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Ron Kupers

Publications and source records attributed to Ron Kupers.

12 recordsLinked to original sources
PubMed2006

Transcranial magnetic stimulation of the visual cortex induces somatotopically organized qualia in blind subjects.

After loss of a particular sensory channel, the deprived cortex can be activated by inputs from other sensory modalities. It is not known whether activation of the rewired cortex evokes subjective experiences characteristic of that cortex or consistent with the rerouted sensory information. In a previous study, blind subjects were trained to perform visual tasks with a tongue display unit, a sensory substitution device that translates visual displays into electrotactile tongue stimulation. This cross-modal sensory stimulation activated their visual cortices. We now extend this finding by using transcranial magnetic stimulation to examine the perceptual correlates of training-induced plastic responses. We find that blind subjects proficient with the use of the tongue display unit report somatopically organized tactile sensations that are referred to the tongue when transcranial magnetic stimulation is applied over the occipital cortex. No such sensations were evoked in trained, blindfolded, seeing control subjects who performed the sensory substitution task equally well. These data show that the perceptual correlate of activity in a given cortical area reflects the characteristics of its novel sensory input source.

Adult↗
PubMed2006

Brain imaging of clinical pain states: a critical review and strategies for future studies.

Research into brain imaging of pain is largely dominated by experimental acute-pain studies. Applied study paradigms have evolved a lot over past years and the ensuing results have furthered enormously our understanding of acute-pain processing. In sharp contrast, published work on brain-imaging in chronic pain remains scant. Furthermore, the results of these studies are highly incongruent, which could be explained by the fact that patient populations studied varied largely in terms of pain history, pain distribution, cause of pain, and psychological set-up. To circumvent these problems, several investigators have used surrogate models of neuropathic pain, but the validity of these models is highly questionable. In this Review we critically discuss the problems and shortcomings of most published reports on chronic pain and we propose some strategies for future studies. We argue that the post-operative pain model is highly appealing since it opens perspectives for prospective longitudinal studies with repeated assessments and it enables control for many confounding factors, which hamper the interpretation of most current studies. We also plead for a multimodal imaging approach in which classic brain-activation studies are supplemented with genetic, neurochemistry, brain morphometry, and transcranial magnetic stimulation studies.

Biomedical Research↗
PubMed2005

Orbitofrontal cortex involvement in chronic analgesic-overuse headache evolving from episodic migraine.

The way in which medication overuse transforms episodic migraine into chronic daily headache is unknown. To search for candidate brain areas involved in this process, we measured glucose metabolism with 18-FDG PET in 16 chronic migraineurs with analgesic overuse before and 3 weeks after medication withdrawal and compared the data with those of a control population (n = 68). Before withdrawal, the bilateral thalamus, orbitofrontal cortex (OFC), anterior cingulate gyrus, insula/ventral striatum and right inferior parietal lobule were hypometabolic, while the cerebellar vermis was hypermetabolic. All dysmetabolic areas recovered to almost normal glucose uptake after withdrawal of analgesics, except the OFC where a further metabolic decrease was found. A subanalysis showed that most of the orbitofrontal hypometabolism was due to eight patients overusing combination analgesics and/or an ergotamine-caffeine preparation. Medication overuse headache is thus associated with reversible metabolic changes in pain processing structures like other chronic pain disorders, but also with persistent orbitofrontal hypofunction. The latter is known to occur in drug dependence and could predispose subgroups of migraineurs to recurrent analgesic overuse.

Adult↗
PubMed2005

Pattern-motion selectivity in the human pulvinar.

On the basis of anatomical and physiological data obtained on animal models, we recently proposed that neurons in the main visual extrageniculate nuclei complex, the pulvinar, are actively involved in higher-order visual processing. Pulvinar neurons have been shown to integrate the component signals of a plaid pattern into a coherent global percept (pattern-motion selectivity). Using positron emission tomography (PET), we have investigated the possibility that the human pulvinar is also involved in plaid-defined higher-order motion integration. Plaid patterns were presented to normal observers in two conditions (coherent vs. transparent) created by varying the relative spatial frequency of the two gratings comprising the plaid. Regions of interest analysis revealed a significant activation of the pulvinar in the coherent condition supporting the notion that the human pulvinar nucleus is involved in higher-order motion processing. Plaid pattern activation was also observed in the medial temporal gyrus (area MT/V5), a motion area with strong anatomical connections to the pulvinar. These data provide the first direct evidence that the human pulvinar is involved in complex motion integration, as previously shown in animal models, and further support the existence of cortico-thalamo-cortical computational networks involved in higher-order visual processing.

Adult↗
PubMed2005

Cross-modal plasticity revealed by electrotactile stimulation of the tongue in the congenitally blind.

