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Biomedical subjects

Maryse Lassonde

Publications and source records attributed to Maryse Lassonde.

At least 19 recordsLinked to original sources
PubMed2006

A role for the inferior colliculus in multisensory speech integration.

Multisensory integration can occur at relatively low levels within the central nervous system. Recent evidence suggests that multisensory audio-visual integration for speech may have a subcortical component, as acoustic processing in the human brainstem is influenced by lipreading during speech perception. Here, stimuli depicting the McGurk illusion (a demonstration of auditory-visual integration using speech stimuli) were presented to a 12-year-old child (FX) with a circumscribed unilateral lesion of the right inferior colliculus. When McGurk-type stimuli were presented in the contralesional hemifield, illusory perception reflecting bimodal integration was significantly reduced compared with the ipsilesional hemifield and a group of age-matched controls. These data suggest a functional role for the inferior colliculus in the audio-visual integration of speech stimuli.

Acoustic Stimulation↗
PubMed2006

Intrahemispheric dysfunction in primary motor cortex without corpus callosum: a transcranial magnetic stimulation study.

BACKGROUND: The two human cerebral hemispheres are continuously interacting, through excitatory and inhibitory influences and one critical structure subserving this interhemispheric balance is the corpus callosum. Interhemispheric neurophysiological abnormalities and intrahemispheric behavioral impairments have been reported in individuals lacking the corpus callosum. The aim of this study was to examine intrahemispheric neurophysiological function in primary motor cortex devoid of callosal projections. METHODS: Intracortical excitatory and inhibitory systems were tested in three individuals with complete agenesis of the corpus callosum and sixteen healthy individuals. These systems were assessed using transcranial magnetic stimulation (TMS) protocols: motor threshold at rest, paired-pulse curve, and cortical silent period. RESULTS: TMS revealed no difference between the patient and control groups on the motor threshold measure, as well as intracortical facilitation and intracortical inhibition systems as tested by paired stimulation. However, intrahemispheric inhibitory function was found to be abnormal in participants without callosal projections, as the cortical silent period duration was significantly increased in the patient group. CONCLUSION: These data suggest that in addition to previously reported impaired interhemispheric function, patients lacking the entire corpus callosum also display abnormal intrahemispheric excitability of the primary motor cortex.

Adult↗
PubMed2006

Functional cerebral reorganization for auditory spatial processing and auditory substitution of vision in early blind subjects.

Early blind (EB) individuals can recognize bidimensional shapes using a prosthesis substituting vision with audition (PSVA) and activate right dorsal extrastriate visual cortex during the execution of this task. The present study used repetitive transcranial magnetic stimulation (rTMS) to further examine the functional role of this structure in the successful use of the PSVA. Moreover, we investigated which auditory parameter used in the prosthesis (pitch, intensity, or spatial location) might contribute to this occipital activation. Results revealed that rTMS applied to right dorsal extrastriate cortex in EB subjects interferes with both the PSVA use and the auditory spatial location task but not with pitch and intensity discriminations. By contrast, rTMS targeting the same cortical areas in sighted subjects did not affect performance on any auditory tasks. Early visual deprivation thus leads to functional cerebral cross-modal reorganization in the processing of auditory information and auditory-to-visual sensory substitution. The findings also point to the specific involvement of the dorsal visual stream for auditory spatial processing in blind subjects. Moreover, this suggests that sensory substitution prostheses can be developed using these additional neural resources to perform tasks that partially compensate for the loss of vision.

Adult↗
PubMed2006

Impact of vision on the development of topographical orientation abilities.

The current experiment examined the importance of visual input on the construction of inner spatial representations. Early and late-onset blind and paired control participants performed a tactile spatial orientation task. No significant group differences were observed, indicating that the blind can represent space. More errors, however, were committed by the early blind than by the late blind and sighted individuals in portions of the task that involved mental rotation skills, suggesting a potential facilitating role for vision in the proper development of spatial constructs.

Adult↗
PubMed2006

A positron emission tomography study during auditory localization by late-onset blind individuals.

Individuals deprived of vision early in life often demonstrate exceptional abilities in their remaining sensory modalities in order to compensate for their handicap. Recent studies have shown that some of these abilities also extend to those who have lost their sight later in life. It is not clear, however, what mechanisms underlie these abilities. Here, we examined cortical activation using positron emission tomography in late-onset blind participants during a free-field auditory localization task. Even though no behavioral enhancements were observed in this testing condition relative to sighted controls, the results revealed that the occipital cortex was nonetheless activated during task execution. We conclude that late-onset blind individuals do manifest cerebral reorganization, although its functional relevance to the task is less clear.

