Background: Certain patterns can induce perceptual illusions/distortions and visual discomfort in most people, headaches in patients with migraine, and seizures in patients with photosensitive epilepsy. Visual stimuli are common triggers for migraine attacks, possibly because of a hyperexcitability of the visual cortex shown in patients with migraine. Precision ophthalmic tints (POTs) are claimed to reduce perceptual distortions and visual discomfort and to prevent migraine headaches in some patients. We report an fMRI visual cortical activation study designed to investigate neurological mechanisms for the beneficial effects of POTs in migraine. Methods: Eleven migraineurs and 11 age- and sex-matched non-headache controls participated in the study using non-stressful and stressful striped patterns viewed through gray, POT, and control coloured lenses. Results: For all lenses, controls and migraineurs did not differ in their response to the non-stressful patterns. When the migraineurs wore gray lenses or control coloured lenses, the stressful pattern resulted in activation that was greater than in the controls. There was also an absence of the characteristic low-pass spatial frequency (SF) tuning in extrastriate visual areas. When POTs were worn, however, both cortical activation and SF tuning were normalized. Both when observing the stressful pattern and under more typical viewing conditions, the POTs reduced visual discomfort more than either of the other two lenses. Conclusion: The normalization of cortical activation and SF tuning in the migraineurs by POTs suggests a neurological basis for the therapeutic effect of these lenses in reducing visual cortical hyperactivation in migraine.
11 March 2021 in Journal of Alzheimer's Disease Reports
Background: Postmortem studies of brains with Alzheimer’s disease (AD) not only find amyloid-beta (Aβ) and neurofibrillary tangles (NFT) in the visual cortex, but also reveal temporally sequential changes in AD pathology from higher-order association areas to lower-order areas and then primary visual area (V1) with disease progression. Objective: This study investigated the effect of AD severity on visual functional network. Methods: Eight severe AD (SAD) patients, 11 mild/moderate AD (MAD), and 26 healthy senior (HS) controls undertook a resting-state fMRI (rs-fMRI) and a task fMRI of viewing face photos. A resting-state visual functional connectivity (FC) network and a face-evoked visual-processing network were identified for each group. Results: For the HS, the identified group-mean face-evoked visual-processing network in the ventral pathway started from V1 and ended within the fusiform gyrus. In contrast, the resting-state visual FC network was mainly confined within the visual cortex. AD disrupted these two functional networks in a similar severity dependent manner: the more severe the cognitive impairment, the greater reduction in network connectivity. For the face-evoked visual-processing network, MAD disrupted and reduced activation mainly in the higher-order visual association areas, with SAD further disrupting and reducing activation in the lower-order areas. Conclusion: These findings provide a functional corollary to the canonical view of the temporally sequential advancement of AD pathology through visual cortical areas. The association of the disruption of functional networks, especially the face-evoked visual-processing network, with AD severity suggests a potential predictor or biomarker of AD progression.
The brain’s operations are mainly intrinsic, involving the acquisition and maintenance of information for interpreting, responding to and predicting environmental demands. The brain’s on-going intrinsic activity (i.e., the resting-state activity) is spontaneous, but this spontaneous activity exhibits a surprising level of spatial and temporal organization across the whole brain. In this study we compared the intrinsic activity with the activity evoked by tasks, and made the comparison at several levels of analysis from a finger-tapping-activated area within the primary sensorimotor cortex to the whole brain. We found that, contrary to our intuition, the intrinsic activity was substantially larger than the task activity and consistently so for all levels of analysis. For the task state, the brain: (1) controlled the intrinsic activity not only during the performance of a task but also during the rest between tasks; (2) activated a task-specific network only when the task was performed but kept it relatively “silent” for other different tasks; and (3) simultaneously controlled the activation of all task-specific networks during the performance of each task.
Purpose: Recently developed neuronal current magnetic resonance imaging aims to directly detect neuronal currents associated with brain activity, but controversial results have been reported in different studies on human subjects. Although there is no dispute that local neuronal currents produce weak transient magnetic fields that would attenuate local MR signal intensity, there is not yet consensus as to whether this attenuation is detectable with present magnetic resonance imaging techniques. This study investigates the magnitude of neuronal current‐induced signal attenuation in human visual cortex.Theory: A temporally well‐controlled visual stimulation paradigm with a known neuronal firing pattern in monkey visual cortex provides a means of detecting and testing the magnitude of the neuronal current‐induced attenuation in neuronal current magnetic resonance imaging.Methods: Placing a series of acquisition windows to fully cover the entire response duration enables a thorough detection of any detectable MR signal attenuation induced by the stimulus‐evoked neuronal currents.Results: No significant neuronal current‐induced MR signal attenuation was observed in the putative V1 in any participated subjects.Conclusion: The present magnetic resonance imaging technique is not sensitive enough to detect neuronal current‐induced MR signal attenuation, and the upper limit of this attenuation was found to be less than 0.07% under the study condition. Magn Reson Med 71:756–762, 2014.