Applying Transcranial Magnetic Stimulation (TMS) Over the Dorsal Visual Pathway Induces Schizophrenia-like Disruption of Perceptual Closure.

Perceptual closure ability is postulated to depend upon rapid transmission of magnocellular information to prefrontal cortex via the dorsal stream. In contrast, illusory contour processing requires only local interactions within primary and ventral stream visual regions, such as lateral occipital complex. Schizophrenia is associated with deficits in perceptual closure versus illusory contours processing that is hypothesized to reflect impaired magnocellular/dorsal stream. Perceptual closure and illusory contours performance was evaluated in separate groups of 12 healthy volunteers during no TMS, and during repetitive 10 Hz rTMS stimulation over dorsal stream or vertex (TMS-vertex). Perceptual closure and illusory contours were performed in 11 schizophrenia patients, no TMS was applied in these patients. TMS effects were evaluated with repeated measures ANOVA across treatments. rTMS significantly increased perceptual closure identification thresholds, with significant difference between TMS-dorsal stream and no TMS. TMS-dorsal stream also significantly reduced perceptual closure but not illusory contours accuracy. Schizophrenia patients showed increased perceptual closure identification thresholds relative to controls in the no TMS condition, but similar to controls in the TMS-dorsal stream condition. Conclusions of this study are that magnocellular/dorsal stream input is critical for perceptual closure but not illusory contours performance, supporting both trickledown theories of normal perceptual closure function, and magnocellular/dorsal stream theories of visual dysfunction in schizophrenia.

Beyond words: evidence for automatic language-gesture integration of symbolic gestures but not dynamic landscapes.

Understanding actions based on either language or action observation is presumed to involve the motor system, reflecting the engagement of an embodied conceptual network. We examined how linguistic and gestural information were integrated in a series of cross-domain priming studies. We varied the task demands across three experiments in which symbolic gestures served as primes for verbal targets. Primes were clips of symbolic gestures taken from a rich set of emblems. Participants responded by making a lexical decision to the target (Experiment 1), naming the target (Experiment 2), or performing a semantic relatedness judgment (Experiment 3). The magnitude of semantic priming was larger in the relatedness judgment and lexical decision tasks compared to the naming task. Priming was also observed in a control task in which the primes were pictures of landscapes with conceptually related verbal targets. However, for these stimuli, the amount of priming was similar across the three tasks. We propose that action observation triggers an automatic, pre-lexical spread of activation, consistent with the idea that language-gesture integration occurs in an obligatory and automatic fashion.

Repeated high-frequency transcranial magnetic stimulation over the dorsolateral prefrontal cortex reduces cigarette craving and consumption.

AIMS: To evaluate the effect of repeated high-frequency transcranial magnetic stimulation (rTMS) of the left dorsolateral prefrontal cortex (DLPFC), combined with either smoking or neutral cues, on cigarette consumption, dependence and craving. DESIGN: Participants were divided randomly to real and sham stimulation groups. Each group was subdivided randomly into two subgroups presented with either smoking-related or neutral pictures just before the daily TMS intervention. Ten daily rTMS sessions were applied every week-day and then a maintenance phase was conducted in which rTMS sessions were less frequent. SETTING: Single-site, out-patient, randomized, double-blind, sham-controlled. PARTICIPANTS: Forty-eight chronic smokers who smoked at least 20 cigarettes per day and were motivated to quit smoking. Healthy males and females were recruited from the general population using advertisements in newspapers and on internet websites. INTERVENTION: Ten daily rTMS sessions were administered using a standard figure-8 coil over the DLPFC. Stimulation included 20 trains/day at 100% of motor threshold. Each train consisted of 50 pulses at 10 Hz with an inter-train interval of 15 seconds. MEASUREMENTS: Cigarette consumption was evaluated objectively by measuring cotinine levels in urine samples and subjectively by participants' self-reports. Dependence and craving were evaluated by standard questionnaires. FINDINGS: Ten daily rTMS sessions over the DLPFC reduced cigarette consumption and nicotine dependence. Furthermore, treatment blocked the craving induced by daily presentation of smoking-related pictures. However, these effects tended to dissipate over time. CONCLUSIONS: Multiple high-frequency rTMS of the DLPFC can attenuate nicotine craving.