Prospective memory and working memory: Asymmetrical effects during frontal lobe TMS stimulation

The role of working memory (WM) for the realization of an intended action (prospective memory, PM) has been debated in recent neuropsychological literature. The present study aimed to assess whether WM and PM share resources or are, alternatively, two distinct mechanisms. A verbal task was used, which manipulated the cognitive demand of both WM and PM dimensions on an event-based prospective task. Transcranial magnetic stimulation (TMS) was also employed to clarify the causal contribution of frontal areas previously related to WM, to the PM process. The prospective task required the participant to respond whenever a word appeared which had been presented before the beginning of the task. Two ongoing tasks were administered: an updating WM task (in two conditions of medium and high WM demands) and a lexical decision task (representing a low WM demand). In the first two experiments, higher PM demand affected WM only at higher loads, but the PM load effect was independent of WM, showing asymmetrical behavioural effects. In the third experiment, single pulse TMS was applied to left and right dorsolateral prefrontal cortices. When applied to the experimental sites, stimulation increased error rates of the PM task, while the effect was only marginal in the WM task. The effect was bilateral, since there was no difference between left and right stimulation sites. These findings demonstrated, from both behavioural and neurofunctional perspectives, that WM and PM processes are not based on the same memory system, but PM may require WM resources at high demand.     

Impaired spatial and non-spatial configural learning in patients with hippocampal pathology

The hippocampus has been proposed to play a critical role in memory through its unique ability to bind together the disparate elements of an experience. This hypothesis has been widely examined in rodents using a class of tasks known as "configural" or "non-linear", where outcomes are determined by specific combinations of elements, rather than any single element alone. On the basis of equivocal evidence that hippocampal lesions impair performance on non-spatial configural tasks, it has been proposed that the hippocampus may only be critical for spatial configural learning. Surprisingly few studies in humans have examined the role of the hippocampus in solving configural problems. In particular, no previous study has directly assessed the human hippocampal contribution to non-spatial and spatial configural learning, the focus of the current study. Our results show that patients with primary damage to the hippocampus bilaterally were similarly impaired at configural learning within both spatial and non-spatial domains. Our data also provide evidence that residual configural learning can occur in the presence of significant hippocampal dysfunction. Moreover, evidence obtained from a post-experimental debriefing session suggested that patients acquired declarative knowledge of the underlying task contingencies that corresponded to the best-fit strategy identified by our strategy analysis. In summary, our findings support the notion that the hippocampus plays an important role in both spatial and non-spatial configural learning, and provide insights into the role of the medial temporal lobe (MTL) more generally in incremental reinforcement-driven learning.     

The perception of asthma

Subjective scores of 'wheeze' or 'tightness in the chest' were compared with the forced expiratory volume in 1 s (FEV1) in 40 asthmatic children before and after administration of nebulized salbutamol. Symptom scores were poor predictors of the degree of airways obstruction. Many children underestimated their improvement after salbutamol. The results suggest that reliance on the children's perception of his symptoms and his response to a bronchodilator may result in incorrect assessment and inappropriate treatment.     

The role of prefrontal cortex in visuo-spatial planning: a repetitive TMS study

The visuo-spatial planning process is based on an “opportunistic” combination of heuristics and strategies, carried out in small units during the execution of plans. In order to investigate the functional role of the prefrontal cortex in heuristic switching, 42 healthy controls performed a labyrinth crossing task (the Maps Test). During this computerized version of the Travelling Salesperson Problem, subjects had to decide which order of locations optimizes total travel time and distance. This task was performed with and without 1 Hz repetitive transcranial magnetic stimulation (rTMS), which exerts an inhibitory action on the targeted area, applied during the task over bilateral frontal sites (active stimulation) and parieto-occipital site (sham stimulation). Only repetitive bilateral rTMS over F3 and F4 significantly decreased the number of strategies with changes of heuristics, and increased the number of movements required to solve the task. This behaviour contrasts with the performance of healthy subjects in the planning task, but is consistent with the performance of frontal traumatic brain injury patients. The results indicate that, in a visuo-spatial problem-solving task, the prefrontal cortex is involved in the switching between heuristics during the execution of a plan.     

Single pulse TMS induced disruption to right and left parietal cortex on addition and multiplication

Whether or not mathematical operations are dependent on verbal codes in left hemisphere areas - particularly the left intraparietal sulcus - remains an issue of intense debate. Using single pulse transcranial magnetic stimulation directed at horizontal and ventral regions of the left and right intraparietal sulcus, we examined disruption to reaction times in simple addition and multiplication. Results indicate that these two operations differ in the pattern of lateralization across time for the two areas studied. These show that computational efficiency is not specifically dependent on left hemisphere regions and, in particular, that efficiency in multiplication is dependent on the ventral region of the intraparietal sulcus in the right hemisphere considered to be critical for motion representation and automatization.