Why is a test of general intelligence included in neuropsychological testing?
Helps interpret results of subsequent tests.
Can suggest patterns of brain dysfunction (e.g., low verbal comprehension → possible left hemisphere damage).
Commonly uses Wechsler Adult Intelligence Scale (WAIS).
What are the limitations of WAIS for memory assessment?
Subtests like information (general knowledge) and digit span (short-term memory) often fail to detect serious memory deficits.
Memory problems are usually reported by patient or family rather than detected by WAIS.
How is language assessed in a neuropsychological test battery?
WAIS verbal subtests can indicate language deficits.
If WAIS not used: Token Test: 20 tokens varying in shape, size, and color; patient follows increasingly complex instructions.
Why is testing language lateralization important?
Determines which hemisphere is dominant for language (usually left).
Useful for interpreting other tests.
Critical before surgery near cortical language areas to avoid damage.
What are the two main tests of language lateralization?
Sodium Amytal (Wada) Test: Anesthetic injected into one carotid artery; ipsilateral hemisphere is temporarily anesthetized. Dominant hemisphere → temporary mutism.
Dichotic Listening Test: Different sequences of digits presented to each ear; patients report more digits from the ear contralateral to the dominant hemisphere.
Key difference between Sodium Amytal and Dichotic Listening tests?
Sodium Amytal: invasive, only for medical reasons (surgery prep).
Dichotic Listening: noninvasive, can be used in research and clinical settings.
What is the purpose of specific neuropsychological tests?
To clarify the nature of general problems revealed by the common test battery.
Thousands of tests exist; selection depends on the patient’s deficits.
What key memory questions are addressed after detecting memory impairment?
Does it involve short-term memory, long-term memory, or both?
Are long-term deficits anterograde, retrograde, or both?
Are long-term deficits semantic (world knowledge) or episodic (personal experiences)?
Are deficits explicit (conscious) or implicit (unconscious), or both?
How is implicit memory assessed in amnesic patients?
Repetition priming tests:
Patients study a list of words without being asked to remember them.
Later, they complete word fragments (e.g., “pu_p_ _” for “purple”).
Amnesic patients perform as well as controls implicitly but have no explicit memory of the words.
How are language deficits further investigated?
Tests target three capacities:
Phonology – rules governing sounds.
Syntax – grammar of the language.
Semantics – meaning of language.
Brain damage can affect one capacity but not others, so all must be tested.
How is reading ability assessed in neuropsychological testing?
What is the main goal of cognitive neuroscience?
To identify brain regions or networks that mediate specific cognitive processes.
Why is simple functional imaging not enough to isolate specific cognitive processes?
Because brain activity recorded during a task includes all processes, e.g., seeing, reading, speaking—many of which are unrelated to the process of interest.
How does paired-image subtraction work?
Obtain brain images during two different tasks that differ in only one cognitive process.
Subtract the brain activity of one task from the other to isolate activity associated with the specific process.
What is the default mode network?
The DMN is a set of brain structures that remain active when a person is at rest and not engaged in a task. It reflects the brain’s default activity—mind-wandering, self-reflection, daydreaming. Activity is usually reduced during focused cognitive or behavioral tasks.
Which structures are part of the DMN?
Four main cortical areas: Medial prefrontal cortex (mPFC), Medial parietal cortex, Lateral parietal cortex, Lateral temporal cortex.
What is a mean difference image?
When using PET or fMRI, random brain activity (“noise”) can interfere with interpreting cognitive processes. Signal averaging solves this by averaging multiple difference images from repeated tests for the same subject or multiple volunteers. Mean difference image: emphasizes common brain activity across subjects and reduces noise from random activity.
Limitations of mean difference images?
Individual variability: averaging can obscure unique activation patterns. Experience-dependent changes: cortical areas controlling a function can shift over time within an individual.
What is functional connectivity?
The study of how multiple brain regions work together by examining parallel patterns of activity over time.
Types of functional connectivity?
Extrinsic FC: FC measured during a task or stimulus presentation. Intrinsic FC: FC measured during resting-state fMRI (R-fMRI).
What is the functional connectome?
The comprehensive characterization of functional connectivity networks associated with each cognitive process or behavior.
What are species-common behaviors?
Behaviors displayed by virtually all members of a species, or at least all of the same age and sex. Examples: grooming, swimming, eating, drinking, copulating, fighting, nest building.
What is the open-field test and what does it measure?
A test where a subject is placed in a large, barren chamber. Measures general activity, excrement dropped (bolus count), and thigmotaxis (tendency to stay near walls). Low activity and high bolus count indicate fearfulness.