the intra- and the interhemispheric condition, with an extra callosal route for the latter, is too simplistic. Furthermore, these results suggest that the bulk of visuomotor interhemispheric transfer takes place through the widespread callosal fibres interconnecting the parietal cortices of the two hemispheres. The pattern of activation in the two crossing conditions was markedly different in M.E., in whom interhemispheric transfer might take place via his intact anterior commissure or subcortical commissures.

Adult↗

A possible selective impairment of magnocellular function in compression of the anterior visual pathways.

Two parallel visual systems, the magnocellular (M) and parvocellular (P) pathways, originate from different types of retinal ganglion cells, and are known to be segregated in different portions of the pregeniculate visual pathways. Their relative contribution to two main cortical streams, dorsal and ventral, is still under discussion, but it is reasonable to suppose that selective damage to the M or P subcortical system might interfere with specific aspects of processing within one or the other cortical system. Using two different apparent-motion tasks, we compared the performance of patients affected by compression of the ventral part of the pregeniculate visual pathways with that of normal controls. In the first task, observers detected small displacements of a low-contrast vertical bar, while in the second task they estimated the visible persistence of moving dots. In the first task, patients were impaired with parafoveal displays, especially in the temporal portion of the visual field. In the second task, patients showed reduced suppression of visible persistence at long, but not at short, exposure durations. Three considerations support the hypothesis that these results represent a selective impairment of the M system. First, M axons are more likely to suffer from compression, particularly in the case of a mass growing from below since they are known to occupy a ventral subpial position in the optic chiasm and tract. Second, the performance of patients with a ventral compression is consistent with the characteristics of the response properties of P ganglion cells, which have previously been shown to exhibit elevated and unmodulated thresholds for displacement detection in the macaque monkey. Third, such patients are less sensitive to the inhibitory signals that suppress visible persistence, which probably originate in the M system.

Adenoma↗

Possible recoding of visual space in covert orienting tasks.

Reaction time to lateralized light targets is longer if targets are preceded by light stimuli in the same visual hemifield compared to when they are preceded by light stimuli in the opposite visual hemifield. The effect is probably caused by interactions between implicit oculomotor tendencies and covert shifts of attention. We show here that a similar, but much smaller, ipsilateral RT inhibition can be observed when all stimuli are presented in a display completely lateralized to one hemifield, where ipsilateral and contralateral are defined with respect to the midpoint of the display. The persistence of ipsilateral inhibition with unilateral stimulus displays can be accounted for by a recoding of visual space predicated on the centering of covert attention on the display midpoint rather than on the fixation point. The recoding seems to affect the control of covert attention and perhaps oculomotor control as well.

Adult↗

Motor representation of the hand in the human cortex: an f-MRI study with a conventional 1.5 T clinical unit.

The purpose of this study was to show a gradient of possible bilateral activation for movements of the non-dominant vs. dominant hand, as well as for areas involved in complex vs. simple hand movements. A standard 1.5 T magnetic resonance imaging (MRI) system has been utilized to localize the cortical motor hand areas, using the blood oxygen level dependent contrast (BOLDc) technique and single-section fast low-angle shot (FLASH) imaging. Ten normal right-handed subjects volunteered for the study. The motor tasks consisted of simple (flexion-extension) finger movements of either hand, and complex movements (finger-to-thumb opposition in a repeating, pre-planned sequence) of the non-dominant hand. Simple movements caused contralateral activation of the primary motor area (MA); ipsilateral activation was observed for the non-dominant hand only. Supplementary motor area (SMA) was also activated, with a clear contralateral prevalence. The ratio of bilateral activation of MA did not change with complex movements of the non-dominant hand, while SMA as well as lateral premotor area were largely bilaterally activated in this task. In conclusion, the ipsilateral MA is activated for movements--even simple--performed with the non-dominant hand. There is widespread functional activity, involving both contralateral and ipsilateral SMA, for complex movements.

