Patrizia Bisiacchi

Is interhemispheric transfer of visuomotor information asymmetric? Evidence from a meta-analysis

Using a meta-analytic procedure we have analysed 16 studies employing a simple unimanual reaction time (RT) paradigm and lateralized visual stimuli to provide an estimate of interhemispheric transfer time in normal right-handed subjects. We found a significant overall RT advantage of the left visual field over the right and of the right hand over the left. These asymmetries can be explained by a superiority of the right hemisphere for the detection of simple visual stimuli and by a corresponding superiority of the left hemisphere for the execution of the manual response, respectively. Alternatively, they may be interpreted as related to an asymmetry of interhemispheric transmission of visuomotor information, with transfer from the right hemisphere (side of stimulus entry) to the left (side of response generation) faster than in the reverse direction. Although a direct test of these hypotheses is still lacking, we think that the evidence available is more in keeping with the latter possibility.

Selective activation of the superior frontal gyrus in task-switching: an event-related fNIRS study.

In the task-switching paradigm, reaction time is longer and accuracy is worse in switch trials relative to repetition trials. This so-called switch cost has been ascribed to the engagement of control processes required to alternate between distinct stimulus-response mapping rules. Neuroimaging studies have reported an enhanced activation of the human lateral prefrontal cortex and the superior frontal gyrus during the task-switching paradigm. Whether neural activation in these regions is dissociable and associated with separable cognitive components of task switching has been a matter of recent debate. We used multi-channel near-infrared spectroscopy (fNIRS) to measure brain cortical activity in a task-switching paradigm designed to avoid task differences, order predictability, and frequency effects. The results showed a generalized bilateral activation of the lateral prefrontal cortex and the superior frontal gyrus in both switch trials and repetition trials. To isolate the activity selectively associated with the task-switch, the overall activity recorded during repetition trials was subtracted from the activity recorded during switch trials. Following subtraction, the remaining activity was entirely confined to the left portion of the superior frontal gyrus. The present results suggest that factors associated with load and maintenance of distinct stimulus-response mapping rules in working memory are likely contributors to the activation of the lateral prefrontal cortex, whereas only activity in the left superior frontal gyrus can be linked unequivocally to switching between distinct cognitive tasks.

Improving the Inhibitory Control Task to Detect Minimal Hepatic Encephalopathy

BACKGROUND & AIMS Quantification of the number of noninhibited responses (lures) in the inhibitory control task (ICT) has been proposed for the diagnosis of minimal hepatic encephalopathy (MHE). We assessed the efficacy of ICT compared with recommended diagnostic standards. METHODS We studied patients with cirrhosis and healthy individuals (controls) who underwent the ICT at 2 centers (center A: n=51 patients and 41 controls, center B: n=24 patients and 14 controls). Subjects were evaluated for MHE by psychometric hepatic encephalopathy score (PHES). Patients from center B also were assessed for MHE by critical flicker frequency and spectral electroencephalogram analyses. RESULTS Patients with cirrhosis had higher ICT lures (23.2+/-12.8 vs 12.9+/-5.8, respectively, P<.01) and lower ICT target accuracy (0.88+/-0.17 vs 0.96+/-0.03, respectively, P<.01) compared with controls. However, lures were comparable (25.2+/-12.5 vs 21.4+/-13.9, respectively, P=.32) among patients with/without altered PHES (center A). There was a reverse, U-shaped relationship between ICT lure and target accuracy; a variable adjusting lures was devised based on target accuracy (weighted lures at center B). This variable differed between patients with and without MHE. The variable weighted lures was then validated from data collected at center A by receiver operator characteristic curve analysis; it discriminated between patients with and without PHES alterations (area under the curve=0.71+/-0.07). However, target accuracy alone was as effective as a stand-alone variable (area under the curve=0.81+/-0.06). CONCLUSIONS The ICT is not useful for the diagnosis of MHE, unless adjusted by target accuracy. Testing inhibition (lures) does not seem to be superior to testing attention (target accuracy) for the detection of MHE.

The role of dual-task and task-switch in prospective memory: Behavioural data and neural correlates

Event-based prospective memory (PM) requires remembering the delayed execution of an intended action in response to a pre-specified PM cue while being actively engaged in an ongoing task in which the cue is embedded. To date, experimental paradigms vary as to whether or not they require participants immediately to stop working on the ongoing task whenever they encounter a PM event (cue) and directly switch to the prospective action (task-switch approach). Alternatively, several other paradigms used in the literature encourage participants to continue working on the ongoing task item after the cue, and only then, perform the prospective action (dual-task approach). The present study explores the possible behavioural and electrophysiological effects that both approaches may have on PM performance. Seventeen young adults performed both versions of a standard PM task in a counterbalanced order during which behavioural data and electroencephalogram (EEG) were recorded. Behavioural data showed a decrement in PM performance in the task-switch compared to the dual-task condition. In addition, EEG data revealed differences between the dual-task and task-switch approach in event-related potential (ERP) components associated with response inhibition and with post-retrieval monitoring (i.e. late positive complex). No differences between the two tasks were found with regard to the PM event detection processes (i.e. N300) and the retrieval of the intended action from long-term memory. In sum, findings demonstrate that it does make a difference which task approach is applied and suggest that dual-task and task-switch paradigms may result in different processing and neurophysiological dynamics particularly concerning attentional resources and cognitive control.

