There is a paucity of studies examining psychopathy in comparable samples of violent individuals with and without psychotic illness. The main goal of the study was to assess the prevalence and nature of psychopathic traits as measured by PCL-R among Finnish homicide offenders with schizophrenia. Further, the impact of co-morbid psychopathy on the homicidal incidents, as well as the associations of psychopathy and offender background factors, among offenders with schizophrenia was investigated. A retrospective study was performed using extensive forensic psychiatric evaluation reports and crime reports as sources of information. The sample consisted of 72 homicide offenders with schizophrenia and 72 controls without psychotic illness. Psychopathic features were prevalent among Finnish homicide offenders with schizophrenia, although for the most parts to a lesser extent compared to other homicide offenders. Like non-mentally ill psychopathic offenders, offenders with schizophrenia and many psychopathic traits are likely to present early starting problems in many areas of life and they also commit homicides that resemble other psychopathic offenders' in their choice of victims, intoxication and post-offense behavior. The observed prevalence of psychopathic traits highlights the importance of psychopathy assessment among violence-prone individuals with schizophrenia. In most respects, offenders with schizophrenia and high levels of psychopathic traits seem to be similar to psychopathic offenders without psychotic illness, which has implications for early intervention and management.

Information on homicide offenders guilty of mutilation is sparse. The current study estimates the rate of mutilation of the victim's body in Finnish homicides and compares sociodemographic characteristics, crime history, life course development, psychopathy, and psychopathology of these and other homicide offenders. Crime reports and forensic examination reports of all offenders subjected to forensic examination and convicted for a homicide in 1995-2004 (n = 676) were retrospectively analyzed for offense and offender variables and scored with the Psychopathy Check List Revised. Thirteen homicides (2.2%) involved mutilation. Educational and mental health problems in childhood, inpatient mental health contacts, self-destructiveness, and schizophrenia were significantly more frequent in offenders guilty of mutilation. Mutilation bore no significant association with psychopathy or substance abuse. The higher than usual prevalence of developmental difficulties and mental disorder of this subsample of offenders needs to be recognized.

Information on sexual homicide offenders is limited. The current study estimates the rate of sexual homicides in Finland and analyses sociodemographic characteristics, crime history, life course development, psychopathy, and psychopathology in sexual homicide and nonsexual homicide offenders. Crime reports and forensic examination reports of all offenders subjected to forensic examination and convicted for homicide in 1995–2004 (n=676) were retrospectively analyzed for offence and offender variables and scored with the Psychopathy Checklist-Revised. Eighteen sexual homicides (2.8%) were identified. Co-offending, strangulation and disposal of the body were more frequent crime scene variables in sexual than nonsexual homicides. Mental health problems and sexual abuse in childhood and sexual crime history were significantly more frequent in sexual than nonsexual homicide offenders. Over half of the sexual homicide offenders were psychopathic: compared to nonsexual homicide offenders they scored significantly higher on interpersonal and affective features of psychopathy.

Cortex–muscle coherence is a frequency-analysis technique that has been increasingly applied in the investigation of movement disorders. To study the intra- and inter-session stability of the cortex–muscle coherence, we recorded from 12 healthy subjects magnetoencephalographic (MEG) and surface electromyographic (EMG) signals during unilateral isometric contractions of the left- and right-hand muscles. Two identical measurements were performed during one session, and the session was repeated once after about 1 year. In one experienced subject, the recordings were repeated seven times within 20 months. The MEG–EMG coherence exceeded the noise level in 10 out of 12 subjects. Both the frequency (correlation coefficient r = 0.77–0.93, P < 0.01) and strength (r = 0.78–0.91, P < 0.01) of coherence were well reproducible within each session for both left- and right-sided contractions. The inter-session reproducibility was high for the mean of cumulative coherence frequency (r = 0.90–0.95, P < 0.01), but relatively low for coherence strength (r = 0.43–0.59, P > 0.05). The results for one subject participating in 8 repeated sessions strongly supported the results of the whole group. Thus, intra-session reproducibility of both strength and frequency of the cortex–muscle coherence is good and studies comparing different conditions at the group level within one session are feasible. However, caution is needed when interpreting absolute levels or changes in the strength of coherence in single subjects between the sessions.

