Cortex

BackgroundTheory of Mind (ToM) deficits are well-documented in right-hemisphere stroke but remain understudied in post-stroke aphasia. Prior work suggests that performance on tasks assessing ToM may be relatively preserved in aphasia and dissociable from language impairment, but these findings are based largely on small studies. This study examined performance on nonverbal false-belief tasks in post-stroke aphasia, its relationship with aphasia severity, and whether vascular brain health, operationalized using cerebral small vessel disease (CSVD) markers, contributed to variability in performance. MethodsForty-four individuals with aphasia completed two nonverbal belief-reasoning tasks assessing spontaneous perspective-taking and self-perspective inhibition. Task accuracy served as the primary outcome. Linear regression models examined associations between task performance, aphasia severity (Western Aphasia Battery-Revised Aphasia Quotient), and CSVD markers, including white matter hyperintensities, cerebral microbleeds, lacunes and enlarged perivascular spaces in the basal ganglia and centrum semiovale. ResultsPerformance was heterogeneous across tasks, with reduced performance observed in 23% of participants on the Reality-Unknown task and 36% on the Reality-Known task. Aphasia severity was not associated with task accuracy. Greater cerebral microbleed count was associated with lower accuracy on both tasks, while greater basal ganglia enlarged perivascular spaces burden showed a more selective association with lower performance. ConclusionsPerformance on nonverbal false-belief tasks in aphasia is variable and not explained by aphasia severity alone. These findings suggest that apparent ToM-related difficulties in aphasia may be shaped by broader vascular brain health, supporting a more multidimensional framework for interpreting social-cognitive task performance after stroke.

Individuals with autism spectrum disorder (ASD) often exhibit atypical auditory processing, yet it remains unclear whether and how the integration of simple acoustic features and contextual information is impacted in ASD. One real-world example of this integration is the auditory looming bias, the prioritized processing and perception of approaching auditory stimuli. We designed a paradigm that presents intensity-rising (looming) and intensity-falling (receding) auditory stimuli to 3-4-year-old children with ASD (n = 21), children with sensory processing concerns who do not have ASD (SPC; n = 16) and children with typical development (TD; n = 30). We recorded neural responses using electroencephalography (EEG) and found evidence of looming bias in the SPC and TD groups, as indexed by greater P1 peak amplitude during the looming than receding stimuli (TD: t(64) = 6.87, p < .001; SPC: t(64) = 4.07, p < .001). But this finding was not present in the ASD group (p = .194). Additionally, the ASD group showed reduced differentiation between looming and receding stimuli, as indicated by significantly lower Rise-Fall Difference Score (RFDS) in comparison to the TD group (Z = -3.00, padj = .008). These findings suggested altered context-dependent modulation of sensory input in ASD.

Background: Rett Syndrome (RTT) is a severe neurodevelopmental disorder affecting approximately 1 in 10,000 live female births worldwide. The Rett Syndrome Behaviour Questionnaire (RSBQ), remains one of the most widely used standardized behavioral assessment tools for RTT. However, the RSBQ was originally validated only in British English, limiting its applicability for Spanish-speaking caregivers and clinical centers across Latin America and Spain. Objective: The primary aim of this study was to develop and validate the comprehension of the Spanish translation of the RSBQ to ensure cultural and linguistic equivalence, enhance data reliability, and facilitate earlier, more accurate clinical assessments among Spanish-speaking RTT populations. Methods: Surveys were administered in two phases to Spanish-speaking caregivers between November 2023 and September 2025. Phase I consisted of 12 guided survey administrations with participants being able to ask clarifying questions and offer linguistic modifications of RSBQ questions. Phase II consisted of independent online administration of the refined Spanish RSBQ and a retest at least 7 days later. Participants were recruited through direct outreach and supported virtually during questionnaire completion. Results: Following data cleaning and quality control, a total of 51 caregivers successfully completed both surveys. The Spanish RSBQ demonstrated high caregiver comprehension and strong engagement across multiple Latin American countries, including Argentina, Mexico, and Peru. Responses were highly correlated between test and retest timepoints, and no question showed biased response distributions. A slight effect of response interval on test-retest correlation was observed, potentially indicating the impact of natural disease progression confounding retest evaluation for long (>80 day) intervals; however this effect did not impact the overall linguistic validation results as analysis of only <21 day test-retest responders confirmed the findings. Conclusions: This linguistic validation study represents the first formal step toward the clinical validation of the Spanish RSBQ, enabling broader inclusion of Spanish-speaking populations in RTT research. The collaborative, bilingual data collection strategy proved both feasible and effective, paving the way for multinational trials and expanding therapeutic accessibility through localized, patient-centered innovation.

