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Cortical and Subcortical Mechanisms of Time Perception
Dušek, Petr ; Jech, Robert (advisor) ; Mareš, Jaroslav (referee) ; Bareš, Martin (referee)
Deficits in interval timing have been described in focal brain lesions and in various neuropsychiatric disorders including Parkinson's disease (PD). The aim of this study was to explore brain areas responsible for human time perception and for the timing deficit in PD. We used a time reproduction task (TRT) which consisted of an encoding phase (during which visual stimuli of durations from 5 to 16.6 sec were presented) and a reproduction phase (during which interval durations were reproduced by a button pressing). In our first fMRI study, we used a parametric modulated analysis searching for brain areas with activity, expressed as Blood Oxygenation Level Dependent (BOLD) signal, correlated with the duration of time interval. During the encoding phase, there was a gradual deactivation of the left prefrontal cortex (PFC) and cingulate gyrus. During the reproduction phase, there was a gradual deactivation in precuneus and an accumulation of activity in the left PFC, primary motor area, right caudate and supplementary motor area (SMA). The second study aimed at supporting the role of two of these areas, SMA and precuneus in interval timing by repetitive transcranial magnetic stimulation (rTMS). Accuracy and variability of time estimates were compared before and after rTMS. Accuracy of estimates was not...
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Neuromodulation in treatment of selected dystonic syndromes
Havránková, Petra ; Jech, Robert (advisor) ; Štětkářová, Ivana (referee) ; Rokyta, Richard (referee)
Dystonia is a neurological syndrome characterized by the involuntary contraction of opposing muscles, causing twisting movements or abnormal postures (modified by Fahn, 1987). Writer's cramp is the most common form of task-specific focal dystonia. In the first study, patients with writer's cramp were evaluated for differences in cortical activation during movements likely to induce cramps (complex movements) and movements which rarely lead to dystonia (simple movements). Although complex patient movements during fMRI were never associated with dystonic cramps, they exhibited abnormally decreased cortical activity. This was not observed in simple movements and was unrelated to the character of handwriting or the presence/absence of visual feedback. Our results support the theory of dualistic sensorimotor system behavior in writer's cramp. As the somatosensory system is believed to be affected in focal dystonia, we focused on modulation of the primary somatosensory cortex (SI) induced by repetitive transcranial magnetic stimulation (rTMS) in the second study, in order to improve writer's cramp. In conclusion, 1 Hz rTMS of the SI cortex can improve manifestations of writer's cramp while increasing cortical activity in both hemispheres. Handwriting as well as subjective assessment improved in most...
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Somatomotor and somatosensory modulation of pain in the EEG and fMR image
Vrána, Jiří ; Stančák, Andrej (advisor) ; Vymazal, Josef (referee) ; Jech, Robert (referee) ; Hájek, Milan (referee)
Pain processing is modulated at different levels of the central nervous system by concurrent sensory and motor processes. From previous studies with innocuous somatosensory evoked potentials we know of the phenomenon of gating by movement. The classical explanation [Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150(699):971-979.] of the mechanism of gating in the posterior horn of spinal cord is complemented by other, lesser understood data, suggesting supraspinal mechanisms. A similar lack of understanding of the cortical mechanisms is seen in pain modulating methods using concurrent electrical nerve stimulation. This work is intended to further our understanding of the cortical mechanisms of pain modulation in the specific cases of (a) isometric muscle contraction of the right or left hand during painful electrical intraepidermal stimulation of the right index finger and (b) during observation of the acute effects of concurrent innocuous median nerve stimulation on painful tonic thermal stimulation of the thenar eminence.
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