Acoustic Stimulation↗
PubMed2006

Electrophysiological markers of voice familiarity.

Our ability to discriminate and recognize human voices is amongst the most important functions of the human auditory system. The current study sought to determine whether electrophysiological markers could be used as objective measures of voice familiarity, by looking at the electrophysiological responses [mismatch negativity (MMN) and P3a] when the infrequent stimulus presented is a familiar voice as opposed to an unfamiliar voice. Results indicate that the MMN elicited by a familiar voice is greater than that elicited by an unfamiliar voice at FCz. The familiar voice also produced a greater P3a wave than that triggered by the unfamiliar voice at Fz. As both the MMN and the P3a were elicited as participants were instructed not to pay attention to incoming stimulation, these findings suggest that voice recognition is a particularly potent preattentive process whose neural representations can be objectively described through electrophysiological assessments.

Acoustic Stimulation↗
PubMed2006

Neuropsychology: traditional and new methods of investigation.

The neuropsychological assessment is an integral part of the clinical investigation of patients suffering from epilepsy. The aim of the evaluation is to determine disease-related and treatment-related effects on cognition and behavior in order to orient therapeutic interventions, by taking into account the compensatory mechanisms that are available to the patient. Examples of the tests best illustrating the classical neuropsychological protocol are presented. Neuropsychology also plays an important role in the assessment of language lateralization in patients slated for epilepsy surgery. Traditionally, this has been achieved by means of the rather invasive Wada procedure. However, with the advent of new neuroimaging techniques, this procedure is gradually being replaced by minimally invasive or noninvasive methods, such as functional magnetic resonance imaging, positron emission tomography, and optical imaging. In the present paper, we discuss some of the newer techniques that are available to the neuropsychologist for the study of the impact of epilepsy on cerebral functioning.

Amobarbital↗
PubMed2006

Nonlesional frontal lobe epilepsy (FLE) of childhood: clinical presentation, response to treatment and comorbidity.

RATIONALE: Few studies have looked at long-term epileptic and cognitive outcome of frontal lobe epilepsy (FLE) in children. Most are limited by inclusion of lesional and nonlesional patients. GOAL: To define the epileptic and functional outcome of children with nonlesional FLE. METHODS: We reviewed medical records and neuropsychological evaluations of patients with nonlesional FLE diagnosed between 1994 and 2004. We included children with either focal or regional frontal EEG and/or functional imaging abnormalities. We reviewed their charts for seizure and neuropsychological outcome. RESULTS: We included 21 children. Twelve (57.1%) presented with daily seizures. Seizures were nocturnal in 8 of 21, secondarily generalized in 6 of 21, adversive in 5 of 21, and focal motor in 6 of 21. Although, initial seizure control was poor in 14 of 21, long-term control was achieved in 10 of 21 after 14.6+/-22.3 months. Early development was normal in 12 of 21 but at later formal neuropsychological evaluation only 3 of 12 still had a normal profile. The majority of children had learning difficulties requiring special education prior to seizure onset (6 of 10). A clearly defined regression after seizure onset was observed in three children. The majority exhibited attention deficit and hyperactivity or impulsivity (14 of 21), behavioral problems (8 of 21), and cognitive impairments (10 of 21). Early seizure control was associated with a better cognitive outcome. CONCLUSION: Nonlesional FLE is associated with poor seizure and behavioral outcomes. Whether this is secondary to MRI-silent developmental lesions or to the progressive repercussion of seizures on frontal lobe functions remains uncertain. A prospective study with early neuropsychological assessment could help confirm the latter.

Age Factors↗
PubMed2006

Neurophysiological anomalies in symptomatic and asymptomatic concussed athletes.

OBJECTIVE: Concussion in sports is a problem of such magnitude that improvements in diagnosis and management are desirable. The aim of the present study was to investigate the effect of concussion on event-related potentials, in symptomatic as well as in asymptomatic athletes. METHODS: Twenty symptomatic and asymptomatic athletes who sustained a concussion were compared with 10 control athletes in a modified auditory Oddball task. The task included a sequence of tones containing standard and deviant stimuli. Participants were asked to respond to the target tone presented in the left ear and to ignore tones presented in the right ear. The electroencephalogram was recorded from 28 electrodes during the task. RESULTS: The results showed a reduction in the amplitude of N1, P2, and P3 components in symptomatic and asymptomatic athletes in comparison with control athletes. No between-group differences were observed in reaction times or in latency of the event-related potentials components, except for P3 latency, in which the controls showed shorter latency than the concussed groups. CONCLUSION: Concussions seem to produce deficits in the early and late stages of auditory information processing, which possibly reflect impaired brain functioning in symptomatic and asymptomatic concussed athletes. The fact that asymptomatic athletes have an electrophysiological profile similar to that of symptomatic athletes challenges the validity of return-to-play guidelines for which the absence of symptoms is a major issue.

