Research

These projects are designed to help individuals with corpus callosum disorders and their families, while simultaneously enriching scientific knowledge about cerebral connectivity and providing insights about other conditions such as Autism.

Information about the cognitive, social and emotional consequences of AgCC is very limited, leaving families to trial-and-error methods for helping their children with AgCC. Our studies are designed to discover more about these areas of functioning in AgCC, particularly the mechanisms that cause unusual thinking and behaviors. Clearer understanding of the brain mechanisms involved in AgCC can direct refinement of treatment plans to maximize success for these individuals.

At the same time, individuals with AgCC are very unique and can shed light onto various scientific questions such as: How does the brain adapt when major connections are malformed? How can we measure effective connectivity in the brain? What role does the corpus callosum play in a typical brain?

Finally, the clinical significance of studies on AgCC extends beyond the disorder itself to other illnesses that are likely to arise from abnormal connectivity of the brain. It is likely that several psychiatric illnesses include such abnormal connectivity, yet very little is known about this at present. For instance, autism is thought to feature altered connectivity that arises from the altered brain development in this disorder. (Please see our AUTISM research for further details).

Drs. Allman and Kaufman are examining postmortem brain specimens from adults with isolated AgCC. ... (More)
Project Leaders: John Allman and Jason Kaufman
Drs. Allman and Kaufman are examining postmortem brain specimens from adults with isolated AgCC. They are examining organization of midline structures, as well as cellular structures known to contribute to social processing. These cells, called von Economo neurons, are particularly vulnerable to various forms of neuropathology and appear to be reduced in AgCC.

ABSTRACT: Reduction of von Economo neurons in callosal agenesis. Jason A. Kaufman, Lynn K. Paul, and John M. Allman. (2006). Society for Neuroscience Annual Meeting.

Agenesis of the corpus callosum (AgCC) can have significant effects on social and emotional behaviors, including alexithymia (the inability to express one's emotional state), difficulty intuiting the emotional states of others, and deficits in self- and social-awareness that can impair such capacities as humor, comprehension of non-literal or affective language, and social judgment. One component of the neural network that supports social cognition which may be damaged in AgCC are the von Economo neurons, which are large spindle-shaped neurons localized to two brain regions that are known to be involved in social and emotional cognition: anterior cingulate cortex and fronto-insular cortex. von Economo neurons appear late in development (emerging mainly postnatally) and are a recent phylogenetic specialization, and as a consequence they may be particularly vulnerable to neuropoathologies. To test the hypothesis that von Economo neurons are selectively vulnerable in AgCC, we used stereology to obtain unbiased estimates of total neuron number and von Economo neuron number in postmortem brain specimens of two normal adult controls and two adults with isolated callosal dysgenesis: one case of complete callosal agenesis and one case of partial callosal agenesis in which only the genu and rostral 1/3 of the body of the corpus callosum were intact. In both anterior cingulate cortex and fronto-insular cortex, the partial agenesis case displayed approximately half as many von Economo neurons (~30,000 in fronto-insular cortex, ~50,000 in anterior cingulate cortex) as in the two normal controls (~75,000 in fronto-insular cortex, ~120,000 in anterior cingulate cortex). In the complete agenesis case the von Economo neurons were almost entirely absent (~3,200 in fronto-insular cortex, ~16,400 in anterior cingulate cortex). Most importantly, the ratio of total neurons to von Economo neurons changes dramatically in callosal agenesis. In the two control cases, the ratio of all neurons to von Economo neurons is approximately 100:1. In the partial AgCC case, the ratio increases to approximately 200:1, while in the complete AgCC case the ratio reaches approximately 1,000:1. These results indicate that von Economo neurons are selectively vulnerable in AgCC. Additionally, complete AgCC appears to be more detrimental to the von Economo neuron population than partial AgCC, suggesting that even a limited corpus callosum may provide a sustaining connection for the von Economo neuron population. We conclude that abnormal brain development can have a particularly harmful effect on von Economo neurons, and that their vulnerability could help to explain some social and emotional deficits that are seen in a variety of neuropathologies.

