Biomedical subjects

M Lassonde

Publications and source records attributed to M Lassonde.

At least 19 recordsLinked to original sources

PubMed1996

Atypical hemispheric specialization in intellectual deficiency.

In order to determine the relation between hemispheric specialization for language and intellectual deficiency, two groups of lower-IQ subjects were compared to normal-IQ controls on word-dichotic listening tasks. Two conditions in which stimuli differed by their level of phonological complexity were used. Normal controls showed the expected right-ear advantage in both conditions. Moreover, they showed a greater magnitude of ear difference on the condition requiring higher-order phonological processing. In the mentally deficient group, almost half the subjects exhibited a left-ear advantage and they showed no difference between the two conditions in terms of the magnitude of ear difference. These results point to the presence of atypical hemispheric specialization in mentally deficient subjects.

Adolescent↗

PubMed1995

Extent and limits of callosal plasticity: presence of disconnection symptoms in callosal agenesis.

Although earlier studies have emphasized the absence of 'split-brain' symptoms in callosal agenesis patients, the notion of an 'asymptomatic' acallosal brain has lately been challenged. We report a number of findings that are indicative of an interruption of interhemispheric communication and integration in individuals lacking the corpus callosum. Several groups of patients with callosal pathology (acallosals, patients with commissurotomy or callosotomy, either complete or partial) were compared to matched controls. Interhemispheric transfer was tested in two different experiments involving pointing to a light source while maintaining central fixation. In the first experiment, a learning paradigm was used to measure transfer of a motor skill from the trained to the untrained hand. In the second experiment, subjects pointed to visual targets at different locations on a perimeter. Midline fusion, a recurrent theme when describing callosal function, was assessed using tasks which included depth perception with binocular and/or monocular cues, two-point discrimination thresholds and sound localization in the peri-central and lateral fields. Subjects with callosal pathology were impaired on all tasks involving transfer of motor and visuo-spatial skills and on some of the tasks requiring sensory integration of visual and tactile information across the body midline. We conclude that these functions require an intact corpus callosum since none of these deficits were seen in controls equated for IQ.

Adolescent↗

PubMed1994

Cognitive and sensori-motor functioning in the absence of the corpus callosum: neuropsychological studies in callosal agenesis and callosotomized patients.

The aim of the present study was to investigate the role of the corpus callosum in cognitive and sensori-motor functioning as measured by a neuropsychological test battery. After a brief review and analysis of the literature, we report our own studies in acallosal subjects (n = 9) and callosotomized patients (n = 25). The main instrument of evaluation was the Michigan Neuropsychological Test Battery. This battery was supplemented by age-appropriate intelligence tests. The performance of the acallosal group was compared to that of two matched control groups: one group consisting of children and adolescents that attended the same school as the acallosals and a second group of subjects recruited from regular schools. The callosotomized patients, tested pre- and post-operatively, served as their own controls. Taken together, the results of the reviewed and personal studies suggest that absence of the corpus callosum does not necessarily impede cognitive functioning. However, samples drawn from clinical populations tend to show a larger variability as to their mental abilities. In keeping with previous findings, our results indicate that the corpus callosum does play a role in bimanual motor coordination although other pathways (probably ipsilateral and/or subcortical) may provide adequate compensation in many cases. The data further suggest that the corpus callosum may be important for interhemispheric transfer of tactuo-motor learning when a spatial component is involved. Finally, our results are consistent with a facilitatory role of the corpus callosum in cognitive and sensori-motor functioning which allows for interhemispheric compensation as part of cerebral reorganization in the case of unilateral brain damage.

Adolescent↗

PubMed1994

Sound localization in hemispherectomized patients.

