Atypical language organization in temporal lobe epilepsy revealed by a passive semantic paradigm

Background Mesial temporal lobe epilepsy (MTLE) is the most common type of focal epilepsy in adults and can be successfully cured by surgery. One of the main complications of this surgery however is a decline in language abilities. The magnitude of this decline is related to the degree of language lateralization to the left hemisphere. Most fMRI paradigms used to determine language dominance in epileptic populations have used active language tasks. Sometimes, these paradigms are too complex and may result in patient underperformance. Only a few studies have used purely passive tasks, such as listening to standard speech. Methods In the present study we characterized language lateralization in patients with MTLE using a rapid and passive semantic language task. We used functional magnetic resonance imaging (fMRI) to study 23 patients [12 with Left (LMTLE), 11 with Right mesial temporal lobe epilepsy (RMTLE)] and 19 healthy right-handed controls using a 6 minute long semantic task in which subjects passively listened to groups of sentences (SEN) and pseudo sentences (PSEN). A lateralization index (LI) was computed using a priori regions of interest of the temporal lobe. Results The LI for the significant contrasts produced activations for all participants in both temporal lobes. 81.8% of RMTLE patients and 79% of healthy individuals had a bilateral language representation for this particular task. However, 50% of LMTLE patients presented an atypical right hemispheric dominance in the LI. More importantly, the degree of right lateralization in LMTLE patients was correlated with the age of epilepsy onset. Conclusions The simple, rapid, non-collaboration dependent, passive task described in this study, produces a robust activation in the temporal lobe in both patients and controls and is capable of illustrating a pattern of atypical language organization for LMTLE patients. Furthermore, we observed that the atypical right-lateralization patterns in LMTLE patients was associated to earlier age at epilepsy onset. These results are in line with the idea that early onset of epileptic activity is associated to larger neuroplastic changes.

Intrahemispheric cortico-cortical connections of the human auditory cortex.

The human auditory cortex comprises the supratemporal plane and large parts of the temporal and parietal convexities. We have investigated the relevant intrahemispheric cortico-cortical connections using in vivo DSI tractography combined with landmark-based registration, automatic cortical parcellation and whole-brain structural connection matrices in 20 right-handed male subjects. On the supratemporal plane, the pattern of connectivity was related to the architectonically defined early-stage auditory areas. It revealed a three-tier architecture characterized by a cascade of connections from the primary auditory cortex to six adjacent non-primary areas and from there to the superior temporal gyrus. Graph theory-driven analysis confirmed the cascade-like connectivity pattern and demonstrated a strong degree of segregation and hierarchy within early-stage auditory areas. Putative higher-order areas on the temporal and parietal convexities had more widely spread local connectivity and long-range connections with the prefrontal cortex; analysis of optimal community structure revealed five distinct modules in each hemisphere. The pattern of temporo-parieto-frontal connectivity was partially asymmetrical. In conclusion, the human early-stage auditory cortical connectivity, as revealed by in vivo DSI tractography, has strong similarities with that of non-human primates. The modular architecture and hemispheric asymmetry in higher-order regions is compatible with segregated processing streams and lateralization of cognitive functions.

Intra- and inter-hemispheric interactions in somatosensory processing of pain : dynamical causal modeling analysis of fMRI data