Brains with callosal agenesis have other concomitant structural changes, which we are characterizing through multiple methods. ... (More)
Project Leaders: J. Mike Tyszka and Dirk Neumann
Collaborator: Hanna Damasio, University of Southern California
Brains with callosal agenesis have other concomitant structural changes, which we are characterizing through multiple methods. All research participants receive high-resolution structural magnetic resonance images, using the 3-tesla scanner at the Caltech Brain Imaging Center. Dr. Hanna Damasio is collaborating with us to characterize the surface structure and volumetric ratios in these images. Drs. Tyszka and Neumann are using high angular resolution diffusion imaging and probabilistic tractography to characterize white matter structures, such as the Probst bundles, which are a structure unique to AgCC.
Normal brain
(note red tissue connecting two hemispheres)
Agenesis of the Corpus Callosum.
The red tissue (corpus callosum) is absent!
This is the first large group multiple case study using functional magnetic resonance imaging in patients with AgCC. ... (More)
Project Leaders: J. Mike Tyszka and Lynn Paul
This is the first large group multiple case study using functional magnetic resonance imaging in patients with AgCC. Functional magnetic resonance imaging allows us to examine relative involvement of brain regions during specific tasks. To date, research has interpreted the behavioral findings in AgCC studies with the assumption that the parts of the brain that are present are also functionally intact. Our studies are designed to evaluate that assumption and to characterize any unique patterns of brain activation in these participants. These studies are a critical component to deciphering the mechanisms that cause behavior problems and cognitive difficulties in AgCC. It is possible to have similar behavior patterns but with unique causal mechanisms. Understanding the mechanisms involved will greatly enhance development of interventions.

Sample functional magnetic resonance imaging project

Functional magnetic resonance imaging during finger tapping.

fMRI during finger tapping. We can compare the activity in the areas of the brain that control motor activity (in this case finger tapping) between acallosal subjects and normal subjects with an intact corpus callosum. Many AgCC subjects have difficulty keeping both hands from moving when attempting to perform a task with one hand alone. This so-called "motor overflow" may be visible in fMRI as an increase in activity (a-c left column) relative to that seen in normal subjects (a-c right column). Strong activity in both motor areas is often seen in AgCC brains even for single handed tasks (a & b left column). Functional MRI detects small changes in the oxygenation of blood resulting from activity in the neurons of the brain. Maps of these changes are typically overlaid on high resolution MR images and can also be visualized in three dimensions (d).
The structural differences between normal and acallosal brains are striking and the ability of AgCC subjects to perform many tasks in the absence of a corpus callosum provides a fascinating model for long-range connectivity and plasticity in the human brain. ... (More)
Project Leaders: J. Mike Tyszka
The structural differences between normal and acallosal brains are striking and the ability of AgCC subjects to perform many tasks in the absence of a corpus callosum provides a fascinating model for long-range connectivity and plasticity in the human brain. The structure and function of the brain are inextricably linked and our goal is to develop new imaging methods which can shed light on this interaction. AgCC is an ideal testbed for integrated connectivity imaging, since subjects are typically high functioning and the structural changes are not subtle. Initially, this project will focus on well characterized networks such as the motor system and visual streams before moving to more complex systems as integrated imaging tools are refined.
Figure 1: Structural connectivity determined by diffusion MRI of the primary motor area identified by functional MRI during a finger motion task. Combining information from both the functional and structural aspects of MRI holds great promise for characterizing how AgCC subjects perform tasks that "split brain" subjects would find impossible.
Eye-tracking and psychophysiological studies are designed to provide insight into how individuals with AgCC experience the world that they see. ... (More)
Project Leaders: Lynn Paul, Michael Spezio and Ralph Adolphs
Eye-tracking and psychophysiological studies are designed to provide insight into how individuals with AgCC experience the world that they see. Eye-tracking involves wearing a head-mounted system that monitors where one's eyes are looking. Research has shown that individuals with autism do not look at faces in a normal way: they spend much more time looking at the mouth than the eyes. Preliminary studies in AgCC indicate that people with Primary AgCC also do not look at the eyes as much as controls do and are much poorer than controls at naming the emotion.

