The Motor Somatotopy of Speech Perception

open6siL.F. is supported by Italian Ministry of Education; by the E.C. grants Contact, Robot-cub, and Poeticon; and by Fondazione Cassa di Risparmio di Ferrara. F.P. is supported, in part, by MRC grants (U1055.04.003.00001.01, U1055.04.003.00003.01) and by the E.C. grant Nestcom.Listening to speech recruits a network of fronto-temporo-parietal cortical areas [1]. Classical models consider anterior (motor) sites to be involved in speech production whereas posterior sites are considered to be involved in comprehension [2]. This functional segregation is challenged by action-perception theories suggesting that brain circuits for speech articulation and speech perception are functionally dependent [3, 4]. Although recent data show that speech listening elicits motor activities analogous to production [5-9], it's still debated whether motor circuits play a causal contribution to the perception of speech [10]. Here we administered transcranial magnetic stimulation (TMS) to motor cortex controlling lips and tongue during the discrimination of lip- and tongue-articulated phonemes. We found a neurofunctional double dissociation in speech sound discrimination, supporting the idea that motor structures provide a specific functional contribution to the perception of speech sounds. Moreover, our findings show a fine-grained motor somatotopy for speech comprehension. We discuss our results in light of a modified "motor theory of speech perception" according to which speech comprehension is grounded in motor circuits not exclusively involved in speech production [8].openA. D'Ausilio; F. Pulvermüller; P. Salmas; I. Bufalari; C. Begliomini; L. FadigaD'Ausilio, Alessandro; Pulvermüller, F.; Salmas, P.; Bufalari, I.; Begliomini, C.; Fadiga, Lucian

The role of the motor system in discriminating normal and degraded speech sounds

Listening to speech recruits a network of fronto-temporo-parietal cortical areas. Classical models consider anterior, motor, sites involved in speech production whereas posterior sites involved in comprehension. This functional segregation is more and more challenged by action-perception theories suggesting that brain circuits for speech articulation and speech perception are functionally interdependent. Recent studies report that speech listening elicits motor activities analogous to production. However, the motor system could be crucially recruited only under certain conditions that make speech discrimination hard. Here, by using event-related double-pulse transcranial magnetic stimulation (TMS) on lips and tongue motor areas, we show data suggesting that the motor system may play a role in noisy, but crucially not in noise-free environments, for the discrimination of speech signals

Vocal pitch discrimination in the motor system

Speech production can be broadly separated into two distinct components: Phonation and Articulation. These two aspects require the efficient control of several phono-articulatory effectors. Speech is indeed generated by the vibration of the vocal-folds in the larynx (F0) followed by ''filtering" by articulators, to select certain resonant frequencies out of that wave (F1, F2, F3, etc.). Recently it has been demonstrated that the motor representation of articulators (lips and tongue) participates in the discrimination of articulatory sounds (lips- and tongue-related speech sounds). Here we investigate whether the results obtained on articulatory sounds discrimination could be extended to phonation by applying a dual-pulse TMS protocol while subjects had to discriminate F0-shifted vocal utterances [a]. Stimulation over the larynx motor representation, compared to the control site (tongue/lips motor cortex), induced a reduction in RT for stimuli including a subtle pitch shift. We demonstrate that vocal pitch discrimination, in analogy with the articulatory component, requires the contribution of the motor system and that this effect is somatotopically organized

Tubulointerstitial nephritis and uveitis (TINU) syndrome in a 52-year-old female: A case report and review of the literature

Tubulointerstitial nephritis and uveitis (TINU) syndrome is a rare entity first described in 1975, affecting mainly young women and adolescents. We present a case of a 52-year-old female patient (one of the oldest in the literature) who complained of fever, anorexia, nausea, and vomiting. After she was admitted to our hospital, laboratory tests revealed tubular proteinuria, elevated erythrocyte sedimentation rate (ESR), anemia, and renal insufficiency (serum creatinine 4.2 mg/dL) with metabolic acidosis. Ophthalmologic examination revealed anterior uveitis (iritis) and renal biopsy showed acute tubulointerstitial nephritis. The diagnosis of TINU syndrome was established and the patient was treated with oral corticosteroids. All symptoms and ophthalmologic abnormalities disappeared after 6 weeks of treatment. Renal function also recovered completely and remained stable at follow-up. TINU syndrome should be considered in the differential diagnosis of unexplained tubulointerstitial nephritis, especially in the presence of ocular findings. Corticosteroid therapy is still controversial, but it helps in the quick resolution of renal and mainly eye abnormalities. Copyright © Taylor & Francis Group, LLC

Synthesis, anticholinesterase activity and molecular modeling study of novel carbamate-substituted thymol/carvacrol derivatives

PMID = 2808958

Development of an egg-white bioassay for monitoring biotin levels in urine and serum

This article reports on the development of a simple and cost-effective bioassay for the detection of biotin in urine and serum, based on the very selective binding of avidin and biotin. Avidin was allowed to react without isolating it from egg white. Egg white was treated with the dye HABA, which binds to avidin. Upon subsequent treatment with biotin, HABA is released due to the high affinity of biotin to avidin. The amount of HABA released is proportional to the amount of biotin used

Frequency and Significance of Maneuvers to Dissect the Distal Internal Carotid Artery During Carotid Endarterectomy

Objectives: To describe the frequency, factors associated with, and significance of surgical dissection maneuvers of the distal internal carotid artery (ICA) during carotid endarterectomy (CEA). Methods: In this retrospective analysis of prospectively collected information in patients undergoing CEA, we recorded information on demographics, risk factors and comorbidities, dissection maneuvers of the distal ICA, other operative variables and neurological outcome measures. Results: During the period July 2008 and February 2020 inclusive, 218 consecutive patients (180 males, median age 69.5 years) underwent 240 CEAs. In 117 (48.8%) of them, CEA was performed for a symptomatic stenosis. Dissection maneuvers of the distal ICA were required in 77 cases (32.1%), including division and ligation of the sternocleidomastoid vessels in 66 cases (27.5%), mobilization of the XII cranial nerve in 69 cases (28.7%, with concomitant transection of the superior root of the ansa cervicalis in 11 cases, 4.6%) and division of the posterior belly of the digastric muscle in 8 cases (3.3%). Styloid osteotomy was not required in any case. Smoking was the single predictive factor associated with the use of an adjunctive dissection maneuver (odds ratio 2.23, p = 0.009). The use of a patch was more common in smokers (16% vs 7.1% in non-smokers, odds ratio 2.48, p = 0.05). Perioperative stroke and/or death rate was 0%, not allowing testing for associations with maneuver performance. Two patients (0.8%) developed a transient ischemic attack and 4 patients (1.7%) a cranial nerve injury (CNI), including 2 patients with recurrent laryngeal nerve palsy, diagnosed on routine laryngoscopy during planning of a contralateral CEA. There was no association between CNI and dissection of the distal ICA using an operative adjunct (p = 0.60). Conclusions: Several surgical maneuvers are often required to accomplish dissection of the distal ICA beyond the point of atherosclerotic disease. When dictated by operative findings, such maneuvers are deemed safe. © The Author(s) 2021