Chronotype reflects individual circadian preference for timing of sleep, wakefulness, and peak performance and has been linked to variability in prefrontal cognitive function across the day. Whether chronotype independently relates to dual-task gait cost (DTC) and whether this relationship differs by cognitive task domain is unclear. Sixty-nine healthy young adults (37 female; mean age 21.3 years) completed the Morningness-Eveningness Questionnaire (MEQ). Spatiotemporal gait parameters were recorded with three-dimensional motion capture during single-task walking and three dual-task conditions: backward word spelling (5LWB; phonological), serial subtraction by seven (SS7; arithmetic), and reverse month recitation (RMR; sequential). DTC was calculated for eight gait parameters. Condition differences were assessed with nonparametric tests and post-hoc comparisons. Multiple linear regression, adjusting for age, sex, BMI, and baseline gait velocity, tested the independent association between MEQ score and mean velocity DTC; exploratory Spearman correlations examined other parameters. SS7 produced the largest mean velocity DTC (-12.76%), significantly greater than 5LWB (-7.95%; p = 0.002) and RMR (-9.57%; p = 0.021). MEQ score independently predicted mean velocity DTC in 5LWB ({beta} = -0.51, p < 0.001, R{superscript 2} = 0.269) and RMR ({beta} = -0.55, p = 0.004, R{superscript 2} = 0.222), indicating greater morningness associated with better gait-speed preservation under cognitive load; the SS7 association was not significant ({beta} = -0.33, p = 0.071). Exploratory correlations showed MEQ-DTC associations across 7/8 parameters in 5LWB, 4/8 in RMR, and 3/8 in SS7. Chronotype is independently associated with dual-task gait cost in a task-domain-specific manner, with stronger effects for phonological and sequential tasks than for arithmetic processing. The SS7 condition yielded the largest interference but weakest chronotype modulation, suggesting arithmetic dual-task disruption may be less sensitive to circadian arousal. Fixed testing time and cross-sectional design warrant within-subject, multi-timepoint studies to confirm chronotype effects separate from time-of-day confounds.

Background. Studies applying machine learning to obsessive-compulsive disorder (OCD) typically report accuracy in homogeneous samples but rarely assess model reliability, generalizability, and interpretability needed for clinical use. Methods. We applied a transformer-based deep learning model, the Multi-Band Brain Net, to the ENIGMA-OCD cohort - the largest available resting-state functional magnetic resonance imaging (rs-fMRI) dataset in OCD with 1,706 participants (869 cases with OCD, 837 controls) across 23 sites worldwide. We evaluated model reliability by calculating calibration - the model's ability to "know what it doesn't know". We assessed generalizability using leave-one-site-out validation to test performance on unseen sites with different scanners, acquisition protocols, and patient populations. Finally, we examined interpretability by analyzing model attention weights to identify the neural connectivity patterns that influence model predictions. Results. The model achieved modest but competitive classification performance (AUROC = .653, SD = .039). Crucially, while large-scale pretraining on the UK Biobank (N = 40,783) did not boost accuracy, it significantly enhanced model calibration by reducing overconfident predictions. Leave-one-site-out validation showed a generalization gap across sites (AUROC = .427-.819). Pretraining did not close this gap but removed scanner manufacturer bias. Finally, attention-based mapping identified biologically plausible patterns of widespread hypoconnectivity in OCD relative to healthy controls, particularly in low-frequency bands involving the default mode, salience, and somatomotor networks. These findings aligned with known OCD neurobiology. Conclusions. This study provides a framework for developing more reliable and trustworthy clinical artificial intelligence for OCD.

