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Severe bone loss is a critical issue in trauma and it requires complex techniques to preserve limb form and function. Regenerative medicine, using stem cells and molecular biology, might be useful to enhance bone healing in severe bone loss. Between 2017 and 2018, 4 patients showed severe bone loss. In all of them, the use of stem cells was added to fixation with a cortical graft. Fracture healing occurred in a range of 3 to 8 months. In our experience, the use of stem cells, in association with bone graft and stable fixation, was able to achieve bone healing even in case of severe bone loss. [ABSTRACT FROM AUTHOR]

Plasticity in the human and animal brain is the rule, the base for development, and the way to deal effectively with the environment for making the most efficient use of all the senses. When the brain is deprived of one sensory modality, plasticity becomes compensatory: the exception that invalidates the general loss hypothesis giving the opportunity of effective change. Sensory deprivation comes with massive alterations in brain structure and function, behavioural outcomes, and neural interactions. Blind individuals do as good as the sighted and even more, show superior abilities in auditory, tactile and olfactory processing. This behavioural enhancement is accompanied with changes in occipital cortex function, where visual areas at different levels become responsive to non-visual information. The intact senses are in general used more efficiently in the blind but are also used more exclusively. New findings are disentangling these two aspects of compensatory plasticity. What is due to visual deprivation and what is dependent on the extended use of spared modalities? The latter seems to contribute highly to compensatory changes in the congenitally blind. Short term deprivation through the use of blindfolds shows that cortical excitability of the visual cortex is likely to show rapid modulatory changes after few minutes of light deprivation and therefore changes are possible in adulthood. However, reorganization remains more pronounced in the congenitally blind. Cortico-cortical pathways between visual areas and the areas of preserved sensory modalities are inhibited in the presence of vision, but are unmasked after loss of vision or blindfolding as a mechanism likely to drive cross24 modal information to the deafferented visual cortex. The development of specialized higher order visual pathways independently from early sensory experience is likely to preserve their function and switch to the intact modalities. Plasticity in the blind is also accompanied with neurochemical and morphological changes; both intrinsic connectivity and functional coupling at rest are altered but are likewise dependent on different sensory experience and training. [ABSTRACT FROM AUTHOR]

Although the topic of sensory integration has raised increasing interest, the differing behavioral outcome of combining unisensory versus multisensory inputs has surprisingly only been scarcely investigated. In the present experiment, observers were required to respond as fast as possible to (1) lateralized visual or tactile targets presented alone, (2) double stimulation within the same modality or (3) double stimulation across modalities. Each combination was either delivered within the same hemispace (spatially aligned) or in different hemispaces (spatially misaligned). Results show that the redundancy gains (RG) obtained from the cross-modal conditions were far greater than those obtained from combinations of two visual or two tactile targets. Consistently, we observed that the reaction time distributions of cross-modal targets, but not those of within-modal targets, surpass the predicted reaction time distribution based on the summed probability distributions of each constituent stimulus presented alone. Moreover, we found that the spatial alignment of the targets did not influence the RG obtained in cross-modal conditions, whereas within-modal stimuli produced a greater RG when the targets where delivered in separate hemispaces. These results suggest that within-modal and cross-modal integration are not only distinguishable by the amount of facilitation they produce, but also by the spatial configuration under which this facilitation occurs. Our study strongly supports the notion that estimates of the same event that are more independent produce enhanced integrative gains. [ABSTRACT FROM AUTHOR]

Injuries at various levels of the auditory system have been shown to lead to functional reorganization of the auditory pathways. In particular, it has recently been shown that such reorganization can occur in callosal agenesis. The pattern of cortical activity following callosotomy is however still unknown, but behavioral results suggest that it could be significantly different from that observed in callosal agenesis. We aimed to confirm this hypothesis by investigating fMRI responses to complex sounds presented binaurally and monaurally in a callosotomized patient. In the binaural condition, the callosotomized subject showed patterns of auditory cortical activation that were similar to those of neurologically intact individuals. However, in both monaural conditions, the callosotomized individual showed a significant increase of the asymmetries favoring the contralateral pathways. Such patterns of cortical responses are only partially consistent with the results obtained from callosal agenesis subjects using the exact same procedure. Indeed, the latter show differences compared with normals in both binaural and monaural conditions. These findings provide neurological evidence that callosotomy could lead to distinctive functional reorganization of the human auditory pathways. [ABSTRACT FROM AUTHOR]