La douleur est une expérience perceptive comportant de nombreuses dimensions. Ces dimensions de douleur sont inter-reliées et recrutent des réseaux neuronaux qui traitent les informations correspondantes. L’élucidation de l'architecture fonctionnelle qui supporte les différents aspects perceptifs de l'expérience est donc une étape fondamentale pour notre compréhension du rôle fonctionnel des différentes régions de la matrice cérébrale de la douleur dans les circuits corticaux qui sous tendent l'expérience subjective de la douleur. Parmi les diverses régions du cerveau impliquées dans le traitement de l'information nociceptive, le cortex somatosensoriel primaire et secondaire (S1 et S2) sont les principales régions généralement associées au traitement de l'aspect sensori-discriminatif de la douleur. Toutefois, l'organisation fonctionnelle dans ces régions somato-sensorielles n’est pas complètement claire et relativement peu d'études ont examiné directement l'intégration de l'information entre les régions somatiques sensorielles. Ainsi, plusieurs questions demeurent concernant la relation hiérarchique entre S1 et S2, ainsi que le rôle fonctionnel des connexions inter-hémisphériques des régions somatiques sensorielles homologues. De même, le traitement en série ou en parallèle au sein du système somatosensoriel constitue un autre élément de questionnement qui nécessite un examen plus approfondi. Le but de la présente étude était de tester un certain nombre d'hypothèses sur la causalité dans les interactions fonctionnelle entre S1 et S2, alors que les sujets recevaient des chocs électriques douloureux. Nous avons mis en place une méthode de modélisation de la connectivité, qui utilise une description de causalité de la dynamique du système, afin d'étudier les interactions entre les sites d'activation définie par un ensemble de données provenant d'une étude d'imagerie fonctionnelle. Notre paradigme est constitué de 3 session expérimentales en utilisant des chocs électriques à trois différents niveaux d’intensité, soit modérément douloureux (niveau 3), soit légèrement douloureux (niveau 2), soit complètement non douloureux (niveau 1). Par conséquent, notre paradigme nous a permis d'étudier comment l'intensité du stimulus est codé dans notre réseau d'intérêt, et comment la connectivité des différentes régions est modulée dans les conditions de stimulation différentes. Nos résultats sont en faveur du mode sériel de traitement de l’information somatosensorielle nociceptive avec un apport prédominant de la voie thalamocorticale vers S1 controlatérale au site de stimulation. Nos résultats impliquent que l'information se propage de S1 controlatéral à travers notre réseau d'intérêt composé des cortex S1 bilatéraux et S2. Notre analyse indique que la connexion S1→S2 est renforcée par la douleur, ce qui suggère que S2 est plus élevé dans la hiérarchie du traitement de la douleur que S1, conformément aux conclusions précédentes neurophysiologiques et de magnétoencéphalographie. Enfin, notre analyse fournit des preuves de l'entrée de l'information somatosensorielle dans l'hémisphère controlatéral au côté de stimulation, avec des connexions inter-hémisphériques responsable du transfert de l'information à l'hémisphère ipsilatéral.

Neuroimagerie fonctionnelle du langage et de la mémoire chez des personnes ayant des atteintes neurologiques

Les objectifs de ce programme de recherche étaient, d’une part, d’apporter une compréhension critique des techniques non-invasives utilisées dans la localisation et/ou la latéralisation des aires langagières et mnésiques en tenant compte de leurs avantages, de leurs limites propres ainsi que de leur pertinence dans un contexte clinique. D’autre part, d’approfondir notre compréhension de l’organisation cérébrale langagière auprès d’une population de sujets ayant une agénésie du corps calleux en utilisant un protocole de neuroimagerie. Afin de répondre à notre premier objectif, une revue critique de la littérature des méthodes de neuroimagerie utilisées pour la latéralisation et la localisation des aires cérébrales sous-tendant le traitement langagier et mnésique dans le contexte du bilan préchirurgical des patients épileptiques a été effectuée. Ce travail a permis d’identifier que certaines de ces nouvelles techniques et plus spécialement leur combinaison, montrent un potentiel réel dans ce contexte clinique. Cette recherche a également permis de mettre en lumière que ces méthodes ont encore un grand besoin d’être raffinées et standardisées avant d’être utilisées comme remplacement au test à l’amobarbital intracarotidien dans un contexte clinique sécuritaire. Afin de répondre à notre deuxième objectif, nous avons exploré les patrons de latéralisation du langage auprès de six sujets acalleux en utilisant un protocle d’imagerie par résonance magnétique fonctionnelle (IRMf). Les résultats indiquent que les individus ayant une agénésie du corps calleux montrent un patron d’activation cérébrale tout aussi latéralisé que nos deux groupes contrôles (QI apparié et QI élevé) lors du traitement du langage réceptif. Les sujets ayant une agénésie du corps calleux montrent également un patron de latéralisation comparable à leur groupe contrôle apparié pour le QI pour la tâche de langage expressif. Lorsque l’on compare les sujets ayant une agénésie du corps calleux au groupe contrôle de QI élevé, ces derniers montrent une latéralisation moins marquée uniquement pour la région frontale lors de la tâche de langage expressif. En conclusion, les résultats de cette étude ne supportent pas l’affirmation que le corps calleux jouerait un rôle inhibiteur essentiel afin de permettre un développement normal de la latéralisation hémisphérique pour le langage.

