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📖 Lesson

Higher Order Brain Functions-III

PSYP610 - Neurological Bases of Behavior

๐ŸŽฏ Objectives

The students would be familiarized with the role of higher order brain functioning ๐Ÿง โšก in learning ๐Ÿ“–, memory ๐Ÿ’ญ and amnesias ๐Ÿšซ๐Ÿ’ญ.

๐Ÿ“‹ Brain Correlates

  • Brain correlates of Learning and Memory ๐Ÿง ๐Ÿ’พ, Amnesia ๐Ÿšซ๐Ÿ’ญ, Verbal/Nonverbal memory ๐Ÿ“š๐ŸŽจ
  • Famous case of Amnesia, H.M. ๐Ÿ‘จโ€โš•๏ธ

๐Ÿ’ญ Memory and Learning

Memory is one of the puzzles where biologists ๐Ÿงฌ, physiologists ๐Ÿ”ฌ, neurologists ๐Ÿ‘จโ€โš•๏ธ started working early on. Krech (1973) ๐Ÿ‘จโ€๐Ÿ”ฌ spent a lifetime investigating memory and believes that memory is one of the most intriguing phenomena ๐Ÿง โœจ. There are many hypotheses and there are many frustrations for those working in this field ๐Ÿ˜ค.

Lashley ๐Ÿ”ฌ was a pioneer in the area of locating engrams ๐Ÿ’พ - basically he was a zoologist ๐Ÿฆ trying to locate where memories are stored ๐Ÿ“.

๐Ÿค” Lashley's Frustration

"I sometimes feel, in reviewing the evidence on the localization of the memory trace, that the necessary conclusion is that learning is just not possible." ๐Ÿ˜ค

โ€” Lashley 1950 ๐Ÿ‘จโ€๐Ÿ”ฌ

๐Ÿ“– Definitions

Memory: is defined as information stored in the brain because of sensory and other experience ๐Ÿง ๐Ÿ’พ๐Ÿ‘๏ธ๐Ÿ‘‚ (Bridgeman 1992, p. 324 ๐Ÿ“š).

Learning: is the acquisition of new memories ๐Ÿ“–โœจ.

However, where exactly is this happening and how? โ“ Is there a specific location ๐Ÿ“ or diffuse connection and locations ๐Ÿ”—?

๐Ÿ”ฌ Lashley's Two Principles

Lashley formulated two principles ๐Ÿ“‹:

  • Principle of Equipotentiality โš–๏ธ
  • Principle of Mass Action ๐ŸŒ

โš–๏ธ Principle of Equipotentiality

Principle of Equipotentiality:

Lashley trained rats to run the maze ๐Ÿ€๐Ÿ—บ๏ธ. The animals learned to discriminate between the light and dark alleys โšชโšซ. They were rewarded for light alleys โœ… and punished for going into the dark alleys โŒ.

Lesioning various parts of the brain ๐Ÿง โš ๏ธ, he found that disruption of learning took place after lesions of the visual cortex ๐Ÿ‘๏ธ๐Ÿง โŒ. He reported that for retention of visual tasks Visual cortex is important ๐Ÿ‘๏ธโœ….

"Various parts of cortex contribute to memory at least for complex behaviors. No one part is more or less specialized than other โš–๏ธ"

Neurons within a given sensory area are capable of participating in memory formation ๐Ÿง ๐Ÿ’พ - all are equipotential in contributing to the retention of a task โš–๏ธโœจ. Memories are also discretely located within each sensory cortex ๐Ÿ“ (though diffusely spread in that area ๐Ÿ”„). There are also memories for the specialized sensory function ๐Ÿ‘๏ธ๐Ÿ‘‚๐Ÿคš.

๐ŸŒ Principle of Mass Action

Principle of Mass Action:

Lashley's rats were trained on complex tasks utilizing information from various sensory modalities ๐Ÿง ๐Ÿ”„, requiring:

  • Visual cues ๐Ÿ‘๏ธ
  • Somato-sensory cues ๐Ÿคš
  • Kinesthetic cues ๐Ÿฆต
  • Auditory cues ๐Ÿ‘‚
    • How do we learn ๐Ÿ“–?
    • How do we forget ๐Ÿšซ๐Ÿ’ญ?
    • How we remember friends ๐Ÿ‘ฅ, their faces ๐Ÿ˜Š, spellings of names ๐Ÿ”ค or generally, telephone numbers ๐Ÿ“ž?
    • Why do older people remember events long past ๐Ÿ‘ดโฐ better than immediate past?
    • Where are our memories located ๐Ÿ“?

    There are many such questions ๐Ÿค”:

    • Why do different areas store different part of the memory picture ๐Ÿงฉ, how does it get integrated ๐Ÿ”„?
    • One piece missing โŒ, how the defect is covered, or compensated โœ…?
    This involves mass action ๐ŸŒ. Thus, information from all cortical areas is integrated to form complete memories ๐Ÿง ๐Ÿ’พ.

    After the learning had taken place, Lashley lesioned parts of the cortex ๐Ÿง โš ๏ธ and found that the greater the extent of the lesion, the greater the deficits in memory ๐Ÿ“ŠโŒ. Retention is related to the size of the cortical areas removed ๐Ÿ“.

    Thus, it appeared that cortical area is not important only the extent of damage โš ๏ธ๐Ÿ“Š. Therefore, cortex works as a whole ๐ŸŒ, the more cortex involved in learning the better it is ๐Ÿ“ˆโœ….

๐Ÿ‘จ Application to Humans

1950's ๐Ÿ“… two different memory storage systems were hypothesized ๐Ÿค”:

  • Short-Term Memory (STM) โฑ๏ธ
  • Long-Term Memory (LTM) ๐Ÿ’พ

Memories are retained in the STM (stored temporarily) โฑ๏ธ when the physiological changes to store in the long-term memory are taking place ๐Ÿง โšก. The STM memories are transferred to LTM ๐Ÿ”„โžก๏ธ๐Ÿ’พ.

