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  1. Article ; Online: Damage to temporoparietal cortex is sufficient for impaired semantic control.

    Thompson, Hannah E / Noonan, Krist A / Halai, Ajay D / Hoffman, Paul / Stampacchia, Sara / Hallam, Glyn / Rice, Grace E / De Dios Perez, Blanca / Lambon Ralph, Matthew A / Jefferies, Elizabeth

    Cortex; a journal devoted to the study of the nervous system and behavior

    2022  Volume 156, Page(s) 71–85

    Abstract: Semantic control allows us to focus semantic activation on currently relevant aspects of knowledge, even in the face of competition or when the required information is weakly encoded. Diverse cortical regions, including left prefrontal and posterior ... ...

    Abstract Semantic control allows us to focus semantic activation on currently relevant aspects of knowledge, even in the face of competition or when the required information is weakly encoded. Diverse cortical regions, including left prefrontal and posterior temporal cortex, are implicated in semantic control, however; the relative contribution of these regions is unclear. For the first time, we compared semantic aphasia (SA) patients with damage restricted to temporoparietal cortex (TPC; N = 8) to patients with infarcts encompassing prefrontal cortex (PF+; N = 22), to determine if prefrontal lesions are necessary for semantic control deficits. These SA groups were also compared with semantic dementia (SD; N = 10), characterised by degraded semantic representations. We asked whether TPC cases with semantic impairment show controlled retrieval deficits equivalent to PF+ cases or conceptual degradation similar to patients with SD. Independent of lesion location, the SA subgroups showed similarities, whereas SD patients showed a qualitatively distinct semantic impairment. Relative to SD, both TPC and PF+ SA subgroups: (1) showed few correlations in performance across tasks with differing control demands, but a strong relationship between tasks of similar difficulty; (2) exhibited attenuated effects of lexical frequency and concept familiarity, (3) showed evidence of poor semantic regulation in their verbal output - performance on picture naming was substantially improved when provided with a phonological cue, and (4) showed effects of control demands, such as retrieval difficulty, which were equivalent in severity across TPC and PF+ groups. These findings show that semantic impairment in SA is underpinned by damage to a distributed semantic control network, instantiated across anterior and posterior cortical areas.
    MeSH term(s) Humans ; Semantics ; Neuropsychological Tests ; Aphasia/pathology ; Temporal Lobe/pathology ; Prefrontal Cortex/pathology
    Language English
    Publishing date 2022-07-08
    Publishing country Italy
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 280622-8
    ISSN 1973-8102 ; 0010-9452
    ISSN (online) 1973-8102
    ISSN 0010-9452
    DOI 10.1016/j.cortex.2022.05.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Correction to: Association between adherence to radiation therapy quality metrics and patient reported outcomes in prostate cancer.

    Tallman, Jacob E / Wallis, Christopher J D / Huang, Li-Ching / Zhao, Zhiguo / Penson, David F / Koyama, Tatsuki / Conwill, Ralph / Goodman, Michael / Hamilton, Ann S / Wu, Xiao-Cheng / Paddock, Lisa E / Stroup, Antoinette / Cooperberg, Matthew R / Hashibe, Mia / O'Neil, Brock B / Kaplan, Sherrie H / Greenfield, Sheldon / Barocas, Daniel A / Hoffman, Karen E

    Prostate cancer and prostatic diseases

    2023  Volume 26, Issue 1, Page(s) 214

    Language English
    Publishing date 2023-03-13
    Publishing country England
    Document type Published Erratum
    ZDB-ID 1419277-9
    ISSN 1476-5608 ; 1365-7852
    ISSN (online) 1476-5608
    ISSN 1365-7852
    DOI 10.1038/s41391-023-00659-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Revisiting Arieti's "listening attitude" and hallucinated voices.

    Hoffman, Ralph E

    Schizophrenia bulletin

    2010  Volume 36, Issue 3, Page(s) 440–442

    Abstract: Silvano Arieti proposed that auditory/verbal hallucinations (AVHs) are triggered by momentary states of heightened auditory attention that he identified as a "listening attitude." Studies and clinical observations by our group support this view. Patients ...