Localisation du langage et de la mémoire verbale en magnétoencéphalographie

Dans le cadre de l’évaluation pré-chirurgicale de patients épileptiques, il est impératif de déterminer la spécialisation hémisphérique du langage, ainsi que de localiser les aires du langage au sein de cet hémisphère. De nouvelles méthodes d’évaluation non- invasives doivent être mises au point afin de diminuer les risques associés aux méthodes plus invasives telles que le test à l’amobarbital intracarotidien (TAI). L’objectif principal de cette thèse est donc de développer un protocole d’évaluation pré-chirurgicale alternatif et non-invasif à l’aide de la magnétoencéphalographie (MEG) pour la latéralisation et la localisation du langage, incluant la mémoire verbale qui serait éventuellement accessible à une population pédiatrique francophone épileptique. L’article 1 présente une recension de la littérature résumant les différentes études en MEG ayant pour objectif l’évaluation pré-chirurgicale du langage. Trente-sept articles en MEG ont été analysés pour déterminer quelles tâches permettaient d’obtenir les meilleurs résultats de latéralisation intrahémisphérique et de localisation du langage pour l’évaluation du langage réceptif et expressif chez des sujets neurologiquement sains et épileptiques. Parmi les tests retenus, l’épreuve de reconnaissance de mots permet d’évaluer le langage réceptif et la mémoire verbale, tandis que des épreuves de fluence verbale telles que la génération de verbes permettent d’évaluer le langage expressif de façon à obtenir de très bons résultats. L’article 2 a permis de valider un protocole auprès de sujets neurologiquement sains à l’aide des épreuves identifiées dans l’article 1. Le protocole utilisé comprend une tâche de langage réceptif et de mémoire verbale (une épreuve de reconnaissance de mots) et une tâche de langage expressif (une épreuve de fluence verbale). Suite à la validation du protocole à l’aide d’analyses par composantes principales, les épreuves ont été administrées à un groupe de patients épileptiques. Les index de latéralité et les analyses de sources i révèlent que la MEG permet de localiser et de latéraliser les fonctions langagières et pourrait donc être utilisée comme méthode d'évaluation du langage lors de l'évaluation pré- chirurgicale auprès de patients épileptiques. Toutefois, alors que l’épreuve de mémoire verbale a permis d’obtenir les meilleurs résultats auprès de l’ensemble des participants, l’épreuve de fluence verbale n’a fourni des informations supplémentaires que chez un seul patient et chez aucun participant neurologiquement sain. En résumé, les deux articles de cette thèse démontrent le potentiel clinique de la MEG pour l’évaluation pré-chirurgicale de patients souffrant d’une épilepsie réfractaire.

Southern Hemispheric Features and their Teleconnection with Indian Summer Monsoon

This thesis entitled southern hemispheric features and their Teleconnection with indian summer monsoon.Southern hemisphere is entirely distinct from the northern hemisphere in many aspects, which is well reflected in atmospheric and oceanic properties.The thesis consists of eight chapters, in which the first chapter contains an overview of southern hemisphere. In this chapter, variability in southern hemisphere is described along with Indian summer monsoon and its teleconnection. The different types of data sets used and various methodologies adopted in the present thesis were described in Chapter 2. The period of climate shift and the magnitude of anomalies after the climate shift, which extended from troposphere to stratopause level, were investigated in detail and presented in chapter 3. Chapter 4 depicts the recent trend and variability in southern stratosphere. The higher order variability during various months and the frequency of extremity is included in this chapter.Climatology of divergence and convergence after the documented shift is reported in chapter 5.Southern extratropical connection to Indian summer monsoon through the modulation of SAM is presented in Chapter 6.Chapter 7 deals with the modulation of SAM‐Monsoon link through North Atlantic Oscillation.

