Topic 4: Cerebral Asymmetry Flashcards
Laterality
Refers to the side of the brain that controls a given function. Hence, studies of laterality are undertaken to determine which side of the brain controls various functions.
- Laterality is relative, not absolute. Both hemispheres participate in nearly every behavior; thus, for example, although the left hemisphere is especially important for producing language, the right hemisphere also has many language capabilities.
planum temporale (Wernicke’s area)
An area comprising the anterior and posterior superior temporal planes (aSTP and pSTP), together with the auditory cortex (Heschl’s gyrus) within the lateral (Sylvian) fissure.
Major anatomical differences between the two hemispheres:
- The right hemisphere is slightly larger and heavier than the left, but the left contains more gray matter (neurons) relative to white matter (connections).
- The marked structural asymmetry of the left and right temporal lobes = difference in language and in music functions, respectively.
- The anatomical asymmetry in the temporal lobes’ cortex correlates with an asymmetry in the thalamus, shown in Figure 11.1, bottom drawing. This asymmetry complements an apparent functional asymmetry in the thalamus: the left thalamus is dominant for language functions.
- The slope of the lateral fissure is gentler on the left hemisphere than on the right (see Figure 11.1, top). The region of the temporoparietal cortex lying ventral to the lateral fissure, therefore, appears larger on the right.
- The frontal operculum (Broca’s area) is organized differently on the left and right. The area visible on the brain surface is about one-third larger on the right than on the left, whereas the area of cortex buried in the region’s sulci (ridges) is greater on the left than on the right. This anatomical asymmetry probably corresponds to the lateralization of these regions, with the left side affecting grammar production and the right side possibly influencing tone of voice (prosody).
- The distribution of various neurotransmitters is asymmetrical in both the cortical and the subcortical regions. The particular asymmetries in the distribution of ACh, GABA, NE, and DA depend on the structure under consideration.
- The right hemisphere extends farther anteriorly than does the left, the left hemisphere extends farther posteriorly than does the right, and the occipital horns of the lateral ventricles are five times as likely to be longer on the right as on the left (see Figure 11.1, bottom). The left/right asymmetry in frontal and parieto-occipital regions is known as cerebral torque or Yakolevian torque.
- generally thicker cortex in the left hemisphere but larger surface area in the right hemisphere. But there were substantial regionally specific asymmetries in 31 of the 34 regions, as shown in Figure 11.2.
Commissurotomy
Surgical disconnection of the two hemispheres by cutting the corpus callosum.
- Surgical procedure of severing corpus callosum (200-250 million nerve fibers)
Any higher order of communication is no longer shared between the two hemispheres:
- Vision will not be impacted
- Motor pathways will not be impacted
- Motor cortex in the left hemisphere cannot communicate with the right hemisphere
Split Brains
A brain in which the two hemispheres are isolated.
- the effect of commissurotomy on typical brain function. After sectioning, the two hemispheres are independent: each receives sensory input from all sensory systems, and each can control the body’s muscles, but the two hemispheres can no longer communicate with one another.
The Visual Fields / Contralateral Relationship
Input from left visual field is sent only to right brain and input from right visual field is sent only to left brain
- RVF image falls on left hemiretina of each eye
- RVF to LH (contralateral relationship) in place at LGN, then to V1
RVP (Right visual field), LH *Left hemisphere)
Grand Mal seizure
Grand Mal seizure, also known as tonic-clonic seizure, is a type of epilepsy characterized by a loss of consciousness and violent muscle contractions. It occurs as a result of abnormal electrical activity in the brain.
- activation spread across the corpus callosum to both hemispheres
- Split brain PREVENTS the seizure from crossing to the other hemisphere (cutting the corpus callosum)
GABA (gamma-aminobutyric acid)
GABA (gamma-aminobutyric acid) is the primary inhibitory neurotransmitter in the central nervous system and plays a crucial role in regulating brain activity and preventing seizures. In individuals with epilepsy, the balance between excitatory and inhibitory neurotransmitters can be disrupted, leading to excessive electrical activity and seizures.