BACKGROUND:Congenital bilateral perisylvian syndrome (CBPS) is characterised by bilateral perisylvian polymicrogyria and suprabulbar paresis. Mild tetraparesis, cognitive impairment, and epilepsy are frequently associated. Sensory deficits are surprisingly rare, even though polymicrogyria often extends to auditory and sensorimotor cortex.OBJECTIVES:To study the sensorimotor and auditory cortex function and location in CBPS patients.METHODS:We mapped the sensory and motor cortex function onto brain magnetic resonance images in six CBPS patients and seven control subjects using sources of somatosensory and auditory evoked magnetic fields, and of rhythmic magnetoencephalographic (MEG) activity phase-locked to surface electromyogram (EMG) during voluntary hand muscle contraction.RESULTS:MEG-EMG coherence in CBPS patients varied from normal (if normal central sulcus anatomy) to absent, and could occur at abnormally low frequency. Coherent MEG activity was generated at the central sulcus or in the polymicrogyric frontoparietal cortex. Somatosensory and auditory evoked responses were preserved and also originated within the polymicrogyric cortex, but the locations of some source components could be grossly shifted.CONCLUSION:Plastic changes of sensory and motor cortex location suggest disturbed cortex organisation in CBPS patients. Because the polymicrogyric cortex of CBPS patients may embed normal functions in unexpected locations, functional mapping should be considered before brain surgery.

The pericentral primary sensorimotor cortices generate the ‘mu rhythm’ with a distinct spectral signature exhibiting two peaks, generated predominantly anterior (20 Hz) or posterior (10 Hz) to the central sulcus; it defines a ‘background’ network state upon which somatosensory inputs will impinge. We used the high spatiotemporal resolution of magnetoencephalography to analyze the perturbation dynamics of these cortical rhythms in response to a series of paired electric median nerve stimuli: single trials were sorted off-line according to increasing power of the 10- or 20-Hz rebounds which occurred 300–600 ms after the first stimulus; using subaverages formed from the upper and lower 20% of this distribution, we analyzed somatosensory evoked fields (SEF) and power modifications caused by the second stimulus in the pair. We report three key findings: (1) the power level of rhythm rebounds triggered by the first stimulus predicted the rebound strength after the second stimulus applied 600 ms later; yet, it was uncorrelated across the 2.4-s interval separating subsequent stimulus pairs. (2) Conventional averaging camouflages substantial trial-to-trial variations of rhythm dynamics including, for example, even non-occurrences of rhythm rebounds. (3) For six of the seven subjects, the background rhythm power did not affect any SEF component; for the subject with the strongest rhythms only intracortically generated deflections (peaking after the thalamocortical input component N20m) varied as function of pre-stimulus 10- or 20-Hz power. Thus, the perturbation dynamics of the pericentral mu rhythm exhibits a significant intertrial variance, which becomes effective mainly at a time scale larger than 600 ms.

Oscillations of the motor cortex interact with similar activity of the spinal motoneuron pool in the 15-30 Hertz frequency range. Recent observations have demonstrated how this interaction affects the firing of single corticospinal neurons. The interaction, reflected as corticomuscular coherence, occurs for both distal and proximal muscles and it constitutes one connection in a larger web of oscillatory interactions, including several other motor areas in the cortex, thalamus, and cerebellum. New results cast light on the possible functional significance of this interaction. The rhythmic interaction may reveal interesting information in several motor disorders, including essential tremor, Parkinson's disease, myoclonus epilepsy, and mirror movements.

We studied the effect of sensory feedback on the oscillatory interaction between activity of the motor cortex and the spinal motoneuron pool during isometric contraction. After inducing ischaemic sensory deafferentation in the upper limb in six subjects, we calculated coherences between simultaneously recorded whole-scalp magnetoencephalographic (MEG) signals and electromyographic (EMG) signals from the first dorsal interosseus muscles. We expected that the dominant frequency of coherence would change if there were interaction through a sensory feedback loop. However, the MEG–EMG coherence frequency did not change significantly during ischaemia. The strength of the coherence was reduced during ischaemia, but returned to the pre-ischaemic level after ischaemia had ended. Reduction of sensory feedback may thus indirectly reduce the amount of corticomuscular coherence, but the lack of change in the dominant coherent frequency suggests that a sensory feedback loop is not essential for the generation of this coherence.

OBJECTIVE:We investigated with whole-scalp magnetoencephalography (MEG) oscillatory cortical drive to isometrically contracting muscle in 8 genetically verified, and thus etiologically homogeneous, Unverricht-Lundborg type progressive myoclonus epilepsy (ULD) patients suffering from cortical myoclonus and generalized tonic-clonic seizures. The results were compared with those of 8 healthy control subjects. METHODS:Cortical MEG signals were measured simultaneously with surface electromyography (EMG) during isometric contraction of the left and right first dorsal interosseus muscles. Cortex-muscle coherence and cross-correlograms between MEG and EMG signals were calculated as indicators of oscillatory cortical drive to muscle. The cortical areas involved in the maximum cortex-muscle coherence were also identified. RESULTS:In patients, the strengths of the dominant coherent peaks were 2-4 fold compared with the healthy controls. Whereas the coherence was found strictly in the contralateral primary motor cortex in controls, additional coherent activity was observed ipsilaterally in 5 out of 8 patients. CONCLUSIONS:The remarkably increased MEG-EMG coherence in ULD patients suggests altered oscillatory cortical drive to the muscle during isometric contraction. We suggest that the enhanced cortex-muscle coherence in ULD patients reflects reduced inhibition in the motor cortex, and may contribute to disturbed voluntary movements.