Adult↗

Paradoxically greater interhemispheric transfer deficits in partial than complete callosal agenesis.

Symptoms of interhemispheric disconnection are typically much less severe in callosal agenesis than after surgical section of the corpus callosum. Sperry [Sperry, R. W., Plasticity of neural maturation. Developmental Biology, 1968, 2 (Suppl.), 306-327.] has attributed this difference to two interconnected factors: (1) the callosal section is usually performed after the brain has lost the maximal degree of functional plasticity associated with the early stages of development and (2) the removal of an already formed structure is more disruptive for functional brain organization than the failure of the same structure to develop. It has been suggested that functional compensation is less efficient if callosal agenesis is partial rather than complete [Dennis, M., Impaired sensory and motor differentiation with corpus callosum agenesis: A lack of callosal inhibition during ontogeny? Neuropsychologia, 1976, 14, 455-469.]. This suggestion is supported by the present findings of partial left-hand anomia, partial left-field alexia and poor tactile cross-localization in a subject with a congenital absence of the posterior part of the corpus callosum due to an arteriovenous malformation. In agreement with many previous studies, similar, though more severe, symptoms of interhemispheric disconnection were found in a subject with a complete section of the corpus callosum, but not in a subject with complete callosal agenesis. Praxic control of the left hand on verbal commands was severely deficient in the callosotomy subject, but it was normal in the subject with callosal hypogenesis. The lesser degree of compensation in partial compared to complete callosal agenesis may be explained by a reduced pressure to develop extracallosal means of interhemispheric communication, contingent on the partial existence of callosal connections, as well as by the later occurrence in development of the causes of callosal hypogenesis compared to those of total callosal agenesis.

Agenesis of Corpus Callosum↗

Rightward attentional bias and left hemisphere dominance in a cue-target light detection task in a callosotomy patient.

Six normal subjects and a callosotomized man with a prefrontal lesion, mostly on the right side, were tested in a reaction time (RT) task involving a key-pressing response to an extrafoveal light target preceded by an extrafoveal light cue. Cues and targets were presented along the horizontal meridian at 4 degrees and 12 degrees on the right and left of fixation. Fixation was maintained throughout each trial. The cue signalled the occurrence of the target within a time window extending from 200 to 4000 misec from the cue, but did not predict target location. Normal controls responded faster to medial than to lateral targets in both fields, but showed no between-field difference, and their RT was not affected by cue location. Furthermore, they showed the so-called 'ipsilateral inhibition' or 'inhibition of return' effect, their RT being longer when cues and targets occurred in the same field than when they occurred in opposite fields. The RT of the callosotomized subject showed a left-right gradient for both cue location and target location, being longest for the leftmost location and shortest for the right locations. In addition, he showed a significant advantage for the right hand regardless of cue and target location, as well as a consistent ipsilateral inhibition in the left field, whereas in the right field there was ipsilateral inhibition only at the two longest stimulus onset asynchronies. These results suggest that, at least under these experimental conditions, there was a rightward orientational bias which reflected the taking over of the control of performance by the left hemisphere. This attentional bias was reminiscent of that seen in patients with hemi-inattention from right hemisphere damage, although the callosotomized patient showed no sign of such hemi-inattention in routine clinical tests. On the basis of several considerations the rightward bias could be attributed to the callosal interhemispheric disconnection rather than to the right prefrontal lesion.

Adult↗

Overlapping ipsilateral and contralateral retinal projections to the lateral geniculate nucleus and superior colliculus in the cat: a retrograde triple labelling study.

