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Bizarre parosteal osteochondromatous proliferations (BPOPs) are distinct clinical–pathological entities that demonstrate combinations of atypical-appearing osseous and chondromatous tissues. These lesions are usually reactive in nature. Histopathologically, 'bizarre' cartilage is a characteristic feature of this lesion. BPOPs usually represent slow-growing painless bony hard protuberances that arise from the surface of affected bone cortices, typically the metacarpals, metatarsals, and phalanges. The occurrence of these lesions in the skull and jaws is sporadic. This case report highlights the clinical presentation, histopathological characteristics, and management of BPOP arising from the supraorbital rim in a 61-year-old female patient. [ABSTRACT FROM AUTHOR]

The complex neurological condition of brain development in pediatric patients with epilepsy is critically important to be observed individually using EEG recording in order to facilitate better personalized treatment. In this study, the Markov Switching Autoregressive (MSAR) approach is developed by enabling Bayesian in estimating autoregressive Exponential Power distribution, namely MSAR Bayesian-Exponential Power. The development of this study is combining the MSAR coupled with Bayesian-Exponential Power to capture the fluctuating and nonlinear patterns within brain EEG. This approaches is achieved by incorporating the Expectation Maximization (EM) and Bayesian-Exponential Power distributions inside MSAR model. The performance of this approach is evaluated against the MSAR EM-Gaussian. The model will calculate the transition probabilities of each state of temporal lobe, T6-Cz channel, which contains two waves before (Pre-Ictal) and during seizure (Ictal) events. This approach succeed to illustrates the dynamic switching system within latent brain states of the epilepsy patient more accurately than MSAR EM-Gaussian. It achieves the AIC value of -793.896, lower than the MSAR EM-Gaussian method of 27979.51. This method is highly effective in detecting abnormal waves before and during seizures, and provides accurate personalized treatments. [ABSTRACT FROM AUTHOR]

This article discusses the challenges and complexities of visual field loss, visual neglect, and ocular dominance. It presents a case report of an 81-year-old male with severe bilateral primary open angle glaucoma who experienced functional vision deficits due to reduced visual field. The article explores the clinical presentation, differential diagnosis, ancillary testing, and proper referrals for this patient. It provides information on tests and techniques used to identify and manage visual neglect and ocular dominance, as well as optometric management strategies. Referrals for a multidisciplinary approach to care are recommended. [Extracted from the article]

Scene graphs serve as semantic abstractions of images and play a crucial role in enhancing visual comprehension and reasoning. However, the performance of Scene Graph Generation is often compromised when working with biased data in real-world situations. While many existing systems focus on a single stage of learning for both feature extraction and classification, some employ Class-Balancing strategies, such as Re-weighting, Data Resampling, and Transfer Learning from head to tail. In this paper, we propose a novel approach that decouples the feature extraction and classification phases of the scene graph generation process. For feature extraction, we leverage a transformer-based architecture and design an adaptive calibration function specifically for predicate classification. This function enables us to dynamically adjust the classification scores for each predicate category. Additionally, we introduce a Distribution Alignment technique that effectively balances the class distribution after the feature extraction phase reaches a stable state, thereby facilitating the retraining of the classification head. Importantly, our Distribution Alignment strategy is model-independent and does not require additional supervision, making it applicable to a wide range of SGG models. Using the scene graph diagnostic toolkit on Visual Genome and several popular models, we achieved significant improvements over the previous state-of-the-art methods with our model. Compared to the TDE model, our model improved mR@100 by 70.5% for PredCls, by 84.0% for SGCls, and by 97.6% for SGDet tasks. [ABSTRACT FROM AUTHOR]

