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Stefan Knecht

Publications and source records attributed to Stefan Knecht.

42 records · Page 3Linked to original sources

Development and validation of a language learning model for behavioral and functional-imaging studies.

To obtain a more precise understanding of the mechanisms involved in language acquisition in healthy subjects and the re-acquisition of language following brain damage, we developed a word learning model which can be used in behavioral and functional-imaging studies. We generated a set of spoken pseudowords, which were normalized with respect to duration and loudness, and (based on a rating study with 40 students) selected 50 pseudowords, which yielded few associations with existing words and were of neutral emotional valence. The selected pseudowords were paired with object drawings in a pseudo-randomized manner and each subject received a different combination of pairings. These auditory-visual pairs were used to train ten subjects solely on the basis of different frequencies of 'correct' and 'incorrect' pairings. This procedure resembles the acquisition of the first words during childhood. During a five-session training protocol, with one session per day, there was a linear increase of the learning curves, which then reached a plateau. Learning remained stable at 1 and 4 weeks retest intervals. Furthermore, subjects correctly translated the pseudowords into their native language, demonstrating the acquisition of word meanings. These findings indicate that the described associative learning program meets the requirements for a robust and ecologically meaningful model to study the neural mechanisms of language learning and plasticity.

Adult↗

Pattern of cortical reorganization in amyotrophic lateral sclerosis: a functional magnetic resonance imaging study.

Depending on individual lesion location and extent, reorganization of the human motor system has been observed with a high interindividual variability. In addition, variability of forces exerted, of motor effort, and of movement strategies complicates the interpretation of functional imaging studies. We hypothesize that a general pattern of reorganization can be identified if a homogeneous patient population is chosen and experimental conditions are controlled. Patients with amyotrophic lateral sclerosis (ALS) and healthy volunteers were trained to perform a simple finger flexion task with 10% of each individual's maximum grip force with constant movement amplitude and frequency. The activation pattern in ALS patients was distinctly different to that in healthy controls: In ALS patients, motor cortex activation was located more anteriorly, encompassing the premotor gyrus. The cluster volume within the supplementary motor area (SMA) was higher and shifted toward the pre-SMA. Contralateral inferior area 6 and bilateral parietal area 40 revealed higher cluster volumes. Our results demonstrate a general pattern of functional changes after motor neuron degeneration. They support the concept of a structurally parallel and functionally specialized organization of voluntary motor control. Degeneration of the first and second motor neurons leads to enhanced recruitment of motor areas usually involved in initiation and planning of movement. Partial compensation between functionally related motor areas seems to be a strategy to optimize performance if the most efficient pathway is unavailable.

Adult↗

Is hemispheric language dominance relevant in musical hallucinations? Two case reports.

It has been suggested that musical hallucinations are often due to a focal brain lesion predominantly of right hemispheric pathologies. We report about two patients with musical hallucinations associated with a brain tumor of the right hemisphere. Although both patients were right-handed, one of them had a right hemispheric dominance for language as proven by the Wada test. The musical ability as measured by the Seashore test was not impaired. We conclude that the language dominance of the hemisphere is not primarily relevant for the development of musical hallucinations.

Adult↗

Reproducibility of hemispheric blood flow increases during line bisectioning.

OBJECTIVES: To determine if attention-related changes of hemispheric perfusion increases, as assessed by blood-flow sensitive techniques, are as reliable as language-related hemispheric perfusion increases. METHODS: The reproducibility of hemispheric blood flow velocity increases during a line bisection task was assessed with functional transcranial Doppler sonography. RESULTS: Over repeated examinations, the index of lateralization of 20 healthy subjects showed a high test-retest reproducibility (r=0.9, P<0.01). No practice effects were detected over the course of 10 re-assessments of one subject. CONCLUSIONS: Hemispheric lateralization of visuospatial attention is a robust phenomenon and can be reliably determined using perfusion sensitive measurements. Future studies should focus on investigating lesion-related reorganization of attentional processing with blood-flow sensitive techniques.

Adult↗

Phantom sensations following acute pain.

In human amputees with painful phantom sensations, mislocalizations of tactile stimuli to the phantom increase with the amount of cortical representational reorganization and the extent of phantom pain. A similar phenomenon was incidentally encountered in healthy subjects. For reasons unrelated to the question of mislocalization, we performed a study involving the application of experimental acute pain to the hand followed by non-noxious tactile stimulation of the ipsilateral lip. During lip stimulation, two out of six subjects spontaneously reported perceiving an additional phantom-like sensation in the hand synchronously to the non-noxious lip stimulation. Similar, although more diffuse, phantom sensations were observed in two out of seven additional subjects who were then tested specifically for this effect. The observation is compatible with a pain-induced hyperresponsiveness of the cortical hand area to somatotopically adjacent inputs from the lip. This suggests that, even in the absence of deafferentation, pain can lead to a representational reorganization.

Acute Disease↗