To analyze the relative proportion and distribution of retinal ganglion cells projecting ipsilaterally and contralaterally in the cat, large injections of the fluorescent tracers Fluoro Gold, Fast Blue, and Diamidino Yellow were made in the main layers of the lateral geniculate nucleus (LGN) and superior colliculus (SC). One tracer was injected in both the LGN and SC on one side, and the other two tracers were injected contralaterally, in the LGN and SC, respectively; labelled ganglion cells were charted on retinal whole mounts. Ganglion cells labelled from the LGN and SC were highly intermingled in both the ipsilateral and contralateral retinae. The adopted combinations of tracers allowed the detection of cells double labelled from the SC and LGN, supporting the occurrence of branched retino-thalamic axons to the SC. About one-fourth of the ganglion cells labelled from the LGN and SC was located in the eye ipsilateral to the injection. Retrograde labelling from the ipsilateral side was almost entirely confined to the temporal hemiretina. In the contralateral eye, labelled cells were mainly concentrated in the nasal hemiretina, but more than 10% were also detected in the temporal half of the retina. In the latter area, cells displaying the entire range of sizes of the retinal ganglion cells, labelled from the contralateral LGN and SC, were found throughout the entire hemiretina. However, more than 50% of such "wrong" projecting cells were grouped in a strip of 2 mm closest to the nasotemporal division. Control experiments, in which the tracers injections were restricted to the rostral and dorsal portions of the LGN to avoid optic tract contamination, consistently confirmed the occurrence and distribution of the "wrong" projecting cells in the temporal hemiretina. Thus, these latter cells are not grouped in a central strip, where ganglion cells would have the same chance of projecting to the same or to the opposite side, and sparsely distributed in the temporal periphery, as previously believed. Instead, the present findings indicate that the retinal ganglion cells of origin of contralateral projections are distributed more in a continuum, with a naso-temporal gradient of density, across the temporal hemiretina.

Animals↗

Induced astigmatism after near-clear hinge incision.

PURPOSE: To evaluate astigmatism induced by the near-clear hinge incision. SETTING: Casa di Cura Villa Toniolo, Bologna, and Day Hospital Nuova Ricerca, Rimini, Italy. METHODS: The results in 100 eyes having phacoemulsification with a 3.2 or 4.1 mm temporal near-clear hinge incision were evaluated for a maximum of 6 months. Corneal curvature was measured using computerized videokeratography, and surgically induced astigmatism was computed by vector analysis. Surgically induced corneal topographic changes were also evaluated. RESULTS: Mean induced cylinder in the 3.2 mm incision group was 0.4 diopter (D) +/- 0.2 (SD) 6 months after surgery; there was no significant difference in the values at 4 days and 6 months. Mean induced cylinder in the 4.1 mm incision group was similar at 1 and 6 months (0.47 and 0.45 D, respectively). However, it was significantly higher at 4 days (0.56 D). Vector decomposition analysis showed that the with-the-rule component was prevalent and remained constant over 6 months. Topographic analysis showed localized wound-related flattening with minimal central corneal changes. CONCLUSION: The near-clear hinge incision was almost astigmatically neutral and resulted in self-sealing incisions that did not leak.

Astigmatism↗

Consequences of covert orienting to non-informative stimuli of different modalities: a unitary mechanism?

Reaction time (RT) to visual targets is lengthened following non-informative cues presented in the same location, or in different locations but in the same hemifield as the targets. RT lengthening is best accounted for by the voluntary suppression of an overt orienting toward the location of the cue: this veto produces an inhibition of the overall motor reactivity towards stimuli presented in the entire hemifield of the cue. This paper shows that ipsilateral inhibition is not unique to the visual system, since the same directional constraints in motor readiness are induced with somatosensory stimulation. RT is slower when a somatic target delivered on a shoulder is preceded by an ipsilateral somatic cue compared to a contralateral one. The neural control of these orienting tendencies may involve the superior colliculus, which contains overlapping maps of the visual, somatosensory and auditory peripheries. This suggestion is reinforced by the presence of cross-modal inhibitory effects in paradigms involving visual cues and somatic targets or somatic cues and visual targets. While the time course of ipsilateral inhibition is similar in the visual and the somatic modalities, cross-modal inhibitory effects are different and somehow complementary when visual cues precede somatic targets (early short-lasting inhibition) or, respectively, somatic cues precede visual targets (late, long-lasting inhibition). An additional finding is that crossed-uncrossed RT differences (CUDs), presumably due to the anatomical relations between stimulus and response, are present in both modalities.