[Display omitted] • Proposal of a smart healthcare framework for detecting the progression of Alzheimer's disease (AD). • Intelligent fusion of 2D images with patients' cognitive scores to predict AD at month 48. • A novel XAI method is proposed to aid physicians in tracking changes in patients over time. • Results suggest the stability of our method against all models across multiple evaluation metrics. • Our model exhibits high diagnostic performance in different scenarios, thus suitable for e-health. Artificial intelligence (AI)-based diagnostic systems provide less error-prone and safer support to clinicians, enhancing the medical decision-making process. This study presents a smart and reliable healthcare framework for detecting Alzheimer's disease (AD) progression. Early detection of AD before the onset of clinical symptoms is the most crucial step in starting timely treatment. To predict the conversion of cognitively normal patients to those with AD, three-dimensional 3D magnetic resonance imaging (MRI) whole-brain neuroimaging methods have been extensively studied. However, depending on the 3D volume, this method is computationally expensive. To solve this problem, we used an approximate rank pooling method originally designed for video action recognition with a 3D MRI volume to obtain a compressed representation of multiple two-dimensional (2D) MRI slices. This study proposes a hybrid multimodal CNN-BiLSTM deep model for AD progression detection, in which the resulting dynamic 2D images are fused with cognitive features. Moreover, a novel explainable AI approach is proposed to provide visual explanations using the resulting longitudinal 2D dynamic images. Temporal explanations were provided by visualizing the affected brain regions captured using longitudinal 2D MRIs. By utilizing a sample of 1,692 subjects with multimodal data from the Alzheimer's Disease Neuroimaging Initiative dataset, our method was assessed using a 10-fold cross-validation process. The model achieved an area under the receiver operating characteristics curve (AUC) of 94% using longitudinal 2D three-time-step dynamic image data. The fusion of 2D dynamic images with cognitive features enhanced the performance by 2% in terms of the AUC. Patients who gradually develop AD, show changes in various brain regions. For such patients, our system highlights the critical role of the hippocampus, medial amygdala, caudal hippocampus, and lateral amygdala at the initial time steps. In the late stages of AD, the system detects abnormalities in extra brain regions such as the medial temporal gyrus, superior temporal gyrus, fusiform gyrus, and caudal hippocampus; indicating that patients have completely progressed to AD. [ABSTRACT FROM AUTHOR]

Objectives The objective assessment tests overcome the variability of subjective methods. Cortical recordings with gap pre-pulse inhibition of the acoustic startle reflex stimulus have been used as objective tinnitus assessments in humans. This study aims to investigate this possible objective tinnitus test and compare gap-induced inhibition in different stimulus parameters and brain regions. Materials & Methods Twenty People (18-50 years old) without hearing loss and tinnitus were included. The sound stimuli consisted of continuous background noise with a loud startle tone preceded by a silent gap (20 and 40 ms duration, 120 and 150 ms distance from the startle). The N1-P2 complex amplitude and topoplot maps were extracted in 27-channel cortical response recording after signal processing. Four brain regions of interest (ROI) of anterio-frontal, centro-frontal, right, and left temporal were investigated. Results The results showed that the maximum inhibition occurred in a 40 ms gap duration and 150 ms distance in all 4 ROIs. In comparing ROIs, the centro-frontal and left temporal regions revealed the most inhibition (p<0.05). The decrease in the amplitude of the N1 and P2 in that region could also be traced in the 100 and 200 ms topoplots. Conclusion Gap-induced inhibition was observed in all gap-embedded stimuli and all ROIs. However, the 40-150 mode and centro-frontal and left temporal regions had maximum inhibition in normal subjects. It provides a promising tool for objectively assessing tinnitus in humans with particular implications in children. [ABSTRACT FROM AUTHOR]

Introduction: We tested sex‐dependent associations of variation in the SNAP‐25 gene, which encodes a presynaptic protein involved in hippocampal plasticity and memory, on cognitive and Alzheimer's disease (AD) neuroimaging outcomes in clinically normal adults. Methods: Participants were genotyped for SNAP‐25 rs1051312 (T > C; SNAP‐25 expression: C‐allele > T/T). In a discovery cohort (N = 311), we tested the sex by SNAP‐25 variant interaction on cognition, Aβ‐PET positivity, and temporal lobe volumes. Cognitive models were replicated in an independent cohort (N = 82). Results: In the discovery cohort, C‐allele carriers exhibited better verbal memory and language, lower Aβ‐PET positivity rates, and larger temporal volumes than T/T homozygotes among females, but not males. Larger temporal volumes related to better verbal memory only in C‐carrier females. The female‐specific C‐allele verbal memory advantage was evidenced in the replication cohort. Conclusions: In females, genetic variation in SNAP‐25 is associated with resistance to amyloid plaque formation and may support verbal memory through fortification of temporal lobe architecture. Highlights: The SNAP‐25 rs1051312 (T > C) C‐allele results in higher basal SNAP‐25 expression.C‐allele carriers had better verbal memory in clinically normal women, but not men.Female C‐carriers had higher temporal lobe volumes, which predicted verbal memory.Female C‐carriers also exhibited the lowest rates of amyloid‐beta PET positivity.The SNAP‐25 gene may influence female‐specific resistance to Alzheimer's disease (AD). [ABSTRACT FROM AUTHOR]

