Corpus Callosum & Split Brain Flashcards

1
Q

Corpus callosum

A

-Large white matter tract, over 200 millions axons
Function:
- Transfer and integration of information between the two
hemispheres.
→ between homologous brain regions.
→ Interhemispheric communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Microstructure

A
  • Microstructural organisation of axons vary along the CC
  • Properties such as fiber density and axon diameter affect the conduction of information
  • It is possible to measure the speed of information transfer by the CC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Poffenberger paradigm

A
  • measured Interhemispheric transfer time (IHTT)
  • faster at motor level than visual level
  • (left hand and left visual field faster than left hemisphere and left visual field)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Corpus callosum differences and abnormalities

A

1) Normal variations in the population
• Sex: some subregions of the CC are larger in women
• Manual preference: CC larger in left handed
2) Acquired abnormalities
• Callosotomies
• Traumatic brain injuries
• Stroke…
3) Developmental abnormalities
• Corpus callosum Agenesis
• Variations in developmental disorders: the example of autism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Split-brain

A

• Studied the functional specialisation of each hemisphere
• Surgery to cut the corpus callosum in some epileptic patients
- First observation: no apparent cognitive damage.
- But… when designing the right experiments, were able find specific deficits and learn about hemispheric specialisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Split-brain visual stimulation

A

• The patient fixed his gaze on a central point on a board
• Lights are flashed in both the left and right visual hemi field
- Ask the patient: what did you see?
- Answer: ‘’lights flashing in the right hemi field’’
• Flash lights in only the left hemifield
- Ask what did you see: they deny having seen any lights
- If you ask them to point where the lights were flashed instead of asking for a verbal answer, they point to the right side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Split-brain Tactile stimulation/discrimination

A

• Object in the right hand: able to name and describe the object
• Object in the left hand:
- not able to name or describe
- able to match it to the same object in a collection of
object presented visually.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Split-Brain Motor control

A

-Dictate to the left hemisphere some control over the left hand: poor
-Dictate contradictory information to each hemisphere: a different movement to the right hand
→ the hemisphere having full control of the hand (the left one here) overrules the other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dichotic listening task

A

Normal controls
• Present two different sound simultaneously in
each ear
• When you ask the subject to say what they heard,
most frequently they report what they heard in
the right ear → dominance
If asked to attend specifically to what is presented
to the left ear (or present a sound only in the left
ear), can do it
→ Selective auditory attention

Patients with section of the Corpus callosum
→ Deficits to name what is presented to the left ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Split-brain: A picture of written information is flashed in one hemifield OR An object is placed out of view in one of the patient’s hand

A

1) If presented to the left hemisphere (right visual hemi-field or right hand):
• Able to name and describe (verbally and in writing)

2) Presented in left hand or left hemifield and asked to name it:
→ wrong guess
• Even when they have the object in their hand, still unable to name it (knowledge remains in the right hemisphere)
• But able to give a non-verbal answer (find the object with the left hand, identify the pencil by touch, or point)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Chimeric face test

A

left half is man right half is woman
• If the patient has to SAY if they saw a man or a
woman, they will say woman
• Ask the patient to point (left hand) at which face
they saw they will point the man,
• The one hemispheres completes a symmetrical face
so each hemispheres think they saw a full face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Helping-hand phenomenon

A

the right hand that ‘knows’ the answer may try to correct the left hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cross-cuing

A

In some participants, some language abilities is observed in the right hemisphere. Some language comprehension
→Cross-cuing from one hemisphere to the other may also happen
–> guess but if wrong will correct themselves through movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Lateralisation of functions

A
• Language an speech: left hemisphere
• Right hemisphere:
      - spatial
      - visuo-motor tasks
      - music
      - better at processing emotions
• both can generate emotional reactions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Alien hand syndrome

A

• The feeling that one of your hand is not yours and acts
in an independent manner (on its own)
• Involuntary motor activity of one hand, patients can
try to control the alien hand with the other hand
without success
→ because the homologous motor frontal regions are
disconnected
- No proprioceptive feed back between the
homologous parietal areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Developement of commissural fibres

A
  • The Anterior Commissure develops around the 10th week of gestation
  • The Corpus Callosum develops in-utero starting around week 12 until 6th or 7th month
  • Rostro-caudal development (genu first)
  • Myelinisation process continues after birth
17
Q

Defect in neuronal migration

A
  • before week 10: no AC and CC
  • between week 10 and 12: no CC (Agenesis)
  • between week 12 and 20: partial agenesis of the CC
18
Q

Agenesis of the CC

A

• What happens when you are born without a corpus callosum?
- Sometimes nothing!
- Split brain syndrome not observed
- Precocious plasticity mechanisms
- Normal IQ in 2/3 of cases
Different outcomes when it’s isolated versus associated with other malformations

19
Q

Some deficits of agenesis of CC

A

• Motor coordination
• Emotional
• Social
• Pragmatic language etc…
Possible adaptation mechanism
• Bilateral language functions (each hemisphere is able), but some Amytal sodium studies say not the case
• Residual commissures
- Anterior commissure, sub-cortical commissures
- Compensation especially to transfer visual information
- Ipsilateral tactile information
-normally eliminated in normal development
-each hemisphere has a bilateral representation

20
Q

Anatomical connectivity and autism

A

• Corpus callosum: interhemispheric connectivity

  • reductions in volume
  • microstructural alterations (diffusion imaging)
21
Q

Link between white matter alteration and function?

A
  • processing speed of the brain
  • motor deficits
  • sensori-motor integration
    → Altered interhemispheric communication
22
Q

Intra-hemispheric connectivity and autism

A
  • reduced connectivity between frontal and parietal areas in autism
    →Atypical visual input and integration during a motor action have been related with atypical connectivity between parietal and motor areas