    Abstract Silvano Arieti proposed that auditory/verbal hallucinations (AVHs) are triggered by momentary states of heightened auditory attention that he identified as a "listening attitude." Studies and clinical observations by our group support this view. Patients enrolled in our repetitive transcranial magnetic stimulation trials, if experiencing a significant curtailment of these hallucinations, often report an episodic sense that their voices are still occurring even if they no longer can be heard, suggesting episodic states of heightened auditory expectancy. Moreover, a functional magnetic resonance study reported by our group detected activation in the left insula prior to hallucination events. This finding is suggestive of activation in the same region detected in healthy subjects during "auditory search" in response to ambiguous sounds when anticipating meaningful speech. AVHs often are experienced with a deep emotional salience and may occur in the context of dramatic social isolation that together could reinforce heightened auditory expectancy. These findings and clinical observations suggest that Arieti's original formulation deserves further study.
    MeSH term(s) Attention ; Attitude ; Cerebral Cortex/physiopathology ; Emotions/physiology ; Hallucinations/physiopathology ; Hallucinations/psychology ; Hallucinations/therapy ; Humans ; Magnetic Resonance Imaging ; Social Isolation ; Transcranial Magnetic Stimulation
    Language English
    Publishing date 2010-04-02
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 439173-1
    ISSN 1745-1701 ; 0586-7614
    ISSN (online) 1745-1701
    ISSN 0586-7614
    DOI 10.1093/schbul/sbq025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Roles of Left Versus Right Anterior Temporal Lobes in Conceptual Knowledge: An ALE Meta-analysis of 97 Functional Neuroimaging Studies.

    Rice, Grace E / Lambon Ralph, Matthew A / Hoffman, Paul

    Cerebral cortex (New York, N.Y. : 1991)

    2015  Volume 25, Issue 11, Page(s) 4374–4391

    Abstract: The roles of the right and left anterior temporal lobes (ATLs) in conceptual knowledge are a source of debate between 4 conflicting accounts. Possible ATL specializations include: (1) Processing of verbal versus non-verbal inputs; (2) the involvement of ... ...

    Abstract The roles of the right and left anterior temporal lobes (ATLs) in conceptual knowledge are a source of debate between 4 conflicting accounts. Possible ATL specializations include: (1) Processing of verbal versus non-verbal inputs; (2) the involvement of word retrieval; and (3) the social content of the stimuli. Conversely, the "hub-and-spoke" account holds that both ATLs form a bilateral functionally unified system. Using activation likelihood estimation (ALE) to compare the probability of left and right ATL activation, we analyzed 97 functional neuroimaging studies of conceptual knowledge, organized according to the predictions of the three specialized hypotheses. The primary result was that ATL activation was predominately bilateral and highly overlapping for all stimulus types. Secondary to this bilateral representation, there were subtle gradations both between and within the ATLs. Activations were more likely to be left lateralized when the input was a written word or when word retrieval was required. These data are best accommodated by a graded version of the hub-and-spoke account, whereby representation of conceptual knowledge is supported through bilateral yet graded connectivity between the ATLs and various modality-specific sensory, motor, and limbic cortices.
    MeSH term(s) Brain Mapping ; Concept Formation/physiology ; Female ; Functional Laterality/physiology ; Humans ; Image Processing, Computer-Assisted ; Likelihood Functions ; Magnetic Resonance Imaging ; Male ; Mental Recall/physiology ; Neuropsychological Tests ; Oxygen/blood ; Positron-Emission Tomography ; Semantics ; Temporal Lobe/blood supply ; Temporal Lobe/diagnostic imaging ; Temporal Lobe/physiology ; Verbal Learning
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2015-03-13
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't
    ZDB-ID 1077450-6
    ISSN 1460-2199 ; 1047-3211
    ISSN (online) 1460-2199
    ISSN 1047-3211
    DOI 10.1093/cercor/bhv024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Graded specialization within and between the anterior temporal lobes.

    Rice, Grace E / Hoffman, Paul / Lambon Ralph, Matthew A

    Annals of the New York Academy of Sciences

    2015  Volume 1359, Page(s) 84–97

    Abstract: Considerable evidence from different methodologies has identified the anterior temporal lobes (ATLs) as key regions for the representation of semantic knowledge. Research interest is now shifting to investigate the roles of different ATL subregions in ... ...

