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Interhemispheric transfer of visuomotor conditional learning via the anterior corpus callosum of monkeys.

Two experiments examined interhemispheric transfer of learning across the anterior corpus callosum in monkeys (Macaca fascicularis). The animals learned a series of visuomotor conditional discrimination problems for food reward. Within each problem the animals were first trained using one hand to make the motor responses, and were then required to use the opposite hand in order to test for intermanual transfer of the initial learning. In Exp. 1, a group of animals with surgical section of the entire corpus callosum and anterior commissure showed a complete absence of intermanual transfer of learning. A second group, in which only the anterior commissure and the posterior part of the corpus callosum were sectioned, leaving the anterior corpus callosum intact, showed good intermanual transfer. Thus, intermanual transfer in the second group represented interhemispheric information transfer via the anterior portions of the corpus callosum. However, in Expt. 2, normal intermanual transfer was seen in a group of animals in which the anterior corpus callosum alone had been sectioned. We conclude that the anterior corpus callosum can mediate interhemispheric transfer of visuomotor conditional learning, but is not the only available route for such transfer in the present task.

Animals↗

The venous vascularization of the corpus callosum in man.

The vascularization of the corpus callosum in Man is studied in 20 brains. Their vascular system is injected with Indian ink and gelatin. The corpus callosum is drained by callosal veins and callosocingulate veins towards the deep venous system of the brain. Most of these veins run downwards and join together at the central level of the corpus callosum. They then form the subependymal veins, which form the septal veins and the medial atrial vein. All these vessels are tributaries of the internal cerebral veins.

Adult↗

Effects of postnatal cocaine on differentiation of the rat corpus callosum.

We investigated the effects of cocaine on the development of the corpus callosum. Pregnant Wistar strain rats (Thirteenth day of gestation) were used in this study. On the day following birth, litters were culled to 8 pups (4 males and 4 females), and rats were assigned to either a control or drug treatment group. From postnatal day 1 (P1, at birth = P0) to P5, cocaine (50 mg/kg) was subcutaneously injected to the cocaine-treated pups, and saline in the same volume to the control pups. Animals were sacrificed in 110 days and a mid-sagittal section of the callosum was obtained. From this section the morphometric measurement of the corpus callosum was performed. In the control group the rat corpus callosum has a sex difference with the male corpus callosum being larger than the female's. But this sex difference disappeared in the cocaine group. This was attributed to the fact that cocaine-treated male rats indicated a significant reduction of callosal area. These findings suggest that the early postnatal cocaine can abolish the sexual differentiation of the corpus callosum.

Animals↗

The persisting mesonephric duct syndrome in a neonate with agenesis of the corpus callosum.

Agenesis of the corpus callosum is a rare condition, often associated with craniofacial, skeletal and genitourinary abnormalities. We report on a male newborn in whom all of these organ systems were affected. The genitourinary anomaly consisted of vaso-ureteral fusion accompanied by renal, ureteral, vesical, ductal and genital malformations. The diagnostic approach and management of this unusual case are described and the literature is reviewed.

Abnormalities, Multiple↗

Lipoma of the corpus callosum.

Lipoma of the corpus callosum is a rare congenital condition, often asymptomatic, but which may present as epilepsy, hemiplegia, dementia, or headaches. This paper reviews the condition and reports the only two cases which are known to the Hospital for Sick Children, Great Ormond Street, London. The second case demonstrated the value of computerised axial tomography (EMI scan) in making the diagnosis and showing associated anomalies.

Brain↗

Sex differences in the human corpus callosum: myth or reality?

It has been claimed that the human corpus callosum shows sex differences, and in particular that the splenium (the posterior portion) is larger in women than in men. Data collected before 1910 from cadavers indicate that, on average, males have larger brains than females and that the average size of their corpus callosum is larger. A meta-analysis of 49 studies published since 1980 reveals no significant sex difference in the size or shape of the splenium of the corpus callosum, whether or not an appropriate adjustment is made for brain size using analysis of covariance or linear regression. It is argued that a simple ratio of corpus callosum size to whole brain size is not an appropriate way to analyse the data and can create a false impression of a sex difference in the corpus callosum. The recent studies, most of which used magnetic resonance imaging (MRI), confirm the earlier findings of larger average brain size and overall corpus callosum size for males. The widespread belief that women have a larger splenium than men and consequently think differently is untenable. Causes of and means to avoid such a false impression in future research are discussed.

Corpus Callosum↗

Shape and size of the corpus callosum in schizophrenia and schizotypal personality disorder.