Adult↗
PubMed2005

Development of visual-evoked potentials to radially modulated concentric patterns.

The visual processing of radially modulated concentric patterns was studied in human participants, aged 3-22 years, by recording event-related potentials. These stimuli are known to activate the fusiform face area as well as area V4 in normal adults. The electrophysiological data showed a P1 latency that reached a maturation asymptote before 3 years of age, whereas that of N1 and P2 became adultlike by 13 years of age. In addition, the distribution of the P2 component over the scalp was focalized in the primary visual cortex before adolescence and became distributed over the entire brain after adolescence. Radially modulated concentric stimuli thus induce brain activation that is not mature until 13 years of age.

Adolescent↗
PubMed2005

Modulation of motor cortex excitability during action observation in disconnected hemispheres.

The degree of involvement of the right and left hemispheres in the system matching perception and execution of actions remains unclear. Some studies have proposed that action observation involves a bilateral network of brain areas, whereas others have suggested left-hemisphere dominance. We explored hemispheric lateralization associated with action observation using transcranial magnetic stimulation over primary motor cortex devoid of callosal influences. We assessed corticospinal excitability related to observation of finger movements in one split-brain patient and six controls. Results revealed that the left hemisphere of the split-brain patient shows enhanced excitability during action observation, whereas no enhancement was found in the right hemisphere. The controls showed increased excitability in both hemispheres during action observation. Our findings suggest a left-hemisphere dominance for mirror-neuron function in the absence of a corpus callosum.

Adolescent↗
PubMed2005

Idiopathic epileptic syndromes and cognition.

Epilepsy is frequently associated with cognitive impairments which result from various interacting factors. The present paper deals with the contribution of neuropsychology to the characterization of the type of epilepsy and the possible mechanisms underlying idiopathic epileptic syndromes. The non-lesional, so-called idiopathic epilepsies, constitute an interesting model for assessing the relationship between epileptiform EEG discharges and cognition. Among the idiopathic generalized epilepsies, disorders of social integration and personality have been frequently reported in juvenile myoclonic epilepsy (JME). Since similar disturbances are observed in frontal-lobe-lesioned patients, impairments in other frontal lobe functions (e.g. executive functions) might be expected in JME. This gives rise to speculation about the possible underlying pathophysiological mechanisms in JME. With regard to partial idiopathic epilepsies, benign childhood epilepsy with centrotemporal spikes (BCECTS) may provide a useful model for the study of the relationship between epileptiform EEG discharges in the peri-sylvian region and language functions. Furthermore, the description of mild cognitive dysfunctions in BCECTS, and their persistence into adulthood, can provide information about compensatory mechanisms and may allow for the generation of remedial strategies. Thus, 'lesional' neuropsychology has given way to 'dynamic' neuropsychology based on specific postulates. By using the cognitive profile to specify the mechanism underlying the behavioral disturbances observed in different types of epilepsy, neuropsychology may eventually contribute to a revision of the present classification of epileptic syndromes. In addition, the neuropsychological data may help predict the extent and limits of functional recovery and cerebral plasticity.

Cognition Disorders↗
PubMed2005

A functional neuroimaging study of sound localization: visual cortex activity predicts performance in early-blind individuals.

Blind individuals often demonstrate enhanced nonvisual perceptual abilities. However, the neural substrate that underlies this improved performance remains to be fully understood. An earlier behavioral study demonstrated that some early-blind people localize sounds more accurately than sighted controls using monaural cues. In order to investigate the neural basis of these behavioral differences in humans, we carried out functional imaging studies using positron emission tomography and a speaker array that permitted pseudo-free-field presentations within the scanner. During binaural sound localization, a sighted control group showed decreased cerebral blood flow in the occipital lobe, which was not seen in early-blind individuals. During monaural sound localization (one ear plugged), the subgroup of early-blind subjects who were behaviorally superior at sound localization displayed two activation foci in the occipital cortex. This effect was not seen in blind persons who did not have superior monaural sound localization abilities, nor in sighted individuals. The degree of activation of one of these foci was strongly correlated with sound localization accuracy across the entire group of blind subjects. The results show that those blind persons who perform better than sighted persons recruit occipital areas to carry out auditory localization under monaural conditions. We therefore conclude that computations carried out in the occipital cortex specifically underlie the enhanced capacity to use monaural cues. Our findings shed light not only on intermodal compensatory mechanisms, but also on individual differences in these mechanisms and on inhibitory patterns that differ between sighted individuals and those deprived of vision early in life.