A distinctive feature of bodily experience is its transparency. During skilled action, our limbs recede from awareness and function as the medium of interaction rather than perceptual objects1. This is reflected in systematic perceptual biases: humans reliably underestimate the weight of their own hands2, potentially reflecting predictive motor processes that modulate self-generated sensory signals. Wearable technologies may test the limits of this perceptual transparency. Exoskeletons and other augmentative devices attach directly to the body, adding mass that must be integrated into sensorimotor control3; yet little is known about how such devices are experienced as they become integrated into the sensorimotor system. Here, we tested whether training with finger-extending exoskeletons alters their perceived weight and whether such changes depend on active use. We developed a Bayesian analytic framework combining individual psychometric modelling with a regression-based decomposition of perceived weight, to partition contributions of the biological hand and attached exoskeletal device. Thirty-four right-handed adults completed a weight-perception task before and after 20 minutes of training with either finger-extending or non-augmenting control devices. Participants compared the perceived weight of their right hand, with or without the exoskeleton, to reference weights suspended from the opposite wrist. Before training, the weight of both the biological hand and the exoskeleton were underestimated to a similar degree ([~]25- 30%), suggesting rapid perceptual integration following attachment. Training selectively increased attenuation of the perceived weight of the finger-extending exoskeleton, with no corresponding change for the biological hand and little evidence for a general training effect. These findings support a two-stage embodiment process in which passive attachment initiates perceptual updating, while sensorimotor training consolidates integration through functional interaction with the device. Perceived weight thus provides a behavioral marker of embodiment, offering insight into how the sensorimotor system integrates wearable augmentative technologies.

On the basis of verbal instructions, humans can accomplish novel and diverse demands at the very first try. This complex phenomenon recruits structured brain activity across the frontoparietal Multiple Demand Network (MDN), which is thought to encode upcoming task parameters and guide behavior. Nonetheless, it is still uncertain how novel instructions are translated into efficient neural task representations. To address this, we collected functional magnetic resonance imaging (fMRI) data while participants followed a rich set of novel verbal instructions. These varied along three core dimensions: the overarching task demand (to select or to integrate stimuli information), the relevant target category (animate or inanimate items), and the visual feature that participants responded to (color or shape). Multivariate pattern analysis (MVPA) was used to examine the informational content and format of MDN distributed activity. We contrasted two alternative representational geometries that may underpin novel task coding: low-dimensional spaces based on abstract and generalizable representations and high-dimensional architectures hosting context-unique, conjunctive neural codes. Our results show that anticipatory activity in the MDN was sensitive to the content of instructions. While the selection vs. integration task demands were broadly encoded within this network, coding of the relevant categories and features was restricted to lateral MDN regions, namely, the intraparietal sulcus and the inferior frontal junction. Critically, the representational spaces across the MDN displayed a mixture of geometrical motifs, partially supporting our two alternative hypotheses. On the one hand, Cross-Condition Generalization Performance revealed the presence of abstract and transferable neural codes, although only for task demand information. On the other hand, Shattering Dimensionality showed complex, high-dimensional coding spaces across the MDN, structured around both task-informative and non-informative axes. Still, no evidence of conjunctive neural codes was observed. Overall, these findings highlight that novel instructed behavior may recruit both abstraction and high dimensionality to promote generalization while still maximizing the expressivity of MDN coding spaces. More broadly, they stress the role of the encoding geometry for a computational understanding of cognitive control processes.