The size and shape of the corpus callosum were assessed on sagittal section magnetic resonance images in 27 patients with schizophrenia, 13 patients with schizotypal personality disorder (SPD), and 30 healthy volunteers. High-resolution 1.2mm axial SPGR images were acquired and resectioned so that the sagittal plane passed through the anterior and posterior commissures and was parallel to the interhemispheric fissure. The corpus callosum and the whole brain were traced on midsagittal section slices of each brain, and the callosum was divided into 30 anteroposterior sectors. Pixel-by-pixel chi-square and thin-plate spline analyses were used to assess between-group shape differences. Size of the corpus callosum was smaller anteriorly in the genu of the corpus callosum and posteriorly in the splenium in schizophrenic patients than in normal controls. The genu of the corpus callosum was larger in SPD patients than in schizophrenic patients or normal controls. The posterior corpus callosum was largest in normal controls, smaller in SPD patients, and smallest in schizophrenic patients. Shape analysis was consistent with these size comparisons, and suggested a downward bowing of the corpus callosum in schizophrenic and SPD patients. SPD patients also had a region of the callosum just posterior to the genu that was narrower than in the other two groups. The decreases in corpus callosal size in schizophrenia varied directly with length of illness, perhaps indicative of a progressive process. The patient-control differences in callosal size and shape are consistent with a hypothesis of decreased connectivity between the left and the right hemispheres in schizophrenia and SPD.

Adult↗

DTI tractography based parcellation of white matter: application to the mid-sagittal morphology of corpus callosum.

Morphology of the corpus callosum (CC) at the mid-sagittal level has been a target of extensive studies. However, the lack of internal structures and its polymorphism make it a challenging task to quantitatively analyze shape differences among subjects. In this paper, diffusion tensor Imaging (DTI) and tract tracing technique were applied to incorporate cortical connectivity information to the morphological study. The CC was parcellated into six major subdivisions based on trajectories to different cortical areas. This subdivision was performed for eight normal subjects and one stroke patient. The parcellated CCs of the normal subjects were normalized for morphological analysis. When comparing the stroke patient to the normal population, we detected significant atrophy in the motor and sensory areas of the patient CC, in line with the clinical deficits. This approach provides a new tool to investigate callosal morphology and functional relationships.

Adult↗

Different mechanisms of corpus callosum atrophy in Alzheimer's disease and vascular dementia.

Previous neuroimaging studies have indicated that corpus callosum atrophy in Alzheimer's disease (AD) and large vessel occlusive disease (LVOD) is caused by interhemispheric disconnection, namely Wallerian degeneration of interhemispheric commissural nerve fibers originating from pyramidal neurons in the cerebral cortex. However, this hypothesis has not been tested from a neuropathological viewpoint. In the present study, 22 brains with AD (presenile onset, 9; senile onset, 13), 6 brains with Binswanger's disease (BD), a form of vascular dementia and 3 brains with LVOD were compared with 6 non-neurological control brains. White matter lesions in the deep white matter and corpus callosum were quantified as a fiber density score by image analysis of myelin-stained sections. Axonal damage and astrogliosis were assessed by immunohistochemistry for amyloid precursor protein and glial fibrillary acidic protein, respectively.The corpus callosum thickness at the anterior part of the body was decreased in AD and LVOD,but not in BD significantly, as compared with the controls. The corpus callosum thickness correlated roughly with brain weight in AD (R=0.50),and with the severity of deep white matter lesions in BD (R=0.81). Atrophy of the brain and corpus callosum was more marked in presenile onset AD than in senile onset AD. With immunohistochemistry, the corpus callosum showed axonal damage and gliosis with a decreased fiber density score in BD and LVOD, but not in AD. Thus, corpus callosum atrophy was correlated with brain atrophy in AD, which is relevant to the mechanism of interhemispheric disconnection,whereas corpus callosum lesions in BD were secondary to deep white matter lesions. Corpus callosum atrophy in LVOD may indicate interhemispheric disconnection, but focal ischemic injuries may also be involved.

Aged↗

Prenatal diagnosis of fetal corpus callosum agenesis by ultrasonography and magnetic resonance imaging.

Corpus callosum agenesis (CCA) was evaluated by ultrasound examination and magnetic resonance imaging (MRI) in 14 cases. Ultrasonography was able to suspect CCA by indirect signs but a definitive diagnosis of CCA was achieved in only four cases. MRI was able to diagnose complete CCA in 13 cases and showed absence of the posterior portion of the corpus callosum in one case. Additional neurological abnormalities including heterotopia, gyration anomaly, asymmetry of the cerebral hemispheres, and Dandy-Walker variant were documented in five cases, as well as an ocular anomaly which was present in one case, by MRI examination. Prenatal counselling for fetal agenesis of the corpus callosum is difficult as the prognosis is uncertain. The association with other cerebral abnormalities increases the likelihood of a poor outcome and ultrasonographic assessment of the fetal brain is limited. We found MRI to be a safe and useful additional procedure to complement ultrasonographic diagnosis or suspicion of CCA.

