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Functional neuronavigation with magnetoencephalography: outcome in 50 patients with lesions around the motor cortex.

OBJECT: The authors conducted a study to evaluate the clinical outcome in 50 patients with lesions around the motor cortex who underwent surgery in which functional neuronavigation was performed. METHODS: The sensorimotor cortex was identified in all patients with the use of magnetoencephalography (MEG). The MEG-source localizations were superimposed onto a three-dimensional magnetic resonance image and the image data set was implemented into a neuronavigation system. Based on this setup, the surgeon chose the best surgical strategy. During surgery, the pre- and postcentral gyri were identified by neuronavigation and, in addition, the central sulcus was localized using intraoperative recording of somatosensory evoked potentials. In all cases MEG localizations of the sensory or motor cortex were correct. In 30% of the patients preoperative paresis improved, in 66% no additional deficits occurred, and in only 4% (two patients) deterioration of neurological function occurred. In one of these patients the deterioration was not related to the procedure. CONCLUSIONS: The method of incorporating functional data into neuronavigation systems is a promising tool that can be used in more radical surgery to lessen morbidity around eloquent brain areas.

Adolescent↗

Functional connectivity between the superficial and deeper layers of the superior colliculus: an anatomical substrate for sensorimotor integration.

The superior colliculus (SC) transforms both visual and nonvisual sensory signals into motor commands that control orienting behavior. Although the afferent and efferent connections of this midbrain nucleus have been well characterized, little is know about the intrinsic circuitry involved in sensorimotor integration. Transmission of visual signals from the superficial (sSC) to the deeper layers (dSC) of the SC has been implicated in both the triggering of orienting movements and the activity-dependent processes that align maps of different sensory modalities during development. However, evidence for the synaptic connectivity appropriate for these functions is lacking. In this study, we used a variety of anatomical and physiological methods to examine the functional organization of the sSC-dSC pathway in juvenile and adult ferrets. Axonal tracing in adult ferrets showed that, as in other species, sSC neurons project topographically to the dSC, providing a route for the transmission of visual signals to the multisensory output layers of the SC. We found that sSC axons terminate on dSC neurons that stain prominently for the NR1 subunit of the NMDA receptor, a subpopulation of which were identified as tectoreticulospinal projection neurons. We also show that the sSC-dSC pathway is topographically organized and mediated by monosynaptic excitatory synapses even before eye opening in young ferrets, suggesting that visual signals routed via the sSC may influence the activity of dSC neurons before the emergence of their multisensory response properties. These findings indicate that superficial- to deep-layer projections provide spatially ordered visual signals, both during development and into adulthood, directly to SC neurons that are involved in coordinating sensory inputs with motor outputs.

Age Factors↗

The 'functional connection' of neurones in relation to behavioural states in rats.

In order to investigate whether dynamics of neuronal networks change during differing behavioural states, the 'functional connection' between neurones in the rat vibrissal sensorimotor system during two different behavioural states (active vs passive whiskering) were revealed using time-dependent scatter diagrams. The functional connection between neurones in the vibrissal motor (MCx) and sensory (SCx) cortices and the superior colliculus (SC) changed depending on the behavioural state. In the rat vibrissal system, the pattern of correlated activities among neurones in the MCx, SCx and SC may play an important role in determining behaviour.

Animals↗

Interpolation and extrapolation in human behavior and neural networks.

Unlike most artificial systems, the brain is able to face situations that it has not learned or even encountered before. This ability is not in general echoed by the properties of most neural networks. Here, we show that neural computation based on least-square error learning between populations of intensity-coded neurons can explain interpolation and extrapolation capacities of the nervous system in sensorimotor and cognitive tasks. We present simulations for function learning experiments, auditory-visual behavior, and visuomotor transformations. The results suggest that induction in human behavior, be it sensorimotor or cognitive, could arise from a common neural associative mechanism.

Adaptation, Psychological↗

Extradural compression of sensorimotor cortex: a useful model for studies on ischemic brain damage and neuroprotection.