We recorded whole-scalp magnetoencephalographic (MEG) signals simultaneously with surface electromyographic (EMG) activity from eight patients with Parkinson's disease after withdrawal and reinstatement of treatment with levodopa. Variations were seen in the coherence between the forearm extensor EMG and the MEG signal originating near or in the hand region of the primary motor cortex. As a group, the parkinsonian patients withdrawn from levodopa showed a reduction in the coherence at 15-30 Hz and 35-60 Hz, and a further three untreated patients had abnormally strong MEG-EMG coherence at 5-12 Hz compared with when medicated or with eight healthy age-matched control subjects. We conclude that the basal ganglia have a specific effect on the temporal organization of motor cortical activity during voluntary tonic contraction. Abnormalities in this aspect of basal ganglia function may directly contribute to bradykinesia and weakness in Parkinson's disease.

Under normal circumstances, information from a number of sources is combined to compute a unitary percept of the body. However, after pathology these influences may be perceived simultaneously, resulting in multiple dissociated conscious representations. In a recent paper, we described subject E.P., a right-handed female stroke patient with a right frontomesial lesion who sporadically experiences a supernumerary 'ghost' left arm that occupies the previous position of the real left arm after a delay of 60-90 s. We used a delayed response paradigm with functional MRI to examine the haemodynamic correlates of E.P.'s illusion. Comparison of periods of time during scanning when the ghost arm was present against when it was not revealed a single cluster (9 voxels, t = 5.11, P < 0.012 corrected for multiple comparisons) located on the right medial wall in the supplementary motor area ('SMA proper'). Our results suggest that areas traditionally classified as part of the motor system can influence the conscious perception of the body. We propose that, as a consequence of her injury, E.P. is aware of the position of the phantom limb in this 'action space' while also continuing to be aware of the true position of her real limb on the basis of afferent somatosensory information.

Oscillations are a widespread feature of normal brain activity and have been reported at a variety of different frequencies in different neuronal systems. The demonstration that oscillatory activity is present in motor command signals has prompted renewed interest in the possible functions of synchronous oscillatory activity within the primate sensorimotor system. In the current study, we investigated task-dependent modulations in coupling between sensorimotor cortical oscillators during a bimanual precision grip task. The task required a hold–ramp–hold pattern of grip force to be exerted on a compliant object with the dominant right hand, while maintaining a steady grip with the nondominant hand. We found significant task-related modulation of 15- to 30-Hz coherence between magnetoencephalographic (MEG) activity recorded from the left sensorimotor cortex and electromyographic (EMG) activity in hand muscles on the right side. This coherence was maximal during steady hold, but disappeared during the ramp movements. Interestingly coherence between the right sensorimotor MEG and left-hand EMG showed a similar, although less deeply modulated, task-related pattern, even though this hand was maintaining a simple steady grip. No significant ipsilateral MEG-EMG coherence was observed in the 15- to 30-Hz passband for either hand. These results suggest that the cortical oscillators in the two sensorimotor cortices are independent to some degree but that they may share a common mechanism that attenuates the cortical power in both hemispheres in the 15- to 30-Hz range during movements of one hand. The results are consistent with the hypothesis that oscillatory activity in the motor system is important in resetting the descending motor commands needed for changes in motor state, such as those that occur in the transition from movement to steady grip.

Activation of peripheral mixed and cutaneous nerves activates a distributed cortical network including the second somatosensory cortex (SII) in the parietal operculum. SII activation has not been previously reported in the stimulation of the dorsal penile nerve (DPN). We recorded somatosensory evoked fields (SEFs) to DPN stimulation from 7 healthy adults with a 122-channel whole-scalp neuromagnetometer. Electrical pulses were applied once every 0.5 or 1.5 sec to the left and right DPN. For comparison, left and right median and tibial nerves were stimulated alternatingly at 1.5-sec intervals. DPN stimuli elicited weak, early responses in the vicinity of responses to tibial nerve stimulation in the primary somatosensory cortex. Strong later responses, peaking at 107-126 msec were evoked in the SII cortices of both hemispheres, with left-hemisphere dominance. In addition to tactile processing, SII could also contribute to mediating emotional effects of DPN stimuli.