Adult↗

Interhemispheric fissure sign of dysgenesis of the corpus callosum.

Failure to develop of the corpus callosum and the neighboring midline structures results in abnormal proximity between the interhemispheric fissure (IHF) and the third ventricle. We have called this finding the IHF sign of dysgenesis of the corpus callosum (DCC). In a retrospective study of 39 cases the presence of the IHF sign was assessed in conjunction with the other well recognized CT manifestations of the disorder. These are: (a) lateral ventricles: pointing of the frontal horns, disproportionate enlargement of the occipital horns and separation of bodies of the lateral ventricles; (b) third ventricle: enlargement, elevation and anterior displacement; and (c) interventricular foramen: enlargement. We found that the IHF sign was present concurrently with the other CT signs of DCC in all 35 cases (100%) where the quality of the CT scans permitted its satisfactory evaluation; in the remaining four the sign could not be assessed because of the unsatisfactory quality of the CT scans. Our study confirms that the IHF sign is an additional reliable CT feature of DCC.

Adolescent↗

Hypoplasia of the corpus callosum: a study of 445 consecutive MRI scans.

The size of the corpus callosum was assessed visually and by computer-assisted image analysis in a series of 445 consecutive magnetic resonance imaging (MRI) scans in children under 17 years of age. Fifty individuals were subjectively identified with small corpora callosa on visual inspection of the MRI scans. Seven patients had true hypoplasia of the corpus callosum after comparing the computer-measured relative size of the structure to previously established normal values. Five additional patients had complete agenesis, and two had partial agenesis of the corpus callosum. The cognitive functional levels of the seven patients with callosal hypoplasia and a control group of 63 randomly selected individuals from the remainder of the group were ascertained by record review. Seventy-one percent of the patients with hypoplasia of the corpus callosum and 29% of the control group had impaired function. The P value determined by Fisher's exact test was P = .061, suggesting that further study with greater numbers may be warranted. The prevalence of mental retardation in this condition, and the fact that hypoplasia is as common as complete and partial agenesis of the corpus callosum combined, suggest that hypoplasia of the corpus callosum is a marker of cerebral dysgenesis that should be looked for in the appropriate clinical setting.

Agenesis of Corpus Callosum↗

[Cerebral malformation in the newborn: holoprosencephaly and agenesis of the corpus callosum].

OBJECTIVE: To review the embriology and clinical aspects of holoprosencephaly and agenesis of the corpus callosum. DEVELOPMENT: The rostral neuropore closes at 24 days of gestation. At 74 days of gestations axons cross through the dorsal region of the commissural plaque and start forming the corpus callosum. At 115 days of gestations the corpus callosum reaches its adult form. Holoprosencephaly occurs due to rostral mesodermal dysfunction. The etiology of holoprosencephaly is heterogenous. The risk of holoprosencephaly of neonates born to mother with gestational diabetes is 1 2 %. Agenesis of the corpus callosum not associated to holoprosencephaly is due to a disorder of telencephalic midline. Pyruvate dehydrogenase and non ketotic hyperglycinemia can produce agenesis corpus callosum. The prognosis of patients with agenesis of the corpus callosum is dictated by the associated central nervous system and none central nervous system anomalies. CONCLUSIONS: Knowledge of the embriology of holoprosencephaly and agenesis of the corpus callosum are necessary to understand their radiological appearance. The evaluation of a neonate with these conditions requires genetic and metabolic evaluations.

Agenesis of Corpus Callosum↗

Hereditary spastic paraplegia associated with thin corpus callosum.

Autosomal recessive hereditary spastic paraplegia (AR-HSP) associated with thin corpus callosum was recently described in Japan, and most families were linked to chromosome 15 q13-15. We report two patients from two different Brazilian families with progressive gait disturbance starting at the second decade of life, spastic paraparesis, and mental deterioration. One patient presented cerebellar ataxia. Magnetic resonance imaging (MRI) of the head of both patients showed a thin corpus callosum. AR-HSP with a thin corpus callosum is a rare disorder, mainly described in Japanese patients. We found only 4 Caucasian families with AR-HSP with thin corpus callosum described in the literature. Further studies including additional Caucasian families of AR-HSP with thin corpus callosum are required to delineate the genetic profile of this syndrome in occidental countries.

Adolescent↗

Corpus callosum section and other disconnection procedures for medically intractable epilepsy.