Hemispheric asymmetries in recognition memory for negative and neutral words

Federmeier and Benjamin (2005) have suggested that semantic encoding for verbal information in the right hemisphere can be more effective when memory demands are higher. However, other studies (Kanske & Kotz, 2007) also suggest that visual word recognition differ in function of emotional valence. In this context, the present study was designed to evaluate the effects of retention level upon recognition memory processes for negative and neutral words. Sample consisted of 15 right-handed undergraduate portuguese students with normal or corrected to normal vision. Portuguese concrete negative and neutral words were selected in accordance to known linguistic capabilities of the right hemisphere. The participants were submitted to a visual half-field word presentation using a continuous recognition memory paradigm. Eye movements were continuously monitored with a Tobii T60 eye-tracker that showed no significant differences in fixations to negative and neutral words. Reaction times in word recognition suggest an overall advantage of negative words in comparison to the neutral words. Further analysis showed faster responses for negative words than for neutral words when were recognised at longer retention intervals for left-hemisphere encoding. Electrophysiological data through event related potentials revealed larger P2 amplitude over centro-posterior electrode sites for words studied in the left hemifield suggesting a priming effect for right-hemisphere encoding. Overall data suggest different hemispheric memory strategies for the semantic encoding of negative and neutral words.

Life cycle of the QBO-modulated 11-year solar cycle signals in the Northern Hemispheric winter

This paper provides some insights on the quasi-biennial oscillation (QBO) modulated 11-year solar cycle (11-yr SC) signals in Northern Hemisphere (NH) winter temperature and zonal wind. Daily ERA-40 Reanalysis and ECMWF Operational data for the period of 1958-2006 were used to examine the seasonal evolution of the QBO-solar cycle relationship at various pressure levels up to the stratopause. The results show that the solar signals in the NH winter extratropics are indeed QBO-phase dependent, moving poleward and downward as winter progresses with a faster descent rate under westerly QBO than under easterly QBO. In the stratosphere, the signals are highly significant in late January to early March and have a life span of 30-50 days. Under westerly QBO, the stratospheric solar signals clearly lead and connect to those in the troposphere in late March and early April where they have a life span of 10 days. As the structure changes considerably from the upper stratosphere to the lower troposphere, the exact month when the maximum solar signals occur depends largely on the altitude chosen. For the low-latitude stratosphere, our analysis supports a vertical double-peaked structure of positive signature of the 11-yr SC in temperature, and demonstrates that this structure is further modulated by the QBO. These solar signals have a longer life span (3-4 months) in comparison to those in the extratropics. The solar signals in the lower stratosphere are stronger in early winter but weaker in late winter, while the reverse holds in the upper stratosphere.

Cross-hemispheric transport of Central African biomass burning pollutants: Implications for downwind ozone production