Behavioral and morphological changes were examined for up to 9 days after moderate cerebral ischemia caused by slow compression of a specific brain area in the sensorimotor cortex of Sprague-Dawley rats. Functional deficits after the cerebral ischemia were assessed by daily beam-walking tests, whereas morphological changes were verified using Nissl staining on day 1, 2, 3, 5, and 9, respectively. Rats exposed to cerebral ischemia displayed impaired beam walking performance. Mild hypothermia prevented both the compression-produced functional deficits and the brain damage. Younger (5 weeks) animals showed less neurological deficits than older (9 weeks) animals. Histological examination revealed a pronounced increase in the number of injured pyramidal neurons from day 1 to day 3 in the primarily damaged brain region. Between day 3 and day 5, the number of injured cells remained constant, whereafter there was a slow decline of thionin-positive neurons as examined on day 9. The noncompetitive NMDA receptor antagonist, dizocilpine (MK-801; 3 mg/kg, i.p.), did not alter the neurological impairment on day 1, but improved thereafter the rate of functional recovery and reduced the number of damaged cells. The AMPA receptor antagonist, LY326325 (15 or 30 mg/kg; i.p.), dose-dependently diminished the neurological deficits on day 1, enhanced the rate of recovery, and reduced the number of injured neurons over time. Our data suggest that short-lasting extradural compression of a well-defined brain area in the sensorimotor cortex is a highly reproducible model with a high success rate for the study of functional and morphological consequences after cerebral ischemia as well as for the evaluation of the therapeutic potential of novel, neuroprotective pharmacological agents.

Animals↗

[Ultrastructural changes in rabbit sensomotor cortex synapses following stimulation of the reticular formation].

Ultrastructural changes in the synapses of sensorimotor cortex caused by short and protracted stimulations of mid-brain reticular formation with single electric pulses were studied in rabbits. The observed submicroscopic shift in synaptic apparatus is regarded as a process of enhancing the activity of the sensorimotor synaptic apparatus with involvement of new interneuronal connections. Structural-functional changes in the synaptic apparatus occured at all levels of the sensorimotor cortex, with the predominance of this process at the upper level (layers I-IV); this is probably due to the greater representation of non-specific afferent endings in the upper cortical layers.

Animals↗

Continuous transcranial magnetic stimulation during positron emission tomography: a suitable tool for imaging regional excitability of the human cortex.

In six healthy volunteers, H(2)(15)O positron emission tomography (PET) was employed to evaluate rate-dependent functional activation of the left primary sensorimotor hand area (SM1(HAND)) during subthreshold repetitive transcranial magnetic stimulation (rTMS). Using an eight-shaped coil, continuous trains of rTMS were delivered during nine 50-s H(2)(15)O PET scans. Nine different stimulation frequencies were used, ranging from 1 to 5 Hz. Stimulus intensity was set at 10% below active motor threshold. During three additional PET scans, an ineffective rTMS was applied via another eight-shaped coil, which was held 10 cm above the vertex. Statistical parametric mapping was employed to assess relative differences in normalized regional cerebral blood flow (rCBF) across conditions. Compared with ineffective rTMS, subthreshold rTMS increased normalized rCBF in the stimulated SM1(HAND). Moreover, the increase in rCBF in the left SM1(HAND) showed a linear positive relationship with the rate of rTMS, indicating a rate-dependent functional activation of the stimulated SM1(HAND). These data demonstrate that, by varying the variables of rTMS across scans, continuous rTMS during H(2)(15)O PET provides a noninvasive tool to study the regional excitability profile of a distinct cortical area.

Adult↗

Some functional recovery and behavioral sparing occurs independent of task-specific practice after injury to the rat's sensorimotor cortex.

