Impaired working-memory after cerebellar infarcts paralleled by changes in BOLD signal of a cortico-cerebellar circuit

Ziemus, B. and Baumann, O. and Luerding, R. and Schlosser, R. and Schuierer, G. and Bogdahn, U. and Greenlee, Mark W. (2007) Impaired working-memory after cerebellar infarcts paralleled by changes in BOLD signal of a cortico-cerebellar circuit. NEUROPSYCHOLOGIA, 45 (9). pp. 2016-2024. ISSN 0028-3932, 1873-3514

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Abstract

A considerable body of evidence supports the notion that cerebellar lesions lead to neuropsychological deficits, including impairments in working-memory, executive tasks and verbal fluency. Studies employing functional magnetic resonance imaging (fMRI) and anatomical tracing in primates provide evidence for a cortico-cerebellar circuitry as the functional substrate of working-memory. The present fMRI study explores the activation pattern during an n-back working-memory task in patients with an isolated cerebellar infarct. To determine each patient's cognitive impairment, neuropsychological tests of working-memory and attention were carried out. We conducted fMRI in nine patients and nine healthy age-matched controls while they performed a 2-back task in a blocked-design. Tn both groups we found bilateral activations in a widespread cortico-cerebellar network, consisting of the ventrolateral prefrontal cortex (BA 44, 45), dorsolateral prefrontal cortex (BA 9, 46), parietal cortex (BA 7, 40), pre-supplementary motor area (BA 6) anterior cingulate (BA 32). Relative to healthy controls, patients with isolated cerebellar infarcts demonstrated significantly more pronounced BOLD-activations in the precuneus and the angular gyrus during the 2-back task. The significant increase in activation in the posterior parietal areas of the cerebellar patients could be attributed to a compensatory recruitment to maintain task performance. We conclude that cerebellar lesions affect remote cortical regions that are part of a putative cortico-cerebellar network. (c) 2007 Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: PREFRONTAL CORTEX; COGNITIVE DEFICITS; PARIETAL CORTEX; BASAL GANGLIA; FMRI; INVOLVEMENT; PROJECTIONS; ATTENTION; IMAGES; DAMAGE; verbal working-memory; cerebellum; cerebellar stroke; fMRI
Subjects: 100 Philosophy & psychology > 150 Psychology
600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Human Sciences > Institut für Psychologie > Lehrstuhl für Psychologie I (Allgemeine Psychologie I und Methodenlehre) - Prof. Dr. Mark W. Greenlee
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Jan 2021 10:20
Last Modified: 13 Jan 2021 10:20
URI: https://pred.uni-regensburg.de/id/eprint/33487

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