The neural basis of temporal preparation: Insights from brain tumor patients

https://doi.org/10.1016/j.neuropsychologia.2007.04.017Get rights and content

Abstract

When foreperiods (FPs) of different duration vary on a trial-by-trial basis equiprobably but randomly, the RT is faster as the FP increases (variable FP effect), and becomes slower as the FP on the preceding trial gets longer (sequential effects). It is unclear whether the two effects are due to a common mechanism or to two different ones. Patients with lesions on the right lateral prefrontal cortex do not show the typical FP effect, suggesting a deficit in monitoring the FP adequately [Stuss, D. T., Alexander, M. P., Shallice, T., Picton, T. W., Binns, M. A., Macdonald, R., et al. (2005). Multiple frontal systems controlling response speed. Neuropsychologia, 43, 396–417]. The aim of this study was two-fold: (1) to replicate this neuropsychological result testing cerebral tumor patients before and after surgical removal of the tumor located unilaterally in the prefrontal, premotor or parietal cortex, respectively and (2) to investigate whether the sequential effects would change together with the FP effect (supporting single-process accounts) or the two effects can be dissociated across tumor locations (suggesting dual-process views). The results of an experiment with a variable FP paradigm show a significant reduction of the FP effect selectively after excision of tumors on right prefrontal cortex. On the other hand, the sequential effects were reliably reduced especially after surgical removal of tumors located in the left premotor region, despite a normal FP effect. The latter dissociation between the two effects supports a dual-process account of the variable FP phenomena. This study demonstrates that testing acute cerebral tumor patients represents a viable neuropsychological approach for the fractionation and localisation of cognitive processes.

Section snippets

Assignment to patient group

The pre-operative location of the tumor was determined using a digital format T1-weighted MRI scan obtained 1–2 days before surgery. The post-operative MR scans were available 3–4 months after surgery, about 1 month from the end of the radiotherapy. As by that time the area of removed brain tissue was partially replaced by healthy brain, pre-operative MR scans have been used for localisation purposes. Each patient's lesion was referred to an anatomical template image AAL (Automated Anatomical

Excluded trials

Less than 0.6% of trials were discarded because of RTs being outside the 100–3000 ms range. This percentage tended to be significantly different across patient groups, as demonstrated by a non-parametric Kruskal–Wallis test [H(6, N: 70) = 12.4, p = .054]. This could be due to the fact that virtually no trial was excluded for the controls and the premotor groups. However, the percentage of excluded trials was low also in the other four groups (0.7, 0.6, 1.3 and 1.5%, for the left and right parietal,

Discussion

In this study, we aimed to investigate the variable FP phenomena in tumor patients, when tested before and after surgical removal of tumors which were located in different cortical areas. The most important finding was a reduction in the FP effect after surgical removal of tumors of the right prefrontal cortex. This finding corroborates recent studies on FP phenomena obtained in chronic patients with predominantly other etiologies such as stroke (Stuss et al., 2005; see also Picton et al., 2006

Acknowledgements

This research was partially supported by a grant from PRIN to TS and Raffaella Rumiati. AM was supported by a grant from Regione Friuli Venezia Giulia to SISSA, 2005/2006 “Neuropsicologia clinica delle funzioni esecutive e prassiche”. The authors are also thankful to the members of the Neurosurgical Department, Ospedale S.M. Misericordia, Udine, for their helpfulness throughout the study.

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