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Functional Neuroimaging of Hallucinations

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Abstract

Functional neuroimaging techniques such as PET and fMRI have been employed successfully over the past two decades to reveal brain areas involved in the mediation of hallucinations. Numerous studies converge on the involvement of bilateral secondary sensory areas. Auditory verbal hallucinations in patients diagnosed with schizophrenia (and in those with schizophrenia spectrum disorders) have been studied most extensively. These studies have shown a central role for speech-production and speech-perception areas not only in the left hemisphere but also their homotopes in the right hemisphere. The parahippocampal gyrus is also involved in such hallucinations, presumably even in their initiation. Other relevant areas are the anterior cingulate, the insula, cerebellum, and the thalamus. In conclusion, auditory verbal hallucinations would seem to depend primarily on distributed brain networks involved in perceptual attention and memory (which may well reflect top-down processing), in addition to various modality-specific sensory areas. Especially the role of monitoring systems and of the emotional connotations of hallucinations deserve further elucidation.

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References

  • Aleman, A., Formisano, E., Koppenhagen, H., Hagoort, P., de Haan, E.H., Kahn, R.S. (2005). The functional neuroanatomy of metrical stress evaluation of perceived and imagined spoken words. Cerebral Cortex, 15, 221–228.

    Article  PubMed  Google Scholar 

  • Aleman, A., Kahn, R.S. (2005). Strange feelings: Do amygdala abnormalities dysregulate the emotional brain in schizophrenia? Progress in Neurobiology, 77, 283–298.

    PubMed  Google Scholar 

  • Aleman, A., Larøi, F. (2008). Hallucinations: The science of idiosyncratic perception. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Allen, P., Larøi, F., McGuire, P.K., Aleman, A. (2008). The hallucinating brain: A review of structural and functional neuroimaging studies of hallucinations. Neuroscience and Biobehavioral Reviews, 32, 175–191.

    Article  PubMed  Google Scholar 

  • Behrendt, R.-P. (1998). Underconstrained perception: A theoretical approach to the nature and function of verbal hallucinations. Comprehensive Psychiatry, 39, 236–248.

    Article  PubMed  CAS  Google Scholar 

  • Bullmore, E., Horwitz, B., Honey, G., Brammer, M., Williams, S., Sharma, T. (2000). How good is good enough in path analysis of fMRI data? NeuroImage, 11, 289–301.

    Article  PubMed  CAS  Google Scholar 

  • Cherry, S.R., Phelps, M.E. (2002). Imaging brain function with positron emission tomography. In Toga A.W. & Mazziotta J.C. (Eds), Brain mapping: the methods. Amsterdam: Academic Press.

    Article  PubMed  CAS  Google Scholar 

  • Copolov, D.L., Seal, M.L., Maruff, P., Ulusoy, R., Wong, M.T.H., Tochon-Danguy, H.J., Egan, G.F. (2003). Cortical activation associated with the experience of auditory hallucinations and perception of human speech in schizophrenia: A PET correlation study. Psychiatry Research. Neuroimaging, 122, 139–152.

    Article  Google Scholar 

  • David, A.S., Woodruff, P.W.R., Howard, R, Mellers, J.D., Brammer, M., Bullmore, E., Wright, I., Andrew, C., Williams, S.C. (1996). Auditory hallucinations inhibit exogenous activation of auditory association cortex. NeuroReport, 7, 932–936.

    Article  PubMed  CAS  Google Scholar 

  • Diederen, K.M., Daalman, K., De Weijer, A.D., Neggers, S.F., Van Gastel, W., Blom, J.D., Kahn, R.S., Sommer, I.E. (2011). Auditory hallucinations elicit similar brain activation in psychotic and nonpsychotic Individuals. Schizophrenia Bulletin (Epub ahead of print).

    Google Scholar 

  • Diederen, K.M., Neggers, S.F., Daalman, K., Blom, J.D., Goekoop, R., Kahn, R.S., Sommer, I.E. (2010). Deactivation of the parahippocampal gyrus preceding auditory hallucinations in schizophrenia. American Journal of Psychiatry, 167, 427–435.