These experiments on rats evaluated whether recovery of competence in certain motor tests could be enhanced by practice begun soon after traumatic brain injury (TBI). Before TBI, rats were pre-trained to cross a flat and a pegged beam. Anesthetized animals received a right sensorimotor cortex TBI. One group began task-specific testing (flat and pegged beams) on day 1 after injury and repeated 13 times in 35 days by which time functional recovery occurred. Paw preference was evaluated eight times during the 35 day period, beginning the third day after injury. A second group of injured rats remained in their home cage without any testing for 35 days after injury. From day 35 they were tested 13 times over the next 35 days on both beam tests and eight times on the paw preference test. At day 35 those rats that remained in their home cage without testing (task-specific practice) performed as well on the flat beam as the rats that began testing 1 day after injury. By day 37, their third test day, the untested rats performed as well as the tested rats on the pegged beam. Paw preference was the same in both groups of rats. These results were compared to sham-operated controls. Post-injury performance as measured by these tests indicated that most of the recovery occurred without task-specific practice. However, task-specific practice was necessary to achieve optimum performance on both beam tests. This implies that neural reorganization occurred independent of any practice. Task specific practice served to 'fine tune' the rat's performance after 35 days.

Animals↗

Basal ganglia--hippocampal interactions support the role of the hippocampal formation in sensorimotor integration.

Experiments were carried out to evaluate whether neural activity in the basal ganglia is functionally related to the neural activity underlying mechanisms of theta band oscillation and synchrony in the hippocampal formation. Experiment 1 demonstrated that electrical stimulation administered to the substantia nigra, globus pallidus (GP) and caudate-putamen (CPu) in urethane anesthetized rats elicited theta field activity in the hippocampal formation. Subsequent microinfusion of the local anesthetic procaine hydrochloride into the medial septum reversibly abolished this effect. In Experiment 2, single cell discharge profiles established for 152 cells recorded in nuclei of the basal ganglia resulted in 101 (66%) being classified as theta-related and 51 (34%) classified as nonrelated. Theta-related cells were further subclassified as tonic theta-ON cells (n = 79) and tonic theta-OFF (n = 22). Tonic theta-ON and tonic theta-OFF cells displayed irregular or regular (tonic) discharge patterns. Rhythmic discharge patterns did not occur in any theta-related cells in the nuclei of the basal ganglia. However, analyses using Kaneoke and Vitek's [J. Neurosci. Methods 68, (1996) 211] algorithms revealed that 51/101 (50%) theta-related cells displayed periodicity in their discharge patterns whereas 27/51 (53%) of the nonrelated cells displayed periodicity in their discharge patterns. The periodicities in the majority of cells were in frequency ranges above that of theta band oscillation and synchrony. The results support the following conclusions: (1) the cellular activity of the basal ganglia, composed of nuclei traditionally associated with motor functions, is functionally connected with the neural circuitry involved in the generation of theta band oscillation and synchrony in the hippocampal formation; (2) the observed functional connectivity provides support for the role of the hippocampal formation in sensorimotor integration.

Animals↗

[Treatment dynamics in sensorimotor disorders: the contribution of electrophysiology].

