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Neuropsychological performance in lateralized parkinsonism.

Seven dextral patients with Parkinson's disease (PD) who had predominant right-sided motor signs were compared on neuropsychological tests with eight dextral patients with PD who had predominant left-sided signs. Objective criteria for group designation were developed from clinical ratings. The patient subgroups were matched on age, education, estimated premorbid IQ, severity of motor signs, and medication usage. Patients with signs lateralized to the right were more impaired on tests of dominant hemisphere function (serial digit learning, confrontation naming, and verbal associative fluency), but no differences were found on tests of nondominant hemisphere function (form sequence learning, line orientation, facial recognition), indicating some correlation of neuropsychological performance with lateralization of predominant motor signs. Findings demonstrate that the cognitive deficits (particularly visuospatial) previously reported in the literature are not seen consistently in all subjects with PD.

Depression↗

Digit repetition in brain-damaged adults: clinical and theoretical implications.

Digit repetition was investigated in samples of unilaterally (N = 87) and bilaterally (N = 75) brain-damaged adults. The study was designed to investigate the hemispheric and neuropsychological factors that underlie performance on these two dissimilar tasks. Digit repetition was disproportionately depressed in such patients, especially those with left hemisphere lesions. The incidence of individually impaired digit repetition performance, especially of digits backward, was significantly higher than in normals, again particularly within the left hemisphere sample. However, impaired digit repetition was not invariably associated with brain dysfunction. The data suggest, but do not confirm, a differential function hypothesis, as well as a unilateral hemispheric hypothesis that underlies the ability to repeat forward and backward digits; this finding is consistent with some previous literature. Group performance showed considerable overlap, which limited the possibility of demonstrating a double dissociation between digits forward and verbal measures, and digits backward and nonverbal factors. Digit repetition in brain-damaged patients appears to have some theoretical value, but limited clinical utility.

Adult↗

Recall of figure "A" of the Bender-Gestalt test among delinquents.

The Bender-Gestalt test was administered to 182 Israeli adolescent males: four groups of juvenile delinquents and two of nondelinquent high-school students. Each of the delinquent groups was administered one of the following versions: a standard administration with figure A first (n = 60), a change of sequence with figure A last (n = 22), a regular sequence with figure A changed to two adjacing circles (n = 20), and with figure A changed to two adjacent diamonds (n = 20). One nondelinquent group took the test under standard administration with figure A first (n = 30), and one took it with figure A last (n = 20). The results showed significantly low recall of the original figure A by delinquents when it appeared first. This phenomenon was related to both primary effect and the design depicted in figure A, with a greater influence of the latter. Difficulties in integration were suggested as inhibiting delinquents' recall.

Adolescent↗

Modification of the repeated acquisition of response sequences in rats by low-level microwave exposure.

The acute effects of microwave exposure on a repeated acquisition baseline were investigated in three rats. Each session the animals acquired a different four-member response sequence. Each of the first three correct responses advanced the sequence to the next member, and the fourth correct response produced food reinforcement. Incorrect responses produced a three-second timeout. Baseline and control sessions were characterized by a decrease in errors within each session. The animals were acutely exposed to a 2.8 GHz pulsed-microwave field prior to test sessions, with average power densities ranging from 0.25 to to 10 mW/cm2. In comparison to control sessions, 1/2 hour of exposure to microwave radiation at power densities of 5 and 10 mW/cm2 increased errors and altered the pattern of within-session acquisition. Exposure to the 10 mW/cm2 power density decreased the rate of sequence completion in all animals. The results of exposures at 0.25, 0.5, and 1 mW/cm2 power densities were generally within the control range. The results are interpreted as indicating a disruption in the discriminative stimulus control of the repeated acquisition behavior.

Animals↗

Visual and auditory temporal processing and early reading development.