The effect of aging on auditory components of event-related brain potentials.

OBJECTIVE To describe auditory perceptual, pre-attentive, attention-related and cognitive processes along lifespan in normal people by a simple auditory oddball paradigm easily usable in clinical practice. METHODS ERPs were recorded in 72 normal subjects. Four blocks of tones were delivered (20% rare 2,000 Hz and 80% frequent 1,000 Hz). In the former two blocks, subjects performed a concomitant distracting visual search task (distracted condition); in the latter two blocks, they had to attend the occurrence of the rare tones (active condition). Latency and amplitude of ERPs were analyzed according to age, gender, educational level and repetition. RESULTS N100 amplitude was greater in active than in distracted condition. MMN amplitude decreased with age. N2b and P300 latencies increased with age, while their amplitudes decreased. Females produced greater P300 than males. In the elderly, P300 latency was found to be longer in the second block than in the first one. CONCLUSIONS N100 and MMN were found to be less affected by age than N2b and P300. When repeated, P300 showed increased latency in elderly subjects. SIGNIFICANCE The protocol detected the higher influence of aging on late cognitive processes than on the perceptual and pre-attentive ones. Age-adjusted normative data were produced.

Impairment in processing meaningless verbal material in several modalities: The relationship between short-term memory and phonological skills

Phonological processing abilities were studied in a patient who, following focal brain damage, showed selective impairment in non-word reading, writing, and repetition and also a severe short-term memory (STM) deficit specific for auditorily presented verbal material. The patient could execute tasks involving phonemic manipulation and awareness perfectly. Our data, in contrast with earlier observations in a case of developmental phonological dyslexia, show that acquired impairment in non-word reading, writing, repetition, and immediate memory may occur despite good phonological processing abilities. The role of STM in processing meaningless verbal material is discussed.

Perspectives on Cognitive Neuropsychology

This volume is the outcome of the first two editions of the European Workshops on Cognitive Neuropsychology held in 1983 and 1984. The aim of the workshops was to promote a discussion in which opposite views or mutually integrating positions could be clearly spelled out and debated. Each of the contributions collected here was given its final form after the meeting had taken place profiting, therefore, from the lively discussion that followed the presentation. The first part of the book is devoted to attempts to define and clarify basic issues and to the confrontation of alternative views.

Neuropsychological Performance 10 Years After Immunization in Infancy With Thimerosal-Containing Vaccines

OBJECTIVE. Thimerosal, a mercury compound used as a preservative in vaccines administered during infancy, has been suspected to affect neuropsychological development. We compared the neuropsychological performance, 10 years after vaccination, of 2 groups of children exposed randomly to different amounts of thimerosal through immunization. METHODS. Children who were enrolled in an efficacy trial of pertussis vaccines in 1992–1993 were contacted in 2003. Two groups of children were identified, according to thimerosal content in vaccines assigned randomly in the first year of life (cumulative ethylmercury intake of 62.5 or 137.5 μg), and were compared with respect to neuropsychological outcomes. Eleven standardized neuropsychological tests, for a total of 24 outcomes, were administered to children during school hours. Mean scores of neuropsychological tests in the domains of memory and learning, attention, executive functions, visuospatial functions, language, and motor skills were compared according to thimerosal exposure and gender. Standard regression coefficients obtained through multivariate linear regression analyses were used as a measure of effect. RESULTS. Nearly 70% of the invited subjects participated in the neuropsychological assessment (N = 1403). Among the 24 neuropsychological outcomes that were evaluated, only 2 were significantly associated with thimerosal exposure. Girls with higher thimerosal intake had lower mean scores in the finger-tapping test with the dominant hand and in the Boston Naming Test. CONCLUSIONS. Given the large number of statistical comparisons performed, the few associations found between thimerosal exposure and neuropsychological development might be attributable to chance. The associations found, although statistically significant, were based on small differences in mean test scores, and their clinical relevance remains to be determined.

Adult Age Differences, Response Management, and Cue Focality in Event-Based Prospective Memory: A Meta-Analysis on the Role of Task Order Specificity

The present meta-analysis investigated whether event-based prospective memory (PM) age effects differ by task order specificity. In specified PM tasks, the order of the ongoing and the PM task response is predetermined, which imposes demands on cognitive control to navigate the possible response options. In contrast, unspecified PM tasks do not require responding in a particular order. Based on 57 studies and more than 5,500 younger and older adults, results showed larger PM age effects in specified compared with unspecified PM tasks. Additionally, the effect of task focality on age differences was replicated. Results suggest that both pre- and postretrieval processes independently affect PM age effects.

Interplay between memory and executive functions in normal and pathological aging.

Healthy older adults and Alzheimers disease (AD) patients are reported in the literature to be impaired in memory and executive functions. This research investigates the extent of these two abilities in determining pathological aging. Groups of young-old and old-old healthy people (Experiment 1) and individuals with amnestic mild cognitive impairment (a-MCI) and AD (Experiment 2) were administered verbal and visuo-spatial tests graded for memory and/or executive requirements. Results indicate a decline in visuo-spatial tasks requiring memory and executive functions in healthy aging. The a-MCI showed memory deficits similar to those shown by AD, but preserved executive functions. Executive function decline could be the critical feature of dementia.