Previous functional magnetic resonance imaging (fMRI) studies reported inconsistent results for comparison in brain activation between migraine patients and healthy controls (HC). Thus, activation likelihood estimation (ALE) method, a powerful voxel-based technique, was used to explore the concordant functional brain changes in migraine patients. Studies published before October 2022 were searched in the following databases (PubMed, Web of Science and Google Scholar). Migraine without aura (MWoA) patients showed reduced amplitude of low-frequency fluctuations (ALFF) in right lingual gyrus, the left posterior cingulate and the right precuneus (PCUN), compared to HC. Migraine patients showed increased ALFF in the right claustrum, the left caudate, the left insula and the right parahippocampal gyrus, compared to HC. MWoA patients showed reduced regional homogeneity (ReHo) in the right culmen, compared to HC. In addition, migraine patients showed increased ReHo in the bilateral thalamus, compared to HC. MWoA patients showed reduced whole-brain functional connectivity (FC) in the left middle occipital gyrus and the right superior parietal lobule, compared to HC. In addition, migraine patients showed increased whole-brain FC in the left middle temporal gyrus (MTG), the right inferior frontal gyrus, the right superior temporal gyrus (STG) and the left inferior temporal gyrus, compared to HC. ALE analysis identified consistent functional changes in widespread regions, especially in cingulate gyrus, basal ganglia region and frontal cortex in migraine. These regions involve in pain processing, cognitive dysfunction and emotional problems. These results may provide important clues for clarifying the pathophysiology of migraine. [ABSTRACT FROM AUTHOR]

Patients with rheumatic disease have a high prevalence of metabolic syndrome. The purpose of this study was to investigate temporal changes in metabolic syndrome indices and to identify factors influencing metabolic syndrome development. A prospective cohort study design was adopted. The study participants were 68 outpatients with a rheumatic disease at an outpatient clinic of a university hospital. Data on demographics, health-related characteristics, steroid use, serum C-reactive protein levels, and metabolic syndrome indices were collected between December 2017 and March 2021. Temporal changes in body mass indices, serum triglyceride, and cholesterol levels were significant. Body mass indices, diastolic blood pressure, serum triglyceride, high-density lipoprotein, and fasting blood glucose levels at time of diagnosis were found to influence metabolic syndrome development. Temporal changes in serum triglyceride, cholesterol, and fasting blood glucose levels were significantly influenced by inflammatory status. The findings demonstrate the importance of controlling inflammatory activities in the context of inhibiting the progression of metabolic syndrome and rheumatic diseases. [ABSTRACT FROM AUTHOR]

The study evaluated changes in quality of life in 35 cases who underwent surgical treatment for drug-resistant epilepsy caused by temporal lobe lesions at Viet Duc Hospital between May 2018 and September 2022. Quasi-experimental research without a control group, longitudinal study followed 35 patients diagnosed with drug-resistant epilepsy caused by temporal lobe lesions who underwent surgery at Viet Duc University Hospital from May 2018 to September 2022. Quality of life was assessed using the SF-36 questionnaire before surgery and 1 month postoperatively. The number of monthly seizures after surgery decreased significantly, with a p-value < 0,05. Seizures occurring within one month after surgery (Engel I) accounted for 74,3% of cases, while the remaining 25,7% showed improved seizure outcomes (Engel II, III). The surgery also led to an improvement in both physical and mental health, as reflected by a statistically significant increase with a p-value < 0,05. The surgical treatment of drug-resistant epilepsy resulting from temporal lobe damage has been shown to be a highly efficacious intervention in reducing seizures and improving overall quality of life. [ABSTRACT FROM AUTHOR]