    Abstract Considerable evidence from different methodologies has identified the anterior temporal lobes (ATLs) as key regions for the representation of semantic knowledge. Research interest is now shifting to investigate the roles of different ATL subregions in semantic representation, with particular emphasis on the functions of the left versus right ATLs. In this review, we provide evidence for graded specializations both between and within the ATLs. We argue (1) that multimodal, pan-category semantic representations are supported jointly by both left and right ATLs, yet (2) that the ATLs are not homogeneous in their function. Instead, subtle functional gradations both between and within the ATLs emerge as a consequence of differential connectivity with primary sensory/motor/limbic regions. This graded specialization account of semantic representation provides a compromise between theories that posit no differences between the functions of the left and right ATLs and those that posit that the left and right ATLs are entirely segregated in function. Evidence for this graded account comes from converging sources, and its benefits have been exemplified in formal computational models. We propose that this graded principle is not only a defining feature of the ATLs but is also a more general neurocomputational principle found throughout the temporal lobes.
    MeSH term(s) Animals ; Brain Mapping/methods ; Functional Laterality/physiology ; Humans ; Memory/physiology ; Semantics ; Temporal Lobe/physiology
    Language English
    Publishing date 2015-10-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 211003-9
    ISSN 1749-6632 ; 0077-8923
    ISSN (online) 1749-6632
    ISSN 0077-8923
    DOI 10.1111/nyas.12951
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Concrete versus abstract forms of social concept: an fMRI comparison of knowledge about people versus social terms.

    Rice, Grace E / Hoffman, Paul / Binney, Richard J / Lambon Ralph, Matthew A

    Philosophical transactions of the Royal Society of London. Series B, Biological sciences

    2018  Volume 373, Issue 1752

    Abstract: ... a) transmodal, i.e. integrating information from multiple sensorimotor and verbal modalities, and (b) pan ...

    Abstract The anterior temporal lobes (ATLs) play a key role in conceptual knowledge representation. The hub-and-spoke theory suggests that the contribution of the ATLs to semantic representation is (a) transmodal, i.e. integrating information from multiple sensorimotor and verbal modalities, and (b) pan-categorical, representing concepts from all categories. Another literature, however, suggests that this region's responses are modality- and category-selective; prominent examples include category selectivity for socially relevant concepts and face recognition. The predictions of each approach have never been directly compared. We used data from three studies to compare category-selective responses within the ATLs. Study 1 compared ATL responses to famous people versus another conceptual category (landmarks) from visual versus auditory inputs. Study 2 compared ATL responses to famous people from pictorial and written word inputs. Study 3 compared ATL responses to a different kind of socially relevant stimuli, namely abstract non-person-related words, in order to ascertain whether ATL subregions are engaged for social concepts more generally or only for person-related knowledge. Across all three studies a dominant bilateral ventral ATL cluster responded to
    MeSH term(s) Concept Formation ; Humans ; Interpersonal Relations ; Knowledge ; Magnetic Resonance Imaging ; Semantics ; Temporal Lobe/physiology ; Visual Perception
    Language English
    Publishing date 2018-06-29
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208382-6
    ISSN 1471-2970 ; 0080-4622 ; 0264-3839 ; 0962-8436
    ISSN (online) 1471-2970
    ISSN 0080-4622 ; 0264-3839 ; 0962-8436
    DOI 10.1098/rstb.2017.0136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Roles of Left Versus Right Anterior Temporal Lobes in Semantic Memory: A Neuropsychological Comparison of Postsurgical Temporal Lobe Epilepsy Patients.

    Rice, Grace E / Caswell, Helen / Moore, Perry / Hoffman, Paul / Lambon Ralph, Matthew A

    Cerebral cortex (New York, N.Y. : 1991)

    2018  Volume 28, Issue 4, Page(s) 1487–1501

    Abstract: The presence and degree of specialization between the anterior temporal lobes (ATLs) is a key issue in debates about the neural architecture of semantic memory. Here, we comprehensively assessed multiple aspects of semantic cognition in a large group of ... ...