    Article  PubMed  Google Scholar 

  • Dierks, T., Linden, D.E., Jandl, M., Formisano, E., Goebel, R., Lanfermann, H., Singer, W. (1999). Activation of Heschl’s gyrus during auditory hallucinations. Neuron, 22, 615–621.

    Article  PubMed  CAS  Google Scholar 

  • Escartí, M.J., delaIglesia-Vayá, M., Martí-Bonmatí, L., Robles, M., Carbonell, J., Lull, J.J., García-Martí, G., Manjón, J.V., Aguilar, E.J., Aleman, A., Sanjuán, J. (2010). Increased amygdala and parahippocampal gyrus activation in schizophrenic patients with auditory hallucinations: An fMRI study using independent component analysis. Schizophrenia Research, 117, 31–41.

    Article  PubMed  CAS  Google Scholar 

  • ffytche, D.H., Howard, R.J., Brammer, M.J., David, A., Woodruff, P., Williams, S. (1998). The anatomy of conscious vision: An fMRI study of visual hallucinations. Nature. Neuroscience, 1, 738–742.

    Article  PubMed  CAS  Google Scholar 

  • Friston, K.J., Frith, C.D. (1995). Schizophrenia: A disconnection syndrome? Clinical Neuroscience, 3, 89–97.

    PubMed  CAS  Google Scholar 

  • Friston, K.J., Frith, C.D., Liddle, P.F., Frackowiak, R.S. (1993). Functional connectivity: the principal-component analysis of large (PET) data sets. Journal of Cerebral Blood Flow Metabolism, 13, 5–14.

    PubMed  CAS  Google Scholar 

  • Friston, K.J., Frith, C.D., Fletcher, P., Liddle, P.F., Frackowiak, R.S. (1996). Functional topography: multidimensional scaling and functional connectivity in the brain. Cerebral Cortex, 6, 156–164.

    PubMed  CAS  Google Scholar 

  • Frith, C.D., Done, D.J. (1988). Towards a neuropsychology of schizophrenia. British Journal of Psychiatry, 153, 437–443.

    PubMed  CAS  Google Scholar 

  • Fu, C.H., Vythelingum, G.N., Brammer, M.J., Williams, S.C., Amaro, E., Jr., Andrew, C.M., Yágüez, L., Van Haren, N.E., Matsumoto, K., McGuire, P.K. (2006). An fMRI study of verbal self-monitoring: Neural correlates of auditory verbal feedback. Cerebral Cortex, 16, 969–977.

    Article  PubMed  Google Scholar 

  • Gavrilescu, M., Rossell, S., Stuart, G.W., Shea, T.L., Innes-Brown, H., Henshall, K., McKay, C., Sergejew, A.A., Copolov, D., Egan, G.F. (2010). Reduced connectivity of the auditory cortex in patients with auditory hallucinations: A resting state functional magnetic resonance imaging study. Psychological Medicine, 40, 1149–1158.

    Article  PubMed  CAS  Google Scholar 

  • Grèzes, J., Decety, J. (2001). Functional anatomy of execution, mental simulation, observation, and verb generation of actions: A meta-analysis. Human Brain Mapping, 12, 1–19.

    Article  PubMed  Google Scholar 

  • Hoffman, R.E., Anderson, A.W., Varanko, M., Gore, J.C., Hampson, M. (2008). Time course of regional brain activation associated with onset of auditory/verbal hallucinations. British Journal of Psychiatry, 193, 424–425.

    Article  PubMed  Google Scholar 

  • Hoffman, R.E., Fernandez, T., Pittman, B., Hampson, M. (2011). Elevated functional connectivity along a corticostriatal loop and the mechanism of auditory/verbal hallucinations in patients with schizophrenia. Biological Psychiatry, 69, 407–414.

    Article  PubMed  Google Scholar 

  • Howard, R., Williams, S., Bullmore, E., Brammer, M., Mellers, J., Woodruff, P., David, A. (1995). Cortical response to exogenous visual stimulation during visual hallucinations. Lancet, 345, 70.

    Article  PubMed  CAS  Google Scholar 

  • Huettel, S.A, Song, A.W., McCarthy, G. (2004). Functional magnetic resonance imaging. Sunderland, MA: Sinauer Associates Publishers.