Cognitive reappraisal, the deliberate reinterpretation of emotional events, is widely considered an effective emotion regulation strategy, and modulation of the late positive potential (LPP) during negative affect reduction has become the primary electrophysiological evidence for volitional emotional control. Experimental instructions, however, impose dual-task demands that free viewing does not, confounding reappraisal with cognitive load. By including instructions to increase emotional responses to pictures ("enhance") as well as instructions to decrease ("suppress"), different predictions are generated. If the LPP reflects regulation, then, compared to free viewing, suppress instructions should decrease LPP amplitude, and enhance instructions should increase LPP amplitude. If modulation instead reflects cognitive load, both instructions should reduce the LPP, as both impose an additional cognitive task. In a sample of 107 participants, evaluative ratings confirmed that regulation instructions modulated reported emotional intensity in the expected directions (Enhance > View > Suppress), but that both enhance and suppress instructions reduced LPP amplitude compared to free viewing, with Bayesian model comparisons providing strong evidence against direction-specific regulation and in favor of cognitive load. Whole-scalp multivariate pattern analysis confirmed that no instruction-related neural signal exists at any scalp location or latency within the first second after stimulus onset. These data indicate that LPP modulation following both instruction types reflects dual-task cognitive load rather than volitional emotional control. Significance StatementCognitive reappraisal is considered the gold standard of emotion regulation, and reduced late positive potential (LPP) amplitude during negative emotion suppression is the primary neural evidence that humans can voluntarily control emotional responses. The current data are inconsistent with this regulatory account and instead support a cognitive load interpretation. Whether instructed to enhance or suppress emotional responses, LPP amplitude was reduced in both conditions relative to free viewing, consistent with attentional resource competition rather than directional regulatory control. The same participants reported successfully regulating emotional experience in opposite directions, producing a clear dissociation between neural and behavioral measures. These findings challenge a basic tenet of emotional regulation and raise questions concerning LPP modulation as a biomarker of regulatory capacity.

Auditory spatial attention, the ability to focus selectively on specific sounds while ignoring others, is crucial for everyday listening. Lateralized alpha oscillations over the parieto-occipital cortex have been proposed to act as a crossmodal attentional filter mechanism that allows to gate sensory processing by actively suppressing unattended locations. While prior evidence supports the functional role of this mechanism in visual attention, its role in auditory spatial attention remains debated. In this pre-registered EEG-neurofeedback study, participants were trained for 30 minutes to lateralize alpha power toward the left or right parieto-occipital cortex, while auditory probes from different spatial directions (-90{degrees}, -45{degrees}, 45{degrees}, and 90{degrees}) assessed whether online changes in alpha lateralization influenced auditory processing. Resting-state and task-based alpha lateralization, as well as gaze behavior were measured before and after training. Participants successfully modulated alpha lateralization in the trained direction during neurofeedback. However, shifting alpha lateralization did not cause changes in online auditory processing, as evidenced by the absence of asymmetric changes in auditory evoked responses to lateralized probe tones. Likewise, neurofeedback did not cause persistent changes in alpha lateralization during resting-state and task-based recordings after neurofeedback. Notably, neurofeedback training affected gaze behavior. Shifting alpha lateralization toward the left hemisphere during neurofeedback abolished a pre-existing rightward gaze bias in training responders, pointing to a dissociation between oculomotor and auditory attentional systems. These findings challenge the notion that parieto-occipital alpha lateralization serves as a universal crossmodal spatial gate, and raise important questions about the functional specificity of alpha-based neurofeedback interventions.

BackgroundAlthough neurogenic orthostatic hypotension (nOH) is a common and debilitating feature of multiple system atrophy (MSA), little is known about the burden of symptoms in the real world. ObjectivesTo design and conduct a cross-sectional community-based research survey targeting patients with MSA, with and without nOH. MethodsWe recruited patients with MSA to complete an anonymous online survey covering three core themes: 1) timely diagnosis, 2) nOH pharmacotherapy and refractory symptoms, and 3) confidence in physician knowledge. Responses were grouped by pre-specified diagnostic certainty levels. Relationships between symptoms, function, and pharmacotherapy were assessed using univariate and multivariate methods. ResultsWe analyzed 259 respondents with a self-reported diagnosis of MSA (age: M=64.38, SD=8.09 years; 44% female). In total, 42% also had a diagnosis nOH; 40% had symptoms highly suspicious of nOH, but no diagnosis; and 21% reported having never had their blood pressure measured in the standing position at a clinical visit. Treatment with a pressor agent was independently associated with the presence of other symptoms of autonomic failure. Each additional nOH symptom reported increased the odds of requiring pharmacotherapy by 18%. Yet, despite anti-hypotensive medication use, 97% of patients reported limitations in their ability to bathe, cook, or arise from a chair/bed with 76% needing caregiver support for refractory nOH symptoms. ConclusionsThis cross-sectional representative sample shows nOH is underrecognized and undertreated in MSA patients, leading to substantial functional limitations. It is our hope that these findings are leveraged for planning future trials and advocating for better treatments.

