Neural basis of visual deficits recovery: visual residual functions and multisensory integration.

The ability of integrating into a unified percept sensory inputs deriving from different sensory modalities, but related to the same external event, is called multisensory integration and might represent an efficient mechanism of sensory compensation when a sensory modality is damaged by a cortical lesion. This hypothesis has been discussed in the present dissertation. Experiment 1 explored the role of superior colliculus (SC) in multisensory integration, testing patients with collicular lesions, patients with subcortical lesions not involving the SC and healthy control subjects in a multisensory task. The results revealed that patients with collicular lesions, paralleling the evidence of animal studies, demonstrated a loss of multisensory enhancement, in contrast with control subjects, providing the first lesional evidence in humans of the essential role of SC in mediating audio-visual integration. Experiment 2 investigated the role of cortex in mediating multisensory integrative effects, inducing virtual lesions by inhibitory theta-burst stimulation on temporo-parietal cortex, occipital cortex and posterior parietal cortex, demonstrating that only temporo-parietal cortex was causally involved in modulating the integration of audio-visual stimuli at the same spatial location. Given the involvement of the retino-colliculo-extrastriate pathway in mediating audio-visual integration, the functional sparing of this circuit in hemianopic patients is extremely relevant in the perspective of a multisensory-based approach to the recovery of unisensory defects. Experiment 3 demonstrated the spared functional activity of this circuit in a group of hemianopic patients, revealing the presence of implicit recognition of the fearful content of unseen visual stimuli (i.e. affective blindsight), an ability mediated by the retino-colliculo-extrastriate pathway and its connections with amygdala. Finally, Experiment 4 provided evidence that a systematic audio-visual stimulation is effective in inducing long-lasting clinical improvements in patients with visual field defect and revealed that the activity of the spared retino-colliculo-extrastriate pathway is responsible of the observed clinical amelioration, as suggested by the greater improvement observed in patients with cortical lesions limited to the occipital cortex, compared to patients with lesions extending to other cortical areas, found in tasks high demanding in terms of spatial orienting. Overall, the present results indicated that multisensory integration is mediated by the retino-colliculo-extrastriate pathway and that a systematic audio-visual stimulation, activating this spared neural circuit, is able to affect orientation towards the blind field in hemianopic patients and, therefore, might constitute an effective and innovative approach for the rehabilitation of unisensory visual impairments.

Towards a broader understanding of the effects of tidal forcing on the global ocean circulation

The study of tides and their interactions with the complex dynamics of the global ocean represents a crucial challenge in ocean modelling. This thesis aims to deepen this study from a dynamical point of view, analysing what are the tidal effects on the general circulation of the ocean. We perform different experiments of a mesoscale-permitting global ocean model forced by both atmospheric fields and astronomical tidal potential, and we implement two parametrizations to include in the model tidal phenomena that are currently unresolved, with particular emphasis to the topographic wave drag for locally dissipating internal waves. An additional experiment using a mesoscale-resolving configuration is used to compare the simulated tides at different resolutions with observed data. We find that the accuracy of modelled tides strongly depends on the region and harmonic component of interest, even though the increased resolution allows to improve the modelled topography and resolve more intense internal waves. We then focus on the impact of tides in the Atlantic Ocean and find that tides weaken the overturning circulation during the analysed period from 1981 to 2007, even though the interannual differences strongly change in both amplitude and phase. The zonally integrated momentum balance shows that tide changes the water stratification at the zonal boundaries, modifying the pressure and therefore the geostrophic balance over the entire basin. Finally, we describe the overturning circulation in the Mediterranean Sea computing the meridional and zonal streamfunctions both in the Eulerian and residual frameworks. The circulation is characterised by different cells, and their forcing processes are described with particular emphasis to the role of mesoscale and a transient climatic event. We complete the description of the overturning circulation giving evidence for the first time to the connection between meridional and zonal cells.