Short-term memory โฑ๏ธ โ†’ repeated thinking and reviewing ๐Ÿ”„ โ†’ Long-term memory ๐Ÿ’พ

๐Ÿง  Hebb - Pioneer of Memory Theory

Hebb ๐Ÿ‘จโ€๐Ÿ”ฌ one of the pioneers of neurosciences and of memory research stated that memories remain in STM temporarily โฑ๏ธ. The reverberating neural activity ๐Ÿ”„โšก (neural activity, which goes round and round and produces structural changes in synapses ๐Ÿง ๐Ÿ”ง) leads to LTM storage ๐Ÿ’พ.

Thus, the changes in neuronal biochemical structure ๐Ÿงช are the basis of LTM storage ๐Ÿ’พ.

He proposed a Two-stage memory theory โœŒ๏ธ๐Ÿ’ญ which is supported by everyday evidence ๐Ÿ˜Š that unless you keep repeating a telephone number ๐Ÿ“ž๐Ÿ”„ it becomes difficult to recall it โŒ!

  • LTM (Long-Term Memory):

    It is possible to learn with one sensory mode and use what is learnt and retained, in another mode ๐Ÿ”„. For example, the visual scanning of mazes ๐Ÿ‘๏ธ๐Ÿ—บ๏ธ takes place, then one can go through it using the kinesthetic mode ๐Ÿคš.

    Humans and higher primates can do that easily ๐Ÿ‘จ๐Ÿฆโœ… but lower animals cannot transfer information from one modality to another ๐Ÿ€โŒ.

    If memories were diffusely stored ๐Ÿ”„ then lower animals should also be able to do the same

    ๐Ÿง  Hebb - Pioneer of Memory Theory

    Hebb ๐Ÿ‘จโ€๐Ÿ”ฌ was a pioneer in proposing that memories remain in STM temporarily โฑ๏ธ. At the time reverberating neural activity ๐Ÿ”„โšก goes round and round and produces structural synaptic changes ๐Ÿง ๐Ÿ”ง and this leads to the LTM storage ๐Ÿ’พ.

    The changes in the neuronal biochemical structure ๐Ÿงช is the basis of the LTM storage ๐Ÿ’พ.

    Two-stage memory theory โœŒ๏ธ๐Ÿ’ญ is supported in everyday life ๐Ÿ˜Š. Unless you keep repeating a telephone number ๐Ÿ“ž๐Ÿ”„ it is difficult to recall it โŒ.

    ๐Ÿ”„ Cross Modal Transfer

    Cross Modal Transfer: It is possible to learn something in one sensory modality ๐Ÿ‘๏ธ and use the information retained in another mode ๐Ÿ‘‚.

    ies

    a) There is no adequate method to identify where memories are stored ๐Ÿšซ๐Ÿ“, where memories are stored is not known effectively even after so many years of research ๐Ÿ”ฌ๐Ÿ“†.

    b) Performance not memory may be affected ๐ŸƒโŒ๐Ÿ’ญ (if you remember there was a famous joke ๐Ÿ˜„: that if you cut frog legs ๐Ÿธ๐Ÿฆต, the frogs forget to hop across lines ๐ŸธโŒ--- performance not memory was affected by cutting the legs ๐Ÿฆตโœ‚๏ธ)

    c) How do we know that connections of other areas are not damaged by lesions to one area ๐Ÿง โš ๏ธ๐Ÿ”—? Lesion in one area may alter connection in other ๐Ÿ”„.

    d) Lastly, is what we assess if the loss of memory or the loss of retrieval of memorystrong> ๐Ÿšซ๐Ÿ“. It is not known effectively after years of research ๐Ÿ”ฌ.

    b) Performance is not memory ๐ŸƒโŒ๐Ÿ’ญ. This is affected by many things (famous joke ): cut the frog legs, the frog forgot how to hop ๐Ÿธ๐ŸฆตโŒ. No, it's not memory loss ๐Ÿšซ๐Ÿ’ญ but performance โŒ.

    and Memory

    Researches using single cell recordings ๐Ÿ”ฌ have shown that learning changes single cells ๐Ÿงฌโœจ. There are:

    • Measured increases in calcium โšก๐Ÿ“ˆ in neurons
    • Decreases in potassium โšก๐Ÿ“‰ flow
    • Increases in number of certain synaptic receptors ๐Ÿ“Š
    • Changes in RNA and proteins ๐Ÿงฌ๐Ÿงช

    Impaired learning may be due to the deficits in biochemistry๐Ÿ“ˆ

  • Potassium โšก flow decreases ๐Ÿ“‰
  • Increases in certain synaptic receptors numbers ๐Ÿ“Š
  • Ch

    RNA: These are the memory code molecules ๐Ÿงฌ๐Ÿ’พ.

    There are qualitative and quantitative changes in measures of RNA and protein synthesis ๐Ÿงช in animals, which have learnt a task ๐Ÿ“–โœ….

    Heredity is memory passed on from one to another generation ๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘งโ€๐Ÿ‘ฆ๐Ÿ”„. The DNA is the template for RNA ๐Ÿ“‹, which determines the structure of proteins ๐Ÿงช.

    ๐Ÿ€ Hyden and Colleagues (1962)

    Hyden and Colleagues (1962) ๐Ÿ‘จโ€๐Ÿ”ฌ trained rats to walk on a tight rope ๐Ÿ€๐ŸŽช as compared to normal rats ๐Ÿ€. There was increase in RNA in brain cell nuclei ๐Ÿงฌ๐Ÿ“ˆ.

    ๐Ÿงช Glassman and Colleagues (1974)

    Glassman and colleagues (1974) ๐Ÿ‘จโ€๐Ÿ”ฌ showed that changes in RNA and proteins were found after learning a shock avoidance task โšก๐Ÿ“–. Shock avoidance where the rats had to jump onto a platform at the sound of a buzzer ๐Ÿฆ˜๐Ÿ”Š, whereas the controls had a buzzer but no shock ๐Ÿšซโšก and/or no platform to jump ๐Ÿšซ.

    These rats were injected with labeled Uri dine ๐Ÿ’‰ (precursor for RNA ๐Ÿงฌ), or labeled lysine ๐Ÿ’‰ (precursor for protein ๐Ÿงช), 30 minutes before the experiment โฐ.