Food preference influences behavior toward food-related stimuli, yet the large-scale neural mechanisms underlying this process remain unclear. This study investigated whether preferred and nonpreferred food cues are associated with distinct patterns of cortical functional connectivity during the observation of food images. Data from 25 of the 40 recruited healthy adults were included in the final analysis after excluding individuals with highly unbalanced response tendencies. Participants viewed 150 food images and rated each image on a four-point preference scale. Trials were classified as favorite food (FF) or disliked food (DF). High-density electroencephalography (EEG) was recorded during the task, and source-level ROI-to-ROI functional connectivity was analyzed using amplitude envelope correlation in the alpha (8-13 Hz) and beta (13-25 Hz) frequency bands over the 1000-ms period after food-picture onset. Response time did not differ significantly between FF and DF trials. However, distinct functional connectivity patterns were observed between conditions in both frequency bands. In the alpha band, FF trials involved a network including the cuneus, parietal regions, cingulate regions, and lateral occipital cortex, whereas DF trials involved the isthmus cingulate, caudal middle frontal gyrus, inferior temporal cortex, superior parietal lobule, and lateral occipital cortex. In the beta band, FF trials involved the isthmus cingulate, precuneus, parietal regions, and pericalcarine cortex, whereas DF trials additionally involved frontal regions, including the superior frontal gyrus and pars triangularis. These findings indicate that food preference is associated with distinct large-scale cortical functional connectivity patterns during food image observation, suggesting differential neural processing of preferred and nonpreferred food cues.

ObjectiveSocial difficulties are transdiagnostic in childhood, but their heterogeneity is poorly characterised and rarely treated as a primary neurodevelopmental phenotype. This matters because childhood and adolescence are sensitive periods for peer relationships and brain development. We used data-driven modelling and non-linear mapping to derive social profiles and test their clinical, cognitive, and neural correlates. MethodsParticipants were 992 children aged 5-18 years from CALM (Mage = 9.6). Social items from the SDQ, CCC-2, and Conners-3 were modelled using a regularised partial correlation network to derive core social dimensions. A self-organising map captured graded social profiles. Simulated archetypes, SVM-based island identification, and permutation testing defined profile regions and centroid-distance scores. Profiles were related to referral, diagnosis, cognition, BRIEF indices, and T1-derived MIND network structure in an MRI subsample (n = 431). ResultsWe identified four profiles: social engagement, friendship difficulties, social withdrawal, and peer victimisation. Profile expression tracked variation in referral and diagnostic pathways. Social withdrawal showed the clearest disadvantage across cognitive domains, whereas social engagement was associated with fewer executive function difficulties across BRIEF indices. MIND strength components covaried with profile expression (a significant PLS latent variable, p = 0.02), with covariance strongest for social withdrawal and peer victimisation. ConclusionsChildhood social functioning organises graded signatures that relate to clinically relevant pathways, cognitive and executive outcomes, and brain structure. Profiling social signatures provides a scalable framework for identifying social need beyond diagnostic categories, motivating studies to test directionality and improve developmental outcomes.

