Liselotte Gootjes

Regional Distribution of White Matter Hyperintensities in Vascular Dementia, Alzheimer’s Disease and Healthy Aging

Background: White matter hyperintensities (WMH) on MRI scans indicate lesions of the subcortical fiber system. The regional distribution of WMH may be related to their pathophysiology and clinical effect in vascular dementia (VaD), Alzheimer’s disease (AD) and healthy aging. Methods: Regional WMH volumes were measured in MRI scans of 20 VaD patients, 25 AD patients and 22 healthy elderly subjects using FLAIR sequences and surface reconstructions from a three-dimensional MRI sequence. Results: The intraclass correlation coefficient for interrater reliability of WMH volume measurements ranged between 0.99 in the frontal and 0.72 in the occipital lobe. For each cerebral lobe, the WMH index, i.e. WMH volume divided by lobar volume, was highest in VaD and lowest in healthy controls. Within each group, the WMH index was higher in frontal and parietal lobes than in occipital and temporal lobes. Total WMH index and WMH indices in the frontal lobe correlated significantly with the MMSE score in VaD. Category fluency correlated with the frontal lobe WMH index in AD, while drawing performance correlated with parietal and temporal lobe WMH indices in VaD. Conclusions: A similar regional distribution of WMH between the three groups suggests a common (vascular) pathogenic factor leading to WMH in patients and controls. Our findings underscore the potential of regional WMH volumetry to determine correlations between subcortical pathology and cognitive impairment.

EEG coherence reflects regional corpus callosum area in Alzheimer’s disease

Objective: Correlations between corpus callosum size and interhemispheric EEG coherence were investigated as measures of interhemispheric connectivity in patients with Alzheimer’s disease. Methods: 11 patients underwent both magnetic resonance imaging and quantitative electroencephalography to assess corpus callosum size and interhemispheric coherence. For comparison, corpus callosum size was measured in 24 healthy elderly control subjects. Results: Corpus callosum cross sectional area was significantly reduced in Alzheimer patients relative to controls. Posterior interhemispheric coherence (α and β frequencies) correlated significantly with the size of posterior corpus callosum area, and anterior coherence (δ, θ, and α frequencies) with the size of anterior corpus callosum area in the Alzheimer patients. Conclusion: Region specific correlations between corpus callosum size and EEG coherence suggest that the decline in interhemispheric connectivity in Alzheimer’s disease results from a specific loss of cortical association neurones projecting through the corpus callosum.

Left-hemisphere dominance for processing of vowels : a whole-scalp neuromagnetic study

Brain activation of 11 healthy right-handed subjects was studied with magnetoencephalography to estimate individual hemispheric dominance for speech sounds. The auditory stimuli comprised binaurally presented Finnish vowels, tones, and piano notes in groups of two or four stimuli. The subjects were required to detect whether the first and the last item in a group were the same. In the left hemisphere, vowels evoked significantly stronger (37-79%) responses than notes and tones, whereas in the right hemisphere the responses to different stimuli did not differ significantly. Specifically, in the two-stimulus task, all 11 subjects showed left-hemisphere dominance in the vowel vs tone comparison. This simple paradigm may be helpful in non-invasive evaluation of language lateralization.

Corpus callosum size correlates with asymmetric performance on a dichotic listening task in healthy aging but not in Alzheimer's disease

Alzheimers disease (AD) involves not only gray matter but also white matter pathology, as reflected by atrophy of the corpus callosum (CC). Since decreased CC size may indicate reduced functional interhemispheric connectivity, differences in callosal size may have cognitive consequences that may become specifically apparent in neuropsychological tasks that tap hemispheric laterality. In the present study, we examined callosal functioning with a dichotic listening task in 25 Alzheimer patients, 20 healthy elderly and 20 healthy elderly with subjective memory complaints. We found decreased performance, increased ear asymmetry, and decreased callosal size in the AD group compared to healthy elderly. As expected, in the healthy elderly, we found significant negative correlations between ear asymmetry and callosal size, specifically in the anterior and posterior callosal subareas. While the association with the posterior subareas (isthmus and splenium) points at involvement of temporal areas mediating language processing, the association with the anterior subarea (the rostrum and genu) points at involvement of frontal areas mediating attention and executive functions. Remarkably however, in contrast to the healthy elderly, callosal size was not related to ear asymmetry in the AD group. The absence of an association between callosal atrophy and ear asymmetry implies that other pathological processes, next to reduced callosal functioning, attribute to ear asymmetry in AD. Difficulties to attend specifically to the left ear during dichotic listening in some of the AD patients, points at decreased attention and executive functions and suggests that pathology of specifically the frontal areas is involved.