    The amount of Uri dines incorporation decreased with time ๐Ÿ“‰ i.e. RNA synthesis decreased after training ๐Ÿงฌ๐Ÿ“‰ and lysine increased after training ๐Ÿ“ˆ. RNA coding for new protein ๐Ÿงชโœจ.

    Labeled Lysine injected carried into cortex and hippocampus with acquisition ๐Ÿ’‰e task โšกโŒ. Rats had to jump off a platform ๐Ÿฆ˜ when they heard a sound of a buzzer ๐Ÿ”Š whereas control rats heard the buzzer ๐Ÿ”Š but had no shock โšก and no platform ๐Ÿšซ.

    They injected labeled Uri dine ๐Ÿ’‰ (RNA precursor) or labeled lysine ๐Ÿ’‰ (protein precursor) 30 minutes before the experiment ๐Ÿงช.

    Uri dines incorporation decreased over time ๐Ÿ“‰ (RNA synthesis decreased after training ๐Ÿงฌ๐Ÿ“‰), lysine increased after training ๐Ÿ“ˆ (RNA was coding for new protein ๐Ÿงชโœจ).

    Interesting experiments ๐Ÿ”ฌ have also been carried out where rats ๐Ÿ€, chicks ๐Ÿฅ and other species were trained and learnt a task ๐Ÿ“–โœ…, these animals were decapitated and their brains homogenized and injected into the normal rats ๐Ÿ’€๐Ÿง ๐Ÿ”„๐Ÿ’‰.

    It was found that the injected animals learnt faster than untrained or un-injected rats ๐Ÿ“ˆโšก

    ๐Ÿง  Brain Homogenate Experiments

    Protein Synthesis:

    Researches on single cell basis of learning have indicated evidence that Protein's synthesis is a necessary step in long-term memory ๐Ÿ’พ๐Ÿ”ฌ. Protein's synthesis modifies characteristics and properties of neurons ๐Ÿง ๐Ÿ”ง.

    Drugs that inhibit protein synthesis impair LTM storage but not STM ๐Ÿ’Š๐Ÿ’พโŒโฑ๏ธโœ…. The increased inhibition leads to increased deficits in learning ๐Ÿ“ŠโŒ (Bennet et al, 1977 ๐Ÿ‘จโ€๐Ÿ”ฌ).

    Azinomycin blocks protein synthesis ๐Ÿ’Š blocked rats memory of location of the shock โšก๐Ÿ“โŒ but not the memory of location of food ๐Ÿฝ๏ธ๐Ÿ“โœ…!

    Other important bio-chemicals are: Cyclic Amp ๐Ÿงช, ACTH ๐Ÿ’Š, Vasopressin ๐Ÿ’ง, Acetylcholine ๐Ÿง  andp>

    Drugs ๐Ÿ’Š which inhibit protein synthesis also impair LTM ๐Ÿ’พโŒ but not STM โฑ๏ธโœ…. The increased inhibition leads to increased deficits ๐Ÿ“ŠโŒ (Bennet et al. 1977 ๐Ÿ‘จโ€๐Ÿ”ฌ).

    Azinomycin ๐Ÿ’Š blocks protein. It blocked rats memory for the location where they received shocks โšก๐Ÿ“โŒ but not the location of where there is food ๐Ÿฝ๏ธ๐Ÿ“โœ….

    Other bio-chemicals involved: Cyclic Amp ๐Ÿงช, ACTH ๐Ÿ’Š, Vasopressin ๐Ÿ’ง, ACh ๐Ÿง , NE โšก

    Learning and Memory

    Stress ๐Ÿ˜ฐ interferes with learning and retrieval of information ๐Ÿ“–โŒ. We all are familiar with Blockade before important paper ๐Ÿ“„โš ๏ธ!

    Electroconvulsive therapy blocks protein synthesis โšก๐ŸงชโŒ

    ๐Ÿ”„ Hebb's Consolidation Theory

    Hebb's consolidation theory ๐Ÿง ๐Ÿ’ญ: Time required for STM to LTM โฐโฑ๏ธโžก๏ธ๐Ÿ’พ any interference with consolidation would result in disruption of long-term recall โš ๏ธ๐Ÿ’พโŒ.

    If there is a head injury then memory of events prior to injury lost ๐Ÿค•๐Ÿ“‰ (retrograde amnesia ๐Ÿšซ๐Ÿ’ญ), destroyed as evidence indicates that a small reminder brings back memories ๐Ÿ’กโœ….

    In head trauma memory returns after delay or under tranquilizers ๐Ÿค•โฐ๐Ÿ’Š.

    ECT affects both long term and short-term memories โšก๐Ÿ’พโฑ๏ธ: Kalat (1980) ๐Ÿ‘จโ€๐Ÿ”ฌ "ECT interferes with memories that are active at the time of ECS regardless of the fact whether formed recently or long ago" ๐Ÿ“š

    ECT โšก affects both LTM ๐Ÿ’พ and STM โฑ๏ธ. Kalat 1980 ๐Ÿ‘จโ€๐Ÿ”ฌ "ECT interferes with memories that are active at the time of ECS โšกโš ๏ธ regardless of whether they were formed recently or long ago" ๐Ÿ“š.

    ๐Ÿง  Plasticity and the Nervous System

    Experiments by Hubel and weasel ๐Ÿ‘จโ€๐Ÿ”ฌ have shown that anatomical changes take place in the visual cortex with experiences ๐Ÿ‘๏ธ๐Ÿง ๐Ÿ“Š.

    ๐Ÿ‘“ Horizontal Goggles Experiment

    Horizontal goggles worn by kittens during early period of development ๐Ÿฑ๐Ÿ‘ถ๐Ÿ‘“ lead to firing of neurons when horizontal stripes are seen as adults โ†”๏ธ๐Ÿง โœจ.

    Similarly, if one eye receives more stimulation, the brain area for that eye is enlarged ๐Ÿ‘๏ธ๐Ÿ“ˆ๐Ÿง  (more neurons respond ๐Ÿ“Šโœ…)

    โšก Shock to the Foreleg

    Shock to the foreleg of young kittens โšก๐Ÿฆต๐Ÿฑ led to a greatly enlarged somato-sensory cortical area ๐Ÿง ๐Ÿ“ˆ (Increased stimulation led to increased areas for responding ๐Ÿ“Šโœ…).

