NDLI: Functional connectivity studies of patients with auditory verbal hallucinations

Content Provider	PubMed Central
Author	Hoffman, Ralph E. Hampson, Michelle
Copyright Year	2012
Abstract	Functional connectivity (FC) studies of brain mechanisms leading to auditory verbal hallucinations (AVHs) utilizing functional magnetic resonance imaging (fMRI) data are reviewed. Initial FC studies utilized fMRI data collected during performance of various tasks, which suggested frontotemporal disconnection and/or source-monitoring disturbances. Later FC studies have utilized resting (no-task) fMRI data. These studies have produced a mixed picture of disconnection and hyperconnectivity involving different pathways associated with AVHs. Results of our most recent FC study of AVHs are reviewed in detail. This study suggests that the core mechanism producing AVHs involves not a single pathway, but a more complex functional loop. Components of this loop include Wernicke's area and its right homologue, the left inferior frontal cortex, and the putamen. It is noteworthy that the putamen appears to play a critical role in the generation of spontaneous language, and in determining whether auditory stimuli are registered consciously as percepts. Excessive functional coordination linking this region with the Wernicke's seed region in patients with schizophrenia could, therefore, generate an overabundance of potentially conscious language representations. In our model, intact FC in the other two legs of corticostriatal loop (Wernicke's with left IFG, and left IFG with putamen) appeared to allow hyperconnectivity linking the putamen and Wernicke's area (common to schizophrenia overall) to be expressed as conscious hallucinations of speech. Recommendations for future studies are discussed, including inclusion of multiple methodologies applied to the same subjects in order to compare and contrast different mechanistic hypotheses, utilizing EEG to better parse time-course of neural synchronization leading to AVHs, and ascertaining experiential subtypes of AVHs that may reflect distinct mechanisms.
Related Links	http://dx.doi.org/10.3389/fnhum.2012.00006
Starting Page	6
File Format	PDF
ISSN	16625161
e-ISSN	16625161
Journal	Frontiers in Human Neuroscience
Volume Number	6
Language	English
Publisher	Frontiers Media S.A.
Publisher Date	2012-01-01
Access Restriction	Open
Rights Holder	Frontiers Media S.A.
Subject Keyword	Biological Psychiatry Behavioral Neuroscience Neuropsychology and Physiological Psychology Neurology Psychiatry and Mental health Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Neurology Biological Psychiatry Behavioral Neuroscience Neuropsychology and Physiological Psychology Psychiatry and Mental Health

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