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Register a new userRipple oscillations in the left temporal neocortex are associated with impaired verbal episodic memory encoding
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Background: We sought to determine if ripple oscillations (80-120Hz), detected in intracranial EEG (iEEG) recordings of epilepsy patients, correlate with an enhancement or disruption of verbal episodic memory encoding. Methods: We defined ripple and spike events in depth iEEG recordings during list learning in 107 patients with focal epilepsy. We used logistic regression models (LRMs) to investigate the relationship between the occurrence of ripple and spike events during word presentation and the odds of successful word recall following a distractor epoch, and included the seizure onset zone (SOZ) as a covariate in the LRMs. Results: We detected events during 58,312 word presentation trials from 7,630 unique electrode sites. The probability of ripple on spike (RonS) events was increased in the seizure onset zone (SOZ, p<0.04). In the left temporal neocortex RonS events during word presentation corresponded with a decrease in the odds ratio (OR) of successful recall, however this effect only met significance in the SOZ (OR of word recall 0.71, 95% CI: 0.59-0.85, n=158 events, adaptive Hochberg p<0.01). Ripple on oscillation events (RonO) that occurred in the left temporal neocortex non-SOZ also correlated with decreased odds of successful recall (OR 0.52, 95% CI: 0.34-0.80, n=140, adaptive Hochberg , p<0.01). Spikes and RonS that occurred during word presentation in the left middle temporal gyrus during word presentation correlated with the most significant decrease in the odds of successful recall, irrespective of the location of the SOZ (adaptive Hochberg, p<0.01). Conclusion: Ripples and spikes generated in left temporal neocortex are associated with impaired verbal episodic memory encoding.
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The posterior parietal cortex (PPC) has a unique role in memory retrieval: fMRI and electrocorticography studies suggest that within the ventral PPC (VPC) specifically, there is an anterior-posterior functional divergence between externally-oriented and internally-oriented attention to memory (AtoM). However, the role of VPC during verbal episodic encoding, and the relationship between encoding- and retrieval-related activity, is less understood. Here we show that activation within a subregion of VPC is doubly dissociated between its anterior and posterior parts, during encoding compared to recall in a free recall task. We found that regional activation defined by increased high gamma power and decreased beta power oscillations during encoding and recall correlated with recall success. During word encoding, iEEG sites that showed this correlation were located anterior to those that showed deactivation. Conversely, during word recall, sites that showed stronger correlations between activity and number of words recalled were located more posteriorly. Our results demonstrate the significance of high gamma and beta oscillations suggesting a push-pull relationship between attention to external stimuli and internal memories within left ventral PPC. Knowledge of this divergence of function along the anterior-posterior axis within left ventral PPC may prove useful for guiding brain stimulation strategies.
IntroductionThe free and cued selective reminding test is used to identify memory deficits in mild cognitive impairment and demented patients. It allows assessing three processes: encoding, storage, and recollection of verbal episodic memory.MethodsWe investigated the neural correlates of these three memory processes in a large cohort study. The Memento cohort enrolled 2323 outpatients presenting either with subjective cognitive decline or mild cognitive impairment who underwent cognitive, structural MRI and, for a subset, fluorodeoxyglucose--positron emission tomography evaluations.ResultsEncoding was associated with a network including parietal and temporal cortices; storage was mainly associated with entorhinal and parahippocampal regions, bilaterally; retrieval was associated with a widespread network encompassing frontal regions.DiscussionThe neural correlates of episodic memory processes can be assessed in large and standardized cohorts of patients at risk for Alzheimers disease. Their relation to pathophysiological markers of Alzheimers disease remains to be studied.
Objective: To identify if whole-brain structural network alterations in patients with temporal lobe epilepsy (TLE) and focal to bilateral tonic-clonic seizures (FBTCS) differ from alterations in patients without FBTCS. Methods: We dichotomized a cohort of 83 drug-resistant patients with TLE into those with and without FBTCS and compared each group to 29 healthy controls. For each subject, we used diffusion MRI to construct whole-brain structural networks. First, we measured the extent of alterations by performing FBTCS-negative (FBTCS-) versus control and FBTCS-positive (FBTCS+) versus control comparisons, thereby delineating altered sub-networks of the whole-brain structural network. Second, by standardising networks of each patient using control networks, we measured the subject-specific abnormality at every brain region in the network, thereby quantifying the spatial localisation and the amount of abnormality in every patient. Results: Both FBTCS+ and FBTCS- patient groups had altered sub-networks with reduced fractional anisotropy (FA) and increased mean diffusivity (MD) compared to controls. The altered subnetwork in FBTCS+ patients was more widespread than in FBTCS- patients (441 connections altered at t>3, p<0.001 in FBTCS+ compared to 21 connections altered at t>3, p=0.01 in FBTCS-). Significantly greater abnormalities-aggregated over the entire brain network as well as assessed at the resolution of individual brain areas-were present in FBTCS+ patients (p<0.001, d=0.82). In contrast, the fewer abnormalities present in FBTCS- patients were mainly localised to the temporal and frontal areas. Significance: The whole-brain structural network is altered to a greater and more widespread extent in patients with TLE and FBTCS. We suggest that these abnormal networks may serve as an underlying structural basis or consequence of the greater seizure spread observed in FBTCS.
We consider two neuronal networks coupled by long-range excitatory interactions. Oscillations in the gamma frequency band are generated within each network by local inhibition. When long-range excitation is weak, these oscillations phase-lock with a phase-shift dependent on the strength of local inhibition. Increasing the strength of long-range excitation induces a transition to chaos via period-doubling or quasi-periodic scenarios. In the chaotic regime oscillatory activity undergoes fast temporal decorrelation. The generality of these dynamical properties is assessed in firing-rate models as well as in large networks of conductance-based neurons.
Purpose: Auditory verbal hallucinations (AVHs) are speech perceptions in the absence of a external stimulation. An influential theoretical account of AVHs in schizophrenia claims that a deficit in inner speech monitoring would cause the verbal thoughts of the patient to be perceived as external voices. The account is based on a predictive control model, in which verbal self-monitoring is implemented. The aim of this study was to examine lip muscle activity during AVHs in schizophrenia patients, in order to check whether inner speech occurred. Methods: Lip muscle activity was recorded during covert AVHs (without articulation) and rest. Surface electromyography (EMG) was used on eleven schizophrenia patients. Results: Our results show an increase in EMG activity in the orbicularis oris inferior muscle, during covert AVHs relative to rest. This increase is not due to general muscular tension since there was no increase of muscular activity in the forearm muscle. Conclusion: This evidence that AVHs might be self-generated inner speech is discussed in the framework of a predictive control model. Further work is needed to better describe how the inner speech monitoring dysfunction occurs and how inner speech is controlled and monitored. This will help better understanding how AVHs occur.
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