In the field of sensorimotor activities, progresses achieved over the last fifty years have been largely driven by the Reaction Time (RT) paradigm. Information processing models are set in the context of a global breakdown of sensorimotor activities in multiple concatenated stages, each aggregated in many fundamental operations that are functionally linked. If there is a consensus today about this breakdown, the way stages organize themselves in time however is still much debated. According to one hypothesis, there is no temporal overlap between each stages: the process occurs sequentially. According to another theory, the stages overlap over in time: the process occurs in a parallel manner. A behavioral analysis does not allow to determine between these two hypothesis because the RT represents the final product of the whole sensorimotor pathway, while the temporal organization of the processing of information depends on the nature of the transfer between individual stages. An all-or-nothing information transfer, also called discrete, leads to a sequential organization, while a progressive or continuous transfer brings about a parallel organization. Moreover, contrary to a preconceived notion, data obtained from classical neurophysiology are compatible with both a sequential organization and a parallel organization. Particularly, the great number of connections between the different elements of the nervous system has often seemed difficult to conciliate with a sequential organization. In fact, this argument is inadmissible because it stems from confusion between a temporal organization and an anatomical organization of the processing of information. More generally, our knowledge of the functional anatomy of sensorimotor activities imposes but few constraints on the temporal organization patterns of the processing of information. The lack of interest for the neurophysiological argument seems essentially due to the fact that theses arguments rest on research which is not aimed at the temporal organization of the sensorimotor information processing. Recently, approaches that integrate concepts and methods used in experimental psychology and neurosciences have contributed to putting in perspective the organization of information processing. Electromyography, EEG, reflexology and neuronal recording techniques have been used in the context of two inference logics. The first logic, that we call "factual", is based on the study of functional relations between RT and certain neuronal events. The second logic, that we call "chronometric", is based on the study of the relationships between RT and intervals resulting from the breakdown of the RT in relation to certain neuronal events. Generally speaking, most studies suggest that in tasks where the stimulus is composed of numerous attributes, information processing operates in parallel. On the other hand, when the stimulus is made up of a single attribute, information processing could be operating in a sequential manner. One weakness of this electrophysiological approach is that it has so far only examined relationships between physiological indicators and means RT. We propose here to offset these weaknesses by examining functional relationships between RT distribution variances and certain neuronal events linked to information processing.

Electrophysiology↗

Evidence for abnormal cortical functional connectivity during working memory in schizophrenia.

OBJECTIVE: Disturbed neuronal interactions may be involved in schizophrenia because it is without clear regional pathology. Aberrant connectivity is further suggested by theoretical formulations and neurochemical and neuroanatomical data. The authors applied to schizophrenia a recently available functional neuroimaging analytic method that permits characterization of cooperative action on the systems level. METHOD: Thirteen medication-free patients and 13 matched healthy comparison subjects performed a working memory (n-back) task and sensorimotor baseline task during positron emission tomography. "Functional connectivity" patterns, reflecting distributed correlated activity that differed most between groups, were extracted by a canonical variates analysis. RESULTS: More than half the variance was explained by a single pattern showing inferotemporal, (para-)hippocampal, and cerebellar loadings for patients versus dorsolateral prefrontal and anterior cingulate activity for comparison subjects. Expression of this pattern perfectly separated all patient scans from comparison scans, thus showing promise as a trait marker. This result was validated prospectively by successfully classifying unrelated scans from the same patients and data from a new cohort. An additional 19% of variance corresponded to the pattern activated by the working memory task. Expression of this pattern was more variable in patients during working memory but not the control condition, suggesting inability to sustain a task-adequate neural network, consistent with the disconnection hypothesis. CONCLUSIONS: Pronounced disruptions of distributed cooperative activity in schizophrenia were found. A pattern showing disturbed frontotemporal interactions showed promise as a trait marker and may be useful for future investigations.

Adult↗

Functional outcome in dogs after surgical treatment of caudal lumbar intervertebral disk herniation.

Caudal lumbar disk herniations (i.e., third lumbar [L3] to seventh lumbar [L7] intervertebral spaces) represent approximately 15% of surgically treated thoracolumbar disk herniations in dogs. A retrospective case-control study was conducted to determine the postoperative outcome of this subset of dogs in the authors' neurosurgical practice. Medical records (1985 through 1996) were reviewed for dogs with caudal lumbar disk herniation confirmed at surgery. Thirty-six cases were identified. For each case, two dogs that underwent surgical treatment for upper motor neuron thoracolumbar disk herniation (tenth thoracic [T10] to L3 intervertebral spaces) were selected as controls. Probabilities of functional recovery for cases and controls were 81% and 85%, respectively (p value of 0.49). In dogs with caudal lumbar disk herniation, complete sensorimotor loss was the only significant predictor of functional recovery (p value of 0.005). Disk herniations that occur at the thoracolumbar junction and those that occur in the caudal lumbar region should not be considered to be different in terms of surgical treatment and postoperative outcome. The lower motor neuron signs that often accompany caudal lumbar disk herniation reflect the site of spinal cord injury and do not necessarily predict a poor prognosis.