This study investigated the ability of temporal processing measures obtained before school entry to predict early reading development in an unselected sample of 125 children (68 males, 57 females). Visual and auditory temporal order judgement (TOJ) tasks measured at Preschool (mean age 5.36 years) significantly predicted letter and word identification (accuracy) and reading rate (fluency) in early Grade 1 (mean age 5.94 years), even after the effects of age, environment, memory, attention, nonverbal ability, and speech/language problems were accounted for. There were no significant differences in the overall variance accounted for in reading between TOJ measures taken before or after reading had emerged. Both Preschool and Grade 1 measures of auditory TOJ accounted for significant independent variance in reading. However, only visual TOJ performance measured at Grade 1 accounted for unique variance in reading rate. This was discussed in terms of developmental changes in the role of visual temporal processing as reading develops. Reliability of the temporal measures from Preschool to Grade 1 was moderate. The results showed that measures of visual and auditory temporal processing obtained close to school-entry would be a useful addition to predicting risk of early reading difficulties.

Attention↗

The cerebellar deficit hypothesis and dyslexic tendencies in a non-clinical sample.

In order to assess the relationship between cerebellar deficits and dyslexic tendencies in a non-clinical sample, 27 primary school children aged 8-9 completed a cerebellar soft signs battery and were additionally assessed for reading age, sequential memory, picture arrangement and knowledge of common sequences. An average measure of the soft signs data established a single construct which we treated as our primary index of cerebellar function. Overall cerebellar function was significantly correlated with reading age, picture arrangement and knowledge of common sequences even when IQ was partialled out. Graphical representation of our data indicated a continuous rather than discrete distribution for each measure. Results are discussed in terms of the CDH and continuum approaches to dyslexia.

Cerebellar Diseases↗

Poor frequency discrimination is related to oral language disorder in children: a psychoacoustic study.

Some children have difficulty in perceiving differences between sounds, even though they have normal hearing sensitivity, and it has been suggested that such problems could lead to difficulties in language and literacy development. Poor ability to distinguish sounds on the basis of frequency (perceived as pitch) has been described in poor readers on a variety of auditory processing tasks. The aim of the present study was three-fold: to determine whether children with specific language impairment (SLI) have difficulty discriminating frequency, whether this deficit is specific to the frequency domain, or part of a more general auditory impairment, and whether it is linked to reading or oral language ability. The performance of a SLI group (N = 15) and a control group with normally developing oral language matched for age and intelligence (N = 18) was compared on a frequency discrimination task and a control task testing intensity discrimination. The children with SLI consistently demonstrated significantly poorer performance on the frequency discrimination task, but not on the intensity discrimination task. Frequency discrimination thresholds were not related to reading ability in either group. This study provides evidence for a basic auditory deficit in children with SLI, regardless of their reading ability.

Auditory Perceptual Disorders↗

Positive affect and its relationship to free recall memory performance in a sample of older Dutch adults from the Maastricht Aging Study.

OBJECTIVE: A Dutch translation of the Positive and Negative Affect Scale (PANAS) was used to measure Positive Affect (PA) and its relationship to episodic memory in a sample of Dutch adults between the ages of 40 to 82 years. Specifically, the role of PA was examined as a predictor of performance on a serial list learning task that included a recognition and free recall component. METHODS: Participants were divided into two age groupings representing middle-age (40 to 64 years) and older (65 to 82 years) adults with respect to the study sample. RESULTS: PA was not related to recognition performance in either age grouping. In the older age group, however, PA predicted free recall. CONCLUSIONS: PA facilitated episodic memory in older adults when unsupported tasks conditions were present that placed heavy demands on processing resources.

Adult↗

Comparative effects of risperidone and olanzapine on cognition in elderly patients with schizophrenia or schizoaffective disorder.