    ๐Ÿคš Merzenich's Finger Experiments

    Merzenich ๐Ÿ‘จโ€๐Ÿ”ฌ carried out an experiment where he joined the third and index finger by sewing them together ๐Ÿคž, the area for this "one" finger becomes large ๐Ÿ“ˆ๐Ÿง .

    If the thumb is removed ๐Ÿ‘โŒ the areas for thumb in the cortex becomes smaller ๐Ÿ“‰๐Ÿง .

    ๐ŸŽป MRI Studies of Violinists

    MRI's studies of violinist's brains ๐Ÿง ๐Ÿ”ฌ๐ŸŽป showed that their cortical auditory areas were enlarged as compared to normal ๐Ÿ“ˆ๐Ÿง ๐Ÿ“Š.

    โšก Super Plasticity in Growing Brain?

    There have been studies which have shown that an early start โฐ e.g. for musicians ๐ŸŽต, for language proficiency ๐Ÿ—ฃ๏ธ, for players โšฝ, for gymnasts ๐Ÿคธ, there is need to start early ๐Ÿ‘ถโœ…. As the information, being sent to the sensory cortices when learning is taking place ๐Ÿง ๐Ÿ“–.

    In language learning ๐Ÿ—ฃ๏ธ, the left hemisphere growth spurt is recorded on EEG ๐Ÿง ๐Ÿ“ˆ๐Ÿ“Š between:

    • 2-4 years of age ๐Ÿ‘ถ
    • And another 12-15 years ๐Ÿ‘ฆ
    • Again only in the left hemisphere ๐Ÿง โฌ…๏ธ

    There is increasing research in the early development and the neuronal stimulation ๐Ÿง โšก, nerve growth factor ๐ŸŒฑ, and stem cell research ๐Ÿงฌ๐Ÿ”ฌ.

    ๐Ÿšซ๐Ÿ’ญ Amnesia

    Amnesia is a memory disorder ๐Ÿ’ญโŒ, and patients suffering from Amnesia have been studied to find out more about how memory works ๐Ÿ”ฌ.

    ๐Ÿ‘จ H.M.: The Famous Pure Amnesic

    One of the most famous cases of amnesia is H.M: pure amnesic ๐Ÿ‘จ๐Ÿšซ๐Ÿ’ญ:

    H.M. had severe epileptic seizures ๐Ÿง โšก and for treatment of epilepsy, surgery was carried out when he was 27 years old ๐Ÿฅ๐Ÿ‘จ. In addition, after the surgery he has been in the time freeze of being stuck at 27 โฐโ„๏ธ (even 40 years later ๐Ÿ‘ด)!

    HM has amnesia for events prior to surgery, and has no LTM ๐Ÿšซ๐Ÿ’ญ๐Ÿ’พโŒ. He actually lives in the present, in STM โฑ๏ธโœ….

    He has no IQ loss ๐Ÿง โœ… as assessed by IQ tests ๐Ÿ“‹. He has been tested for memory using:

    • The mirror drawing task ๐Ÿชžโœ๏ธ
    • The digit span test ๐Ÿ”ข
    • Block tapping memory span test ๐Ÿงฑ๐Ÿคš
    • Incomplete pictures test ๐Ÿ–ผ๏ธ
    • Even eye blink Pavlovian type conditioning response ๐Ÿ‘๏ธ๐Ÿ””

    He has damage in the temporal region ๐Ÿง โš ๏ธ and this has provided evidence of the importance of temporal lobe (and hippocampus) in memory ๐Ÿง 

    ๐Ÿ”„ Types of Amnesia

    โžก๏ธ Amnesia

    โžก๏ธ Anterograde Amnesia

    โ€ข Anterograde: loss of ability to learn new information ๐Ÿ“–โŒ. The amnesic can remember events before surgery or injury โœ…. The complex perceptual motor learning abilities however are intact in these patients โœ….

    Korsakoff's syndrome ๐Ÿบ is the severest form of Anterograde Amnesia, where damage is to the mammillary bodies and temporal lobe ๐Ÿง โš ๏ธ

    โฌ…๏ธ Retrograde Amnesia

    โ€ข Retrograde: This form of amnesia is inability to remember event, which had occurred before brain damage โฐโŒ๐Ÿง .

    Confabulation is creation of pseudo memories to fill gaps ๐Ÿ’ญโ“๐Ÿ”„.

    ๐Ÿง  Alzheimer's Disease

    โ€ข Alzheimer's disease is one of the major diseases, which leads to severe memory loss ๐Ÿ’ญโŒ. This is the most common cause of dementia ๐Ÿง  (memory and intellectual impairment ๐Ÿ“‰).

    Research ๐Ÿ”ฌ has provided evidence of Neurofibrils ๐Ÿง , amygdaloid plaques ๐Ÿง , neural degeneration ๐Ÿ“‰, also reduction in ACH ๐ŸงชโŒ as the underlying pathology in Alzheimer's ๐Ÿฅ

    ๐Ÿง  What Studies on Amnesiacs Have Shown

    1. Hippocampus ๐Ÿง  is not the location of LTM ๐Ÿ’พ๐Ÿ“โŒ nor is it important for the retrieval of LTMs ๐Ÿ”โŒ

    1. Hippocampus is not the location of long-term memory ๐Ÿ’พ๐Ÿ“โŒ nor is it important for retrieval of long-term memories ๐Ÿ”โŒ

    2. It is also not the location for immediate memories โฑ๏ธ๐Ÿ“โŒ

    3. Hippocampus is involved in transforming STM to LTM โฑ๏ธโžก๏ธ๐Ÿ’พโœ…

    Studies have also shown the importance of mammillary bodies ๐Ÿง , and the Dorsomedial Thalamus ๐Ÿง  in memory ๐Ÿ’ญ.