Animals↗

[Functional magnetic resonance tomography in psychopathological research].

Mental disorders are characterised by psychopathological symptoms which correspond to functional brain states. Functional magnetic resonance imaging (fMRI) is used for the non-invasive study of cerebral activation patterns in man. First of all, the neurobiological principles and presuppositions of the method are outlined. Results from the Heidelberg imaging lab on several simple sensorimotor tasks as well as higher cognitive functions, such as working and semantic memory, are then presented. Thereafter, results from preliminary fMRI studies of psychopathological symptoms are discussed, with emphasis on hallucinations, psychomotoric phenomena, emotions, as well as obsessions and compulsions. Functional MRI is limited by the physics underlying the method, as well as by practical constraints regarding its use in conjunction with mentally ill patients. Within this framework, the problems of signal-to-noise ratio, data analysis strategies, motion correction, and neurovascular coupling are considered. Because of the rapid development of the field of fMRI, maps of higher cognitive functions and their respective pathology seem to be coming within easy reach.

Brain↗

The melanin-concentrating hormone system of the rat brain: an immuno- and hybridization histochemical characterization.

In addition to a nonadecapeptide homologous to the teleost melanin-concentrating hormone (MCH), the amino acid sequence predicted from a rat prepro-MCH (ppMCH) cDNA suggested that at least one (neuropeptide EI, or NEI), and possibly a second (NGE), additional neuropeptide may be encoded by this precursor. Cross-reactivity with epitopes of NEI or NGE can account for reported localization of alpha-MSH, rat CRF, and human GRF in rat dorsolateral hypothalamic neurons. We have used antisera raised against rat MCH and NEI in immunohistochemical studies at the light and electron microscopic levels, along with hybridization histochemical localization of ppMCH mRNA, to define the organization of this system. As expected, ppMCH mRNA is prominently expressed in cells in the lateral hypothalamic area and zona incerta. The MCH and NEI peptides were extensively colocalized in neurons in both of these areas. In addition, smaller cell groups in the olfactory tubercle and pontine tegmentum were also positively hybridized for ppMCH mRNA and immunostained for MCH and NEI. Fibers stained for MCH and NEI were similarly, and very broadly, distributed throughout the central nervous system in patterns that generally conformed with known projection fields of the lateral hypothalamic area and zona incerta. A differential distribution was seen in at least one region, the interanterodorsal nucleus of the thalamus, which contained a prominent terminal field stained for MCH but not NEI. At the electron microscopic level, MCH-stained perikarya displayed a prominent staining associated with the Golgi apparatus; this was not encountered in NEI-stained cells. Both peptides were distributed similarly in terminals in the lateral hypothalamic area and median eminence, with staining associated principally with dense-cored vesicles. The results suggest that ppMCH-derived peptides may serve as neurotransmitters or modulators of prominence in a surprisingly expansive projection field of incerto-hypothalamic neurons. The terminal distributions of this system seem most compatible with functional roles in generalized arousal and sensorimotor integration, processes previously implicated as being subject to modulation by the lateral hypothalamic area.

Animals↗

Differential spinal projections from the forelimb areas of the rostral and caudal subregions of primary motor cortex in the cat.