    Google Scholar 

  • Jardri, R., Pouchet, A., Pins, D., Thomas, P. (2011). Cortical activations during auditory verbal hallucinations in schizophrenia: A coordinate-based meta-analysis. American Journal of Psychiatry, 168, 73–81.

    Article  PubMed  Google Scholar 

  • Jeannerod, M., Frak, V. (1999). Mental imaging of motor activity in humans. Current Opinion in Neurobiology, 9, 735–739.

    Article  PubMed  CAS  Google Scholar 

  • Jeannerod, M., Pacherie, E. (2004). Agency, simulation and self-identification. Mind and Language, 19, 113–146.

    Article  Google Scholar 

  • Kosslyn, S.M. (1994). Image and brain. Cambridge, MA: The MIT Press.

    Google Scholar 

  • Kühn S, Gallinat J. (2010). Quantitative meta-analysis on state and trait aspects of auditory verbal hallucinations in schizophrenia. Schizophrenia Bulletin, doi: 10.1093/schbul/sbq152.

    Google Scholar 

  • Lawrie, S.M., Buechel, C., Whalley, H.C., Frith, C.D., Friston, K.J., Johnstone, E.C. (2002). Reduced frontotemporal functional connectivity in schizophrenia associated with auditory hallucinations. Biological Psychiatry, 51, 1008–1011.

    Google Scholar 

  • Lennox, B.R., Park, S.B., Medley, I., Morris, P.G., Jones, P.B. (2000). The functional anatomy of auditory hallucinations in schizophrenia. Psychiatry Research, 100, 13–20.

    Article  PubMed  CAS  Google Scholar 

  • Linden, D.E., Thornton, K., Kuswanto, C.N., Johnston, S.J., Van de Ven, V., Jackson, M.C. (2011). The brain’s voices: Comparing nonclinical auditory hallucinations and imagery. Cerebral Cortex, 21, 330–337.

    Article  PubMed  Google Scholar 

  • McGuire, P.K., Shah, G.M., Murray, R.M. (1993). Increased blood flow in Broca’s area during auditory hallucinations in schizophrenia. Lancet, 342, 703–706.

    Article  PubMed  CAS  Google Scholar 

  • McGuire, P.K., Silbersweig, D.A., Wright, I., Murray, R.M., Frackowiak, R.S., Frith, C.D. (1996). The neural correlates of inner speech and auditory verbal imagery in schizophrenia: Relationship to auditory verbal hallucinations. British Journal of Psychiatry, 169, 148–159.

    Article  PubMed  CAS  Google Scholar 

  • Mechelli, A., Allen, P., Amaro, E., Jr., Fu, C.H., Williams, S.C., Brammer, M.J., Johns, L.C., McGuire, P.K. (2007). Misattribution of speech and impaired connectivity in patients with auditory verbal hallucinations. Human Brain Mapping, 28, 1213–1222.

    Article  PubMed  Google Scholar 

  • Plaze, M., Bartrés-Faz, D., Martinot, J.L., Januel, D., Bellivier, F., De Beaurepaire, R., Chanraud, S., Andoh, J., Lefaucheur, J.P., Artiges, E., Pallier, C., Paillère-Martinot, M.L. (2006). Left superior temporal gyrus activation during sentence perception negatively correlates with auditory hallucination severity in schizophrenia patients. Schizophrenia Research, 87, 109–115.

    Article  PubMed  Google Scholar 

  • Pacherie, E., Green, M., Bayne, T. (2006). Phenomenology and delusions: Who put the ‘alien’ in alien control? Consciousness and Cognition, 15, 566–577.

    Article  PubMed  Google Scholar 

  • Raij, T.T., Valkonen-Korhonen, M., Holi, M., Therman, S., Lehtonen, J., Hari, R., (2009). Reality of auditory verbal hallucinations, Brain, 132, 2994–3001.

    Article  PubMed  Google Scholar 

  • Shergill, S.S., Brammer, M.J., Amaro, E., Williams, S.C., Murray, R.M., McGuire, P.K. (2004). Temporal course of auditory hallucinations. British Journal of Psychiatry, 185, 516–517.