We compared the development of sensitivity to first-versus second-order global motion in 5-year-olds (n = 24) and adults (n = 24) tested at three displacements (0.1, 0.5 and 1.0°). Sensitivity was measured with Random-Gabor Kinematograms (RGKs) formed with luminance-modulated (first-order) or contrastmodulated (second-order) concentric Gabor patterns. Five-year-olds were less sensitive than adults to the direction of both first- and second-order global motion at every displacement tested. In addition, the immaturity was smallest at the smallest displacement, which required the least spatial integration, and smaller for first-order than for second-order global motion at the middle displacement. The findings suggest that the development of sensitivity to global motion is limited by the development of spatial integration and by different rates of development of sensitivity to first-versus second-order signals. [ABSTRACT FROM AUTHOR]

The inferior colliculus (IC) is an obligatory relay for the ascending and descending auditory pathways. Cells in this brainstem structure not only analyze auditory stimuli but they also play a major role in multi-modal integration of auditory and visual information. The aim of the present study was to determine whether cells in the central nucleus of the inferior colliculus (CNIC) of normal rats respond selectively to complex auditory signals, such as species-specific vocalizations, and compare their responses to those obtained in neonatal bilateral enucleated (P2–P3) adult rats. Extra-cellular recordings were carried out in anesthetized normal and enucleated rats using auditory stimuli (pure tones, broadband noise and vocalizations) presented in free field in a semi-anechoic chamber. The results indicate that most cells in the CNIC of both groups respond selectively to species-specific vocalizations better than to the same but inverted sounds. No significant differences were found between the normal and enucleated rat groups in their responses to broadband noise and pure tones. [ABSTRACT FROM AUTHOR]

The role of the inferior colliculus (IC) in human auditory processing is still poorly understood. We report here the results obtained with a 12-year-old boy (FX) who suffered a very circumscribed lesion of the right IC without additional neurological damage. The child underwent an extensive battery of psychophysical hearing tests. Results revealed normal peripheral auditory functioning, bilaterally. Furthermore, masking-level differences and frequency-pattern recognition were normal for each ear. When the right ear was stimulated, behavioural tests assessing central auditory processing yielded normal results. However, when the left ear was stimulated, speech recognition in the presence of a competing ipsilateral signal and duration-pattern recognition were impaired. Similarly, performance on two dichotic speech recognition tests was poor when the target stimulus was presented in the left and the competing signal in the right ear. Finally, sound-source localization in space was deficient for speakers located on the side contralateral to the lesion. The pattern of results suggests that auditory functions such as recognition of low-redundancy speech presented monaurally, recognition of tone duration patterns, binaural separation and integration, as well as sound-source localization in space, depend on the integrity of the bilateral auditory pathways at the IC level. [ABSTRACT FROM AUTHOR]

This study investigated the effect of very preterm birth (gestation < or =30wks) and very low birth weight (< or =1500g) on the development of magnocellular and parvocellular visual processing streams. Participants were preterm infants (n=55: 31 females, 24 males) born between 24 and 30 weeks'gestation (mean 27.4wks [SD 1.3]), weighing between 720 and 1470g (mean 1015g [SD 215]) and term infants (n=52: 27 females, 25 males) born between 38 and 42 weeks'gestation (mean 39.4wks [SD 0.9]), weighing between 2670 and 4405g (mean 3549g [SD 440]). Visual-evoked potentials to phase-reversing sine-wave gratings, varying in spatial frequency and contrast, were used to elicit magnocellular and parvocellular specific responses. Previous studies found that the N1 component reflects the parvocellular response, while P1 reflects the magnocellular response in adults and infants. Findings from the current study indicate significantly lower P1 amplitudes in preterm compared with term infants under most conditions. No difference was found for the amplitude of the N1 waveform. Results indicate that, for the age-range tested, preterm birth has little effect on the development of parvocellular function, while it appears to disrupt the development of magnocelluar function. [ABSTRACT FROM AUTHOR]

The goal of the present study was to investigate how monaural sound localization on the horizontal plane in blind humans is affected by manipulating spectral cues. As reported in a previous study (Lessard et al. 1998), blind subjects are able to calibrate their auditory space despite their congenital lack of vision. Moreover, the performance level of half of the blind subjects was superior to that of sighted subjects under monaural listening conditions. Here, we first tested ten blind subjects and five controls in free-field (1) binaural and (2) monaural sound localization tasks. Results showed that, contrary to controls and half the blind subjects, five of the blind listeners were able to localize the sounds with one ear blocked. The blind subjects who showed good monaural localization performances were then re-tested in three additional monaural tasks, but we manipulated their ability to use spectral cues to carry out their discrimination. These subjects thus localized these same sounds: (3) with acoustical paste on the pinna, (4) with high-pass sounds and unobstructed pinna and (5) with low-pass sounds and unobstructed pinna. A significant increase in localization errors was observed when their ability to use spectral cues was altered. We conclude that one of the reasons why some blind subjects show supra-normal performances might be that they more effectively utilize auditory spectral cues. [ABSTRACT FROM AUTHOR]