In order to precisely evaluate the consequences of cortical damage on free-field sound localization in humans, the present study examined response accuracy to auditory targets in three hemispherectomized patients and IQ-matched controls. Listeners reported sound location by pointing with their dominant hand to the apparent sound location in an anechoic chamber. Two conditions were tested: (i) localization of a fixed-sound source and (ii) localization of the beginning and the end of a simulated moving stimulus. In both conditions, the responses of the patients were less accurate than those of the controls in the hemifield contralateral to their removed hemisphere. Moreover, the single-case analyses revealed that the performances obtained with fixed sources were generally more precise than those obtained with moving sources. This result is discussed in terms of a differential involvement of cortical and subcortical pathways in the processing of stationary and moving sounds. Finally, the age at surgery and the post-surgical interval were related with the magnitude of the deficits, suggesting the possible influences of functional reorganization and cerebral plasticity.

Adolescent↗

PubMed1994

Control of proximal and distal components of prehension in callosal agenesis.

Classic work with split-brain monkeys suggests that the reaching limb can be controlled by either cerebral hemisphere, but that finger control is largely crossed (Haaxma and Kuypers, 1974). Accordingly, one might predict that acallosal subjects should have little difficulty grasping objects presented in the visual field ipsilateral to the hand used, but should have great difficulty forming their grasp when reaching into crossed space. In the present study, we carried out a kinematic analysis of reaching and grasping movements executed by four acallosal subjects and four matched control subjects. Subjects maintained central fixation while reaching with either hand for objects placed in left, central and right space. Relative to controls, acallosal subjects took longer to complete reaches directed across the body midline, and spent more time decelerating. Moreover, unlike controls, their grip formation appeared to be impaired in all regions of space, although this deficit was most pronounced during reaches into crossed space. These results suggest that congenital absence of the corpus callosum is associated with deficits in the control of both the proximal and distal musculature.

Adolescent↗

PubMed1993

Somesthetic discrimination thresholds in the absence of the corpus callosum.

The aim of this study was to investigate how the absence of the corpus callosum affects somesthetic sensation on the axial midline and in proximal and distal body regions. For this purpose, two-point discrimination ability was evaluated in four acallosal subjects, four callosotomized subjects, six IQ-matched subjects and 10 control subjects with average and above average IQ. Sensory thresholds were established in the distal (index, palm), proximal (forearm), cranio-axial (forehead) and axial (dorsal trunk) body regions. The threshold was defined as the smallest separation at which the two points were perceived at a 70% accuracy level. Results showed that the thresholds of the acallosal and the callosotomized subjects were not significantly different from those of the IQ-matched control groups in the distal, proximal and cranio-axial body regions. However, thresholds in the dorsal trunk were significantly higher in the two experimental groups. It thus appears that the axial regions of the body that are normally densely represented in the corpus callosum function abnormally when this structure is absent or transected. Moreover, compensatory mechanisms normally seen in cases of early brain injury do not seem to apply in the present case since the acallosals showed the same impairments as the callosotomized subjects.

Adult↗

PubMed1993

Sound localization in acallosal human listeners.

In order to evaluate the callosal and hemispheric involvement in sound localization, the present study examined response accuracy to auditory targets in acallosal subjects. The primary interest was to determine whether the congenital absence of the corpus callosum affects auditory localization, especially for sounds situated near the midline of auditory space or moving across it. A corollary objective was to examine the possible existence of an hemispheric asymmetry on audio-spatial localization tasks. Four subjects with callosal agenesis paired to four age and IQ-matched controls and 16 normal control subjects were asked to locate broad band noise bursts at fixed intensity (52 dB sound pressure level) in the horizontal plane in an anechoic chamber. Broad band noise bursts were delivered randomly through 16 loudspeakers, which were mounted at approximately 10 degrees intervals on a perimeter frame. Two conditions were tested: (i) localization of a fixed-sound source; (ii) localization of the beginning and the end of a simulated moving stimulus. Two response modes were used. Listeners reported the apparent stimulus location either (i) by pointing with the ipsilateral index finger or (ii) by calling out the estimated angles indicated on the calibrated sound perimeter. Aiming accuracy was assessed by calculating the mean deviation of the response from the objective target position. The results indicated that the responses of the acallosal subjects were less accurate than those of the controls. The deficit was observed not only at the midline but throughout the auditory field. This points to possible compensatory mechanisms following the early absence of the corpus callosum which are, however, limited. The results obtained with manual pointing were generally more precise than those obtained through oral responses. This difference suggests that the remapping of spatial positions onto a verbally based coordinate system involves a supplementary cognitive step which affects the precision of the response. Comparing the performance to stimulus presentation in the left and right fields indicated that no hemispheric asymmetry was apparent under any of the conditions for either the acallosal subjects or the IQ-matched and normal control subjects.