    ๐Ÿ“š References

    • Carlson, N. R. (2005). Foundations of physiological psychology. Pearson Education New Zealand.
    • Pinel, J. P. (2003). Biopsychology. (5th ed). Allyn & Bacon Singapore.
    • Bloom, F., Nelson., & Lazerson. (2001), Behavioral Neuroscience: Brain, Mind and Behaviors. (3rd ed). Worth Publishers New York
    • Bridgeman, B. (1988). The Biology of Behavior and Mind. John Wiley & Sons, New York
    • Brown, T.S. & Wallace, P.S. (1980). Physiological Psychology. Academic Press, New York
    • Bradshaw, J. L. & Mattingley, J. B. (1995). Clinical Neuropsychology: Behavioral and Brain Sciences. ACADEMIC PRESS
  • ๐Ÿคšโฌ…๏ธ, left hemisphere dominant for right-handed ๐Ÿคšโžก๏ธ.

    ๐Ÿค” Two Brains or One?

    Interest in this research was stimulated accidentally ๐ŸŽฏ. Major names in this area are Penfield ๐Ÿ‘จโ€โš•๏ธ, Sperry ๐Ÿ‘จโ€๐Ÿ”ฌ, Gazzaniga ๐Ÿ‘จโ€๐Ÿ”ฌ, and Milner ๐Ÿ‘ฉโ€๐Ÿ”ฌ - pioneers in this area ๐Ÿ†.

    Studies used Commissurotomy โœ‚๏ธ๐Ÿง  (Split-Brain Procedure): A knife is used to cut or sever the commissures ๐Ÿ”— including the Corpus Callosum ๐Ÿง . The two hemispheres cannot communicate with each other ๐Ÿง โ†”๏ธโŒ.

    ๐Ÿ”ฌ Findings

    Interesting things happened โœจ:

    Outwardly the patients appeared normal ๐Ÿ˜Šโœ… but with sensitive neuropsychological tests ๐Ÿ“‹ deficits were revealed ๐Ÿ”.

    Tests for visual ๐Ÿ‘๏ธ, tactual ๐Ÿคš, and verbal ๐Ÿ—ฃ๏ธ were devised so that information would go only to one hemisphere ๐Ÿง .

    Words presented to the right visual field ๐Ÿ‘๏ธโžก๏ธ (left hemisphere ๐Ÿง โฌ…๏ธ) - the person could read it out loud ๐Ÿ—ฃ๏ธโœ… and also write it โœ๏ธโœ….

    If shown to the right hemisphere ๐Ÿง โžก๏ธ, the person reported they saw nothing ๐Ÿšซ๐Ÿ‘๏ธ. The right hemisphere could not comprehend or perceive โŒ. It was thought that the left did all the work and the right had a supportive role ๐Ÿง โฌ…๏ธโœ… ๐Ÿง โžก๏ธโŒ.

    The right hemisphere could not talk about what it saw ๐Ÿšซ๐Ÿ—ฃ๏ธ but the methodology was changed ๐Ÿ”„. They asked the person to pick words, alphabets or objects from a group ๐Ÿ”ค. They picked the right ones โœ…!

    โค๏ธ The HEART Example

    The word "HEART" โค๏ธ was flashed on the screen ๐Ÿ“บ:

    • "HE" goes to the right visual field โžก๏ธ (left hemisphere ๐Ÿง โฌ…๏ธ)
    • "ART" is input to the right hemisphere ๐Ÿง โžก๏ธ

    When asked what they saw ๐Ÿ‘๏ธโ“, they stated "HE". When asked to pick words from a block ๐Ÿงฑ, they picked "ART" ๐ŸŽจ!

    ๐Ÿšถ Walking in the Room

    In other studies, a split-brain patient walking in the room ๐Ÿšถ acted like a blind man ๐Ÿฆฏ (was not able to see and walked ๐Ÿšซ๐Ÿ‘๏ธ๐Ÿšถ) but could identify objects in different areas โœ… when asked to verbalize ๐Ÿ—ฃ๏ธ.

    Thus, the question researchers asked is: Two brains or one? ๐Ÿง ๐Ÿง โ“

    โš–๏ธ Brain Lateralization

    Brain Lateralization: There exists two halves of the human brain ๐Ÿง โ†”๏ธ which are not exactly alike โŒโš–๏ธ. Each hemisphere has functional specializations ๐ŸŽฏ. Some function and neural mechanisms are localized primarily in one half โฌ…๏ธโžก๏ธ.

    ๐Ÿคš Handedness

    Handedness: This is defined as ๐Ÿ“‹:

    • a) Which hand performs faster ๐Ÿƒ and more precisely โœ… on manual tests ๐Ÿ“Š
    • b) Which hand does a person prefer to use ๐Ÿ‘ regardless of performance ๐Ÿ“Š

    Majority are right handers ๐Ÿคšโžก๏ธ (left hemisphere dominant ๐Ÿง โฌ…๏ธ). This is reasonable. A small percentage are left-handed ๐Ÿคšโฌ…๏ธ and even smaller are ambidextrous ๐Ÿคšโ†”๏ธ.

    ๐Ÿ‘‘ Famous Left-Handed & Ambidextrous People

    Famous left-handed people: ๐Ÿคšโฌ…๏ธ

    • Leonardo Da Vinci ๐ŸŽจ
    • Michelangelo ๐Ÿ—ฟ
    • Napoleon ๐Ÿ‘‘
    • Alexander the Great โš”๏ธ

    Baden Powel was ambidextrous ๐Ÿคšโ†”๏ธ which means both hands have equal proficiency โš–๏ธโœ….

    ๐Ÿฆต Other Dominances

    There is also dominance of the foot ๐Ÿฆถ (which foot is used for kicking a ball โšฝ or stepping on a stair first ๐Ÿชœ), the eye ๐Ÿ‘๏ธ (which eye do you use for a telescope ๐Ÿ”ญ), and ear ๐Ÿ‘‚ (which ear are you listening to the telephone ๐Ÿ“ž with).

    These are assessed through tests such as the Harris Tests of Lateral Dominance ๐Ÿ“‹.

