BrainBlog

My blog turns five years old today.

Karas G, Sluimer J, Goekoop R, van der Flier W, Rombouts S, Vrenken H, Scheltens P, Fox N, & Barkhof F. Amnestic Mild Cognitive Impairment: Structural MR Imaging Findings Predictive of Conversion to Alzheimer Disease. American Journal of Neuroradiology. 2008 Feb 22 [Epub ahead of print]. Department of Diagnostic Radiology, Image Analysis Center, Alzheimer Center, and Department of Clinical Neurology, VU University Medical Center, Amsterdam, the Netherlands; Dementia Research Group, Department of Clinical Neurology, Institute of Neurology, London, UK; Department of Physics and Medical Technology, Alzheimer Center, VU University Medical Center and Leiden Institute for Brain and Cognition, Leiden, the Netherlands; Department of Psychology, Leiden University, Leiden, the Netherlands; and Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands. BACKGROUND AND PURPOSE: Mild cognitive impairment (MCI) is considered by many to be a prodromal phase of Alzheime...

This looks like an interesting article that I've added to my list of pubs to read: Schiff ND & Fins JJ. Deep brain stimulation and cognition: moving from animal to patient. Current Opinions in Neurology . 2007 Dec; 20(6): 638-642. Department of Neurology and Neuroscience, Weill Medical College of Cornell University , New York, New York, USA. PURPOSE OF REVIEW: Brain electrical stimulation has been proposed as a strategy to improve chronically impaired cognitive function. This brief review places a small number of recent studies into a broader historical context and identifies important challenges for further development of this area of research. RECENT FINDINGS: Behavioral improvements following severe brain injury with central thalamic deep brain stimulation were observed in experimental studies conducted in rodents and a report on a single human. These findings suggest that this technique warrants further study as a method to modulate cognitive function in the setting of acq...

The 61st annual meeting of the American Epilepsy Society (AES) will take place in Philadelphia, from the 30th of November through the 5th of December. Details about the meeting can be found on the meeting webpage of the AES website.

Scientific American has created a courtesy weekly podcast to highlight research about the brain and behavior. The podcast can be accessed at this webpage: Scientific American webpage . Not a bad way to spend a minute! Which, by the way, reminds me to mention that if you are in Philadelphia, the University of Pennsylvania still has several of its outdoors 60-second lectures remaining over the next few weeks, which are always fun to attend!

Yesterday's Wall Street Journal ran a feature article about neuroscientist Donald Stein and his career exploring facets of recovery from traumatic brain injury (TBI): One Doctor's Lonely Quest To Heal Brain Injury After 40 Years, Skeptics Back Hormone Therapy; Experiments in a Trailer By THOMAS M. BURTON September 26, 2007; Page A1 [snip] Dr. Stein still wanted to figure out why those brain-injured rats seemed to recover. But he says he concluded that he wouldn't win tenure if he pursued the question. In 1966, with a wife and young child to support, he left MIT to take a job as a psychology professor and director of the brain-research lab at Clark University in Worcester, Mass. His growing interest in the possibility of recovery from brain injury put him in a tiny minority. Most neurologists at the time still agreed with Nobel laureate Santiago Ramón y Cajal , who wrote in 1913, "In the adult brain, nervous pathways are fixed and immutable. Everything may die, nothin...

From a National Institutes of Health (NIH) press release on the 26th: Scientists Suggest New Pathway Causing Cell Death in Dementia Scientists have discovered a link between a mutated gene and a protein found in dead brain cells of people who suffer from a form of dementia and other neurological disorders. The finding, reported in the Sep. 26, 2007, issue of the Journal of Neuroscience , demonstrates for the first time a pathological pathway that ultimately results in cell death related to frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig's disease). The discovery could eventually play a role in the design of new drug therapies. The study was funded by the National Institute on Aging (NIA) at the National Institutes of Health (NIH). Leonard Petrucelli, Ph.D., and Dennis W. Dickson, M.D, of the Mayo Clinic in Jacksonville, Fla., led the international team of scientists in the study supported by the Mayo Clinic Foundation. The study, in ce...