Background: Although the neural mechanisms of the theory of mind (ToM) in children with autism spectrum disorder (ASD) through fMRI using the social animation task have been investigated, little is known in adults with ASD. Therefore, the present study aimed to explore the neural substrates of ToM in adults with ASD. Moreover, we aimed to elucidate the relationship between brain activation and behavior of social interaction in adults with ASD.Methods: Twenty-four healthy controls and 24 adults with the clinical diagnosis of ASD were recruited. Participants were asked to complete the social animation task in functional magnetic resonance imaging. The imaging analyses of within (whole brain analysis) and between (5 regions of interest) group comparisons were conducted to explore the process of ToM. The correlation analyses were further conducted to explore the relationship between neural activations associated with ToM and social interaction abilities assessed by ADI-R.Results: The ASD group showed greater activation in the left precuneus and right superior temporal gyrus (STG) than the control group. For correlation analyses, greater right STG activation was positively correlated with autistic symptoms assessed by the ADI-R in the ASD group.Conclusion: ASD adults might spend a lot of effort on identification processing, thereby influencing social communication skills. Also, the neural deficits of ToM in ASD adults might be associated with their social interaction difficulties. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

• Own voice perception might be a complex process including emotional, memory, somatosensory, auditory, and facial recognition processing. • Right superior temporal gyrus, transverse temporal gyrus, amygdala, hippocampus, and fusiform gyrus (FG) are likely part of the neural network subjacent to own human voice perception. • Cortico-cortical evoked potentials might help to understand neurophysiological bases of own voice perception. • Own voice perception seem to be related to facial perception as well. The neural bases for language perception have been studied elsewhere using Transcranial Magnetic Stimulation, functional Magnetic Resonance Imaging and Direct Cortical Stimulation. However, to our knowledge, there is no previous report about a patient identifying the change in his voice tone, speed, and prosody because of right temporal cortical stimulation. Nor has there been a cortico-cortical evoked potential (CCEP) assessment of the network underlying this process. We present CCEP from a patient with right focal refractory temporal lobe epilepsy of tumoral etiology who reported changes in the perception of his own speech prosody during stimulation. This report will serve as a complement to the understanding of the neural networks of language and prosody. The present report shows that right superior temporal gyrus, transverse temporal gyrus, right amygdala, hippocampus, and fusiform gyrus (FG) are part of the neural network subjacent to own human voice perception. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To investigate the clinical effect of acupuncture among patients with dysphagia after cerebral infarction, and the nerve remodeling of acupuncture using diffusion tensor imaging. One hundred and twenty patients with dysphagia after cerebral infarction were randomly assigned to either acupuncture group or sham-acupuncture group with a 1:1 ratio. All patients received usual care and swallowing function training of neurology department. Additionally, acupuncture was applied at Sìshéncōng (四神聪EX-HN1), Băihuì (百会GV20), Tàiyáng (太阳EX-HN5), Fēngchí (风池GB20) and Shésānzhēn (舌三针three-tongue needling points, Extra) in acupuncture group. The needles were retained for 30 min each time, and five times a week for three weeks as a course of treatment. Two courses of treatments were required in total. In sham-acupuncture group, the blunt needles were put into the needle sleeve, and the top of needle was fixed on the skin. During treatment the blunt needle tip only had slight contact with the skin without any penetration. The blunt needle tips were placed on EX-HN1, GV20, EX-HN5, GB20 and three-tongue needling points, respectively. The