Altered brain activation in a reversal learning task unmasks adaptive changes in cognitive control in writer's cramp

Autor: Kirsten E. Zeuner, Arne Knutzen, Oliver Granert, Simone Sablowsky, Julia Götz, Stephan Wolff, Olav Jansen, Dirk Dressler, Susanne A. Schneider, Christine Klein, Günther Deuschl, Thilo van Eimeren, Karsten Witt
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: NeuroImage: Clinical, Vol 10, Iss C, Pp 63-70 (2016)
Druh dokumentu: article
ISSN: 2213-1582
DOI: 10.1016/j.nicl.2015.11.006
Popis: Previous receptor binding studies suggest dopamine function is altered in the basal ganglia circuitry in task-specific dystonia, a condition characterized by contraction of agonist and antagonist muscles while performing specific tasks. Dopamine plays a role in reward-based learning. Using fMRI, this study compared 31 right-handed writer's cramp patients to 35 controls in reward-based learning of a probabilistic reversal-learning task. All subjects chose between two stimuli and indicated their response with their left or right index finger. One stimulus response was rewarded 80%, the other 20%. After contingencies reversal, the second stimulus response was rewarded in 80%. We further linked the DRD2/ANKK1-TaqIa polymorphism, which is associated with 30% reduction of the striatal dopamine receptor density with reward-based learning and assumed impaired reversal learning in A+ subjects. Feedback learning in patients was normal. Blood-oxygen level dependent (BOLD) signal in controls increased with negative feedback in the insula, rostral cingulate cortex, middle frontal gyrus and parietal cortex (pFWE
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