Diamond EL, Miller S, Dickerson BC, Atri A, Depeau K, Fenstermacher E, Pihlajamäki M, Celone K, Salisbury S, Gregas M, Rentz D, & Sperling RA. Relationship of fMRI activation to clinical trial memory measures in Alzheimer disease. Neurology. 2007 Sep 25; 69(13): 1331-1341. Memory Disorders Unit, Brigham and Women’s Hospital, 221 Longwood Ave, Boston, MA 02115 BACKGROUND: Functional MRI (fMRI) has shown promise as a tool to characterize altered brain function in Alzheimer disease (AD) and for use in proof of concept clinical trials. FMRI studies of subjects with AD have demonstrated altered hippocampal and neocortical activation while encoding novel stimuli compared to older controls. However, the relationship between fMRI activation and performance on standardized clinical trial memory measures has not been fully investigated. OBJECTIVE: To determine whether patterns of activation during an associative-memory fMRI paradigm correlate with performance on memory measures used in A...

From the current issue of The New Yorker : The Abyss Music and amnesia by Oliver Sacks September 24, 2007 The experience of Clive Wearing and his spouse, Deborah. [ ... Read the article ... ]

van de Sandt-Koenderman WM, Wiegers J, Wielaert SM, Duivenvoorden HJ, & Ribbers GM. A computerised communication aid in severe aphasia: An exploratory study. Disability and Rehabilitation. 2007 Apr 30;:1-9 [Epub ahead of print]. Rijndam Rehabilitation Center, Rotterdam. Purpose. To investigate the efficacy of TouchSpeak (TS) , a handheld computerised communication aid for aphasia. Method. A pre-post one-group design was used with a referred sample of 34 patients with a severe aphasia and a need for alternative and augmentative communication (AAC). The participants were trained to use TS in two self-chosen communicative situations. The ability to navigate the hierarchical vocabulary and overall communicative ability were assessed. Participants rated their communicative success with and without TS. Three years after completion of the training, participants were interviewed about their present use of TS. Results. In total, 76% used TS outside the clinic in two trained communicative ...

This weekend I crack open the files on my next book and begin work on it, which I plan to complete by the end of 2008. This will be a weekend and vacation-time effort, which is the only way I can fit it in. I've co-authored three academic books in the past and written a number of general-readership articles, but this will be my first venture into a book-length work written for a more general audience. The closest I've come to this in the past was a monograph (monograph:book as novella: novel) on magnetic resonance imaging (MRI) waaaay back in 1984, so I'm looking forward to the task! The topic is on my area of expertise: the neuropsychological assessment of persons and what we can learn from these tests about the brain-behavior functioning of individuals.

Ackermann H, Mathiak K, & Riecker A. The contribution of the cerebellum to speech production and speech perception: Clinical and functional imaging data. Cerebellum. 2007; 6(3): 202-13. Department of General Neurology, Hertie Institute for Clinical Brain Research, University of Tübingen. A classical tenet of clinical neurology proposes that cerebellar disorders may give rise to speech motor disorders (ataxic dysarthria), but spare perceptual and cognitive aspects of verbal communication. During the past two decades, however, a variety of higher-order deficits of speech production, e.g., more or less exclusive agrammatism, amnesic or transcortical motor aphasia, have been noted in patients with vascular cerebellar lesions, and transient mutism following resection of posterior fossa tumors in children may develop into similar constellations. Perfusion studies provided evidence for cerebello-cerebral diaschisis as a possible pathomechanism in these instances. Tight functional conne...

The Healthy Brain Initiative website. From the website: [snip] "The lack of cognitive health – from mild cognitive decline to dementia—can have profound implications for an individual’s health and well-being. Older adults and others experiencing cognitive decline may be unable to care for themselves or to conduct necessary activities of daily living, such as meal preparation and money management. Limitations in the ability to effectively manage medications and existing medical conditions are of particular concern when an individual is experiencing cognitive decline or dementia. If cognitive decline could be prevented or better treated, lives of many older adults could be improved. "Opportunities for maintaining cognitive health are growing as public health professionals gain a better understanding of risk factors for cognitive decline. The public health community should embrace cognitive health as a priority, invest in its promotion, and enhance our ability to move scientifi...

BrainBlog turns three years old today.

Vogels RL, Oosterman JM, van Harten B, Scheltens P, van der Flier WM, Schroeder-Tanka JM, & Weinstein HC. Profile of Cognitive Impairment in Chronic Heart Failure. Journal of the American Geriatrics Society. 2007 Aug 28; [Epub ahead of print]. Department of Neurology, Sint Lucas-Andreas Hospital , Amsterdam, The Netherlands. OBJECTIVES: To determine the frequency and pattern of cognitive dysfunction in outpatients with chronic congestive heart failure (CHF) and to identify the corresponding demographic and clinical correlates. DESIGN: Case-control study. SETTING: Outpatient clinic in a community hospital. PARTICIPANTS: Sixty-two outpatients with CHF, 53 controls diagnosed with cardiovascular disease uncomplicated by CHF (cardiac controls), and 42 healthy controls were investigated. MEASUREMENTS: Neuropsychological assessment included tests of mental speed, executive function, memory, language, and visuospatial function. Composite z-scores for five cognitive domains and mean z-sco...