The aim of the present study was to evaluate how hemispherectomized subjects localize sounds in free field using residual auditory structures under monaural testing conditions. The main objective of using a monaural condition with these subjects, who lack the terminal fields of auditory projections on one side, was to evaluate how the crossed and uncrossed pathways compare, with the aim of resolving this biologically critical function. In this model, crossed and uncrossed inputs refer to auditory stimulation presented to the unobstructed ear on the contralateral and the ipsilateral side of the intact hemisphere, respectively. Three hemispherectomized subjects (Hs) and ten control subjects (Cs) were tested for their accuracy to localize broad band noise bursts (BBNBs) of fixed intensity presented on the horizontal plane. BBNBs were delivered randomly through 16 loudspeakers mounted at 10° intervals on a calibrated perimeter frame located inside an anechoic chamber. Subjects had to report the apparent stimulus location by pointing to its perceived position on the perimeter. Hs were less accurate than Cs in the baseline binaural condition, confirming the finding that with a single hemisphere and/or residual (subcortical) structures they cannot analyze binaural cues to sound localization as efficiently as with two fully functional hemispheres. In the monaural condition, Hs localized poorly when they had to depend on the uncrossed input, but performed as well or even better than the Cs with the crossed input. These findings suggest that monaural spectral cues, which constitute the only residual cue to localization under the monaural testing condition, are treated more efficiently, that is, they lead to better localization performance when relayed to the cortex via crossed pathways than through uncrossed pathways. [ABSTRACT FROM AUTHOR]

The spatial separation of the eyes in animals with overlapping visual fields means that parts of a three dimensional object project to slightly disparate retinal points in each eye. This disparity, once interpreted by the brain, is thought to be a sufficient condition for Stereoperception. In the present experiment, stereopsis based on spatial disparity cues was evaluated in cats using Julesz random-dot stereograms before and after sections of the optic chiasm, the corpus callosum or both. Normal cats were able to solve the random-dot problem. Optic chiasm transection drastically diminished this ability, callosal section had little effect and combined lesions of these two structures abolished Stereoperception. These results suggest that central stereopsis based on spatial disparity is mainly mediated by binocular cortical cells receiving their input via the ipsilateral and the through-the-chiasm contralateral thalamocortical pathways. [ABSTRACT FROM AUTHOR]

Unitary discharges of the lateral geniculate nucleus (LGN) were analyzed in anesthetized and paralyzed rats after inactivation of visual cortical areas (VC) by cryoblockade or by depositing a cotton wick soaked in KCl (3 M). The receptive fields were mapped prior to and following the interruption of the cortico-geniculate feedback. The responsiveness of the VC was controlled by monitoring evoked potentials and the EEG. In most off-center and about half on-center cells the surround excitatory responses were markedly reduced and even totally abolished. In contrast, the center excitation remained unchanged or increased suggesting a parallel decline of the inhibitory surround. This differential influence of cortical blockade on on- or off-responses failed to appear in on-off cells whose receptive field was nonconcentrically organized. It is proposed that the VC exerts a complex influence upon geniculate physiology while the spatial center-surround relationships are under the control of the VC. The results of this investigation are comparable to those obtained in rabbits and cats. [ABSTRACT FROM AUTHOR]

Cells in area 17 of the cortex are generally activated either directly through a retino-thalamic pathway or indirectly via a contralateral hemispherecallosal pathway. The aim of the present experiment was to evaluate the effects of eliminating this second pathway on the binocular activation of cells in the primary visual cortex. The optic tract was sectioned on one side in 18 cats and unit activity was recorded in the contralateral hemisphere. This hemisphere should receive normal thalamo-cortical inputs but no visual callosal input. These animals were compared to 21 normal cats. Extracellular electrophysiological recordings were carried out in the conventional way using tungsten microelectrodes and NO anaesthesia. Results indicated that the proportion of binocular cells found in the cortex of tract sectioned animals was lower than that found in normal animals. However, this decrease in binocularity could be essentially attributed to cells having receptive fields situated to within 4 ° of the vertical meridian of the visual field. These results are interpreted as being congruent with the demonstrated anatomo-physiological projections of the callosal system. [ABSTRACT FROM AUTHOR]

Split-chiasm cats with unilateral or bilateral lesions largely removing the commissurally connected portions of visual cortical areas 17, 18 and 19 showed good interocular transfer of monocularly learned pattern discriminations. The capacity for interocular transfer in these cats was in fact little or not different from that of split-chiasm cats with an intact cortex. Split-chiasm cats with an additional section of the forebrain commissures, as well as two split-chiasm cats with 17-18 lesions also submitted to forebrain commissurotomy after having shown good interocular transfer, were generally incapable of transferring pattern discriminations between the eyes. It is concluded that interocular transfer of pattern discriminations, in split-chiasm cats does not require areas 17, 18 and 19 and must therefore depend on other cortical areas. [ABSTRACT FROM AUTHOR]