Adult↗

Spatial stimulus-response compatibility in callosotomy patients and subjects with callosal agenesis.

Subjects with partial or complete defects of the corpus callosum, either congenital or acquired, performed a choice reaction time (RT) task involving a right or left key-press response to a light presented at random in the right or left hemifield. Like normal subjects, all of them exhibited two additive effects typical of these tasks: the spatial stimulus-response compatibility effect (faster RT for stimuli and responses matched for side), and the hand placement effect (longer RT for responses performed with crossed hands). Two subjects with a complete callosal defect, one acquired and the other congenital, showed a third effect, not present in normal subjects, consisting of a marked advantage for RT of responses with hand anatomically ipsilateral to the stimulus, independent of both stimulus-response compatibility and hand placement. These findings can be interpreted according to a hierarchical model of information processing assuming that, in the absence of the corpus callosum, the matching of the mental codes for the stimulus and response sets takes place solely in the hemisphere receiving the stimulus, with a subsequent rapid-intrahemispheric or slow-interhemispheric transmission of the response command to the appropriate motor centers.

Adult↗

Mapping subcortical extrarelay afferents onto primary somatosensory and visual areas in cats.

Projections from the claustrum (Cl) and the thalamic anterior intralaminar nuclei (AIN) to different representations within the primary somatosensory (S1) and visual (V1) areas were studied using the multiple retrograde fluorescent tracing technique. The injected cortical regions were identified electrophysiologically. Retrograde labeling in Cl reveals two different projection patterns. The first pattern is characterized by a clear topographic organization and is composed of two parts. The somatosensory Cl shows a dorsoventral progression of cells projecting to the hindpaw, forepaw, and face representations of S1. The visual Cl has cells projecting to the vertical meridian representation of V1 surrounded dorsally by neurons projecting to the representation of retinal periphery. A second pattern of Cl projections is composed of neurons that are distributed diffusely through the nucleus. In both somatosensory and visual sectors, these intermingle with the topographically projecting cells. Neurons retrogradely labeled from cortical injections are always present in the AIN. In the central medial nucleus, the segregation of modality is evident: The visual-projecting sector is dorsal, and the somatosensory is ventral. Projections from the central lateral nucleus display detectable somatotopic and retinotopic organization: Individual regions are preferentially connected with specific representations of S1 or V1. In the paracentral nucleus, no clear regional preferences are detectable. Also performed were comparisons of the proportions of neurons projecting to different sensory representations. Projections to V1 from both AIN and Cl are biased towards the retinal periphery representation. S1 projection preference is for the forepaw representation in Cl and for the hindpaw in the AIN. The quantitative analysis of multiply labeled cells reveals that, compared to Cl, the AIN contains a higher proportion of neurons branching between different representations of S1 or V1. The concept of topographic vs. diffuse projecting systems is reviewed and discussed, and functional implications of quantitative analysis are considered.

Afferent Pathways↗

Callosotomy for intractable epilepsy from bihemispheric cortical dysplasias.

