Remote Effects of Hippocampal Sclerosis on Effective Connectivity during Working Memory Encoding: A Case of Connectional Diaschisis?

Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and ch...

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Published inCerebral cortex (New York, N.Y. 1991) Vol. 22; no. 6; pp. 1225 - 1236
Main Authors Campo, P., Garrido, M. I., Moran, R. J., Maestu, F., Garcia-Morales, I., Gil-Nagel, A., del Pozo, F., Dolan, R. J., Friston, K. J.
Format Journal Article
LanguageEnglish
Published United States Oxford University Press 01.06.2012
Subjects
Adult
Epilepsy, Temporal Lobe - pathology
Epilepsy, Temporal Lobe - physiopathology
Female
Hippocampus - pathology
Hippocampus - physiology
Humans
Magnetoencephalography - methods
Male
Memory, Short-Term - physiology
Neural Pathways - pathology
Neural Pathways - physiology
Photic Stimulation - methods
Psychomotor Performance - physiology
Sclerosis - pathology
Young Adult
Online AccessGet full text
ISSN1047-3211
1460-2199
1460-2199
DOI10.1093/cercor/bhr201

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Abstract Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and characterized changes in effective connectivity while subjects engaged in WM task. Specifically, we compared dynamic causal models, extracted from magnetoencephalographic recordings during verbal WM encoding, in temporal lobe epilepsy patients (with left hippocampal sclerosis) and controls. Bayesian model comparison indicated that the best model (across subjects) evidenced bilateral, forward, and backward connections, coupling inferior temporal cortex (ITC), inferior frontal cortex (IFC), and MTL. MTL damage weakened backward connections from left MTL to left ITC, a decrease accompanied by strengthening of (bidirectional) connections between IFC and MTL in the contralesional hemisphere. These findings provide novel evidence concerning functional interactions between nodes of this fundamental cognitive network and sheds light on how these interactions are modified as a result of focal damage to MTL. The findings highlight that a reduced (top-down) influence of the MTL on ipsilateral language regions is accompanied by enhanced reciprocal coupling in the undamaged hemisphere providing a first demonstration of "connectional diaschisis."
AbstractList Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and characterized changes in effective connectivity while subjects engaged in WM task. Specifically, we compared dynamic causal models, extracted from magnetoencephalographic recordings during verbal WM encoding, in temporal lobe epilepsy patients (with left hippocampal sclerosis) and controls. Bayesian model comparison indicated that the best model (across subjects) evidenced bilateral, forward, and backward connections, coupling inferior temporal cortex (ITC), inferior frontal cortex (IFC), and MTL. MTL damage weakened backward connections from left MTL to left ITC, a decrease accompanied by strengthening of (bidirectional) connections between IFC and MTL in the contralesional hemisphere. These findings provide novel evidence concerning functional interactions between nodes of this fundamental cognitive network and sheds light on how these interactions are modified as a result of focal damage to MTL. The findings highlight that a reduced (top-down) influence of the MTL on ipsilateral language regions is accompanied by enhanced reciprocal coupling in the undamaged hemisphere providing a first demonstration of "connectional diaschisis."
Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and characterized changes in effective connectivity while subjects engaged in WM task. Specifically, we compared dynamic causal models, extracted from magnetoencephalographic recordings during verbal WM encoding, in temporal lobe epilepsy patients (with left hippocampal sclerosis) and controls. Bayesian model comparison indicated that the best model (across subjects) evidenced bilateral, forward, and backward connections, coupling inferior temporal cortex (ITC), inferior frontal cortex (IFC), and MTL. MTL damage weakened backward connections from left MTL to left ITC, a decrease accompanied by strengthening of (bidirectional) connections between IFC and MTL in the contralesional hemisphere. These findings provide novel evidence concerning functional interactions between nodes of this fundamental cognitive network and sheds light on how these interactions are modified as a result of focal damage to MTL. The findings highlight that a reduced (top-down) influence of the MTL on ipsilateral language regions is accompanied by enhanced reciprocal coupling in the undamaged hemisphere providing a first demonstration of "connectional diaschisis."Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional interactions with other cortical regions in the distributed neural network subserving WM. To reveal these, we availed of subjects with MTL damage and characterized changes in effective connectivity while subjects engaged in WM task. Specifically, we compared dynamic causal models, extracted from magnetoencephalographic recordings during verbal WM encoding, in temporal lobe epilepsy patients (with left hippocampal sclerosis) and controls. Bayesian model comparison indicated that the best model (across subjects) evidenced bilateral, forward, and backward connections, coupling inferior temporal cortex (ITC), inferior frontal cortex (IFC), and MTL. MTL damage weakened backward connections from left MTL to left ITC, a decrease accompanied by strengthening of (bidirectional) connections between IFC and MTL in the contralesional hemisphere. These findings provide novel evidence concerning functional interactions between nodes of this fundamental cognitive network and sheds light on how these interactions are modified as a result of focal damage to MTL. The findings highlight that a reduced (top-down) influence of the MTL on ipsilateral language regions is accompanied by enhanced reciprocal coupling in the undamaged hemisphere providing a first demonstration of "connectional diaschisis."
Author Maestu, F.
Campo, P.
Garcia-Morales, I.
Moran, R. J.
Gil-Nagel, A.
Dolan, R. J.
Garrido, M. I.
del Pozo, F.
Friston, K. J.
AuthorAffiliation 1 Department of Basic Psychology, Autonoma University of Madrid, 28049 Madrid, Spain
3 Institute of Neurology, Wellcome Trust Centre for Neuroimaging, University College London, London WC1N3BG, UK
4 Epilepsy Unit, Department of Neurology, University Hospital of San Carlos, 28040 Madrid, Spain
2 Center for Biomedical Technology, Laboratory of Cognitive and Computational Neuroscience, Complutense University of Madrid—Polytechnic University of Madrid, 28223 Madrid, Spain
5 Epilepsy Unit, Department of Neurology, Hospital Ruber Internacional, 28034 Madrid, Spain
AuthorAffiliation_xml – name: 3 Institute of Neurology, Wellcome Trust Centre for Neuroimaging, University College London, London WC1N3BG, UK
– name: 1 Department of Basic Psychology, Autonoma University of Madrid, 28049 Madrid, Spain
– name: 2 Center for Biomedical Technology, Laboratory of Cognitive and Computational Neuroscience, Complutense University of Madrid—Polytechnic University of Madrid, 28223 Madrid, Spain
– name: 5 Epilepsy Unit, Department of Neurology, Hospital Ruber Internacional, 28034 Madrid, Spain
– name: 4 Epilepsy Unit, Department of Neurology, University Hospital of San Carlos, 28040 Madrid, Spain
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  surname: Campo
  fullname: Campo, P.
– sequence: 2
  givenname: M. I.
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  surname: Maestu
  fullname: Maestu, F.
– sequence: 5
  givenname: I.
  surname: Garcia-Morales
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Snippet Accumulating evidence suggests a role for the medial temporal lobe (MTL) in working memory (WM). However, little is known concerning its functional...
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StartPage 1225
SubjectTerms Adult
Epilepsy, Temporal Lobe - pathology
Epilepsy, Temporal Lobe - physiopathology
Female
Hippocampus - pathology
Hippocampus - physiology
Humans
Magnetoencephalography - methods
Male
Memory, Short-Term - physiology
Neural Pathways - pathology
Neural Pathways - physiology
Photic Stimulation - methods
Psychomotor Performance - physiology
Sclerosis - pathology
Young Adult
Title Remote Effects of Hippocampal Sclerosis on Effective Connectivity during Working Memory Encoding: A Case of Connectional Diaschisis?
URI https://www.ncbi.nlm.nih.gov/pubmed/21810779
https://www.proquest.com/docview/1015463236
https://www.proquest.com/docview/1020850419
https://pubmed.ncbi.nlm.nih.gov/PMC3357177
Volume 22
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