Cells in the superficial layers of the superior colliculus of the cat have mainly binocular receptive fields. The aim of the present experiment was to investigate the sensitivity of these cells to horizontal spatial disparity. Unit recordings were carried out in the superficial layers of the superior colliculus of paralyzed and anesthetized cats. Centrally located receptive fields were mapped, separated using prisms, and then stimulated simultaneously using two luminous bars optimally adjusted to the size of the excitatory region of the receptive fields. Only binocular cells were tested, and 65% of these units were found to be sensitive to spatial disparities. Some cells (20%) were clearly insensitive to spatial disparity and the remaining 15% showed complex, unclassifiable interactions. The sensitive cells could be divided into four classes based on their disparity-sensitivity profiles: 38% showed excitatory interactions, whereas 9% showed inhibitory interactions. Moreover, 11% and 7% of the cells responded, respectively, to crossed or uncrossed disparities, and were classified as near cells and far cells. Whereas the general shapes of the sensitivity profiles were similar to those of cells in areas 17–18, selectivity in the superior colliculus was significantly coarser. The superficial layers of the superior colliculus project topographically to the deep layers of the superior colliculus, which are known to contain circuits involved in the control of ocular movements. The results thus suggest that disparity-sensitive cells of the superior colliculus could feed information to these oculomotor neurons, allowing for the localization and fixation of objects on the appropriate plane of vision. [ABSTRACT FROM AUTHOR]

During normal postnatal development, there is an overproduction and subsequent partial elimination of the callosal projections of cortical areas 17 and 18 in the cat. In the present study, we investigated how neonatal splitting of the optic chiasm affects this process. Our results indicate that neonatal splitting of the optic chiasm exaggerates the normally occurring partial elimination of immature callosal projections: it causes a significant reduction in the total number of neurons in the supragranular layers that send an axon through the corpus callosum. It does not, however, cause a significant change in the number of callosally projecting neurons in the infragranular layers. These data suggest that in addition to other factors previously described, the level or spatial distribution of correlated binocular input to visual cortical neurons may influence the stabilization/elimination of immature callosal connections. [ABSTRACT FROM AUTHOR]

The spatial disparity sensitivity of single units in the primary visualcortex (17-18 border), in extrastriate area 19 and in the superficiallayers of the superior colliculus of the cat brain were compared in the presentstudy. Unit recordings were performed in paralyzed and anesthetized animals.Centrally located receptive fields were mapped, separated using prisms andthen stimulated simultaneously using two luminous bars optimally adjustedto the size of the excitatory receptive fields. In the three regions studied,cells selective to spatial disparity were found and four classes of disparitysensitivity profiles emerged. Although the disparity sensitivity profilesof the cells in the three regions appeared to have the same general shape,selectivity was clearly different. Cells at the 17-18 border were sharplytuned, those of area 19 were not only less numerous but also less well tunedand collicular cells exhibited coarse selectivity. These difference! s in selectivity appear to be linked to the projection pattern of the X, Y andW systems to these regions and the roles that these cells might play in vision. [ABSTRACT FROM AUTHOR]

Purpose How the brain recognizes visual stimuli has been extensively studied using scalp surface electrodes and magnetic resonance imaging. Complex visual stimuli such as objects and faces have been shown to strongly activate the ventral visual stream in humans. The link between this pathway of activation (bottom‐up processes) and the memory (top‐down processes) still has to be described. Methods In the present experiment, intracranial electroencephalography was carried out in epileptic patients implanted with subdural electrodes to localize the epileptic focus so as to directly assess brain activations evoked by visual stimuli. Fragmented pictures of objects with eight levels of coherence were used whereby at level 1 the stimulus was unrecognizable and at level 8, it constituted the complete picture. We measured the evoked potentials at four levels of recognition: threshold (T‐0), two levels before threshold (T‐1 and T‐2) and one post threshold (T+1). Results Activations were found in V1, V2, LOC, orbito‐frontal cortex (OF) and hippocampus. In V1 and V2, the early visual response suggested a higher level of treatment when trying to integrate the information to recognize the stimulus. The higher order structures, such as LOC and OF, gave their largest responses mainly at longer latencies. Conclusion This intracranial study permits precise localization coupled with high temporal resolution, which allows for a better understanding of the different mechanisms involved in a fast and accurate visual recognition of objects. [ABSTRACT FROM AUTHOR]