Four patients suffering for severe drug-resistant epilepsy from bihemispheric cortical dysplasias underwent anterior callosotomy. One of these patients also presented mental retardation of mild degree associated with the epileptic syndrome. There were no operative complications in this series. Clinical signs of interhemispheric disconnection were not detectable postoperatively. Twenty-eight to 53 months after surgery, the generalized seizures were completely suppressed in 2 cases, and were reduced by 89-97% in frequency in the other 2 cases. Partial seizures were less affected by callosotomy being reduced by 14-87%. In an additional fifth case of intractable epilepsy from bihemispheric cortical dysplasias with associated severe mental retardation operated upon elsewhere for callosotomy and followed at our institution, the outcome for seizures was completely unsatisfactory. Neurophysiological studies revealed that the interhemispheric transfer (IHT) of visuo-motor responses was functionally impaired after callosotomy only in one patient who harboured bilateral cortical dysplasias in the occipital lobes. This malformation might affect the pattern of axonal projection to the posterior portion of the corpus callosum which is considered of crucial importance for the integration of crossed visuo-motor responses. From this paper the following conclusions can be drawn: a) epileptic patients with severe drug-resistant epilepsy due to bihemispheric cortical dysplasias are good candidates for callosotomy, b) one-stage extensive anterior callosotomy sparing the splenium is the procedure of choice, c) associated severe mental retardation seems to contra-indicate callosotomy, d) the neurophysiological study of the IHT can yield information on the functional status of the corpus callosum.

Adult↗

Corpus callosum and simple visuomotor integration.

Malcolm Jeeves was the first to demonstrate lengthened interhemispheric transmission times in subjects with agenesis of the corpus callosum by using a simple reaction time paradigm with lateralized unstructured light stimuli and crossed and uncrossed hand responses. Uncrossed responses can be integrated within one hemisphere, whereas crossed responses require a communication between the two hemispheres. In the normal brain this communication is effected rapidly by the corpus callosum, whereas in the acallosal brain it must occur much more slowly by way of less efficient alternative interhemispheric pathways. Using a similar experimental paradigm we have studied normal subjects, subjects with a complete callosal agenesis and epileptic patients with surgical callosal sections, either complete or partial. All subjects with complete callosal defects showed much lengthened interhemispheric times compared to normal controls. Virtually normal interhemispheric transmission times were found in subjects with partial callosal defects, whether anterior or posterior, suggesting a possible equipotentiality of different portions of the corpus callosum in the mediation of crossed manual responses. In both normals and acallosals there were no crossed-uncrossed differences in reaction time when responses were made unilaterally with lower limb effectors or para-axial upper limb effectors, as well as bilaterally with upper-limb proximal and para-axial effectors. Since these effectors can be controlled directly from either side of the brain via bilaterally distributed motor pathways, crossed responses using them, unlike crossed manual responses, do not require an interhemispheric integration.

Animals↗

Oculomotor activity and visual spatial attention.

Subjects made a horizontal or vertical saccade in response to a non-lateralized auditory stimulus. Simple manual reaction time (RT) for the detection of light targets at extrafoveal locations was modulated by the intention to make the saccade insofar as RT to targets presented at the saccadic goal location or in the hemifield containing that location was faster than RT to targets presented at the opposite, mirror-symmetric location. This RT difference was maximal prior to the beginning of the saccade and vanished after saccade termination, indicating that the effect was caused by the neural activity leading to the saccade rather than to the eye movement or the eye position per se. The results have implications for the understanding of the relations between visual spatial attention and oculomotor control, especially with regard to inhibitory phenomena arising from the non-correspondence between the line of sight and the focus of attention.

Acoustic Stimulation↗

Covert orienting to non-informative cues: reaction time studies.

Lateralized, non-informative visual cues lengthen reaction time (RT) to successive targets flashed in the same hemified. Early ipsilateral RT facilitation is limited to the co-occurrence of cues and targets. Inhibition from visual cues has sensory components which do not depend on orienting, as well as attentional components which are limited to one side of the vertical meridian. An inhibition of RT to targets ipsilateral to the cues has been found with somatic or auditory cues and targets, and also when somatic targets follow visual cues or visual targets follow somatic cues. The results reviewed in this paper (1) are best accounted for by directional constraints in motor readiness which are induced by the voluntary suppression of an overt orienting toward the location of the cue; (2) indicate that similar mechanisms of covert orienting operate in the whole peripersonal and near extrapersonal space; and (3) point to a common neural substrate mediating both intramodal and cross-modal effects.

Animals↗