PubMed Health⌕ Search

Biomedical subjects

N Donauer

Publications and source records attributed to N Donauer.

4 recordsLinked to original sources

Speech activation SPECT and plasticity of language networks.

Neuronal activity might be measured by regional cerebral blood flow (rCBF) Single Photon Emission Computed Tomography (SPECT) as there is a close relationship between neuronal activity and rCBF changes. In order to study the hemispheric dominance for language and the plasticity of language networks by measuring the rCBF rest and language activation SPECT studies were performed in the presurgical evaluation of ten right-handed and two left handed patients with brain lesions of the dominant hemisphere. A special group of hemisphere-specific neuropsychologic tasks were used for activation, after a proper psychologic conditioning. The rCBF results were calculated by comparing the rest and activation SPECT data using a special regions of interest program and asymmetry index (AI). We compared the results of speech-activation to the results of clinical, morphological (MRI), and postoperative data. In controls, significant activation was found in Brodmann's area 44 and 45, contralateral cerebellum, superior middle and posterior temporal gyrus. In patients, additional regions of activation were seen in contralateral frontal and temporal regions, and in ipsilateral temporal region. AIs of the cerebellum demonstrated a negative correlation with hemispheric dominance for language. In conclusion, significant changes in rCBF in or adjacent to the eloquent areas with various patterns of rCBF changes of the additional regions demonstrate the close relationship between neuronal activity and cerebral blood flow, that can be measured by SPECT.

Adolescent↗

[Speech activation SPECT measurements in the determination of hemispheric dominance].

Cognitive activity leads to an increased regional cerebral blood flow (rCBF) and energy metabolism in both cerebral hemispheres. In order to assess the reliability of rCBF-SPECT measurements in hemispheric dominance (Broca's area) speech activation SPECT studies were performed in nine patients. Patients (men, n = 6; women, n = 3, mean age: 33.8 +/- 13.8 years) with diagnosis of epilepsy (n = 7) and AVM (n = 2) participated in the preoperative study. Two SPECT studies were performed in each case, one in rest, and one during speech activation. 740 MBq of 99mTc-HMPAO/ECD was injected and stereo TCD monitoring was performed during the three minutes of speech activation. The acquisition was performed by a dual-head ADAC Solus Epic Atlas SPECT camera (ADAC Laboratories, Milpitas, USA). RCBF SPECT measurements were analyzed visually and by a special region-of-interest (ROI) program. The hemispheric dominance profiles were established on the basis of the respective blood flow velocity values obtained by fTCD and cortical hyperperfusion measured by SPECT. The neuropsychological test battery, used in the present study, was developed in our institute. The results of rCBF-SPECT studies highly correlated with the lateralization of hemispheric dominance measured by fTCD. There was a significant increase of rCBF in the inferior posterior frontal cortex (Broca's area, p < 0.0003). The non-invasive speech activation rCBF-SPECT measurement is a highly reliable and useful method in the determination of hemispheric dominance. SPECT studies are especially useful in cases where the performance of fTCD measurements are impossible due to the lack of temporal bone window or occlusive cerebral arterial disease.

Dominance, Cerebral↗

Stimulus selection during auditory spatial attention as expressed by event-related potentials.

Selective listening to stimuli with certain physical features, such as pitch or location, is reflected by an event-related brain-potential (ERP) component called the processing negativity (PN). PN may reflect a matching or comparison process between the sensory inflow and the hypothesized 'attentional trace'. The latter is an actively formed and maintained neuronal representation of the physical features defining the relevant stimulus. According to this matching theory of selective attention, the better the sensory input corresponds to the attentional trace the longer the stimulus is processes (as reflected by a larger and longer PN). This theory is supported by the experiment in which the relevant and irrelevant stimuli were separated from one another in pitch. It was found that even the irrelevant stimuli elicited PN, and further that this PN was larger the smaller the pitch separation between the eliciting stimuli and the relevant stimuli. The largest PN was elicited by the relevant stimuli. The present study finds analogous results when the relevant and irrelevant stimuli are separated in spatial origin rather than in pitch.

Adult↗

Saccade-related brain potentials in semantic categorization tasks.

Saccade-related brain potentials (SRPs) were recorded in word categorization tasks in which subjects had to perform a saccade in order to perceive the stimulus. For all three conditions representing different degrees of complexity of semantic categorization, the stimuli belonged to one of two categories which appeared with the respective probabilities of either 0.20 or 0.80. The late positivity (P4) of the SRPs to infrequent stimuli appeared systematically later as the complexity of stimulus evaluation increased: The easiest categorization was accompanied by a P4 at 400 msec, in the more complex condition it peaked at 600 msec, and in the most difficult semantic categorization the P4 peaked even later, at 680 msec. This shift in peak latency with increasing complexity of categorization is in agreement with the results for traditional ERPs (e.g. Kutas and Donchin, 1978). The possible overlap of the late components was investigated by applying Principal Component-Varimax Analysis to the SRPs.

Adult↗