We studied cortico–muscular coupling in a 15-year-old male suffering from congenital mirror movements (MMs) of hands. Cortex–muscle coherence was analyzed between magnetoencephalographic signals and the electromyograms (EMGs) recorded from both hands and feet during uni- and bilateral isometric contractions. Regardless of the side of the intended contraction, the motor cortex contralateral to the contraction was coupled to the muscles of both hands at 20–25 Hz. No coupling was found from the other, ipsilateral hemisphere. EMGs of the two hands were coupled during both intended uni- and bilateral contractions, but only during unilateral contractions could the coupling solely be explained by cortical activation. We suggest that our subject's MMs result from activation of an ipsilateral corticospinal projection, with involvement of additional synchronizing mechanisms at the subcortical, brainstem, or spinal level during bilateral contraction.

Whole scalp magnetoencephalography (MEG) signals were recorded in 10 healthy subjects simultaneously with the surface electromyogram (EMG) of the contralateral forearm extensor muscles during isometric contraction and phasic movement of the wrist, in eight subjects, coherence and time domain analyses demonstrated correspondence between the MEG signal, originating near or in the hand region of the motor cortex, and the 6-12 Hz EMG recorded during isometric postural contractions. in contrast, we found little evidence for correspondence between the contralateral EMG and the MEG recorded over the Rolandic region during phasic movements. We conclude that the sensorimotor cortex is differentially involved in physiological force and action tremor at the wrist. NeuroReport 12:1937-1941 (C) 2001 Lippincott Williams & Wilkins.

We studied 12 patients with brain tumors in the vicinity of the sensorimotor region to provide a preoperative three-dimensional visualization of the functional anatomy of the rolandic cortex. We also evaluated the role of cortex-muscle coherence analysis and anatomical landmarks in identifying the sensorimotor cortex. The functional landmarks were based on neuromagnetic recordings with a whole-scalp magnetometer, coregistred with magnetic resonance images. Evoked fields to median and tibial nerve and lip stimuli were recorded to identify hand, foot and face representations in the somatosensory cortex. Oscillatory cortical activity, coherent with surface electromyogram during isometric muscle contraction, was analyzed to reveal the hand and foot representations in the precentral motor cortex. The central sulcus was identified also by available anatomical landmarks. The source locations, calculated from the neuromagnetic data, were displayed on 3-D surface reconstructions of the individual brains, including the veins. The preoperative data were verified during awake craniotomy by cortical stimulation in 7 patients and by cortical somatosensory evoked potentials in 5 patients. Sources of somatosensory evoked fields identified correctly the postcentral gyrus in all patients. Useful corroborative information was obtained from anatomical landmarks in 11 patients and from cortex-muscle correlograms in 8 patients. The preoperative visualization of the functional anatomy of the sensorimotor strip assisted in designing the operational strategy, facilitated orientation of the neurosurgeon during the operation, and speeded up the selection of sites for intraoperative stimulation or mapping, thereby helping to prevent damage of eloquent brain areas during surgery.

Numerous studies have demonstrated activation of the classical left-hemisphere language areas when native signers process sign language. More recently, specific sign language-related processing has been suggested to occur in homologous areas of the right hemisphere as well. We now show that these cortical areas are also activated in hearing non-signers during passive viewing of signs that for them are linguistically meaningless. Neuromagnetic activity was stronger in deaf signers than in hearing non-signers in the region of the right superior temporal sulcus and the left dorsal premotor cortex, probably reflecting familiarity and linguistic meaningfulness of the observed movement sequences. In contrast, the right superior parietal lobule, the mesial parieto-occipital region, and the mesial paracentral lobule were more strongly activated in hearing non-signers, apparently reflecting active visuomotor encoding of complex unfamiliar movement sequences.

We investigated oscillatory interaction between magnetoencephalographic signals of the human motor cortex and surface electromyogram from the paraspinal (PS) and abdominal (ABD) muscles. The results were compared with data obtained during contraction of the first dorsal interosseus (FDI) and tibialis anterior (TA) muscles. Significant coherence at 15–35 Hz was observed for both PS and ABD muscles in all subjects but the coherence was weak compared with that for FDI and TA. The cortical sources for both the PS and the ABD coherences were located in the motor cortex between the source areas for the FDI and TA coherences, thereby agreeing with the classical trunk area of the motor homunculus previously determined by invasive studies. The sources were strictly contralateral for PS but bilateral for ABD contractions. Our results indicate that during isometric contractions descending motor commands are modulated by cortical oscillations for both limb and trunk muscles, although the modulation is weaker and may be bilateral for trunk muscles.