    ๐Ÿ˜Š Asymmetry of Faces

    It has been reported by Sackheim, Gur and Saucy (1978) ๐Ÿ‘จโ€๐Ÿ”ฌ that photographs expressed emotions ๐Ÿ˜Š๐Ÿ˜ข๐Ÿ˜ก. Cut and make composites:

    • Left-left half ๐Ÿ˜Š๐Ÿ˜Š
    • Right-right half composite ๐Ÿ˜๐Ÿ˜

    Subjects compared the normal pictures ๐Ÿ–ผ๏ธ for intensity of emotions ๐Ÿ“Š. They found that subjects reported left-left was more intense ๐Ÿ˜Š๐Ÿ“ˆ compared to right-right ๐Ÿ˜๐Ÿ“‰.

    Why? ๐Ÿค” Because the right hemisphere cannot speak ๐Ÿง โžก๏ธ๐Ÿšซ๐Ÿ—ฃ๏ธ, so the images have more intense visual input ๐Ÿ‘๏ธ๐Ÿ“ˆ whereas the left hemisphere can express in words ๐Ÿง โฌ…๏ธ๐Ÿ—ฃ๏ธ.

    ๐Ÿงฌ How to Explain Asymmetry?

    There are two schools of thought ๐Ÿ’ญโœŒ๏ธ:

    a) The brain is equipotential โš–๏ธ and specialization takes place around 2 years ๐Ÿ‘ถ. This is a division of labor ๐Ÿ”„ and the specializations are completed. The two hemispheres compete for control ๐Ÿง โš”๏ธ๐Ÿง . When both try to speak you get stuttering ๐Ÿ—ฃ๏ธโŒ (Orton 1939 ๐Ÿ‘จโ€๐Ÿ”ฌ).

    b) The other view is that it is inborn and innate ๐Ÿงฌ before cultural and learning influences ๐Ÿ“š. For example, the planum temporal of the left hemisphere is larger in a fetus ๐Ÿ‘ถ๐Ÿง โฌ…๏ธ๐Ÿ“ˆ therefore language is programmed into the left hemisphere ๐Ÿ—ฃ๏ธ๐Ÿง โฌ…๏ธ.

    ๐Ÿ”ฌ Tests for Language and Other Functions

    ๐Ÿ’‰ WADA Test

    WADA Test: Sodium Amytal ๐Ÿ’Š is a barbiturate which is injected into the carotid arteries ๐Ÿ’‰๐Ÿฉธ (the main arteries that carry blood to the brain ๐Ÿง ).

    The injection is unilaterally given to one hemisphere ๐Ÿง โฌ…๏ธ or ๐Ÿง โžก๏ธ. The patient is asked to speak or list words ๐Ÿ—ฃ๏ธ๐Ÿ“.

    If the language hemisphere is anaesthetized ๐Ÿ’Š๐Ÿ˜ด, speech is slurred ๐Ÿ—ฃ๏ธโŒ or blocked completely ๐Ÿšซ๐Ÿ—ฃ๏ธ.

    Milner branch and Rasmussen (1966) ๐Ÿ‘จโ€๐Ÿ”ฌ studied 212 patients to identify hemispheric dominance for speech ๐Ÿ—ฃ๏ธ.

    ๐Ÿ”ฌ Zeidel Lens

    Zeidel Lens: This is a specialized tachistoscope ๐Ÿ”ฌ that can project images only to one hemisphere ๐Ÿง  to test verbal ๐Ÿ—ฃ๏ธ, visual ๐Ÿ‘๏ธ, language ๐Ÿ“–, and asymmetries โš–๏ธ.

    ๐Ÿ‘‚ Dichotic Listening Tests

    Dichotic Listening Tests: This test sends two different auditory signals ๐Ÿ”Š to the left ๐Ÿ‘‚โฌ…๏ธ and right ear ๐Ÿ‘‚โžก๏ธ.

    For example, alphabets to the left ear ๐Ÿ”ค๐Ÿ‘‚โฌ…๏ธ and simultaneously numbers to the right ear ๐Ÿ”ข๐Ÿ‘‚โžก๏ธ. The subject is asked to repeat what they hear ๐Ÿ—ฃ๏ธ๐Ÿ”„.

    The dominant ear will hear the list given to the dominant ear ๐Ÿ‘‚โœ… - that was heard ๐Ÿ”Šโœ….

    At present ๐Ÿ“… research is ongoing ๐Ÿ”ฌ and it is recognized that each hemisphere is specialized โš–๏ธ and they work alone or together ๐Ÿง ๐Ÿค๐Ÿง .

    ๐Ÿšซ Unilateral Neglect: A Sensory Disorder

    Unilateral Neglect: This is a special disorder affecting response to one side of the body ๐Ÿšซ๐Ÿคš, somato-sensory ๐ŸคšโŒ or visual field ๐Ÿ‘๏ธโŒ.

    This is characterized by the patient not attending to one side only โฌ…๏ธ๐Ÿšซ. This occurs as a consequence of damage to either hemisphere's spatial recognition ๐Ÿง โš ๏ธ (parieto-occipital area ๐Ÿง ).

    This is a lateralized deficit โš–๏ธ - they don't respond to the side or visual field opposite to the damaged hemisphere ๐Ÿง โŒ.

    ๐Ÿ• Clock Drawing Test

    To assess ๐Ÿ“‹, simply ask the patient to draw a clock face โฐ with numbers ๐Ÿ”ข showing a specific time such as 10 to 11 o'clock ๐Ÿ•. The patient draws only half the clock โฐ๐Ÿšซ!

    In extreme cases ๐Ÿ˜ต:

    • Eat only one side of a plate ๐Ÿฝ๏ธ๐Ÿšซ
    • Shave one side of the face ๐Ÿช’๐Ÿ˜
    • Put lipstick on half the face ๐Ÿ’„๐Ÿ˜Š๐Ÿšซ

    Interestingly, when they move around ๐Ÿšถ they are able to describe the whole body ๐Ÿงโœ… as it moves ๐Ÿ”„.

    An intriguing finding: the frontal cortex is controlling the rest of the body and brain ๐Ÿง ๐Ÿ‘‘ (Chief executive ๐Ÿ‘จโ€๐Ÿ’ผ).