duration of treatment in sham-acupuncture group was the same as that in acupuncture group. Before and after treatment, all patients underwent Kubota water swallowing test to evaluate the clinical effect. Using diffusion tensor image (DTI), the nerve remodeling was detected. Clinical effect: After treatment and assessed by water swallowing test, there were 38 cases of normal swallowing function in acupuncture group, higher than 15 cases in sham-acupuncture group (P < 0.05). Nerve remodeling: (1) apparent diffusion coefficient (ADC): before treatment, ADC in acupuncture group and sham acupuncture group were 1.76 ± 0.45 mm/s and 1.68 ± 0.51 mm/s, respectively. After treatment, ADC were 0.66 ± 0.15 mm/s and 0.74 ± 0.11 mm/s, respectively. The difference in ADC had no statistical significance between two groups after treatment (P > 0.05); (2) fractional anisotropy (FA): after treatment, FA of acupuncture group was 0.57 ± 0.06, which was significantly higher than that of sham-acupuncture group (P < 0.05); (3) observation of different infarct lesions: after treatment, ADC of temporal lobe infarction in acupuncture group was (0.57 ± 0.11) mm/s, lower than 0.82 ± 0.24 mm/s of sham acupuncture group, while FA in acupuncture group was 0.61 ± 0.07, higher than 0.45 ± 0.10 in sham-acupuncture group, both with statistical significance (both P < 0.05). Regarding the changes of FA maps for temporal lobe infarction before and after treatment, the transverse bundles of the white matter fibers increased remarkably in infarct lesions and on the healthy side of temporal lobe. Acupuncture could improve the swallowing function of patients with dysphagia after cerebral infarction. It reduced ADC and increased FA, especially among patients with temporal lobe infarction after treatment. Acupuncture may have a remodeling effect on transverse cortical fibers after temporal lobe infarction. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Shanghai Physical Education Institute / Shanghai Tiyu Xueyuan Xuebao is the property of Shanghai Physical Education Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Studies of continuous electroencephalography (EEG) suggest that seizures in individuals with focal-onset epilepsies preferentially occur during periods of heightened risk, typified by pathologic brain activities, termed pro-ictal states; however, the presence of (pathologic) pro-ictal states among a plethora of otherwise physiologic (e.g., sleep-wake cycle) states has not been established. Methods: We studied a prospective, consecutive series of 15 patients with temporal lobe epilepsy who underwent limbic thalamic recordings in addition to routine (cortical) intracranial EEG for seizure localization. For each participant, pro-ictal (45 minutes before seizure onset) and interictal (4 hours removed from all seizures) EEG segments were divided into 10-minute, nonoverlapping windows, which were randomly distributed into training and validation cohorts in a 1:1 ratio. A deep neural classifier was applied to distinguish pro-ictal from interictal brain activities in a patient-specific fashion. Results: We analyzed 1800 patient-hours of continuous thalamocortical EEG. Distinct pro-ictal states were detected in each participant. The median area under the receiver-operating characteristic curve of the classifier was 0.92 (interquartile range, 0.90-0.96). Pro-ictal states were distinguished at least 45 minutes before seizure onset in 13 of 15 participants; in 2 of 15 participants, they were distinguished up to 35 minutes prior. Conclusions: On the basis of thalamocortical EEG, pro-ictal states - pathologic brain activities during periods of heightened seizure risk - could be identified in patients with temporal lobe epilepsy and were detected, in our small sample, more than one half hour before seizure onset. The presence of pathologic pro-ictal states among a plethora of otherwise physiologic (e.g., sleep-wake cycle) states has not been established. In this series of 15 temporal lobe epilepsy patients, 1800 patient-hours of continuous thalamocortical electroencephalography data were analyzed. Distinct pro-ictal states were detected in each participant. [ABSTRACT FROM AUTHOR]