    Abstract The presence and degree of specialization between the anterior temporal lobes (ATLs) is a key issue in debates about the neural architecture of semantic memory. Here, we comprehensively assessed multiple aspects of semantic cognition in a large group of postsurgical temporal lobe epilepsy (TLE) patients with left versus right anterior temporal lobectomy (n = 40). Both subgroups showed deficits in expressive and receptive verbal semantic tasks, word and object recognition, naming and recognition of famous faces and perception of faces and emotions. Graded differences in performance between the left and right groups were secondary to the overall mild semantic impairment; primarily, left resected TLE patients showed weaker performance on tasks that required naming or accessing semantic information from a written word. Right resected TLE patients were relatively more impaired at recognizing famous faces as familiar, although this effect was observed less consistently. These findings unify previous partial, inconsistent results and also align directly with fMRI and transcranial magnetic stimulation results in neurologically intact participants. Taken together, these data support a model in which the 2 ATLs act as a coupled bilateral system for the representation of semantic knowledge, and in which graded hemispheric specializations emerge as a consequence of differential connectivity to lateralized speech production and face perception regions.
    MeSH term(s) Adult ; Anterior Temporal Lobectomy/methods ; Concept Formation ; Epilepsy, Temporal Lobe/complications ; Epilepsy, Temporal Lobe/pathology ; Epilepsy, Temporal Lobe/surgery ; Female ; Functional Laterality/physiology ; Humans ; Male ; Memory Disorders/etiology ; Middle Aged ; Neuropsychological Tests ; Reaction Time ; Semantics ; Temporal Lobe/physiopathology ; Treatment Outcome
    Language English
    Publishing date 2018-01-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1077450-6
    ISSN 1460-2199 ; 1047-3211
    ISSN (online) 1460-2199
    ISSN 1047-3211
    DOI 10.1093/cercor/bhx362
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Functional Outcomes After Localized Prostate Cancer Treatment.

    Al Hussein Al Awamlh, Bashir / Wallis, Christopher J D / Penson, David F / Huang, Li-Ching / Zhao, Zhiguo / Conwill, Ralph / Talwar, Ruchika / Morgans, Alicia K / Goodman, Michael / Hamilton, Ann S / Wu, Xiao-Cheng / Paddock, Lisa E / Stroup, Antoinette / O'Neil, Brock B / Koyama, Tatsuki / Hoffman, Karen E / Barocas, Daniel A

    JAMA

    2024  Volume 331, Issue 4, Page(s) 302–317

    Abstract: Importance: Adverse outcomes associated with treatments for localized prostate cancer remain unclear.: Objective: To compare rates of adverse functional outcomes between specific treatments for localized prostate cancer.: Design, setting, and ... ...