    ๐Ÿง  The Frontal Lobe

    ๐Ÿ‘จโ€๐Ÿฆฏ Phineas Gage: "No Longer Gage"

    There is an interesting paper titled "No Longer Gage" ๐Ÿ“„ about Phineas Gage ๐Ÿ‘จโ€๐Ÿฆฏ, a railway laborer in construction ๐Ÿšง. He had a major head injury ๐Ÿค• when a rod used for holding went through his head ๐Ÿง โš ๏ธ.

    He survived โœ… but his personality changed ๐Ÿ˜Šโžก๏ธ๐Ÿ˜ก. He was no longer the same person ๐Ÿšซ. Family and friends said "He is no longer Gage" ๐Ÿ˜ข.

    They found his injury was to the Orbito frontal areas ๐Ÿง  which changed him โš ๏ธ.

    ๐Ÿง  Orbito Frontal Functions

    Now research indicates ๐Ÿ”ฌ that the following are located in this area ๐Ÿง :

    • Judgment โš–๏ธ
    • Personality ๐Ÿ˜Š
    • Foresight ๐Ÿ”ฎ
    • "Conscience" ๐Ÿ˜‡
    • Reduced impulsivity ๐Ÿ›‘

    As a child grows ๐Ÿ‘ถ, the inhibitions of society and culture are learning and these are programmed into this area ๐Ÿง ๐Ÿ“š. The control of all emotions resides here ๐Ÿ˜Š๐Ÿ˜ข๐Ÿ˜ก๐Ÿง .

    ๐Ÿ“‹ Neuropsychological Tests

    a) Luria ๐Ÿ‘จโ€๐Ÿ”ฌ is the father of Neuropsychology ๐Ÿง ๐Ÿ”ฌ. He developed a series of tests to assess all abilities holistically ๐ŸŒ by varying the tasks ๐Ÿ“Š. He tested the same task using different modalities ๐Ÿ”„: visual ๐Ÿ‘๏ธ, somato-sensory touch ๐Ÿคš, or language command ๐Ÿ—ฃ๏ธ, and using different tests.

    He incorporated these into the Luria Nebraska Neuropsychological Battery ๐Ÿ“‹๐Ÿงช.

    b) Halstead Reitan Battery ๐Ÿ“‹ has tests such as grooved pegboard ๐Ÿ”ง, tapping ๐Ÿ‘†, etc.

    c) Harris Tests of Laterality ๐Ÿคš๐Ÿ“‹

    ๐Ÿง  Research Ongoing

    Research is ongoing ๐Ÿ”ฌ and both hemispheres work and compete ๐Ÿง โš”๏ธ๐Ÿง . They are working together and sharing information through the corpus callosum ๐Ÿ”— which gives behavior a holistic gestalt ๐ŸŒ. Each hemisphere needs the other to provide back up information ๐Ÿ”„โœ….

    ๐Ÿง  One Hemisphere Only

    In cases where there is surgery ๐Ÿฅ, brain injury ๐Ÿค•, or birth/developmental trauma ๐Ÿ‘ถโš ๏ธ where one hemisphere is lost ๐Ÿง โŒ, if only one hemisphere is remaining it can take over the functions ๐Ÿง โœ… without visible or other deficits โœ….

    The earlier the traumas ๐Ÿ‘ถโš ๏ธ the more easily the functioning is taken over โฐโœ…. Later in life ๐Ÿ‘ด it is difficult for one hemisphere to relearn ๐Ÿ“–โŒ.

    ๐Ÿ”ฌ Neuropsychological Assessment

    Assessment of cognition and functions ๐Ÿง ๐Ÿ“Š is carried out by trained neuropsychologists ๐Ÿ‘จโ€๐Ÿ”ฌ who are brain-behavior relationship specialists ๐Ÿง โ†”๏ธ๐ŸŽญ.

    A formal interview is done initially ๐Ÿ“‹ followed by review of medical and history records ๐Ÿ“„, if already treated, or birth traumas, or school records ๐Ÿซ. There are interviews with parents and relatives ๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘ง followed by neuropsychological testing (a formalized procedure with tests) ๐Ÿ“‹๐Ÿงช.

    ๐ŸŽฏ Assessment Aims

    The aim is to assess the patient's higher order ๐Ÿง โšก:

    • Attention ๐ŸŽฏ
    • Memory ๐Ÿ’ญ
    • Speed of information processing โšก๐Ÿง 
    • Language ๐Ÿ—ฃ๏ธ
    • Visual-spatial abilities ๐Ÿ‘๏ธ๐Ÿ“
    • Sensory processing ๐Ÿ‘‚๐Ÿ‘๏ธ๐Ÿคš
    • Motor abilities ๐Ÿฆต๐Ÿคš
    • Executive functioning ๐Ÿ‘จโ€๐Ÿ’ผ๐Ÿง 
    • Intellectual functioning ๐Ÿง ๐Ÿ’ก

    This is based on the referral questions and previous history ๐Ÿ“‹.

    This helps in developing a rehabilitation strategy ๐Ÿฅโœ….

    ๐Ÿฅ Referrals

    Common referrals include ๐Ÿ“‹:

    • a) Stroke patients ๐Ÿง ๐Ÿ’”
    • b) Head injury patients ๐Ÿค•
    • c) Children with slow development ๐Ÿ‘ถ๐Ÿ“‰, difficulties in speech ๐Ÿ—ฃ๏ธโŒ, attention ๐ŸŽฏโŒ, or learning ๐Ÿ“–โŒ
    • d) Chronic alcohol and substance abusers ๐Ÿบ๐Ÿ’Š

    ๐Ÿ“‹ Test Batteries

    There are several protocols available ๐Ÿ“š. Two of the well-known batteries ๐Ÿงช:

    1. Halstead Reitan ๐Ÿ“‹ is older and takes about 8 hours to complete โฐ.

    2. Luria-Nebraska ๐Ÿ“‹ was developed by American Neuropsychologists ๐Ÿ‘จโ€๐Ÿ”ฌ๐Ÿ‡บ๐Ÿ‡ธ based on Luria's techniques. This is a series of subtests ๐Ÿ“Š that takes less time โฑ๏ธ and has more flexibility ๐Ÿ”„. It provides qualitative information โœ….

