A key aspect of higher cognitive function is the ability to switch rapidly and efficiently between alternative modes of response where this is appropriate behaviourally. Such suppression appears to be highly dependent upon the integrity of the prefrontal cortex, yet other cortical areas are likely to be necessary to implement response switching. Language switching in bilingual speakers is a clear example of a task in which response switching is required. Functional brain imaging studies have demonstrated parietal cortex activation during repeated language switching within a translation task. Here we used event-related dense-sensor EEG recording techniques to examine the time course of language switching during a visually cued naming task in which bilingual participants named digits in either their first or second language. Switch-related modulation of ERP components was evident over parietal and frontal cortices, and in the latter case showed an asymmetry across first and second languages. Correspondence with a frontal ERP component found when suppressing manual responding in a Go/No-Go reaction time task may imply that similar inhibitory mechanisms are involved in both response suppression and language switching.

SummaryChildren with neurological disorders may follow unique developmental trajectories whereby they undergo compensatory neuroplastic changes in brain structure and function that help them gain control over their symptoms [1–6]. We used behavioral and brain imaging techniques to investigate this conjecture in children with Tourette syndrome (TS). Using a behavioral task that induces high levels of intermanual conflict, we show that individuals with TS exhibit enhanced control of motor output. Then, using structural (diffusion-weighted imaging) brain imaging techniques, we demonstrate widespread differences in the white matter (WM) microstructure of the TS brain that include alterations in the corpus callosum and forceps minor (FM) WM that significantly predict tic severity in TS. Most importantly, we show that task performance for the TS group (but not for controls) is strongly predicted by the WM microstructure of the FM pathways that lead to the prefrontal cortex and by the functional magnetic resonance imaging blood oxygen level-dependent response in prefrontal areas connected by these tracts. These results provide evidence for compensatory brain reorganization that may underlie the increased self-regulation mechanisms that have been hypothesized to bring about the control of tics during adolescence.

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Tourette's syndrome (TS) is a neurodevelopmental disorder characterized by the presence of chronic vocal and motor tics. Tics are sudden, highly stereotyped, movements that can be simple or complex in appearance. Since patients with TS have difficulties preventing unwanted movements, one might expect that their ability to voluntarily control goal-directed movements would be similarly poor. Indeed, it has been suggested that TS sufferers are impaired at inhibiting reflexively triggered movements and in rapidly selecting or switching between different motor sets. This idea is consistent with current views on the neurological basis of TS that posit a dysfunction of the neural circuits linking the frontal lobes and the striatum. These circuits are known to be involved in the voluntary control of action. By using an oculomotor switching task, we show for the first time that young people with TS exhibit paradoxically greater levels of cognitive control over their movements than their age-matched controls. This finding is consistent with an increased need to monitor and control movements and may indicate a subcortical locus for the triggering of tics. It also suggests that the constant need to suppress tics could have resulted in an enhancement of the executive processes involved in inhibitory control.