1.Activation Characteristics of the Primary Motor (M1) and Supplementary Motor (SMA) Areas during Robust Unilateral Finger Tapping Task
Ahmad Nazlim Yusoff ; Mazlyfarina Mohamad ; Khairiah Abdul Hamid ; Aini Ismafairus Abd Hamid ; Hanani Abdul Manan ; Mohd Harith Hashim
Malaysian Journal of Health Sciences 2010;8(2):43-49
This study investigated the functional specialisation characteristics of brain in multiple right-hand dominant subjects pertaining to the activation of the cerebral motor cortices evoked by unilateral finger tapping, especially in primary motor (M1) and supplementary motor (SMA) areas. This multiple-subject study used unilateral (UNIright and UNIleft) selfpaced tapping of hand fingers to activate the M1 and SMA. Brain activation characteristics were analysed using statistical parametric mapping (SPM). Activation for UNIright and UNIleft showed the involvement of contralateral and ipsilateral M1 and SMA. A larger activation area but with a lower percentage of signal change (PSC) were observed in the left M1 due to the control on UNIright (4164 voxels at α = 0.001, PSC = 1.650) as compared to the right M1 due to the
control on UNIleft (2012 voxels at α = 0.001, PSC = 2.377). This is due to the influence of the tapping rate effects which is greater than what could be produced by the average effects of the dominant and sub-dominant hands. The significantly higher PSC value observed in the right M1 (p < 0.05) is due to a higher control demand used by the brain in coordinating the tapping of the sub-dominant fingers. The findings obtained from this study showed strong evidence of the existence
of brain functional specialisation and could be used as baseline references in determining the most probable motor
pathways in a sample of subjects.
2.Functional Specialisation and Effective Connectivity During Self-paced Unimanual and Bimanual Tapping of Hand Fingers: An Extended Analysis Using Dynamic Causal Modeling and Bayesian Model Selection for Group Studies
Ahmad Nazlim Yusoff ; Aini Ismafairus Abd Hamid ; Khairiah Abdul Hamid ; Wan Ahmad Kamil Wan Abdullah ; Mazlyfarina Mohamad ; Hanani Abdul Manan
Malaysian Journal of Medicine and Health Sciences 2011;7(2):17-36
Introduction: This multiple-subject fMRI study continue to further investigate brain activation within
and effective connectivity between the significantly (p<0.001) activated primary motor area (M1),
supplementary motor area (SMA) with the inclusion of BA44 during unimanual (UNIright and UNIleft)
and bimanual (BIM) self-paced tapping of hand fingers. Methods: The activation extent (spatial and
height) and effective connectivity were analysed using statistical parametric mapping (SPM), dynamic
causal modeling (DCM) and the novel method of Bayesian model selection (BMS) for group studies.
Results: Group results for UNIright and UNIleft showed contra-lateral and ipsi-lateral involvement of M1
and SMA. The results for BIM showed bilateral activation in M1, SMA and BA44. A larger activation
area but with lower percentage of signal change (PSC) are observed in the left M1 due to the control
on UNIright as compared to the right M1 due to the control on UNIleft. This is discussed as due to the
influence of the tapping rate effects that is greater than what would be produced by the average effects
of the dominant and sub-dominant hand. However, the higher PSC observed in the right M1 is due
to a higher control demand used by the brain in coordinating the tapping of the sub-dominant hand
fingers. Connectivity analysis indicated M1 as the intrinsic input for UNIright and UNIleft while for BIM,
the inputs were both M1s. During unilateral finger tapping, the contra-lateral M1 acts as the input
center which in turn triggers the propagation of signal unidirectionally to other regions of interest. The
results obtained for BIM (BIMleft and BIMright) however yield a model with less number of significant
connection. M1-M1 connection is unidirectional for UNIleft and UNIright originating from contra-lateral
M1, and is inhibited during BIM. Conclusion: By taking into consideration the presence of outliers that
could have arisen in any subject under study, BMS for group study has successfully chosen a model that
has the best balance between accuracy (fit) and complexity.
3.Assessing Neuroplasticity Using Magnetoencephalography (MEG) in Patient with Left-Temporo-Parietal Pilocytic Astrocytomas Treated with Endoscopic Surgery
Hanani Abdul MANAN ; Zamzuri IDRIS ; Mohammed Faruque REZA ; Hazim OMAR ; Jafri Malin ABDULLAH
Malaysian Journal of Health Sciences 2018;16(1):63-67
Neuroplasticity has been subjected to a great deal of research in the last century. Recently, significant emphasis has beenplaced on the global effect of localized plastic changes throughout the central nervous system, and on how these changesintegrate in a pathological context. The present study aimed to demonstrate the functional cortical reorganization beforeand after surgery using magnetoencephalography (MEG) in a participant with brain tumor. Results of Visual EvokedMagnetic Field (VEF) based on functional MEG study revealed significantly different of MEG N100 waveforms before andafter surgery. Larger and additional new locations for visual activation areas after the surgery were found suggestingneuroplasticity. The present study highlight a physiological plasticity in a teenage brain and the alterations regardingneural plasticity and network remodeling described in pathological contexts in higher-order visual association areas.
4.Observation of Auditory Perceptual and Visuo-Spatial Characteristic of a Patient with Hemangiopericytoma in Occipital Lobe: A Magnetoencephalography (MEG) Study
Hanani Abdul MANAN ; Jafri Malin ABDULLAH ; Mohammed Faruque REZA ; Muhammad Hafiz HANAFI ; Zamzuri IDRIS
Malaysian Journal of Health Sciences 2018;16(2):85-91
The present study discussed functional reorganization and alteration in respond to the slow-growing tumour,hemangiopericytoma in the occipital cortex. Visual evoked field (VEF) and auditory evoked field (AEF) usingmagnetoencephalography (MEG) was used to evaluate the source localization and brain activity. Results of VEF sourcelocalization show a typical brain waves. Brain activity of the occipital lobe demonstrate low activation in the ipsilateralto the tumour. However, result shows the activation on the contralateral hemisphere was high and bigger in activationvolume. AEF result shows an identical source localization and both side of the temporal lobe are activated. This resultsuggests that there is a positive plasticity in auditory cortex and slow-growing tumour can induce functional reorganizationand alteration to the brain.