OBJECTIVE: To examine the effects of risperidone and olanzapine on cognitive functioning in elderly patients with schizophrenia or schizoaffective disorder. METHOD: One hundred seventy-six elderly inpatients and outpatients with schizophrenia or schizoaffective disorder were enrolled in this multicenter, double-blind trial. After their antipsychotic medications were tapered for 1 week, patients were randomly assigned to receive either risperidone 1 to 3 mg/day or olanzapine 5 to 20 mg/day for 8 weeks. Performance on the Continuous Performance Test (CPT), Serial Verbal Learning Test (SVLT), TMT (Trail Making Test) Parts A and B, Wisconsin Card Sorting Test (WCST), and Verbal Fluency Examinations (VFE) was assessed at baseline and at end point. RESULTS: Patients in the risperidone group had improved scores on at least one test of attention, memory, executive function, and verbal fluency, and those in the olanzapine group had improved scores on at least one test of attention and memory function. Scores on the TMT Part B, WCST total errors (executive function domain), and the VFE improved significantly from baseline in the risperidone group but not in the olanzapine group. No significant differences in change scores between the two groups were found. Higher baseline scores on each test predicted more improvement at endpoint. CONCLUSIONS: Low doses of risperidone and olanzapine improve cognitive function in elderly patients with schizophrenia or schizoaffective disorder. Consistent with research in younger populations, these improvements occur in aspects of cognitive functioning related to functional outcome.

Aged↗

Practice effects in three-dimensional sequential rapid aiming in Parkinson's disease.

One hypothesized role of the basal ganglia, based largely on findings in Parkinson's disease (PD) patients, is the control of movement sequences. We examined changes in performance with practice of a movement sequence in PD patients and age-matched controls (n = 8 per group). Subjects practiced a complex three-dimensional sequential aiming task over 2 days, completing 180 trials, with the goal to minimize response time within specified accuracy limits. The results indicated that both groups became faster in planning the movement, and both groups moved more quickly through the sequence with practice. The PD group's decrease in movement time occurred primarily within the first 45 trials, whereas the control group continued to improve through the first 150 trials. Flight time (time between targets) to a small target decreased with practice in both groups, but flight time to a large target decreased only in the control group. This finding indicates that error corrective processes are more amenable to practice than ballistic processes in people with PD. There was little evidence that either group improved their performance by planning shorter (lower) trajectories, but rather increased mean velocity. Contact time (time on target) decreased with practice in both groups, and there were no group differences. These data indicate that practice can improve performance, both in planning and in specific execution processes.

Aged↗

Cortical motor activation in akinetic schizophrenic patients: a pilot functional MRI study.

Akinesia is associated with supplementary motor area (SMA) dysfunction in Parkinson's disease. We looked for a similar association in patients with schizophrenia. Using functional magnetic resonance imaging (fMRI), we compared motor activation in 6 akinetic neuroleptic-treated schizophrenic patients and 6 normal subjects. Schizophrenic patients had a defective activation in the SMA, left primary sensorimotor cortex, bilateral lateral premotor and inferior parietal cortices, whereas the right primary sensorimotor cortex and a mesial frontal area were hyperactive. SMA was hypoactive in akinetic schizophrenic patients, emphasizing the role of this area in motor slowness. Other abnormal signals likely reflect schizophrenia-related abnormal intracortical connections.

Adult↗

Reliance on advance information and movement sequencing in Huntington's disease.

To identify the focus of impairment in the performance of sequential movements in Huntington's disease (HD) patients, the extent of their reliance on external advance information was examined. Twelve patients with HD and their age-matched controls performed a series of button-presses at sequential choice points along a response board. A sequential pathway was designated, and with each successive button press, advance visual information was systematically reduced to various extents in advance of each move. HD patients, like previously studied parkinsonian patients, were particularly disadvantaged with high levels of reduction in advance information, and as a consequence, both their initiation and execution of movements progressively slowed with each successive element in the response sequence. The pattern of results was not affected whether or not patients were taking neuroleptic medication, nor did performance on a variety of cognitive measures correlate with motor performance. Control subjects' performance, on the other hand, remained constant in terms of both initiation and execution with each of the three levels of reduction in advance information. We conclude that HD patients, like parkinsonian patients, who also suffer from a basal ganglia (BG) disorder, require external visual cues to sequence motor programs effectively. Our findings suggest that with HD there may be abnormalities in a central mechanism that controls switching between movement segments within an overall motor plan. The BG, which provide internal cues necessary for component sequencing, may be disrupted, thereby impairing the ability to use such internally generated cues to guide movement.