Another study involves recording eye-tracking and psychophysiological measurements (galvanic skin response, heart rate, and respiration rate) while the participant looks at an emotionally intense social scene. Psychophysiological measures are a physical representation of the participant's emotional arousal. Preliminary studies suggest that while physiological arousal may be intact, individuals with AgCC give less emotionally intense ratings than controls.

ABSTRACT: Facial Emotion Recognition in Primary Agenesis of the Corpus Callosum. Bridgman, M., Brown, W.S., Adolphs, R., Spezio, M., and Paul, L.K. (2006) International Neuropsychological Society Annual Meeting, Boston.

Abstract Individuals with Agenesis of the Corpus Callosum (AgCC) have been reported to have deficiencies in psychosocial comprehension. Deficits in domains relevant to psychosocial processing have been demonstrated in non-literal language comprehension, humor, theory of mind, and social reasoning. This project presents pilot data examining facial emotion recognition and facial scanning in AgCC. Ekman emotional faces were presented for 1 second to 3 individuals with Primary AgCC and 3 matched controls. They were assessed for accuracy of emotion naming. Eye-motion data were gathered with the Eye-link II eye-tracking system: frequency of fixations, regions of fixations, and duration of fixations. These measures were analyzed according to examiner designated facial regions of interest. Individuals with Primary AgCC were less accurate than controls for naming all emotions, especially anger and surprise. This performance impairment was mirrored in abnormal eye movements to the faces. Participants with AgCC made fewer fixations within the right eye and the mouth. They also made fewer fixations over the face overall and exhibited longer fractional dwell time on the nose. Conclusions. These results support the hypothesis that a deficit in the ability to correctly identify emotions from facial expressions contributes to overall psychosocial deficits in persons with AgCC. In addition, reduced accuracy of identification appears to result from an abnormal pattern of facial scanning.

Processing emotional facial expressions.

AgCC subjects performed less accurately than controls in naming the emotion. Fixation density maps are shown for an AgCC subject (a) and a normal control (b), red indicates greatest number of fixations, plum the least.

ARTICLE: Emotional Arousal in Agenesis of the Corpus Callosum. Paul, L.K., Lautzenhiser, A., Brown, W.S., Hart, A., Neumann, D., Spezio, M., and Adolphs, R. (2006). International Journal of Psychophysiology. 61, 47-56. Abstract While the processing of verbal and psychophysiological indices of emotional arousal have been investigated extensively in relation to the left and right cerebral hemispheres, it remains poorly understood how both hemispheres normally function together to generate emotional responses to stimuli. Drawing on a unique sample of nine high-functioning subjects with complete agenesis of the corpus callosum (AgCC), we investigated this issue using standardized emotional visual stimuli. Compared to healthy controls, subjects with AgCC showed a larger variance in their cognitive ratings of valence and arousal, and an insensitivity to the emotion category of the stimuli, especially for negatively-valenced stimuli, and especially for their arousal. Despite their impaired cognitive ratings of arousal, some subjects with AgCC showed large skin-conductance responses, and in general skin-conductance responses discriminated emotion categories and correlated with stimulus arousal ratings. We suggest that largely intact right hemisphere mechanisms can support psychophysiological emotional responses, but that the lack of interhemispheric communication between the hemispheres, perhaps together with dysfunction of the anterior cingulate cortex, interferes with normal verbal ratings of arousal, a mechanism in line with some models of alexithymia.

Galvanic skin response and ratings to emotionally arousing scenes.

9 subjects with AgCC and 9 controls were presented with 15 emotionally charged pictures (pleasant, aversive, neutral). Ratings of emotional category (a) and ratings of the picture intensity (b) showed a compressed range and poor discrimination in the AgCC subjects (y-axis) compared to the controls (x-axis). Emotion category ratings correlated at 0.87, intensity ratings at 0.5, and significant differences between groups were verified using analysis of variance statistics. By contrast, robust galvanic skin responses were obtained in AgCC (c shows response to a pleasant slide). Also in AgCC subjects, the degree of physiological arousal, as measured by galvanic skin response, discriminated emotion categories (pleasant, aversive, neutral) using a resampling statistic (P<0.03 and P<0.07) of emotion categories compared to neutral; figure (d).

(Click on the graphs to enlarge)