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Summary 8. Task - Brain damage

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Summary of Task 8 of Methods of Cognitive Neuroscience

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TASK 8: BRAIN DAMAGE
LOCALISATION OF FUNCTION & LESION METHOD

 Reverse engineering – attempt to infer function of a component by observing what the
rest of the cognitive system can & can’t do when that component / region is removed
 Locate lesion through brain imaging
 Assess neuropsychological deficits through testing
 Infer specific impairments in behaviour / cognition
 Insights into the original function of the injured brain
 Basic strategy – investigate the effect of damage to a particular area
 Lower animals – localised lesions  explicit testing of hypotheses
 Humans – effect of lesions that have already occurred through disease / trauma
 Advantage: can assess functions that are specifically human / more developed
in humans
 Limitations
 Modularity / localisation assumption – assume discrete anatomical modules deal with
different cognitive functions
 Problem of modularity – most brain damage is not limited by the boundaries of the
underlying functional modules
 Plasticity makes it difficult to infer original function of healthy brain  also makes
comparisons between subjects difficult
 Test in acute stage of illness – won’t be able to accurately identify all impaired
brain regions
 Wait for initial problems to resolve – problems associated with brain plasticity
will become more pronounced
 Differential vulnerability – some areas of the cortex are particularly likely to be
damaged
 Brain regions can be disabled but intact after injury
 Poor temporal resolution – does not allow us to assess time course of information
processing, most injuries are permanent
 Lesion is not an independent variable, because you can’t control it (it depends on
external causes)
 Generalisation not possible – one person not enough to generalise, difficult to find a lot
of lesion patients with same lesion in the same area
 Lesion subtraction – control patients indispensable for valid anatomical conclusions – just
because damaged regions are the same, does not mean they are directly involved in
disorder, they might just be vulnerable to injury
 Must have brain lesions in same hemisphere & must be similar to patients
 Regions of the brain simply vulnerable to brain damage should be commonly damaged in
both groups

,  Regions involved in specific function, selectively damaged in those patients who have
problems there

ANIMAL MODELS IN NEUROPSYCHOLOGY

 Behavioural neuroscience – humans think but animals behave OR we can’t be sure that
animals think
 Far more selective lesions can be carried out in animals than humans
 Each animal can serve as its own control by comparing performance before & after
the lesion
 Common to have control groups that have undergone surgery but received no
lesion
 Different lesioning methods
 Aspiration – region is suctioned out, strong current seals the wound
 Transection – cutting of discrete white matter bundles
 Neurochemical lesions – toxins create chemical reactions that kill cells
 Reversible “lesion” – pharmacological manipulations
 Enabled more detailed anatomical understanding of the brain & anatomical
connectivity between regions
 Limitations: (1) welfare of the animals, (2) some human traits don’t have obvious
counterparts in other species, e.g., language

LESION STUDIES VS. MODERN IMAGING TECHNIQUES


Lesion studies Modern imaging techniques


 Fills unique niche to
understand the intact  Enable us to identify damaged brain regions in vivo
brain  Can eliminate problems of differential vulnerability,
 Necessary to identify plasticity & disconnection associated with lesion
location & extent of a method + better temporal resolution
brain injury  Interpretation can be difficult & has clear limitations
 Limitations: modularity,  Don’t know whether a region is necessary to
differential vulnerability, perform a task
plasticity, disconnection  Can’t detect possible contributions of regions that
associated with lesion are constantly active
methods, poor temporal  Not as accurate in stroke patients, because there’s
resolution less blood flow in the area where the stroke was
 Measure disruption NOT BUT that doesn’t mean that area isn’t active
activation  here we can  Much more sensitive in young than old ppl
infer necessity  Not sensitive for elderly stroke patients

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