1.Quantitative neuropathology has advanced through whole-slide imaging and digital histology platforms. Yet, these measurements rarely align with neuroimaging coordinate frameworks that may be useful for spatial modeling and other applications. QNPtoVox, short for quantitative neuropathology to voxels, is a reproducible, modular pipeline that transforms quantitative metrics generated by digital pathology software (HALO) into voxel-based maps registered to a standard common coordinate (MNI) template. The workflow integrates digital histopathology, gross tissue photography, ex-vivo MRI, and nonlinear registration to generate spatially standardized 3D pathology representations. This Methods article provides a complete procedural description, including required materials, step-wise instructions, operator-dependent checkpoints, expected outputs, reproducibility evaluation, and troubleshooting. QNPtoVox enables voxel-level integration of neuropathology with neuroimaging tools, unlocking existing histopathology datasets for computational modeling and cross-cohort harmonization.

An increasing number of studies highlight the role of saccadic remodulation in compensatory mechanisms following vestibular injury, and the reappearance of SHIMP saccades correlates with symptom improvement measured by the Dizziness Handicap Inventory (DHI). To investigate the influence of attentional processes and working memory on visuo-vestibular interaction, three independent but interrelated experiments were conducted. In the first two experiments, healthy subjects and patients with unilateral or bilateral vestibular deficits underwent vHIT in SHIMP mode and the Functional Head Impulse Test (fHIT), performed first separately and subsequently simultaneously. Mean latency and clustering of SHIMP saccades, together with Landolt C recognition rates, were analyzed. Differences between separate and combined protocols were assessed, and, in patients, correlated with symptom severity measured by the DHI, to determine whether the near-simultaneous execution of tasks mediated by shared parietal cortical substrates influenced performance. In the third experiment, vHIT in HIMP mode and fHIT were performed using separate and combined protocols to evaluate whether recognition-related cognitive load affected recovery saccade latency and clustering. Results suggest that visual recognition modulates visuo-vestibular interaction, supporting integrated dual-task protocols for ecological balance assessment and helping explain clinical discrepancies.

1.PurposeSYNGAP1-related developmental and epileptic encephalopathy (SYNGAP1-DEE) is characterized by high rates of both epilepsy and autism spectrum disorder (ASD). While the clinical spectrum is well-documented, the link between specific seizure semiologies and caregiver-reported autistic behaviors is not well understood. This study analyzed the correlation between ten distinct seizure types, their frequencies, and a caregiver-reported autistic behavior score. MethodClinical data were extracted from the PATRE (PATient-based phenotyping and evaluation of therapy for Rare Epilepsies) Registry for SYNGAP1, in the framework of the EURAS project (Grant No. 101080580, Horizon Europe). This study employed a retrospective cross-sectional analysis of caregiver-reported registry data. Analysis was restricted to an analytic cohort of N=337 participants with complete data for both the epilepsy questionnaire (including epilepsy status, seizure semiology, and peak seizure frequency items) and the behavior questionnaire (from a total N=522 registry participants). Caregiver-reported autistic behaviors were quantified using a standardized caregiver-reported scale (Likert 1-5). Statistical associations were evaluated using the Wilcoxon rank-sum test to compare caregiver-reported autistic behavior scores across different seizure semiologies and Spearmans rank correlation to assess the impact of seizure frequency (9-point scale). ResultsWithin the analytic cohort (N=337), epilepsy was reported in 259 patients. Eyelid myoclonia was the most prevalent semiology, affecting 64.9% (n=168) of the epilepsy-positive group. Atypical absences (n=77) demonstrated the most profound and statistically robust association with higher caregiver-reported autistic behavior scores (FDR-adjusted p = 0.001). Significant associations were also observed for typical absences (n=70, FDR-adjusted p = 0.018), eyelid myoclonia (FDR-adjusted p = 0.018), myoclonic-atonic seizures (n=40, FDR-adjusted p = 0.019), and atonic seizures (n=72, FDR-adjusted p = 0.025). Focal and tonic-clonic seizures showed weaker associations (FDR-adjusted p = 0.026 and p = 0.047, respectively). Crucially, quantitative analysis revealed no significant correlation between ordinal caregiver-reported peak seizure frequency ratings and caregiver-reported autistic behavior scores across all semiologies (e.g., Eyelid Myoclonia: p=0.096; Atypical Absences: p=0.744), indicating no detectable association between peak-frequency ratings and caregiver-reported autistic behavior scores. ConclusionHigher caregiver-reported autistic behavior scores in SYNGAP1-DEE were most strongly associated with the presence of atypical absences, representing a generalized, thalamocortical seizure network dysfunction. In contrast, no detectable association was observed between caregiver-reported autistic behavior scores and the ordinal caregiver-reported peak seizure frequency metric. Atypical absences and related semiologies may serve as clinical "red flags" for increased neurodevelopmental comorbidity severity, regardless of reported peak seizure frequency. Abstract SummaryThis study investigates the relationship between ten seizure semiologies, seizure frequency, and severity of caregiver-reported autistic behaviors in a large-scale international cohort of N=337 patients with SYNGAP1-DEE. We identify a robust association between elevated caregiverreported autistic behavior scores and specific thalamocortical seizure patterns, most prominently atypical absences. Notably, our analysis reveals that this association is independent of seizure frequency, demonstrating no detectable association between this ordinal, caregiver-reported seizure frequency metric and caregiver-reported autistic behaviors.