Pollutant plumes with enhanced concentrations of trace gases and aerosols were observed over the southern coast of West Africa during August 2006 as part of the AMMA wet season field campaign. Plumes were observed both in the mid and upper troposphere. In this study we examined the origin of these pollutant plumes, and their potential to photochemically produce ozone (O3) downwind over the Atlantic Ocean. Their possible contribution to the Atlantic O3 maximum is also discussed. Runs using the BOLAM mesoscale model including biomass burning carbon monoxide (CO) tracers were used to confirm an origin from central African biomass burning fires. The plumes measured in the mid troposphere (MT) had significantly higher pollutant concentrations over West Africa compared to the upper tropospheric (UT) plume. The mesoscale model reproduces these differences and the two different pathways for the plumes at different altitudes: transport to the north-east of the fire region, moist convective uplift and transport to West Africa for the upper tropospheric plume versus north-west transport over the Gulf of Guinea for the mid-tropospheric plume. Lower concentrations in the upper troposphere are mainly due to enhanced mixing during upward transport. Model simulations suggest that MT and UT plumes are 16 and 14 days old respectively when measured over West Africa. The ratio of tracer concentrations at 600 hPa and 250 hPa was estimated for 14–15 August in the region of the observed plumes and compares well with the same ratio derived from observed carbon dioxide (CO2) enhancements in both plumes. It is estimated that, for the period 1–15 August, the ratio of Biomass Burning (BB) tracer concentration transported in the UT to the ones transported in the MT is 0.6 over West Africa and the equatorial South Atlantic. Runs using a photochemical trajectory model, CiTTyCAT, initialized with the observations, were used to estimate in-situ net photochemical O3 production rates in these plumes during transport downwind of West Africa. The mid-troposphere plume spreads over altitude between 1.5 and 6 km over the Atlantic Ocean. Even though the plume was old, it was still very photochemically active (mean net O3 production rates over 10 days of 2.6 ppbv/day and up to 7 ppbv/day during the first days) above 3 km especially during the first few days of transport westward. It is also shown that the impact of high aerosol loads in the MT plume on photolysis rates serves to delay the peak in modelled O3 concentrations. These results suggest that a significant fraction of enhanced O3 in mid-troposphere over the Atlantic comes from BB sources during the summer monsoon period. According to simulated occurrence of such transport, BB may be the main source for O3 enhancement in the equatorial south Atlantic MT, at least in August 2006. The upper tropospheric plume was also still photochemically active, although mean net O3 production rates were slower (1.3 ppbv/day). The results suggest that, whilst the transport of BB pollutants to the UT is variable (as shown by the mesoscale model simulations), pollution from biomass burning can make an important contribution to additional photochemical production of O3 in addition to other important sources such as nitrogen oxides (NOx) from lightning.

Right hemisphere language functions and schizophrenia: the forgotten hemisphere?

This review highlights the importance of right hemisphere language functions for successful social communication and advances the hypothesis that the core deficit in psychosis is a failure of segregation of right from left hemisphere functions. Lesion studies of stroke patients and dichotic listening and functional imaging studies of healthy people have shown that some language functions are mediated by the right hemisphere rather than the left. These functions include discourse planning/comprehension, understanding humour, sarcasm, metaphors and indirect requests, and the generation/comprehension of emotional prosody. Behavioural evidence indicates that patients with typical schizophrenic illnesses perform poorly on tests of these functions, and aspects of these functions are disturbed in schizo-affective and affective psychoses. The higher order language functions mediated by the right hemisphere are essential to an accurate understanding of someone's communicative intent, and the deficits displayed by patients with schizophrenia may make a significant contribution to their social interaction deficits. We outline a bi-hemispheric theory of the neural basis of language that emphasizes the role of the sapiens-specific cerebral torque in determining the four-chambered nature of the human brain in relation to the origins of language and the symptoms of schizophrenia. Future studies of abnormal lateralization of left hemisphere language functions need to take account of the consequences of a failure of lateralization of language functions to the right as well as the left hemisphere.

Inter-hemispheric mesospheric coupling in a comprehensive middle atmosphere model

Observations of noctilucent clouds have revealed a surprising coupling between the winter stratosphere and the summer polar mesopause region. In spite of the great distance involved, this inter-hemispheric link has been suggested to be the principal reason for both the year-to-year variability and the hemispheric differences in the frequency of occurrence of these high-altitude clouds. In this study, we investigate the dynamical influence of the winter stratosphere on the summer mesosphere using simulations from the vertically extended version of the Canadian Middle Atmosphere Model (CMAM). We find that for both Northern and Southern Hemispheres, variability in the summer polar mesopause region from one year to another can be traced back to the planetary-wave flux entering the winter stratosphere. The teleconnection pattern is the same for both positive and negative wave-flux anomalies. Using a composite analysis to isolate the events, it is argued that the mechanism for interhemispheric coupling is a feedback between summer mesosphere gravity-wave drag (GWD) and zonal wind, which is induced by an anomaly in mesospheric cross-equatorial flow, the latter arising from the anomaly in winter hemisphere GWD induced by the anomaly in stratospheric conditions.