Adolescent↗

PubMed1993

Decreased interhemispheric EEG coherence during sleep in agenesis of the corpus callosum.

Inter- and intrahemispheric EEG coherence was studied in 4 subjects with agenesis of the corpus callosum (ACC) and in 4 matched controls through different states of the sleep/wakefulness cycle. Interhemispheric coherence was calculated between homologous prefrontal, frontal, central, parietal and occipital electrode pairs whereas intrahemispheric coherence was calculated between all adjacent, unihemispheric electrode pairs. EEG samples were recorded from stage 2, stages 3 + 4 and stage REM sleep and the eyes closed waking state. Interhemispheric coherence measures indicated lower values for ACC subjects than for control subjects for most brain regions; the occipital cortex was least affected. These results further validate the interhemispheric coherence function as a measure of activity in the corpus callosum and suggest that occipital measures may index activity localized in the posterior commissure. Intrahemispheric coherence measures indicated very few differences between the two groups, a result consistent with the suggestion that there is no specialized intrahemispheric compensation in ACC.

Adolescent↗

PubMed1993

Paradoxical improvement of residual vision following corpus callosotomy in brain damaged cats.

The nature of residual vision in cats having undergone serial lesions of various visual structures was investigated behaviorally. Following the section of the left optic tract, learning performance on brightness and pattern discrimination was normal; the additional lesion of all the known visual cortical areas of the right hemisphere greatly impaired retention and learning of pattern discriminations. When a corpus callosotomy was further performed, a paradoxical improvement in both the retention and learning of a pattern discrimination was observed. This hemispheric disconnexion, by interrupting the abnormal influences exerted by the lesioned side on the intact deafferented hemisphere, improved visual functions mediated by the latter.

Animals↗

PubMed1992

Influence of anatomical factors and spatial compatibility on the stimulus-response relationship in the absence of the corpus callosum.

Simple and choice reaction times (RTs) to lateralized flashes of light were measured in two acallosal subjects, a callosotomized patient with sparing of the splenium, six IQ-matched controls and six controls with above average IQ. The aim of the study was to investigate the influence of stimulus-response factors on visuomotor integration in the absence of the corpus callosum. The results showed that simple-RTs are faster for all groups when sensory input and motor output are coordinated in the same hemisphere, regardless of the spatial relationship between stimulus (S) and response (R). The difference between ipsilateral and contralateral RTs, taken as a measure of interhemispheric transmission time (ITT), was more than three times longer in the patients lacking the corpus callosum than in the controls. In the choice-RT paradigm, the main determinant of the response speed was S-R spatial compatibility rather than the anatomical relationship between the neural structures receiving the visual input and those controlling the motor output. Spatially compatible S-R pairings were always faster than incompatible pairings. The compatibility effect was present in all subjects but it was significantly larger in the callosum-deprived patients and their IQ-matched controls with respect to the high-IQ controls. The latter finding suggests that cognitive factors may be involved in the production of the spatial compatibility effect.

Adult↗

PubMed1991

Absence of disconnexion syndrome in callosal agenesis and early callosotomy: brain reorganization or lack of structural specificity during ontogeny?