From yesterday's Milwaukee Journal-Sentinel : Lost in cancer's fog 'Chemobrain' impairs thinking, memory after chemotherapy; anecdotal brain effects are just starting to get serious study By JOHN FAUBER 01 September 2007 Milwaukee Journal-Sentinel [snip] In two small groups of testicular and breast cancer patients, between 60% and 70% of the patients experienced some cognitive decline that was tied to the onset of their chemotherapy, said Christina Meyers, a professor and chief of neuropsychology at the M.D. Anderson Cancer Center in Houston. "It's subtle," she said. "We are not talking about dementia or anything grossly obvious." Within one year, about half of the patients were back to their pretreatment levels of cognitive ability, Meyers said. [snip] [ ... Read the full article ... ]

Belleville S, Chertkow H, & Gauthier S. Working memory and control of attention in persons with Alzheimer's disease and mild cognitive impairment. Neuropsychology. 2007 Jul; 21(4): 458-469. Research CenterInstitut Universitaire de Geriatrie de Montreal, Montreal, PQ, Canada The goal of the present study was to assess 3 attentional control processes--divided attention, manipulation capacities, and inhibition--in persons with mild cognitive impairment (MCI) and with mild Alzheimer's disease (AD). Manipulation capacities were tested by comparing immediate serial recall with alphabetical-order recall of words. Divided attention was tested with the Brown-Peterson procedure, in which participants divide their attention between simple addition tasks and consonant trigrams over delays. Inhibition was tested with the Hayling procedure, in which participants complete sentences with words irrelevant to their context. Persons with AD showed severe impairment on the 3 attentional cont...

While travelling on neuropsych business over the past week, I've been totally enjoying the new collaboration between Dana Press and Dr. Floyd Bloom - an edited book of feature articles from Scientific American . The book contains 21 articles of the many that have appeared in the magazine from 1999 onward. My favorite is the last one, "The Quest for a Smart Pill," by Stephen Hall. I may be mistaken, but I believe Hall has also written on this topic for the journal, Science . It deals with memory- and other cognitive-function- enhancing drugs currently under development by a number of biotech companies and some of the ethical issues involved in this domain. Good reads on the neurobiology of psychiatric disorders and computer-brain interfaces also are included. Articles by Antonio Damasio, Eric Kandel, and Fred Gage are representative of some of the neuroscientific leaders found in the book. Science journalist Carl Zimmer is represented, as well. List price of $25.00, The Be...

From today's New York Times : Mind Over Matter, With a Machine’s Help By JASON PONTIN Published: August 26, 2007 [snip] Omneuron is one of a number of new companies that are commercializing a brain-scanning technology called real-time functional magnetic resonance imaging, or fMRI. Using large scanners to measure blood flow to different parts of the brain, the technology makes the brain’s activity visible by revealing which of its parts are busiest when we perform different tasks. While fMRI dates back to the early 1990s, hitherto it has been used mainly by doctors in hospitals to make diagnoses. The commercialization of brain scanning is a recent development, spurred by the refinement of the technology. Omneuron , which Dr. deCharms founded in 2001 and whose research has been funded by the National Institutes of Health, uses fMRI to teach people how to play with their own heads. Other entrepreneurs are working on ways to deploy fMRI as a lie detector, a tool for conducting market...

Reimer B, D'Ambrosio LA, Coughlin JF, Fried R, & Biederman J. Task-induced fatigue and collisions in adult drivers with attention deficit hyperactivity disorder. Traffic Inj Prev. 2007 Sep; 8(3): 290-299. AgeLab, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA. Objective. This study compares collision involvement between adult drivers with attention deficit hyperactivity disorder (ADHD) and control participants in a simulation experiment designed to enhance the effects of fatigue. Because the effects of ADHD include difficulties in maintaining attention, drivers with ADHD were hypothesized to be more susceptible to the effects of fatigue while driving. Methods. Data are drawn from a validated driving simulation study, portions of which were focused on enhancing the effects of fatigue. The simulator data are supplemented with written questionnaire data. Drivers with ADHD were compared with controls. Results. The self-report data indicated that drivers with...