This research demonstrates that the trans-aqueduct approach is a feasible, minimally invasive access pathway to the third ventricle, offering a potential route to the deep brain for therapeutic technologies. Further pre-clinical investigation is required to thoroughly evaluate physiological tolerance, trauma risk, and the long-term implications of intraventricular implantation. The third ventricle is a high-value site for neuromodulation due to its proximity to deep-brain targets, including the subthalamic nucleus (STN) and globus pallidus internus (GPi). This study defined the anatomical pathway; and evaluated the technical feasibility of retrograde access to the third ventricle via the cerebral aqueduct using minimally invasive interventional techniques. Evaluation was conducted in three phases using human MRI datasets (n=16; mean age 48.4 years) and cadaveric specimens (n=6; mean age 88.2 years). Phase 1 involved morphometric MRI analysis of the aqueduct and ventricles. Phase 2 tested trans-aqueduct access on cadaver specimens via fluoroscopically guided guidewires and catheters. Phase 3 utilized direct anatomical dissections on cadaver specimens (n=3) to morphometrically measure the third ventricular cavity and its relationship to deep-brain nuclei. Measurements across the sample groups showed a mean aqueduct diameter of 1.6 mm (SD=0.14). Third ventricle dimensions averaged 27.6 mm (ventral-dorsal), 19.9 mm (caudal-cranial), and 5.7 mm (lateral). Successful access to the third ventricle was achieved in 83% (5/6) of cadaveric specimens. The optimal technical configuration utilized a 0.018'' angled-tip guidewire and 5-6 Fr catheters; the aqueduct accommodated diameters up to 2.0 mm with minimal resistance. The STN and GPi were localized within 5-20 mm of the ventricular volumetric centroid. The trans-aqueduct approach is a technically feasible, minimally invasive pathway for accessing the third ventricle. This route offers a potential alternative for the delivery of therapeutic neurotechnologies. Further research is required to assess physiological tolerance, trauma risk, and the long-term safety of intraventricular implantation.