Adult↗

Item and order recognition memory in subjects with hypoxic brain injury.

Subjects with hypoxic brain injury resulting in significant cell loss in the hippocampus but not the parahippocampal gyrus or temporal lobes and normal control subjects were tested for memory impairments. The Denman Memory Scale was given to all subjects as a baseline memory assessment. All subjects were then tested for item and order recognition memory for lists of six words, pictures, abstract pictures, spatial locations, and motor responses. Results indicated that hypoxic subjects are impaired compared to control subjects on the Denman memory scale for verbal, non-verbal, and full-scale memory quotients. In addition, results indicated that compared to control subjects, hypoxic subjects displayed item and order recognition deficits for words, pictures, abstract pictures, and spatial locations. A recency effect for item recognition of abstract pictures, spatial locations, and hand positions was found. For motor response order recognition, both primacy and recency effects were found, with deficits in performance for the middle items of the list. It appears that subjects with hypoxic brain injury in the face of severe memory deficits for words, pictures, abstract pictures, and spatial locations display residual capacity for remembering the last items for spatial locations, abstract designs, and hand positions. Hypoxic subjects also display residual capacity for remembering motor responses using episodic or data-based memory.

Adult↗

The relation of ERP components to complex memory processing.

The relation between various ERP components generated during encoding of a word and its subsequent recall were investigated using a "rote" serial-order and an "elaborative" category memory task. Words (flashed separately) were time-locked to EEG recordings from 21 cortical sites. ERP components from the five subjects having the highest recall scores were compared to the five lowest scoring subjects. Results based on the P200 peak amplitude data as well as the N400 and late positive component peak amplitude and latency data suggest that anterior and posterior distributional differences are elicited during encoding of words for rote and elaborative memory tasks. Furthermore, strong individual differences in these patterns were found as a function of task. A tentative argument was made that the obtained anterior and posterior differences may index different word feature selection and encoding processes, which are differentially utilized by high and low recallers.

Adult↗

Attentional bias toward low-intensity stimuli: an explanation for the intensity dissociation between reaction time and temporal order judgment?

If two stimuli need different times to be processed, this difference should in principle be reflected both by response times (RT) and by judgments of their temporal order (TOJ). However, several dissociations have been reported between RT and TOJ, e.g., RT is more affected than TOJ when stimulus intensity decreases. One account for these dissociations is to assume differences in the allocation of attention induced by the two tasks. To test this hypothesis, different distributions of attention were induced in the present study between two stimulus positions (above and below fixation). Only bright stimuli appeared in one position and either bright or dim stimuli in the other. In the two RT experiments, participants had to respond to every stimulus appearing in one of the two positions. Reaction times to bright stimuli were faster when they appeared in the position where dim stimuli were likely to occur. This finding suggests that the allocation of attention was adapted to the asymmetrical arrangement of stimuli, not suggested by explicit instruction. In the two TOJ experiments, the temporal order of stimuli appearing in the two positions had to be judged. Although bright stimuli appearing at the bright-and-dim location were judged to be earlier, this effect was small and insignificant. Further, the intensity dissociation between RT and TOJ was insensitive to random vs blockwise presentations of intensities, therefore was not modified by attentional preferences. Thus, asymmetrical arrangement of stimuli has an impact on the allocation of attention, but only in the RT task. Therefore dissociations between TOJ and response times cannot be accounted for by an attentional bias in the TOJ task but probably by different use of temporal information in the two tasks.

Adult↗