Susan M. Resnick

The effect of anxiety on cortical cerebral blood flow and metabolism.

The relation between anxiety and cortical activity was compared in two samples of normal volunteers. One group was studied with the noninvasive xenon-133 inhalation technique for measuring cerebral blood flow (CBF) and the other with positron emission tomography (PET) using 18Flurodeoxyglucose (18FDG) for measuring cerebral metabolic rates (CMR) for glucose. The inhalation technique produced less anxiety than the PET procedure, and for low anxiety subjects, there was a linear increase in CBF with anxiety. For higher anxiety subjects, however, there was a linear decrease in CBF with increased anxiety. The PET group manifested a linear decrease in CMR with increased anxiety. The results indicate that anxiety can have systematic effects on cortical activity, and this should be taken into consideration when comparing data from different procedures. They also suggest a physiologic explanation of a fundamental behavioral law that stipulates a curvilinear, inverted-U relationship between anxiety and performance.

Sensation seeking in opposite-sex twins: An effect of prenatal hormones?

Intrauterine hormones and position with respect to male and female littermates influence sexually dimorphic adult behavior in litter-bearing animals. Opposite-sex dizygotic twins offer the opportunity to examine analogous effects on sex-related human behaviors. To illustrate this approach, Sensation Seeking Scale (SSS) scores from 422 British twin pairs, including 51 opposite-sex pairs (Zuckerman, M.,et al., J. Consult. Clin. Psychol. 46:139–149, 1978), were reanalyzed. Zuckermanet al. (1978) have shown that some aspects of sensation seeking are consistently increased in males relative to females. In comparing age-adjusted data for opposite and same-sex twins, our reanalysis demonstrated the predicted increase in sensation seeking in female members of opposite-sex pairs. Results were significant for measures of disinhibition, experience seeking, and overall sensation seeking. In contrast, male opposite-sex twins were not significantly different from male same-sex twins. Although psychosocial explanations of the increased sensation seeking in opposite-sex female twins cannot be excluded, these findings are consistent with hypothesizedin utero hormonal influences on later behavioral development.

Subcortical Metabolic Alterations in Partial Epilepsy

Summary The function of subcortical nuclei in partial epilepsy was investigated using positron emission tomography (PET) to measure metabolism in the basal ganglia and thalamus. Sixteen patients undergoing surgical evaluation were studied with 18F‐fluorodeoxyglucose (FDG) interictally and had intensive extracranial and intracranial electrophysiologic evaluations. Eight patients had left temporal lobe seizure foci, six had right temporal lobe foci, and two had right posterotemporal or parietal foci. The PET data were analyzed visually and quantitatively, using a multivariate analysis of variance on the quantitative data. Hypometabolism of subcortical nuclei was Present ipsilateral to the cortical seizure focus. Cortical hypometabolism was noted focally in the temporal lobe in patients with left temporal lobe seizure foci, whereas patients with right temporal lobe seizure foci had diffuse hemispheric hypometabolism. We postulate that the subcortical hypometabolism is secondary to decreased efferent activity from temporal lobe structures, in particular amygdala and hippocampus, to subcortical nuclei. Diminished subcortical activity may then lead to defective regulation of cortical excitability in the temporal lobe, increasing the likelihood of seizure development and spread.

Effects of Memory Processing on Regional Brain Activation: Cerebral Blood Flow in Normal Subjects

The role of the temporal lobe in memory has been implicated in lesion studies, which have also suggested the hypothesis of greater left hemispheric involvement in verbal, and right hemispheric involvement in facial memory. We tested these hypotheses in a sample of 27 normal right-handed subjects using the 133Xenon clearance method for measuring cerebral blood flow (CBF). The CBF was measured during resting baseline, word recognition, and face recognition conditions in counterbalanced order. CBF increased during recognition compared to baseline, and for the midtemporal lobe this increase was asymmetric to the left hemisphere for words and to the right for faces. While overall CBF levels and task related increases in CBF were uncorrelated either with performance or with delta performance (excess performance relative to basal memory abilities), laterality of task-related CBF correlated with both performance indices, showing regional specificity of correlations. This neurobehavioral probe paradigm can be applied in the study of neural substrates of normal and disturbed memory.

Magnetic resonance imaging in schizophrenia: relationship with clinical measures

Relationships were examined between clinical features of schizophrenia and cerebrospinal fluid (CSF) volume in brain obtained by magnetic resonance imaging (MRI) in a sample of 59 patients. The volumes of the cerebral hemispheres and CSF were measured with a computer program designed to separate reliably neural tissue from CSF. The CSF to cranial volume ratios were related to history, symptom profile and outcome functioning. Earlier age of onset was associated with higher sulcal CSF ratio, r = -0.40. The anatomic measures were unrelated to symptom severity. However, patient subtypes differed in the laterality of measures. Higher left hemispheric ratios were seen in patients with severe negative symptoms, and left predominance of ventricular relative to sulcal ratios was associated with the presence of hallucinations and delusions. The results suggest that while higher CSF is related to earlier age of onset, the clinical symptoms are more related to its lateralization. This is consistent with the hypothesis that schizophrenia is a lateralized brain disease.

THE STABILITY OF TACHISTOSCOPIC MEASURES OF HEMISPHERIC SPECIALIZATION

Two-week test-retest reliabilities were determined for two tachistoscopic tasks, consonant-vowel-consonant trigrams and dot location, in 48 right-handed university students. Both visual field and laterality scores were examined. Analysis of variance showed no significant main effects or interactions of session for either task, indicating stability of mean performance and laterality scores. Likewise, grouping subjects as high or low by median laterality scores showed concordance across sessions for both tasks. Test-retest correlations were moderately high for all verbal task measures and for visual field scores for the dot location test. However, laterality indices for dot location showed low stability despite comparable within-session reliabilities of laterality scores for the two tasks. These findings suggest stability of group means and subgroups for verbal and dot location tachistoscopic measures. However, the degree to which individual scores are predictable from one session to the next differs between the two tasks.