    Abstract Importance: Adverse outcomes associated with treatments for localized prostate cancer remain unclear.
    Objective: To compare rates of adverse functional outcomes between specific treatments for localized prostate cancer.
    Design, setting, and participants: An observational cohort study using data from 5 US Surveillance, Epidemiology, and End Results Program registries. Participants were treated for localized prostate cancer between 2011 and 2012. At baseline, 1877 had favorable-prognosis prostate cancer (defined as cT1-cT2bN0M0, prostate-specific antigen level <20 ng/mL, and grade group 1-2) and 568 had unfavorable-prognosis prostate cancer (defined as cT2cN0M0, prostate-specific antigen level of 20-50 ng/mL, or grade group 3-5). Follow-up data were collected by questionnaire through February 1, 2022.
    Exposures: Radical prostatectomy (n = 1043), external beam radiotherapy (n = 359), brachytherapy (n = 96), or active surveillance (n = 379) for favorable-prognosis disease and radical prostatectomy (n = 362) or external beam radiotherapy with androgen deprivation therapy (n = 206) for unfavorable-prognosis disease.
    Main outcomes and measures: Outcomes were patient-reported sexual, urinary, bowel, and hormone function measured using the 26-item Expanded Prostate Cancer Index Composite (range, 0-100; 100 = best). Associations of specific therapies with each outcome were estimated and compared at 10 years after treatment, adjusting for corresponding baseline scores, and patient and tumor characteristics. Minimum clinically important differences were 10 to 12 for sexual function, 6 to 9 for urinary incontinence, 5 to 7 for urinary irritation, and 4 to 6 for bowel and hormone function.
    Results: A total of 2445 patients with localized prostate cancer (median age, 64 years; 14% Black, 8% Hispanic) were included and followed up for a median of 9.5 years. Among 1877 patients with favorable prognosis, radical prostatectomy was associated with worse urinary incontinence (adjusted mean difference, -12.1 [95% CI, -16.2 to -8.0]), but not worse sexual function (adjusted mean difference, -7.2 [95% CI, -12.3 to -2.0]), compared with active surveillance. Among 568 patients with unfavorable prognosis, radical prostatectomy was associated with worse urinary incontinence (adjusted mean difference, -26.6 [95% CI, -35.0 to -18.2]), but not worse sexual function (adjusted mean difference, -1.4 [95% CI, -11.1 to 8.3), compared with external beam radiotherapy with androgen deprivation therapy. Among patients with unfavorable prognosis, external beam radiotherapy with androgen deprivation therapy was associated with worse bowel (adjusted mean difference, -4.9 [95% CI, -9.2 to -0.7]) and hormone (adjusted mean difference, -4.9 [95% CI, -9.5 to -0.3]) function compared with radical prostatectomy.
    Conclusions and relevance: Among patients treated for localized prostate cancer, radical prostatectomy was associated with worse urinary incontinence but not worse sexual function at 10-year follow-up compared with radiotherapy or surveillance among people with more favorable prognosis and compared with radiotherapy for those with unfavorable prognosis. Among men with unfavorable-prognosis disease, external beam radiotherapy with androgen deprivation therapy was associated with worse bowel and hormone function at 10-year follow-up compared with radical prostatectomy.
    MeSH term(s) Humans ; Male ; Middle Aged ; Androgen Antagonists/administration & dosage ; Androgen Antagonists/adverse effects ; Androgen Antagonists/therapeutic use ; Prostate-Specific Antigen/blood ; Prostatic Neoplasms/blood ; Prostatic Neoplasms/epidemiology ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/therapy ; Urinary Incontinence/epidemiology ; Urinary Incontinence/etiology ; United States/epidemiology ; SEER Program/statistics & numerical data ; Aged ; Prostatectomy/adverse effects ; Prostatectomy/methods ; Prostatectomy/statistics & numerical data ; Patient Reported Outcome Measures ; Prognosis ; Watchful Waiting/statistics & numerical data ; Radiotherapy/adverse effects ; Radiotherapy/methods ; Radiotherapy/statistics & numerical data
    Chemical Substances Androgen Antagonists ; Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Observational Study ; Research Support, N.I.H., Extramural
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2023.26491
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Revealing the Dynamic Modulations That Underpin a Resilient Neural Network for Semantic Cognition: An fMRI Investigation in Patients With Anterior Temporal Lobe Resection.

    Rice, Grace E / Caswell, Helen / Moore, Perry / Lambon Ralph, Matthew A / Hoffman, Paul

    Cerebral cortex (New York, N.Y. : 1991)

    2018  Volume 28, Issue 8, Page(s) 3004–3016

    Abstract: One critical feature of any well-engineered system is its resilience to perturbation and minor damage. The purpose of the current study was to investigate how resilience is achieved in higher cognitive systems, which we explored through the domain of ... ...

