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Temporal specificity of abnormal neural oscillations during phonatory events in laryngeal dystonia.

作者信息

Kothare Hardik, Schneider Sarah, Mizuiri Danielle, Hinkley Leighton, Bhutada Abhishek, Ranasinghe Kamalini, Honma Susanne, Garrett Coleman, Klein David, Naunheim Molly, Yung Katherine, Cheung Steven, Rosen Clark, Courey Mark, Nagarajan Srikantan, Houde John

机构信息

UC Berkeley-UCSF Graduate Program in Bioengineering, San Francisco, CA, USA.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.

出版信息

Brain Commun. 2022 Feb 11;4(2):fcac031. doi: 10.1093/braincomms/fcac031. eCollection 2022.


DOI:10.1093/braincomms/fcac031
PMID:35356032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8962453/
Abstract

Laryngeal dystonia is a debilitating disorder of voicing in which the laryngeal muscles are intermittently in spasm resulting in involuntary interruptions during speech. The central pathophysiology of laryngeal dystonia, underlying computational impairments in vocal motor control, remains poorly understood. Although prior imaging studies have found aberrant activity in the CNS during phonation in patients with laryngeal dystonia, it is not known at what timepoints during phonation these abnormalities emerge and what function may be impaired. To investigate this question, we recruited 22 adductor laryngeal dystonia patients (15 female, age range = 28.83-72.46 years) and 18 controls (eight female, age range = 27.40-71.34 years). We leveraged the fine temporal resolution of magnetoencephalography to monitor neural activity around glottal movement onset, subsequent voice onset and after the onset of pitch feedback perturbations. We examined event-related beta-band (12-30 Hz) and high-gamma-band (65-150 Hz) neural oscillations. Prior to glottal movement onset, we observed abnormal frontoparietal motor preparatory activity. After glottal movement onset, we observed abnormal activity in the somatosensory cortex persisting through voice onset. Prior to voice onset and continuing after, we also observed abnormal activity in the auditory cortex and the cerebellum. After pitch feedback perturbation onset, we observed no differences between controls and patients in their behavioural responses to the perturbation. But in patients, we did find abnormal activity in brain regions thought to be involved in the auditory feedback control of vocal pitch (premotor, motor, somatosensory and auditory cortices). Our study results confirm the abnormal processing of somatosensory feedback that has been seen in other studies. However, there were several remarkable findings in our study. First, patients have impaired vocal motor activity even before glottal movement onset, suggesting abnormal movement preparation. These results are significant because (i) they occur before movement onset, abnormalities in patients cannot be ascribed to deficits in vocal performance and (ii) they show that neural abnormalities in laryngeal dystonia are more than just abnormal responses to sensory feedback during phonation as has been hypothesized in some previous studies. Second, abnormal auditory cortical activity in patients begins even before voice onset, suggesting abnormalities in setting up auditory predictions before the arrival of auditory feedback at voice onset. Generally, activation abnormalities identified in key brain regions within the speech motor network around various phonation events not only provide temporal specificity to neuroimaging phenotypes in laryngeal dystonia but also may serve as potential therapeutic targets for neuromodulation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/12011439686c/fcac031f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/9cea34470aeb/fcac031ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/66fe35dbb1d2/fcac031f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/b0e0931f0726/fcac031f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/118d887e8133/fcac031f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/2cc641530e40/fcac031f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/13d5c9163954/fcac031f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/7ca901a1f26d/fcac031f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/12011439686c/fcac031f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/9cea34470aeb/fcac031ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/66fe35dbb1d2/fcac031f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/b0e0931f0726/fcac031f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/118d887e8133/fcac031f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/2cc641530e40/fcac031f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/13d5c9163954/fcac031f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/7ca901a1f26d/fcac031f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e0b/8962453/12011439686c/fcac031f7.jpg

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引用本文的文献

[1]
Modeling Laryngeal Dystonia through Spectral Analyses of Vocalizations in a Dystonia Mouse Model.

bioRxiv. 2025-7-10

[2]
Bayesian inference of state feedback control parameters for fo perturbation responses in cerebellar ataxia.

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[3]
Structural and functional brain alterations in laryngeal dystonia: A coordinate-based activation likelihood estimation meta-analysis.

Hum Brain Mapp. 2024-10

[4]
Temporal Signature of Task-Specificity in Isolated Focal Laryngeal Dystonia.

Mov Disord. 2023-10

本文引用的文献

[1]
Auditory Feedback Control of Vocal Pitch in Spasmodic Dysphonia.

Laryngoscope. 2021-9

[2]
NUTMEG: Open Source Software for M/EEG Source Reconstruction.

Front Neurosci. 2020-8-25

[3]
Auditory Feedback Control Mechanisms Do Not Contribute to Cortical Hyperactivity Within the Voice Production Network in Adductor Spasmodic Dysphonia.

J Speech Lang Hear Res. 2020-2-26

[4]
Beta-band oscillations play an essential role in motor-auditory interactions.

Hum Brain Mapp. 2020-2-15

[5]
Modeling the Role of Sensory Feedback in Speech Motor Control and Learning.

J Speech Lang Hear Res. 2019-8-29

[6]
Laryngeal Diadochokinesis Across the Adult Lifespan.

J Voice. 2020-9

[7]
Neural correlates of abnormal auditory feedback processing during speech production in Alzheimer's disease.

Sci Rep. 2019-4-5

[8]
Atypical somatosensory-motor cortical response during vowel vocalization in spasmodic dysphonia.

Clin Neurophysiol. 2019-3-23

[9]
Functional and structural neural bases of task specificity in isolated focal dystonia.

Mov Disord. 2019-3-6

[10]
Cortical networks for speech motor control in unilateral vocal fold paralysis.

Laryngoscope. 2018-12-20

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