Objectives: Many patients with psychiatric disorders may have epileptic disorders; however, clinical diagnosis without imaging investigation may result in misdiagnosis and thus resistance to treatment. We investigated electroencephalography (EEG) abnormalities in the patients with psychiatric disorders referred to us with treatment resistance. Methods: In this case series study, nine patients with mood and psychotic symptoms who were referred to us at Belmont Private Hospital, Australia, from August 2018 to July 2020, were evaluated. Results: Complete examination showed the presence of undiagnosed temporal lobe epilepsy. Notably, the seizure symptoms had been assumed as part of other psychiatric co-morbidities. Conclusions: This study suggests the necessity of paying attention to the biological etiologies of mental illnesses in the initial assessments in psychiatric and neurological practice. Performing electroencephalogram and treating such patients with mood stabilizers, which have antiepileptic properties, can change the course of the mental illness decisively. [ABSTRACT FROM AUTHOR]

• Proposed a new approach to reduce EEG channels and improve classification rate. • Proposed the utilization of TVRP to demonstrate the temporal recurrence characteristics of EEG. • The temporal recurrence of frontal and parietal regions of positive emotional states is more continuous. • MWRN of positive and negative emotion are significantly different. Electroencephalography (EEG) has garnered significant attention in emotion recognition research due to its non-invasiveness and relatively high accuracy. However, many studies have primarily focused on the time and frequency domain characteristics of EEG for emotion identification, with nonlinear attributes often being overlooked. Additionally, the high resolution of EEG time has also been underutilized. To address this problem, we proposed a novel approach termed the time-varying recursive graph (TVRP) to visualize the temporal recursion patterns inherent in EEG signals. The proposition involved constructing a multivariate weighted recurrent network (MWRN) based on TVRP-selected reliable channels to quantify the nonlinear features of EEG networks across different emotional states. Finally, these nonlinear features were validated for sentiment recognition. The EEG signals of 28 participants listening to positive and negative music were collected for this study. TVRP analysis revealed significant temporal recurrence differences between positive and negative emotions in the frontal, parietal, and temporal regions. Positive emotional states exhibited greater continuous temporal recursion in the frontal and parietal lobes, whereas negative emotions showed more in the temporal lobe. MWRN indicated that the non-linearity of positive emotional states was notably higher than that of negative. The classification rate of optimal channel features selected based on TVRP was more accurate than all channels, with an average classification rate of 81.3%. This study highlights the utility of TVRP in visualizing temporal recursion patterns of EEG signals in various emotional states. It underscores that a channel-selection-based TVRP improves the recognition performance of emotional EEG. [ABSTRACT FROM AUTHOR]

Semantic control allows us to focus semantic activation on currently relevant aspects of knowledge, even in the face of competition or when the required information is weakly encoded. Diverse cortical regions, including left prefrontal and posterior temporal cortex, are implicated in semantic control, however; the relative contribution of these regions is unclear. For the first time, we compared semantic aphasia (SA) patients with damage restricted to temporoparietal cortex (TPC; N = 8) to patients with infarcts encompassing prefrontal cortex (PF+; N = 22), to determine if prefrontal lesions are necessary for semantic control deficits. These SA groups were also compared with semantic dementia (SD; N = 10), characterised by degraded semantic representations. We asked whether TPC cases with semantic impairment show controlled retrieval deficits equivalent to PF+ cases or conceptual degradation similar to patients with SD. Independent of lesion location, the SA subgroups showed similarities, whereas SD patients showed a qualitatively distinct semantic impairment. Relative to SD, both TPC and PF+ SA subgroups: (1) showed few correlations in performance across tasks with differing control demands, but a strong relationship between tasks of similar difficulty; (2) exhibited attenuated effects of lexical frequency and concept familiarity, (3) showed evidence of poor semantic regulation in their verbal output - performance on picture naming was substantially improved when provided with a phonological cue, and (4) showed effects of control demands, such as retrieval difficulty, which were equivalent in severity across TPC and PF+ groups. These findings show that semantic impairment in SA is underpinned by damage to a distributed semantic control network, instantiated across anterior and posterior cortical areas. [ABSTRACT FROM AUTHOR]

Memory disorders are a common consequence of cerebrovascular accident (CVA). However, uncertainties remain about the exact anatomical correlates of memory impairment and the material-specific lateralization of memory function in the brain. We used lesion-symptom mapping (LSM) in patients with first-time CVA to identify which brain structures are pivotal for verbal and nonverbal memory and to re-examine whether verbal and nonverbal memory functions are lateralized processes in the brain. The cognitive performance of a relatively large cohort of 114 patients in five classic episodic memory tests was analysed with factor analysis. Two factors were extracted that distinguished the verbal and nonverbal components of these memory tests, and their scores were subsequently tested for anatomical correlates by combining univariate and multivariate LSM. LSM analysis revealed for the verbal factor exclusively left-hemispheric insular, subcortical and adjacent white matter regions and for the nonverbal factor exclusively right-hemispheric temporal, occipital, insular, subcortical and adjacent white matter structures. These results corroborate the long-standing hypothesis of a material-specific lateralization of memory function in the brain and confirm a robust association between right temporal lobe lesions and nonverbal memory dysfunction. The right-hemispheric correlates for the nonverbal aspects of episodic memory include not only classic memory structures in the medial temporal lobe but also a more distributed network that includes cortical and subcortical structures also known for implicit memory processes. [ABSTRACT FROM AUTHOR]