    Abstract One critical feature of any well-engineered system is its resilience to perturbation and minor damage. The purpose of the current study was to investigate how resilience is achieved in higher cognitive systems, which we explored through the domain of semantic cognition. Convergent evidence implicates the bilateral anterior temporal lobes (ATLs) as a conceptual knowledge hub. While bilateral damage to this region produces profound semantic impairment, unilateral atrophy/resection or transient perturbation has a limited effect. Two neural mechanisms might underpin this resilience to unilateral ATL damage: 1) the undamaged ATL upregulates its activation in order to compensate; and/or 2) prefrontal regions involved in control of semantic retrieval upregulate to compensate for the impoverished semantic representations that follow from ATL damage. To test these possibilities, 34 postsurgical temporal lobe epilepsy patients and 20 age-matched controls were scanned whilst completing semantic tasks. Pictorial tasks, which produced bilateral frontal and temporal activation, showed few activation differences between patients and control participants. Written word tasks, however, produced a left-lateralized activation pattern and greater differences between the groups. Patients with right ATL resection increased activation in left inferior frontal gyrus (IFG). Patients with left ATL resection upregulated both the right ATL and right IFG. Consistent with recent computational models, these results indicate that 1) written word semantic processing in patients with ATL resection is supported by upregulation of semantic knowledge and control regions, principally in the undamaged hemisphere, and 2) pictorial semantic processing is less affected, presumably because it draws on a more bilateral network.
    MeSH term(s) Adult ; Brain Mapping ; Cognition/physiology ; Epilepsy, Temporal Lobe/diagnostic imaging ; Epilepsy, Temporal Lobe/surgery ; Female ; Functional Laterality ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Models, Neurological ; Neural Pathways/diagnostic imaging ; Neural Pathways/physiology ; Neuropsychological Tests ; Nonlinear Dynamics ; Oxygen/blood ; Photic Stimulation ; Semantics ; Temporal Lobe/diagnostic imaging ; Temporal Lobe/surgery ; Vocabulary
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2018-08-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1077450-6
    ISSN 1460-2199 ; 1047-3211
    ISSN (online) 1460-2199
    ISSN 1047-3211
    DOI 10.1093/cercor/bhy116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Auditory/Verbal hallucinations, speech perception neurocircuitry, and the social deafferentation hypothesis.

    Hoffman, Ralph E

    Clinical EEG and neuroscience

    2008  Volume 39, Issue 2, Page(s) 87–90

    Abstract: Auditory/verbal hallucinations (AVHs) are comprised of spoken conversational speech seeming to arise from specific, nonself speakers. One hertz repetitive transcranial magnetic stimulation (rTMS) reduces excitability in the brain region stimulated. ... ...

    Abstract Auditory/verbal hallucinations (AVHs) are comprised of spoken conversational speech seeming to arise from specific, nonself speakers. One hertz repetitive transcranial magnetic stimulation (rTMS) reduces excitability in the brain region stimulated. Studies utilizing 1-Hz rTMS delivered to the left temporoparietal cortex, a brain area critical to speech perception, have demonstrated statistically significant improvements in AVHs relative to sham simulation. A novel mechanism of AVHs is proposed whereby dramatic pre-psychotic social withdrawal prompts neuroplastic reorganization by the "social brain" to produce spurious social meaning via hallucinations of conversational speech. Preliminary evidence supporting this hypothesis includes a very high rate of social withdrawal emerging prior to the onset of frank psychosis in patients who develop schizophrenia and AVHs. Moreover, reduced AVHs elicited by temporoparietal 1-Hz rTMS are likely to reflect enhanced long-term depression. Some evidence suggests a loss of long-term depression following experimentally-induced deafferentation. Finally, abnormal cortico-cortical coupling is associated with AVHs and also is a common outcome of deafferentation. Auditory/verbal hallucinations (AVHs) of spoken speech or "voices" are reported by 60-80% of persons with schizophrenia at various times during the course of illness. AVHs are associated with high levels of distress, functional disability, and can lead to violent acts. Among patients with AVHs, these symptoms remain poorly or incompletely responsive to currently available treatments in approximately 25% of cases. For patients with AVHs who do respond to antipsychotic drugs, there is a very high likelihood that these experiences will recur in subsequent episodes. A more precise characterization of underlying pathophysiology may lead to more efficacious treatments.
    MeSH term(s) Auditory Perception/physiology ; Brain Mapping ; Cerebral Cortex/diagnostic imaging ; Cerebral Cortex/physiopathology ; Electroencephalography ; Hallucinations/physiopathology ; Humans ; Pilot Projects ; Radionuclide Imaging ; Schizophrenia/diagnostic imaging ; Schizophrenia/physiopathology ; Speech Perception/physiology ; Transcranial Magnetic Stimulation
    Language English
    Publishing date 2008-04
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2140201-2
    ISSN 1550-0594 ; 0009-9155
    ISSN 1550-0594 ; 0009-9155
    DOI 10.1177/155005940803900213
    Database MEDical Literature Analysis and Retrieval System OnLINE

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