Recent studies have yielded contradictory evidence on whether visual speech perception (watching articulatory gestures) can activate the human primary auditory cortex. To circumvent confounds due to inter-individual anatomical variation, we defined our subjects' Heschl's gyri and assessed blood oxygenation-dependent signal changes at 3 T within this confined region during visual speech perception and observation of moving circles. Visual speech perception activated Heschl's gyri in nine subjects, with activation in seven of them extending to the area of primary auditory cortex. Activation was significantly stronger during visual speech perception than during observation of the moving circles. Further, a significant hemisphere by stimulus interaction occurred, suggesting left Heschl's gyrus specialization for visual speech processing.

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Traumatic brain injury (TBI) causes lifelong cognitive deficits, particularly impairments of executive functioning (EF). Musical training and music-based rehabilitation have been shown to enhance cognitive functioning and neuroplasticity, but the potential rehabilitative effects of music in TBI are still largely unknown. The aim of the present cross-over randomized controlled trial (RCT) was to determine the clinical efficacy of music therapy on cognitive functioning in TBI and to explore its neural basis. Using an AB/BA design, 40 patients with moderate or severe TBI were randomized to receive a 3-month neurological music therapy intervention either during the first (AB, n = 20) or second (BA, n = 20) half of a 6-month follow-up period. Neuropsychological and motor testing and MRI scanning was performed at baseline and at the 3-month and 6-month stage. 39 subjects who participated in baseline measurement were included in an intention-to-treat analysis using multiple imputation.Results showed that general EF (as indicated by the Frontal Assessment Battery) and set shifting improved more in the AB group than in the BA group over the first 3-month period and the effect on general EF was maintained in the 6-month follow-up. Voxel-based morphometry (VBM) analysis of the structural MRI data indicated that grey matter volume (GMV) in the right inferior frontal gyrus (IFG) increased significantly in both groups during the intervention vs. control period, which also correlated with cognitive improvement in set shifting. These findings suggest that neurological music therapy enhances EF and induces fine-grained neuroanatomical changes in prefrontal areas.

Estimation of time is central to perception, action, and cognition. Human functional magnetic resonance imaging (fMRI) and positron emission topography (PET) have revealed a positive correlation between the estimation of multi-second temporal durations and neuronal activity in a circuit of sensory and motor areas, prefrontal and temporal cortices, basal ganglia, and cerebellum. The systems-level mechanisms coordinating the collective neuronal activity in these areas have remained poorly understood. Synchronized oscillations regulate communication in neuronal networks and could hence serve such coordination, but their role in the estimation and maintenance of multi-second time intervals has remained largely unknown. We used source-reconstructed magnetoencephalography (MEG) to address the functional significance of local neuronal synchronization, as indexed by the amplitudes of cortical oscillations, in time-estimation. MEG was acquired during a working memory (WM) task where the subjects first estimated and then memorized the durations, or in the contrast condition, the colors of dynamic visual stimuli. Time estimation was associated with stronger beta (β, 14 - 30 Hz) band oscillations than color estimation in sensory regions and attentional cortical structures that earlier have been associated with time processing. In addition, the encoding of duration information was associated with strengthened gamma- (γ, 30 - 120 Hz), and the retrieval and maintenance with alpha- (α, 8 - 14 Hz) band oscillations. These data suggest that β oscillations may provide a mechanism for estimating short temporal durations, while γ and α oscillations support their encoding, retrieval, and maintenance in memory. Hum Brain Mapp 37:3262-3281, 2016. © 2016 Wiley Periodicals, Inc.

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Basilar artery occlusion (BAO) is one of the most devastating forms of stroke and few patients have good outcomes without recanalization. Most centers apply recanalization therapies for BAO up to 12-24 hours after symptom onset, which is a substantially longer time window than the 4.5 hours used in anterior circulation stroke. In this speculative synthesis, we discuss recent advances in BAO treatment in order to understand why and under which circumstances longer symptom duration might not necrotize the brainstem and turn therapeutic attempts futile. We raise the possibility that distinct features of the posterior circulation, e.g., highly developed, persistent collateral arterial network, reverse filling of the distal basilar artery, and delicate plasma flow siding the clot, might sustain brittle patency of brainstem perforators in the face of stepwise growth of the thrombus. Meanwhile, the tissue clock characterizing the rapid necrosis of a typical anterior circulation penumbra will not start. During this perilous time period, recanalization at any point would salvage the brainstem from eventual necrosis caused by imminent reinforcement and further building up of the clot.

We studied the effects of sound presentation rate and attention on auditory supratemporal cortex (STC) activation in 12 healthy adults using functional magnetic resonance imaging (fMRI) at 3 T. The sounds (200 ms in duration) were presented at steady rates of 0.5, 1, 1.5, 2.5, or 4 Hz while subjects either had to focus their attention to the sounds or ignore the sounds and attend to visual stimuli presented with a mean rate of 1 Hz. Consistent with previous observations, we found that both increase in stimulation rate and attention to sounds enhanced activity in STC bilaterally. Further, we observed larger attention effects with higher stimulation rates. This interaction of attention and presentation rate has not been reported previously. In conclusion, our results show both rate-dependent and attention-related modulations of STC indicating that both factors should be controlled, or at least addressed, in fMRI studies of auditory processing.

BACKGROUND AND PURPOSE:Peripheral AVM is a locally aggressive disease with a high tendency to recur; its treatment is complex, especially in the anatomically delicate head and neck area. Here, we report results of ethanol sclerotherapy for head and neck AVM and discuss its potential use for peripheral AVM.