    Article  PubMed  Google Scholar 

  • Shergill, S.S., Brammer, M.J., Fukuda, R., Williams, S.C., Murray, R.M., McGuire, P.K. (2003). Engagement of brain areas implicated in processing inner speech in people with auditory hallucinations. British Journal of Psychiatry, 182, 525–531.

    Article  PubMed  Google Scholar 

  • Shergill, S.S., Bullmore, E.T., Brammer, M.J., Williams, S.C., Murray, R.M., McGuire, P.K. (2001). A functional study of auditory verbal imagery. Psychological Medicine, 31, 241–253.

    Article  PubMed  CAS  Google Scholar 

  • Shergill, S.S., Bullmore, E., Simmons, A., Murray, R., McGuire, P. (2000). Functional anatomy of auditory verbal imagery in schizophrenic patients with auditory hallucinations. American Journal of Psychiatry, 157, 1691–1693.

    Article  PubMed  CAS  Google Scholar 

  • Shergill, S.S., Cameron, L.A., Brammer, M.J., Williams, S.C., Murray, R.M., McGuire, P.K. (2001). Modality specific correlates of auditory and somatic hallucinations. Journal of Neurology, Neurosurgery, and Psychiatry, 71, 688–690.

    Article  PubMed  CAS  Google Scholar 

  • Silbersweig, D.A., Stern, E., Frith, C., Cahill, C., Holmes, A., Grootoonk, S., Seaward, J., McKenna, P., Chua, S.E., Schnorr, L., Jones, T., Frackowiak, S.J. (1995). A functional neuroanatomy of hallucinations in schizophrenia. Nature, 378, 176–179.

    Article  PubMed  CAS  Google Scholar 

  • Sommer, I.E.C., Diederen, K.M.J., Blom, J.-D., Willems, A., Kushan, L., Slotema, K., Boks, M.P.M., Daalman, K., Hoek, H.W., Neggers, S.F.W., Kahn, R.S. (2008). Auditory verbal hallucinations predominantly activate the right inferior frontal area. Brain, 131, 3169–3177.

    Article  PubMed  Google Scholar 

  • Suzuki, M., Yuasa, S., Minabe, Y., Murata M, Kurachi M. (1993). Left superior temporal blood flow increases in schizophrenic and schizophreniform patients with auditory hallucination: A longitudinal case study using 123I-IMP SPECT. European Archives of Psychiatry and Clinical Neurosciences, 242, 257–261.

    Article  CAS  Google Scholar 

  • Van de Ven, V.G., Formisano, E., Roder, C.H., Prvulovic, D., Bittner, R.A., Dietz, M.G., Hubl, D., Dierks, T., Federspiel, A., Esposito, F., Di Salle, F., Jansma, B., Goebel, R., Linden, D.E. (2005). The spatiotemporal pattern of auditory cortical responses during verbal hallucinations. NeuroImage, 27, 644–655.

    Article  PubMed  Google Scholar 

  • Vercammen, A., Knegtering, H., Den Boer, J.A., Liemburg, E.J., Aleman, A. (2010). Auditory hallucinations in schizophrenia are associated with reduced functional connectivity of the temporo-parietal area. Biological Psychiatry, 67, 912–918.

    Article  PubMed  Google Scholar 

  • Vercammen, A., Knegtering, H., Bruggeman, R., Aleman, A. (2011). Subjective loudness and reality of auditory verbal hallucinations and activation of the inner speech processing network. Schizophrenia Bulletin, 37, 1009–1016.

    Google Scholar 

  • Woodruff, P.W., Wright, I.C., Bullmore, E.T., Brammer, M., Howard, R.J., Williams, S.C., Shapleske, J., Rossell, S., David, A.S., McGuire, P.K., Murray, R.M. (1997). Auditory hallucinations and the temporal cortical response to speech in schizophrenia: A functional magnetic resonance imaging study. American Journal of Psychiatry, 154, 1676–1682.

    PubMed  CAS  Google Scholar 

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Correspondence to André Aleman Ph.D. .

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Aleman, A., Vercammen, A. (2012). Functional Neuroimaging of Hallucinations. In: Blom, J., Sommer, I. (eds) Hallucinations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0959-5_20

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