    They assess: motor ๐Ÿฆต, sensory ๐Ÿ‘๏ธ๐Ÿ‘‚๐Ÿคš, visual language ๐Ÿ‘๏ธ๐Ÿ—ฃ๏ธ, kinesthetic ๐Ÿคธ, attention ๐ŸŽฏ, memory ๐Ÿ’ญ, receptive ๐Ÿ‘‚ and expressive speech ๐Ÿ—ฃ๏ธ, sounds ๐Ÿ”Š, rhythm ๐Ÿฅ.

    Each test assesses whether the patient is following instructions in different modal tests ๐Ÿ”„.

    ๐Ÿงช The Trails Making Test

    Two of the simplest tests that give rich information are used in the Trails making A and B ๐Ÿ“‹ which is part of the Halstead Reitan โœ….

    These appear simple ๐Ÿ˜Š where the patient has to join lines with various numbers ๐Ÿ”ข:

    • Part A: Numbers ๐Ÿ”ข
    • Part B: Numbers and words in alternating sequence ๐Ÿ”ข๐Ÿ”ค

    What is being measured: ๐Ÿ“Š

    • Spatial organization ๐Ÿ“
    • Grapho-motor speed โœ๏ธโšก
    • Recognition of numbers ๐Ÿ”ข
    • Visual pursuit ๐Ÿ‘๏ธ๐Ÿ”
    • Vigilance ๐Ÿ‘€
    • Number sequences ๐Ÿ”ขโžก๏ธ

    Part A evaluates: visual motor coordination ๐Ÿ‘๏ธ๐Ÿคš, scanning ๐Ÿ”, and short term memory โฑ๏ธ๐Ÿ’ญ.

    Part B measures higher order ๐Ÿง โšก: alternating numbers and letters ๐Ÿ”ข๐Ÿ”ค, ability to learn an organizing principle and apply it systematically ๐Ÿ“Š, verbal problem solving ๐Ÿ—ฃ๏ธ๐Ÿงฉ, and planning action beforehand ๐Ÿ“‹.

    โœ… Effectiveness of Neuropsychological Tests

    Neuropsychological tests are effective tools in the hands of a trained person ๐Ÿ‘จโ€๐Ÿ”ฌโœ…. These are used for:

    • Diagnosis to identify deficits resulting from illness or injury ๐Ÿฅ๐Ÿ”
    • Assess learning problems ๐Ÿ“–โŒ
    • Assess reasoning and problem-solving ๐Ÿงฉ๐Ÿค”
    • Ability to understand and express language ๐Ÿ—ฃ๏ธ๐Ÿ‘‚
    • Memory and attention (especially post trauma) ๐Ÿ’ญ๐ŸŽฏ
    • Visual-spatial memory and organization ๐Ÿ‘๏ธ๐Ÿ“
    • Visual-motor coordination ๐Ÿ‘๏ธ๐Ÿคš
    • Higher order planning and organizing ๐Ÿ‘จโ€๐Ÿ’ผ๐Ÿ“‹

    ๐ŸŽ“ Course Recap

    We have completed this course ๐Ÿ“šโœ…. If you look back at the lessons, we began by:

    a) We learnt about the development of behavioral Neurosciences as a discipline ๐Ÿง ๐Ÿ”ฌ. We discussed the major contributors and the different specializations ๐Ÿ‘จโ€๐Ÿ”ฌ. Hard sciences such as Chemistry ๐Ÿงช, biochemistry ๐Ÿงฌ, physics โšก, and biology ๐Ÿฆ  were incorporated to understand behavior in lower animals ๐Ÿ€ as well as humans ๐Ÿ‘จ.

    b) We learnt about the various stages of evolutionary development ๐Ÿ“ˆ and the commonalities and differences between man and animals ๐Ÿ‘จ๐Ÿฆ. The brain developed from a single cell layer to the complex form we have ๐Ÿง ๐Ÿ”„. This developmental journey is a nature-nurture interaction ๐Ÿงฌโ†”๏ธ๐ŸŒฑ. Things go as programmed if there is the right environmental stimulation โšกโœ….

    c) We learnt about the various neuroanatomical sites ๐Ÿง ๐Ÿ“ and their contribution to behavior. We also discussed NeuroChemicals ๐Ÿงช and their effect. In some cases there are serious psychopathologies ๐Ÿง โš ๏ธ and physiological deficits which are caused by a single molecule ๐ŸงชโŒ.

    d) We learnt about motivational states ๐Ÿ˜‹๐Ÿ’ง๐Ÿ˜ด that are neuro-anatomically and neuro-chemically driven. Hunger ๐Ÿฝ๏ธ, thirst ๐Ÿ’ง, and sleep ๐Ÿ˜ด are important. Without these we may not survive let alone function properly โš ๏ธ.

    e) Our journey to higher order functioning ๐Ÿง โšก discussed language deficits ๐Ÿ—ฃ๏ธโŒ, learning ๐Ÿ“– and memory ๐Ÿ’ญ, and amnesias ๐Ÿšซ๐Ÿ’ญ. We also discussed disorders such as apraxias ๐Ÿšซ๐Ÿคš, agnosias ๐Ÿšซ๐Ÿ‘๏ธ๐Ÿ‘‚, and aphasias ๐Ÿšซ๐Ÿ—ฃ๏ธ giving you an insight into the neuropsychological area ๐Ÿ“‹๐Ÿ”ฌ.

    f) It is always interesting to teach brain-behavior relationships ๐Ÿง โ†”๏ธ๐ŸŽญ. I hope this course has helped you understand your own behavior and the behavior of others better ๐Ÿ˜Šโœ….

    There are excellent sites on the web ๐ŸŒ that you can visit to learn more ๐Ÿ“š. I have given you handouts and there are others.

    Central Nervous System Overview ๐Ÿง  is astonishingly complex - the creases ๐Ÿง , projections ๐Ÿ“ก, fibers ๐Ÿ”—, branching cells ๐ŸŒณ, colors ๐ŸŽจ, and connections of the human nervous system ๐Ÿง โšก.

    ๐Ÿ“š References