Corpus callosum section for carefully selected patients with uncontrolled epilepsy has become more acceptable as operative complications have decreased. From consideration of anatomical pathways utilized in the spread of seizure discharges, section of the corpus callosum is expected to decrease, but not abolish, bilaterally synchronous EEG abnormalities arising from most cerebral locations, perhaps excluding the temporal lobe. Clinical experience confirms this expectation. Persistence of some bilateral synchrony, presumably through subcortical relays, does not usually diminish the effectiveness of corpus callosum section on clinically generalized seizures that are eliminated or markedly decreased in 85% of patients after total corpus callosum section. Generalized seizure types that respond include tonic, atonic, tonic-clonic, and absence seizures. Patients who continue to have generalized seizures usually have low IQ and perhaps extensive bilateral cerebral involvement increases the extent to which subcortical structures participate in generalization. Complex partial seizures may cease, usually in patients with well-circumscribed, often extratemporal seizure foci. Focal seizures intensify in 25% of patients; a predictable consequence of sectioning interhemispheric inhibitory connections. Permanent disconnection syndromes, which are only rarely symptomatic, include sensory disconnection after posterior section, and split-brain syndrome after total section. A small percentage of patients develop impairments in language, motor, or memory functions. Language and motor deficits are predicted by pre-existing unilateral mild or moderate central nervous system damage. Partial section of the corpus callosum produces control of generalized seizures half as frequently as complete section. Neurologic sequelae of partial section occur nearly as frequently but are less severe.

Cerebral Cortex↗

Corpus callosum atrophy and cerebral blood flow in chronic alcoholics.

The corpus callosum atrophy and cerebral blood flows were investigated in chronic alcoholics without Marchiafava-Bignami disease. Fifteen cases of chronic alcoholics and 15 age-matched healthy controls were studied. The sagittal plane of magnetic resonance imaging of the head was scanned into a computer and the corpus callosum was measured and the callosal index was calculated. Cerebral blood flows were measured using stable xenon computed tomography (CT) method. Regional cerebral blood flows in the frontal, temporal, parietal and occipital cortex, frontal, temporal and occipital white matter, caudate nucleus, putamen and thalamus were measured. The corpus callosum area, the thickness of the genu, the thickness of the trunk, the thickness of the splenium, and the callosal index were significantly smaller in the chronic alcoholic group than in the healthy control group. Blood flows in the cerebral cortex, thalamus and putamen were significantly lower in the chronic alcoholic group than in the healthy control group. Significant positive correlations were present between the corpus callosum atrophy and the cerebral cortex blood flows. Corpus callosum atrophy and decreased cerebral blood flows may be seen in chronic alcoholics without Marchiafava-Bignami disease.

Alcoholism↗

Corpus callosum involvement as a prognostic factor for patients with high-grade astrocytoma.

PURPOSE: To evaluate corpus callosum involvement as a prognostic factor for patients with high-grade astrocytoma. METHODS: From 1986 through 1994, 141 adult patients with Karnofsky performance status (KPS) > or = 40 underwent primary treatment for anaplastic astrocytoma (AA) or glioblastoma multiforme (GBM) at the University of Washington Medical Center. Preoperative magnetic resonance imaging and/or computed tomography to assess corpus callosum involvement was available for 105 of these patients. Corpus callosum involvement was evaluated as a prognostic factor for survival using recursive partitioning analysis and multivariate analysis with a Cox proportional hazards model. RESULTS: For the 105 patients evaluable for corpus callosum involvement, the median and 2-year survival were 59 weeks and 28%, respectively. On multivariate analysis, the only independent prognostic factors were KPS (p = 0.0001) and histology (p = 0.042). On recursive partitioning analysis, the first significant split occurred at KPS < 70 vs. KPS > or = 70. Patients with KPS > or = 70 were split by age (< 50 years vs. > or = 50 years), with those younger than 50 years further split by absence or presence of corpus callosum involvement. Among patients with KPS > or = 70 and age < 50 years, median survival was 57 weeks if the corpus callosum was involved (35% 2-year survival) and 105 weeks if the corpus callosum was not involved (56% 2-year survival). CONCLUSION: Corpus callosum involvement based on preoperative imaging is an unfavorable prognostic factor for survival among the subgroup of young, good-performance-status patients with high-grade astrocytoma.

Brain Neoplasms↗

Marchiafava-Bignami disease: serial changes in corpus callosum on MRI.

Serial MRI findings of changes in corpus callosum lesions in two cases of Marchiafava-Bignami disease are presented. In both, MRI displayed diffuse swelling of the corpus callosum in the acute stage, thought to represent oedema and demyelination. In the chronic stage, in addition to atrophy of the corpus callosum with presumed focal necrosis, previously undescribed focal hypointensity on T2-weighted images, of unknown cause, was observed in the corpus callosum.

Alcoholism↗