A new rapid landmark-based regional MRI segmentation method of the brain

BACKGROUND Neurodegenerative and cerebrovascular diseases show a distinct distribution of regional atrophy and subcortical lesions. OBJECTIVE To develop an easily applicable landmark-based method for segmentation of the brain into the four cerebral lobes from MRI images. METHOD The segmentation method relies on a combination of anatomical landmarks and geometrical definitions. It is applied on the surface reconstruction of the MRI volume. The internal borders between the lobes are defined on the axial slices of the brain. The reliability of this method was determined from MRI scans of 10 subjects. To illustrate the use of the method, it was applied to MRI scans of an independent group of 10 healthy elderly subjects and 10 patients with vascular dementia to determine the regional distribution of white matter hyperintensities (WMH). RESULTS The intra-rater relative error (and intra-class correlation coefficient) of the lobe segmentation ranged from 1.6% to 6.9% (from 0.91 to 0.99). The inter-rater relative error (and intra-class correlation coefficient) ranged from 1.4% to 5.2% (from 0.96 to 0.99). Density of WMH was significantly higher in all four lobes in VD patients compared to controls (p<0.05). Within each group, WMH density was significantly higher in frontal and parietal than in temporal and occipital lobes (p<0.05). CONCLUSION This landmark based method can accommodate age and disease-related changes in brain morphology. It may be particularly useful for the study of neurodegenerative and cerebrovascular disease and for the validation of template-based automated techniques.

Sex differences in the latency of the late event-related potential mental rotation effect.

Sex differences in event-related potentials were examined in 23 women and 24 men during a mental rotation task. We found an early (130–400 ms) and a late (400–700 ms) ERP mental rotation effect. The late rotation effect, which is thought to indicate the onset of the cognitive process of mental rotation, emerged about 100 ms earlier in men than in women. Moreover, men showed about 100 ms shorter response latencies to the task than women. These findings suggest that the faster response in men can be explained as a result of actual mental rotation taking place earlier. Furthermore, we found increased involvement of the right hemisphere specifically in men, probably pointing at a holistic strategy in men during mental rotation.

Automatic processing of emotional words during an emotional Stroop task

There is evidence that early event-related potential components, such as the early posterior negativity (EPN; 200–300 ms), are modulated by emotional words. This study addressed the automaticity of this early response in an emotional Stroop task. The results show that the EPN was modulated by emotional connotation. In addition, an enhanced frontal P3 and an enhanced, more broadly distributed, late positive potential emerged as response to emotional words. The present results suggest that this early event-related potential activity represents the fast and automatic processing of emotional words. Furthermore, as the EPN originates from the posterior visual association cortex, the present results suggest a role of these areas in the automatic processing of emotional connotation.

Attention modulates hemispheric differences in functional connectivity: Evidence from MEG recordings

The present study examined intrahemispheric functional connectivity during rest and dichotic listening in 8 male and 9 female healthy young adults measured with magnetoencephalography (MEG). Generalized synchronization within the separate hemispheres was estimated by means of the synchronization likelihood that is sensitive to linear as well as non-linear coupling of MEG signals. We found higher functional intrahemispheric connectivity of frontal and temporal areas within the right as compared to the left hemisphere in the lower and higher theta band during rest and in the lower theta band during dichotic listening. In addition, higher synchronization in the lower theta band correlated with better task performance. In the upper alpha band, hemispheric differences in intrahemispheric connectivity of the frontal regions were found to be modulated by focused attention instructions. That is, attention to the right ear exaggerates the pattern of higher synchronization likelihood for the right frontal region, while attention to the left ear has an opposite effect. We found higher intrahemispheric connectivity in males compared to females as shown by higher synchronization in the lower alpha band. Taken together, our results reflect a physiological basis for functional hemispheric laterality and support the general assumption of sex differences in brain organization. Furthermore, in addition to studies that show that controlled attention processes modulate activation of the frontal areas, our study indicates that attention modulates ipsilateral functional connectivity in the frontal areas. This supports the idea of a supervisory role for the frontal cortex in attention processes.

Effects of recent word exposure on emotion-word Stroop interference: an ERP study.

Attentional bias towards emotional linguistic material has been examined extensively with the emotion-word Stroop task. Although findings in clinical groups show an interference effect of emotional words that relate to the specific concern of the group, findings concerning healthy groups are less clear. In the present study, we investigated whether emotional Stroop interference in healthy individuals is affected by exposure of the words prior to the task. We used event-related potentials (ERPs) to examine the temporal aspects of Stroop interference. Participants took longer to indicate the colour of negative than of neutral words. Exposure of words prior to the Stroop task increased response latencies, but this effect was equal for neutral and negative words. At the neurophysiological level, we found more positive-going ERPs at later latencies (P290, N400 and LPP) in response to negative than in response to neutral Stroop words. The N400 was less negative for exposed than for new words, but this effect did not interact with the emotional valence of the words. For new (i.e., unexposed) words, the behavioural Stroop interference correlated with the P290, N400 and LPP emotion effects (negative minus neutral words). The successive ERP components suggest better prelexical, semantic, and sustained attentional processing of emotion words, even when the emotional content of the words is task-irrelevant.

Age effects in identifying and localising dichotic stimuli: a corpus callosum deficit?

In the present study, dichotic listening performance of 31 older adults was compared with performance of 25 younger adults under free and focussed attention conditions. In addition to an age-related general decrease in performance, we observed in the focussed attention condition increased asymmetry in the elderly group: the decrease of recall performance was stronger for the left ear (LE) than for the right ear (RE), while the increase of localisation errors was greater for the RE than for the LE. Identifying and localising digits appear to be different processes mediated predominantly by the left and right hemisphere, respectively. Since age-related reduced performance is strongest for the ear ipsilateral to the hemisphere dominant to that particular function, these findings may be ascribed to decline of corpus callosum functioning resulting in decreased interhemispheric interaction rather than to a selective decline of right hemisphere functions.