Four acallosal subjects, one child, aged 5, and three adults, as well as five epileptic patients who underwent callosotomy between the ages of 6-21 years, were tested on a variety of intra- and intermanual tasks in a study aimed at elucidating the developmental aspects of callosal plasticity. The performance of the clinical sample was compared to that of 48 normal children, aged 5-12 years, an age span generally considered to coincide with the final stages of callosal maturation. As previously reported, interhemispheric integration improved with increasing age in the normal sample. The two patients having undergone callosotomy in childhood performed as well as their normal peers, whereas the three others who had the operation in late adolescence or adulthood showed the typical disconnexion deficits reported in the literature. The acallosal subjects, including the youngest one, outperformed all groups. We speculate that the remarkable plasticity seen in the acallosals and the young callosotomized patients may be related to a critical period in development coinciding with a phase of synaptic overproduction and redundancy that would favor the reinforcement of alternative neural pathways. The compensatory mechanisms appear to become more limited in late adolescence when synaptic distribution presumably assumes adult patterns.

Adolescent↗

PubMed1991

Auditory lateralization for speech in language-impaired children.

The ability of five language-impaired (LI) children and five matched controls, aged 7-10 years, to discriminate natural pairs of consonant-vowel syllables contrasted on place of articulation and voicing, presented to the right or left ear with white noise in the contralateral ear, was investigated. The general pattern of errors indicated that LI children had more difficulty than controls in discriminating place of articulation contrasts only when they were presented to the left ear, as well as a difficulty in discriminating voice contrasts selective to the right ear. The results are discussed in terms of acoustic integration and suggest that bihemispheric dysfunction is a basis for specific language impairment.

Aphasia↗

PubMed1991

Target detection and movement discrimination in the blind field of hemispherectomized patients.

Four hemispherectomized patients were tested with a variety of tasks designed to investigate the extent of residual vision in the blind field. The first set of studies was aimed at evaluating the ability of these subjects to detect and localize at various eccentricities three types of targets which differed in their spatiotemporal properties (stationary, flashing and moving). The subjects could detect effectively the presence of any of these stimuli in their blind field and they experienced little difficulty in discerning blank from target trials. When manual pointing was used to measure localization quality, the hemianopes made more errors in their blind field but their accuracy, when detection was correct, was comparable with that observed in their intact visual field and in that of the control subjects. In the second set of experiments, the capacity of 3 of the subjects to detect in their blind field a moving grating, as well as to discriminate between relative grating velocities and directions in their blind field and in both fields simultaneously, was assessed. Two subjects could detect the movement in their blind field, although this was in part affected by stimulus velocity. When discrimination of relative velocities in the blind field and in both fields simultaneously was evaluated, individual differences were observed. However, all subjects showed some capacity to carry out the task. Finally, none of the experimental subjects was able to discriminate the relative directions of the moving gratings. The results are discussed in terms of collicular involvement to account for the residual vision observed in the blind field of hemispherectomized subjects.

Brain↗

PubMed1991

Psychological stress and psoriasis: experimental and prospective correlational studies.

Using a dismantled time-series design, 18 subjects with psoriasis symptoms on the scalp were randomly assigned to four groups and six dropped out: meditation (N = 5); meditation and imagery (N = 4); waiting list (N = 5); and no treatment control group (N = 4). Treatment lasted 12 weeks, with 4 weeks pre- and post-baseline periods. An assessment control group was also used during baseline periods (N = 4). The severity of psoriasis symptoms was reliably rated by dermatologists. A time-series multivariate regression analysis controlling for extraneous factors influencing psoriasis symptoms, revealed a significant difference between the mean psoriasis ratings of treatment and control groups after treatment (partial r = 0.30, p less than 0.01). No additional impact was associated with the use of the imagery technique (partial r = 0.06, p less than 0.05). Four subjects in the treatment groups, two in each condition, succeeded in clinically improving their psoriasis symptoms and none deteriorated. The practice of meditation may be clinically effective for some patients in reducing their psoriasis symptoms. For one of the control groups, the relation between psychological stress and psoriasis was examined prospectively over a period of 20 weeks using standardized measures. A time-series multivariate statistical method indicated an average positive correlation between the severity of psoriasis symptoms and psychological distress (partial r = 0.31, p less than 0.01) and the impact of adverse life events (partial r = 0.23, p less than 0.05); there were, however, important individual differences. Stress reduction techniques can thus be regarded as part of the treatment offered to some patients suffering from psoriasis.