We used anterograde transport of WGA-HRP to examine the topography of corticospinal projections from the forelimb areas within the rostral and caudal motor cortex subregions in the cat. We compared the pattern of these projections with those from the somatic sensory cortex. The principal finding of this study was that the laminar distribution of projections to the contralateral gray matter from the two motor cortex subregions was different. The rostral motor cortex projected preferentially to laminae VI-VIII, whereas caudal motor cortex projected primarily to laminae IV-VI. Confirming earlier findings, somatic sensory cortex projected predominantly to laminae I-VI inclusive. We found that only rostral motor cortex projected to territories in the rostral cervical cord containing propriospinal neurons of cervical spinal segments C3-4 and, in the cervical enlargement, to portions presumed to contain Ia inhibitory interneurons. We generated contour maps of labeling probability on averaged segmental distributions of anterograde labeling for all analyzed sections using the same algorithm. For rostral motor cortex, heaviest label in the dorsal part of lamina VII in the contralateral cord was consistently located in separate medial and lateral zones. In contrast, no consistent differences in the mediolateral location of label was noted for caudal motor cortex. To summarize, laminae I-III received input only from the somatic sensory cortex, while laminae IV-V received input from both somatic sensory and caudal motor cortex. Lamina VI received input from all cortical fields examined. Laminae VII-IX received input selectively from the rostral motor cortex. For motor cortex, our findings suggest that projections from the two subregions comprise separate descending pathways that could play distinct functional roles in movement control and sensorimotor integration.

Animals↗

Sensory inputs to the nucleus basalis prosencephali, a feeding-pecking centre in the pigeon.

Evoked potentials were recorded from the nucleus basalis prosencephali (Bas) of the pigeon through chronically implanted electrodes. The auditory sensitivity of the Bas was assessed by the amplitude of the potentials. Audiograms thus obtained were comparable to those similarly measured from stations of the orthodox auditory pathway and resembled those obtained by others with behavioural techniques from the same species. The sensitivity to vibration applied to the beak was also measured. The vibrogram revealed two separate optima, one located in the lower frequency and another in the higher frequency region. These were shown to be due to trigeminal mechanoreceptive sensitivity and to bone/cochlea mediated sound sensitivity, respectively. Evoked potentials of the Bas in response to vestibular stimulation are described for the first time. The possibility that they were artefacts was excluded with several control procedures. These findings confirm recent anatomical evidence of a direct pathway from the vestibular nucleus to the nucleus basalis prosencephali. All afferents to the Bas are discussed in conjunction with the probable function of the nucleus as a sensorimotor coordinator of the pigeon's pecking/feeding behaviour.

Acoustic Stimulation↗

Governing coordination: behavioural principles and neural correlates.

The coordination of movement is governed by a coalition of constraints. The expression of these constraints ranges from the concrete--the restricted range of motion offered by the mechanical configuration of our muscles and joints; to the abstract--the difficulty that we experience in combining simple movements into complex rhythms. We seek to illustrate that the various constraints on coordination are complementary and inclusive, and the means by which their expression and interaction are mediated systematically by the integrative action of the central nervous system (CNS). Beyond identifying the general principles at the behavioural level that govern the mutual interplay of constraints, we attempt to demonstrate that these principles have as their foundation specific functional properties of the cortical motor systems. We propose that regions of the brain upstream of the motor cortex may play a significant role in mediating interactions between the functional representations of muscles engaged in sensorimotor coordination tasks. We also argue that activity in these "supramotor" regions may mediate the stabilising role of augmented sensory feedback.

Animals↗

Directional sensibility of hairy skin and postural control.

People can feel and report the direction of very small movements which cause changes in the tension of the forearm's hairy skin. This subjective sensory function may perhaps reflect more fundamental sensorimotor tasks. The hypothesis was investigated by measuring body sway and movement of six female and male volunteers who were performing the tandem-stance Romberg test with open and closed eyes. The increase in sway and movement after eye closure was reduced significantly when the subjects were allowed to use one forearm to touch a spatially fixed object from below. Three objects were used, a solid Perspex rod, an easily rotating steel ball, and a pointed metal peg whose tip was attached to the skin with a droplet of contact glue. Possible mechanical support could be excluded on basis of the objects' technical properties and the magnitudes of forearm movements. Movement of the forearm relative to an object could provide spatial information about changes of the forearm's position in space. Likewise, changes of skin tension that were caused by such movements could be useful. The Perspex rod and the steel ball might provide both types of information. However, the glued peg only caused changes of skin tension, but reduced sway and movement equally effectively. Therefore, information from tension receptors of the forearm's hairy skin underlying the accurate subjective directional sensibility also appears to participate in basic motor control.

Adult↗