In sensory substitution, information acquired with one sensory modality is used to accomplish a task which is normally subserved primarily by another sensory modality. We used PET to study cross-modal plasticity in the congenitally blind, using electrotactile stimulation of the tongue. Blind (n = 6) and sighted blindfolded controls (n = 5) were scanned before and after they were trained to use their tongue in a Snellen orientation detection task. Results showed that both groups of subjects learned the discrimination orientation task after seven 1 h training sessions. Before training, no significant changes in regional cerebral blood flow (rCBF) were observed in the occipital cortex in either group. In sharp contrast, activity in the occipital cortex increased after practice for the blind, but not for the sighted, providing evidence for training-induced plasticity in the blind. An inter-regional correlation analysis showed that task-related rCBF changes in left posterior parietal cortex were positively correlated with rCBF changes in the occipital area of the trained blind. These data reveal that cross-modal plasticity in the blind develops rapidly and that the occipital cortex is part of a functional neural network for tactile discrimination in conjunction with the posterior parietal cortex. Our data further show that the tongue can act as a portal to convey somatosensory information to visual cortex.

Adult↗
PubMed2005

The cognitive modulation of pain: hypnosis- and placebo-induced analgesia.

Nowadays, there is compelling evidence that there is a poor relationship between the incoming sensory input and the resulting pain sensation. Signals coming from the peripheral nervous system undergo a complex modulation by cognitive, affective, and motivational processes when they enter the central nervous system. Placebo- and hypnosis-induced analgesia form two extreme examples of how cognitive processes may influence the pain sensation. With the advent of modern brain imaging techniques, researchers have started to disentangle the brain mechanisms involved in these forms of cognitive modulation of pain. These studies have shown that the prefrontal and anterior cingulate cortices form important structures in a descending pathway that modulates incoming sensory input, likely via activation of the endogenous pain modulatory structures in the midbrain periaqueductal gray. Although little is known about the receptor systems involved in hypnosis-induced analgesia, studies of the placebo response suggest that the opiodergic and dopaminergic systems play an important role in the mediation of the placebo response.

Analgesia↗
PubMed2005

Cross-modal plasticity in early blindness.

The brain shows a remarkable capacity to reorganize itself following early sensory deprivation or neonatal brain damage. Using two models of deprivation, we will show that the brain does indeed adjust to the loss of either the visual cortex (which receives most of the retinal inputs through the lateral geniculate bodies of the thalamus) or the eyes (which provide the major input to the visual cortex) through cross-modal plastic processes. Hamsters, deprived of their visual system at birth, develop novel and permanent retinal projections to the auditory thalamus. These projections form functional synapses and project to the auditory cortex. When trained on a visual discrimination task, the "rewired" hamsters perform as well as normal hamsters. Lesions of the auditory cortex produce cortical blindness. Congenitally blind human subjects, trained to discriminate the orientation of a stimulus applied to the tongue via an electrotactile device, show activation of their visual cortex, whereas trained blindfolded controls show only activation of the somatosensory cortex representing the tongue. We propose that in blind subjects, there is an unmasking of existing cortico-cortical (parieto-occipital) connections, enabling transfer of somatosensory information to visual cortex.

Blindness↗
PubMed2003

Emotional valence modulates activity in the posterior fusiform gyrus and inferior medial prefrontal cortex in social perception.

Previous studies have shown that during the presentation of emotionally loaded visual stimuli, activity increases in the visual and limbic cortices. This study focuses on empathic reactions induced by presenting pictures of situations and facial expressions from a "third party" point of view only. We measured regional changes in blood flow (rCBF) in nine healthy subjects while they were looking at neutral, positive, or negative emotional pictures of low (facial expressions) and high (persons in real-life situations) social complexity. A significant rCBF increase occurred in the right posterior fusiform gyrus during presentation of emotional pictures of both low and high social complexity. We also observed an interaction between emotionality and social complexity in the left inferior occipital gyrus for situations, where emotionality produced a significantly larger rCBF increase for situations than faces. No significant rCBF changes were observed in the amygdala or other parts of the limbic system. A significant rCBF decrease was found in the right inferior medial prefrontal cortex during presentation of the emotional pictures. This is discussed with respect to the "default mode of the brain" theory. We suggest that there is a neural network in the posterior fusiform and inferior occipital gyrus specialized in identifying emotionally important visual clues. Messages from this and other areas converge to the medial prefrontal cortex, to be evaluated in terms of relevance for attention. We believe that this is a crucial part of a network used in normal empathic reactions and social interactions.

Adult↗
PubMed2003

Separate neural pathways for contour and biological-motion cues in motion-defined animal shapes.

To determine whether contour and biological motion (BM) cues for motion-defined shapes are subserved by two separate mechanisms, we used PET to measure regional cerebral blood flow in nine human subjects. Subjects were scanned in the following four conditions: (1) contour-defined animals with natural movements (running), (2) motion-defined animals in which the contours were removed and dots were placed on the limbs and moving parts (BM; running); (3) drifting static animal shapes (contours); and (4) drifting dots. The results demonstrate that the perception of BM involves the superior frontal gyrus, the precuneus, the fusiform, the lingual and the medial temporal gyri, the inferior parietal lobe, the hippocampal and parahippocampal areas, and the cerebellum. In addition, the anterior cingulate cortex and the amygdala were significantly activated. The perception of contour-defined shapes produced significant elevation of rCBF in some areas similar to the BM condition, namely the fusiform, medial occipital, medial temporal, and lingual gyri. Only the occipital pole and the inferior temporal cortex were specifically activated by contour-defined shapes. These results are congruent with previous findings that the dorsal visual pathway is important for the perception of BM. They further support psychophysical results showing that contour and BM cues for motion-defined animal shapes are processed by independent channels.

Adult↗