Adult↗

PubMed1990

The corpus callosum and cerebral speech lateralization.

In order to specify the callosal involvement in the establishment of cerebral lateralization, a dichotic listening task was administered to six subjects with congenital absence of the corpus callosum, two callosotomized patients, and two hemispherectomized patients. The acallosal subjects were also compared to six subjects matched for age, sex, and hand dominance as well as to six subjects also matched for IQ. Our findings indicate that language functions, as assessed by dichotic listening performance, are more strongly lateralized in callosal agenesis subjects than in IQ-matched normal controls. Our results also reveal that hemispherectomized patients typically show a strong ear-advantage favoring the ear contralateral to their remaining hemisphere. Callosotomized patients, on the other hand, show a more variable pattern of results that seems to be related to the postsurgical time interval. Finally, our findings suggest that there might be a relationship between IQ and lateralization in subjects with borderline or mild deficiency.

Adolescent↗

PubMed1990

[Plasticity of the callosal system].

A series of experiments examined the potential plasticity of the callosal system in both epileptic patients and in kittens submitted to corpus callosotomy at various ages. The patients were tested for unilateral discrimination and interhemispheric transfer of tactile information. The youngest patient was also required to perform additional inter- and intrahemispheric comparisons of visual and tactile stimuli. The animals were tested for interhemispheric transfer of visual discriminations. The results suggest that in both animals and humans there exists a critical period before which callosal section does not disrupt interhemispheric communication. The results also indicate that the compensatory mechanisms used to achieve interhemispheric transfer in the absence of the corpus callosum may vary according to the sensory modality involved. The possible physiological and/or functional mechanisms responsible for callosal plasticity are discussed.

Adolescent↗

PubMed1988

Extent and limits of cerebral adjustment to early section or congenital absence of the corpus callosum.

The ability to effect inter- and intrahemispheric comparisons of visual and tactile stimuli was studied in 4 callosotomized patients and 6 callosal agenesis subjects using response accuracy and response times to determine the extent of cerebral adjustment to functional or congenital absence of the corpus callosum. The visual tasks involved within- and between-fields presentation of pairs of colours and shapes. The tactile tasks required uni- and bimanual comparisons of 3 categories of stimuli (size, shape and texture) of increasing difficulty. Older callosotomized children showed disconnection deficits similar to those reported in adult split-brain patients, whereas both acallosal subjects and our youngest patient with complete callosal transection demonstrated a high level of accuracy in the interhemispheric tasks. However, all patients required considerably more time to accomplish the cross-integration of relatively complex visual and tactile information which seems to be one of the major limitations of the compensatory mechanisms. The results also indicate that the quality of transfer differs between the acallosal and early-callosotomized patients in relation to the sensory modality studied. Thus, visual cross-matching was found to be superior to bimanual matching for the callosotomized group, whereas intermanual comparisons proved to be more efficient than visual integration in the acallosals. These divergent findings suggest not only that different compensatory mechanisms may be operating in visual and tactile transfer, but also that the same mechanisms may be utilized differently by the two populations deprived of the use of callosal connections.

Adolescent↗

PubMed1987

The relationship between callosal variation and lateralization in mice is genotype-dependent.

The relation between morphological variation of the corpus callosum and variation in the degree of paw preference was investigated in 129/J and BALB/cCF mice. A positive relationship explaining 24% of the variance of paw preference was found in 129/J mice; no such relationship exists in BALB/cCF mice. It is suggested that, since the genetic dissimilarity between these two inbred strains is comparable in magnitude with the genetic dissimilarity between unrelated human subjects, genetic variation may have been an uncontrolled source of heterogeneity in previous human neuropsychological studies.

Animals↗