Auditory Perception↗
PubMed2005

Role of primary visual cortex in the binocular integration of plaid motion perception.

This study assessed the early mechanisms underlying perception of plaid motion. Thus, two superimposed gratings drifting in a rightward direction composed plaid stimuli whose global motion direction was perceived as the vector sum of the two components. The first experiment was aimed at comparing the perception of plaid motion when both components were presented to both eyes (dioptic) or separately to each eye (dichoptic). When components of the patterns had identical spatial frequencies, coherent motion was correctly perceived under dioptic and dichoptic viewing condition. However, the perceived direction deviated from the predicted direction when spatial frequency differences were introduced between components in both conditions. The results suggest that motion integration follows similar rules for dioptic and dichoptic plaids even though performance under dichoptic viewing did not reach dioptic levels. In the second experiment, the role of early cortical areas in the processing of both plaids was examined. As convergence of monocular inputs is needed for dichoptic perception, we tested the hypothesis that primary visual cortex (V1) is required for dichoptic plaid processing by delivering repetitive transcranial magnetic stimulation to this area. Ten minutes of magnetic stimulation disrupted subsequent dichoptic perception for approximately 15 min, whereas no significant changes were observed for dioptic plaid perception. Taken together, these findings suggest that V1 is not crucial for the processing of dioptic plaids but it is necessary for the binocular integration underlying dichoptic plaid motion perception.

Adult↗
PubMed2005

Sensory and motor interhemispheric integration after section of different portions of the anterior corpus callosum in nonepileptic patients.

OBJECTIVE: We evaluated somatosensory and motor interhemispheric integration in four patients who underwent transection of different portions of the anterior corpus callosum (CC) for removal of an intraventricular cyst. The study goal was to relate their performances to the topographical organization of the CC. METHODS: Experimental tasks included bimanual coordination, tactile cross-localization, and intermanual and interfield comparisons of somesthetic information. Response accuracy and response times were measured. In addition, interhemispheric transmission times were obtained in the somesthetic modality. RESULTS: Section of the middle portion of the genu caused a deficit in motor coordination, which was absent in patients with more posteriorly located lesions, whereas section of more rostral portions of the genu seemed to interfere with motor planning. The most posterior section in our sample, including the anterior portion of the body of the corpus, abolished interhemispheric transfer of simple somesthetic information (perception of touch) but not tactile discrimination (intermanual comparisons of shapes). We speculate that more complex somesthetic information is transferred through the caudal region of the body of the CC, which was spared in all patients. Thus, it seems that section of different portions of the anterior CC (genu and anterior body) produces specific deficits in interhemispheric integration in the motor and somesthetic modalities. These deficits are consistent with the anteroposterior topography of anterior callosal fibers. CONCLUSION: The specific disconnections deficits observed in this study may provide the surgeon with information regarding the consequences of anterior callosotomy and allow for remedial measures to be implemented if required.

Adult↗
PubMed2004

EEG coherence in early-blind humans during sound localization.

Human blind individuals have demonstrated cross-modal plasticity in research over the past decade. In one such study, we showed that early-blind subjects were able to localize sound sources accurately despite the lack of visual input for the calibration of their auditory space. A further ERP study with these subjects also revealed N1 and P3 components during a sound localization task to be more posteriorly distributed than for sighted controls, indicating an involvement of posterior regions in sound localization for blind subjects not present for sighted subjects. In the current study, we analyzed these data for EEG power and coherence in theta, alpha, beta, and gamma frequency bands to see whether blind individuals would show increased coherence reflecting increased connectivity between the central and posterior cortical regions. Blind and sighted subjects did not differ with respect to overall EEG power in any frequency range. However, EEG coherence was significantly increased in blind subjects compared to sighted in the theta, alpha, and beta frequency bands. These results have implications for cortical plasticity affected by sensory deprivation in humans.

Acoustic Stimulation↗
PubMed2004

Early- and late-onset blind individuals show supra-normal auditory abilities in far-space.

Blind individuals manifest remarkable abilities in navigating through space despite their lack of vision. They have previously been shown to perform normally or even supra-normally in tasks involving spatial hearing in near space, a region that, however, can be calibrated with sensory-motor feedback. Here we show that blind individuals not only properly map auditory space beyond their peri-personal environment but also demonstrate supra-normal performance when subtle acoustic cues for target location and distance must be used to carry out the task. Moreover, it is generally postulated that such abilities rest in part on cross-modal cortical reorganizations, particularly in the immature brain, where important synaptogenesis is still possible. Nonetheless, we show for the first time that even late-onset blind subjects develop above-normal spatial abilities, suggesting that significant compensation can occur in the adult.

Acoustic Stimulation↗