Introduction: Emotional prosody, a suprasegmental component of language, is predominantly processed by right temporo-frontal areas of the cerebral cortex. In temporal lobe epilepsy (TLE), brain disturbances affecting prosody processing frequently occur. This research assesses compensatory brain mechanisms of prosody processing in refractory TLE using fMRI.Methods: Patients with focal unilateral epilepsy, right (RTLE) (N = 19), left (LTLE) (N = 19), and healthy controls (CTRL) (N = 20) were evaluated during a prosody decoding fMRI task. The stimuli consisted in spoken numbers with different tones of voice (joy, fear, anger, neutral and silent trials). Participants were instructed to label the emotion with a keypad. "Joy" was removed from the analysis due to a high degree of variability. A lateralization index (LI) was used to see individual differences in the interhemispheric activations of each participant.Results: Behaviorally, The LTLE and RTLE groups did not differ significantly from each other neither from CTRL. In Negative Emotions versus Baseline contrast, the whole sample analysis showed extensive activations in bilateral superior temporal gyrus, bilateral precentral and post-central gyrus, right putamen, and left cerebellar vermis. Compared to the LTLE and CTRL, RTLE activated similar areas, but to a lesser extent. The LI analysis revealed significant differences in hemispheric laterality of the temporal lobe and the parietal lobe between RTLE compared to LTLE and CTRL, being the RTLE group lateralized towards the left, unlike the other two groups.Discussion: The LI indicated that, since the CTRL and the LTLE groups recruited putative prosodic regions, the RTLE lateralized prosody processing towards the left, recruiting contralateral nodes, homotopic to the putative areas of the prosody. Considering that the groups did not differ in prosody task performance, the findings suggest that, in the RTLE group, alternative brain nodes were recruited for the task, demonstrating plasticity. [ABSTRACT FROM AUTHOR]

Previous brain functional specialization evidence has shown that both aware and unaware visual processing of manipulable objects activate left premotor, parietal, and posterior temporal cortices, which are thought to constitute object-directed action and object-function processing streams. An open question is whether, both under supraliminal and subliminal processing conditions, there is directional spread of activation along these functional streams, leading to causal inter-regional connectivity effects. In this study, we used Dynamic Causal Modelling to estimate the effective connectivity influences within the premotor-parieto-temporal network, as a function of factorial contrasts for Manipulability (manipulable vs non-manipulable objects) and Perceptual Awareness (above vs below perceptual threshold). We modeled forward and backward connections originating from visual area V4, as a region underlying object texture segregation, and spreading through the left premotor-parieto-temporal network. Both above and below perceptual threshold, the visual processing of manipulable objects was associated with a specific increase of reciprocal effective connectivity coupling among left premotor-parieto-temporal regions. Aware and unaware manipulable object processing differed from each other for their distinct patterns of top-down activation enhancement exerted, in the former case, by left premotor-parieto-temporal regions on area V4 and, in the latter case, by left premotor on temporal regions. Although it is only under aware processing conditions that effective connectivity in the action representation system may promote object visual contour segregation in area V4, our results suggest that the encoding of object-action and object-function information can occur through left-hemispheric premotor, parietal, and temporal causal interdependencies, even when the object is not consciously perceived. [ABSTRACT FROM AUTHOR]

his is a quantitative, descriptive, cross-sectional study whose target was to determine the language alterations in motorcyclists with traumatic brain injury, in Sincelejo (Colombia). The population was found in 62 school-aged motorcyclist patients between 15 and 60 years. They were diagnosed by the neurosurgery service with an alert consciousness state through the Glasgow Scale in a Trauma Clinic. They also were in a pre-discharge medical condition, to whom the Boston Test for the Diagnosis of Abbreviated Aphasia was applied. The data obtained were tabulated with the Statistical Package Epi Info 7.1.5.2. The results indicated that 21% of the population presented comprehensive language alteration in moderate cranioencephalic traumas with injury to the temporal lobe, 13% an expressive language alteration in moderate and severe traumas with injury to the frontal lobe, 3% a mixed language alteration in severe traumas with affectation in the front-temporal-occipital-parietal lobes, and 63% showed normality in the expressive and comprehensive linguistic parameters in mild cranioencephalic traumas that presented a Computerized Axial Tomography without specification of affection in the cerebral cortex. However, some in the use of language in conversational skills were observed some difficulties, as well in the non-verbal aspects of communication. It is concluded that head injuries generated language alterations in the comprehensive, expressive, and mixed components, and in the use of language. [ABSTRACT FROM AUTHOR]