Mid-Holocene monsoons: a multi-model analysis of the inter-hemispheric differences in the responses to orbital forcing and ocean feedbacks

The response of monsoon circulation in the northern and southern hemisphere to 6 ka orbital forcing has been examined in 17 atmospheric general circulation models and 11 coupled ocean–atmosphere general circulation models. The atmospheric response to increased summer insolation at 6 ka in the northern subtropics strengthens the northern-hemisphere summer monsoons and leads to increased monsoonal precipitation in western North America, northern Africa and China; ocean feedbacks amplify this response and lead to further increase in monsoon precipitation in these three regions. The atmospheric response to reduced summer insolation at 6 ka in the southern subtropics weakens the southern-hemisphere summer monsoons and leads to decreased monsoonal precipitation in northern South America, southern Africa and northern Australia; ocean feedbacks weaken this response so that the decrease in rainfall is smaller than might otherwise be expected. The role of the ocean in monsoonal circulation in other regions is more complex. There is no discernable impact of orbital forcing in the monsoon region of North America in the atmosphere-only simulations but a strong increase in precipitation in the ocean–atmosphere simulations. In contrast, there is a strong atmospheric response to orbital forcing over northern India but ocean feedback reduces the strength of the change in the monsoon although it still remains stronger than today. Although there are differences in magnitude and exact location of regional precipitation changes from model to model, the same basic mechanisms are involved in the oceanic modulation of the response to orbital forcing and this gives rise to a robust ensemble response for each of the monsoon systems. Comparison of simulated and reconstructed changes in regional climate suggest that the coupled ocean–atmosphere simulations produce more realistic changes in the northern-hemisphere monsoons than atmosphere-only simulations, though they underestimate the observed changes in precipitation in all regions. Evaluation of the southern-hemisphere monsoons is limited by lack of quantitative reconstructions, but suggest that model skill in simulating these monsoons is limited.

An inter-hemispheric comparison of the tropical storm response to global warming

Model studies do not agree on future changes in tropical cyclone (TC) activity on regional scales. We aim to shed further light on the distribution, frequency, intensity, and seasonality of TCs that society can expect at the end of the twenty-first century in the Southern hemisphere (SH). Therefore, we investigate TC changes simulated by the atmospheric model ECHAM5 with T213 (~60 km) horizontal resolution. We identify TCs in present-day (20C; 1969–1990) and future (21C; 2069–2100) time slice simulations, using a tracking algorithm based on vorticity at 850 hPa. In contrast to the Northern hemisphere (NH), where tropical storm numbers reduce by 6 %, there is a more dramatic 22 % reduction in the SH, mainly in the South Indian Ocean. While an increase of static stability in 21C may partly explain the reduction in tropical storm numbers, stabilization cannot alone explain the larger SH drop. Large-scale circulation changes associated with a weakening of the Tropical Walker Circulation are hypothesized to cause the strong decrease of cyclones in the South Indian Ocean. In contrast the decrease found over the South Pacific appears to be partly related to increased vertical wind shear, which is possibly associated with an enhanced meridional sea surface temperature gradient. We find the main difference between the hemispheres in changes of the tropical cyclones of intermediate strength with an increase in the NH and a decrease in the SH. In both hemispheres the frequency of the strongest storms increases and the frequency of the weakest storms decreases, although the increase in SH intense storms is marginal.

The relationship between the ITCZ and the Southern Hemispheric eddy-driven jet

We study the effect of a thermal forcing confined to the midlatitudes of one hemisphere on the eddy-driven jet in the opposite hemisphere. We demonstrate the existence of an “interhemispheric teleconnection,” whereby warming (cooling) the Northern Hemisphere causes both the intertropical convergence zone (ITCZ) and the Southern Hemispheric midlatitude jet to shift northward (southward). The interhemispheric teleconnection is effected by a change in the asymmetry of the Hadley cells: as the ITCZ shifts away from the Equator, the cross-equatorial Hadley cell intensifies, fluxing more momentum toward the subtropics and sustaining a stronger subtropical jet. Changes in subtropical jet strength, in turn, alter the propagation of extratropical waves into the tropics, affecting eddy momentum fluxes and the eddy-driven westerlies. The relevance of this mechanism is demonstrated in the context of future climate change simulations, where shifts of the ITCZ are significantly related to shifts of the Southern Hemispheric eddy-driven jet in austral winter. The possible relevance of the proposed mechanism to paleoclimates is discussed, particularly with regard to theories of ice age terminations.