- GABA primary inhibitory neurotransmitter (helps keep things in check, so activation does not get out of control
- In epilepsy, the transmission/activation is out of control (a belief is this has to do with GABA)
Optic Chiasam
The optic chiasm is the area where the optic nerves from the two eyes cross over in the brain. The optic nerve from each eye carries visual information from the corresponding half of the visual field to the brain. At the optic chiasm, the fibres from the nasal half of each eye cross over to the opposite side of the brain, while the fibres from the temporal half remain on the same side. This allows the brain to process visual information from both eyes to form a single, three-dimensional image.
Split-Brain Phenomenon
Patient N.G.’s behavior clearly demonstrates the different capacities of the two hemispheres when they are not interacting. The speaking left hemisphere could respond to the picture of the cup. The picture of the spoon was presented to the nonspeaking right hemisphere, and with the speaking left hemisphere disconnected from it, N.G. failed to identify the picture. The abilities of the right hemisphere were demonstrated when the left hand, controlled by the right hemisphere, picked out the spoon. But when asked what the still-out-of-sight left hand was holding, the left hemisphere did not know and incorrectly guessed “pencil.”
chimeric-face test
Consists of pictures of faces and other patterns that have been split down the center and recombined in improbable ways. When the recombined faces shown in Figure 11.11 were presented selectively to each hemisphere, split-brain patients appeared to be unaware of the gross discordance between the pictures’ two sides. When asked to pick out the picture they had seen, the patients chose the face seen in the left visual field — by the right hemisphere — demonstrating that the right hemisphere has a special role in recognizing faces.
- Faces that are created by a combination of two other halves of faces
- You are putting two halves of different faces to different brain hemispheres
- Ask: What face did you just see? Split brain patients will record the face that is in the right hemisphere (left visual field)
- Differences may relate to the laterality of face processing
Confabulation in Split Brain Patients: The Interpreter
Split-brain patients are presented with two images, one for each hemisphere, and asked to select a third image that matches the scene. Each hand will choose an option appropriate to the scene visible to the corresponding visual field, but when asked to explain the choice, the patient will describe the image selected by the right hand in terms of the scene on the right, suggesting that only the left hemisphere is engaged in the interpretation of the situation.
- Spontaneous production of false memories events which never occurred actual events displaced in space or time
- May be elaborate, detailed, bizarre or mundane e.g., had eggs for breakfast
- Not lying deliberately or trying to mislead
- low levels of awareness
Example: In the figure, the right hand chose the cow, which would match with the container of milk, whereas the left hand chose the beach ball, which would match with the beach scene. When asked why the left hand was pointing at the ball, a patient would typically fabricate a response, such as “Cows like to play with balls.”
Wada Technique
The Wada technique helps to determine which hemisphere is dominant for a speech by temporarily anesthetizing one hemisphere at a time and evaluating the individual’s language and speech abilities.
To avoid damaging speech zones in patients about to undergo brain surgery, surgeons inject sodium amobarbital into the carotid artery. The drug anesthetizes the hemisphere on the side where it is injected (here, the left hemisphere), allowing the surgeon to determine whether that hemisphere is dominant for speech.
- Surgery planning
- Sodium amobarbital
- Blood supply is unilateral
- One hemisphere is anesthetized
- Contralateral paralysis
- Speech output test
- Some tests conducted: Object naming and spelling, count, days of week forwards and backwards
The contralateral arm falls to the bed with flaccid paralysis, and a firm pinch of the skin of the affected limbs elicits no response whatever. If the injected hemisphere is nondominant for speech, the patient may continue to count and carry out the verbal tasks while the temporary hemiparesis is present. Often the patient appears confused and is silent for as long as 20 to 30 seconds but can typically resume speech with urging. When the injected hemisphere is dominant for speech, the patient typically stops talking and remains completely aphasic until recovery from the hemiparesis is well along, usually in 4 to 10 minutes.
Left Hemisphere
Associated with:
- processing high frequency information (details)
- dominant at visual detail
- Language (but in a small percentage of people, most left-handed, the right hemisphere houses language); i.e., Right ear preference for language (LH)
- Verbal communication and comprehension
Right Hemisphere
Associated with:
- low-frequency information (global)
- better at processing more global aspects, visually
- spatial reasoning, visual-spatial processing, and the processing of nonverbal communication and emotions.
- Facial recognition; there is a dominance in looking and recognizing a face - the right hemisphere has specialization in face processing.