Cited by 144Advanced Neuroimaging Techniques and ApplicationsReading and Literacy DevelopmentFunctional Brain Connectivity Studies

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Visualizing the Neural Bases of a Disconnection Syndrome with Diffusion Tensor Imaging

Molko, N., Cohen, L., Mangin, J. F., Chochon, F., Lehéricy, S., Bihan, D. Le, Dehaene, S.·2002·Journal of Cognitive Neuroscience

DOI 10.1162/08989290260045864

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Abstract

Disconnection syndromes are often conceptualized exclusively within cognitive box-and-arrow diagrams unrelated to brain anatomy. In a patient with alexia in his left visual field resulting from a posterior callosal lesion, we illustrate how diffusion tensor imaging can reveal the anatomical bases of a disconnection syndrome by tracking the degeneration of neural pathways and relating it to impaired fMRI activations and behavior. Compared to controls, an abnormal pattern of brain activity was observed in the patient during word reading, with a lack of activation of the left visual word form area (VWFA) by left hemifield words. Statistical analyses of diffusion images revealed a damaged fiber tract linking the left ventral occipito-temporal region to its right homolog across the lesioned area of corpus callosum and stopping close to the areas found active in fMRI. The behavioral disconnection syndrome could, thus, be related functionally to abnormal fMRI activations and anatomically to the absence of a connection between those activations. The present approach, based on the "negative tracking" of degenerated bundles, provides new perspectives on the understanding of human brain connections and disconnections.

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Authors: Molko, N., Cohen, L., Mangin, J. F., Chochon, F., Lehéricy, S., Bihan, D. L., & Dehaene, S.
Affiliations: Inserm (FR)
UNAF, Service Hospitalier Frédéric Joliot, Commisariat à l'Energie Atanique
Pitié-Salpêtrière Hospital (FR)
Human Brain Research Center, Graduate School of Medicine, Kyoto University (JP)
ORCID: Cohen, L.
Mangin, J. F.
Lehéricy, S.
Bihan, D. Le
Dehaene, S.
Venue: Journal of Cognitive Neuroscience
Publisher: MIT Press - Journals
Published: 2002-05
Volume: 14
Issue: 4
Pages: 629-636
ISSN: 0898-929X (ISSN-L)
1530-8898
DOI: 10.1162/08989290260045864
OpenAlex: W2098520947
Cited by: 144
References: 34
Citations by year: 2026: 2 · 2025: 5 · 2024: 4 · 2022: 4 · 2021: 3 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 10 · 2014: 5 · 2013: 10 · 2012: 6
FWCI: 7.20
Type: journal article
Language: en
Open access: closed
Locations: Journal of Cognitive Neuroscience (publishedVersion)
PubMed (publishedVersion)
HAL (submittedVersion)
Topics: Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
Keywords: disconnection syndrome, alexia, corpus callosum lesions, posterior corpus callosum, visual word form area, interhemispheric connectivity, word reading, fMRI activation, diffusion tensor imaging
MeSH terms: Adult, Brain, Brain Mapping, Dominance, Cerebral, Dyslexia, Humans, Magnetic Resonance Imaging, Male, Neural Pathways, Reading, Verbal Behavior, Anisotropy

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Visualizing the Neural Bases of a Disconnection Syndrome with Diffusion Tensor Imaging

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