NeuroImage
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The temporary improvement of visuospatial neglect during galvanic vestibular stimulation (Scand. J. Rehabil. ⋯ Activation of these areas previously found to be damaged in visuospatial neglect suggests that these effects reflect the increased processing demands when compensating for the distorted egocentric spatial reference frame while maintaining accurate performance during the allocentric spatial task. These results thus implicate right posterior parietal and right ventral premotor cortex in the computation of spatial reference frames. Furthermore, our data imply a specific physiological basis for the temporary improvement of visuospatial neglect in patients with right hemisphere lesions during galvanic vestibular stimulation and may thus impact upon the rehabilitation of neglect: understanding the interaction of galvanic vestibular stimulation with allocentric visuospatial judgments in healthy volunteers may lead to the more effective deployment of such techniques in neurological patients.
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Clinical Trial
Early lateralization and orientation tuning for face, word, and object processing in the visual cortex.
Event-related potential (ERP) studies of the human brain have shown that object categories can be reliably distinguished as early as 130-170 ms on the surface of occipito-temporal cortex, peaking at the level of the N170 component. Consistent with this finding, neuropsychological and neuroimaging studies suggest major functional distinctions within the human object recognition system, particularly in hemispheric advantage, between the processing of words (left), faces (right), and objects (bilateral). Given these observations, our aim was to (1) characterize the differential response properties of the N170 to pictures of faces, objects, and words across hemispheres; and (2) test whether an effect of inversion for highly familiar and monooriented nonface stimuli such as printed words can be observed at the level of the N170. ⋯ These two locations were roughly equivalent across conditions but differed in strength and lateralization. Inversion delayed the N170 (and VPP) response for all categories, with an increasing delay for cars, words, and faces, respectively, as suggested by source modeling analysis. Such results show that early processes in object recognition respond to category-specific visual information, and are associated with strong lateralization and orientation bias.
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Comparative Study
Preserved verbal memory function in left medial temporal pathology involves reorganisation of function to right medial temporal lobe.
The left hippocampus and related structures mediate verbal memory function. The mechanism underlying preserved verbal memory function in patients with left hippocampal damage is unknown. Temporal lobe epilepsy, a common disease, is frequently the consequence of a characteristic hippocampal pathology termed hippocampal sclerosis, which may also affect the amygdala. ⋯ The additional presence of left amygdala sclerosis resulted in reorganisation for encoding of emotional verbal material to right amygdala. Retained verbal memory function in the presence of left medial temporal lobe pathology is mediated by recruitment of a parallel system in the right hemisphere consistent with adaptive functional reorganisation. The findings indicate a high degree of plasticity in medial temporal lobe structures.
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Pain is a unique class of sensory experience from the perspective of salience. Nonpainful somatosensory stimuli usually require behavioral relevance or voluntary attention to maintain salience. In contrast, painful stimuli tend to have sustained salience even without explicit behavioral relevance or voluntary attention. ⋯ The thalamus and putamen also responded tonically throughout painful but not nonpainful stimulation. Previous studies have implicated the basal ganglia in supporting voluntary sustained attention. Our findings suggest that the basal ganglia may play a more general role in supporting sustained salience, whether through voluntary or involuntary mechanisms.