Age- and disease-related vestibular decline can cause dizziness and postural instability, motivating interventions such as noisy galvanic vestibular stimulation (nGVS). nGVS is commonly delivered at "subsensory" amplitudes and explained by stochastic resonance, yet because galvanic stimulation directly modulates vestibular afferents, even imperceptible currents may also exert deterministic effects on balance. This study examined whether low-amplitude nGVS (<1 mA), as typically used in stochastic resonance paradigms, directly influences postural behavior through stimulus-response coupling. Twenty healthy young adults stood on a force plate with feet together and eyes closed on either a rigid surface or 10-cm foam. In randomized order, they completed 300-second trials with band-limited (0-30 Hz), zero-mean nGVS at {+/-}0, 0.1, 0.2, 0.3, 0.5, and 0.7 mA. Coupling between the stimulation waveform and mediolateral ground-reaction force was assessed using coherence and time-cumulant density. Mean coherence was significant mainly at higher amplitudes (0.5-0.7 mA) on both surfaces, whereas time-cumulant density identified significant time-locked vestibular-evoked response components at much lower amplitudes, down to 0.1 mA. These included an early response around 135-155 ms and a later, prominent response around 360-410 ms. Individually, significant coherence was common at 0.5-0.7 mA (15-19 of 20 participants), while cumulant-based responses appeared in some participants even at 0.1 mA. Responses were clearer on foam, consistent with greater vestibular reliance when somatosensory input is less reliable. Overall, low-amplitude nGVS can entrain postural output, suggesting that balance changes during "subsensory" stimulation may reflect both stochastic-resonance-like effects and deterministic vestibular drive, underscoring the need to quantify coupling alongside performance outcomes.

Background: Cognitive impairment poses a significant challenge to healthcare systems worldwide, impacting patient autonomy, social participation, and quality of life, while placing a considerable burden on caregivers. Non pharmacological interventions, particularly cognitive training and non invasive brain stimulation, have emerged as promising therapeutic strategies. Objective: This study aims to quantify the synergistic effects of transcranial direct current stimulation (tDCS) with cognitive training on cognitive function across a spectrum of pathologies that induce cognitive impairment. Methods: We conducted a systematic review and metaanalysis following PRISMA guidelines. We searched PubMed for randomized controlled trials that investigated the effect of combined tDCS and cognitive training compared with cognitive training alone. The analysis was based on the GRADE framework for systematic reviews and metaanalyses. Results: Across 27 studies including 1,012 participants, tDCS combined with cognitive training showed a small effect compared with cognitive training alone (SMD = 0.36, 95% CI: 0.15 0.56). The effect was found only immediately after the intervention and declined during follow-up. Conclusion: tDCS combined with cognitive training may provide a small, short term benefit for cognitive function, but high heterogeneity across studies and loss of effect at follow up underscore the need for larger, better standardized trials to clarify its clinical value.

Human experience unfolds continuously, yet it is remembered and understood as a sequence of discrete events. How the brain segments this stream of experience, particularly under naturalistic conditions, remains poorly understood. Here we investigate the neural dynamics associated with event boundaries during active navigation through architectural transitions. Using mobile electroencephalography combined with virtual reality, we analyzed data from participants freely walking between rooms and repeatedly crossing doorways. Time-frequency analysis of source-localized neural activity revealed a robust increase in theta-band power (4-8 Hz) over temporo-occipital and parietal regions approximately 300-450 ms after passing through a doorway. This effect was consistent across participants and independent component clusters, indicating a reliable neural signature of architectural transitions. We interpret this theta response within frameworks of event segmentation and Bayesian inference, suggesting that doorways trigger a transient reconfiguration of distributed neural networks when ongoing predictions can no longer be maintained and a new event model must be inferred. By preserving the natural coupling between perception, movement, and environmental structure, our findings demonstrate that architecture provides meaningful boundaries that shape brain dynamics and the organization of experience. More broadly, this work highlights the power of naturalistic experimentation and positions architectural space as an active medium for investigating how the brain structures events.

Human sentence comprehension proceeds word-by-word, with prior research proposing two central sources of cognitive demand during incremental processing: forward-looking disambiguation of the incoming information stream, and backward-looking retrieval of information associated with previous words from working memory. Recent work has shown that Transformer-based language models successfully generate predictions about sentence processing load in human psycho- and neurolinguistic data by operationalizing disambiguation cost as next-token surprisal, and memory retrieval cost as normalized attention entropy (NAE). Such models, however, remain difficult to interpret as it is not well understood what factors play causally into the decision to assign a cost value to a given word in such artificial neural networks. Here, we present interpretable and cognitively grounded models of disambiguation and memory retrieval and evaluate their neural alignment and spatio-temporal correlates using human magnetoencephalography responses to naturalistic narrative speech. Multivariate temporal response function modeling demonstrates firstly that these human-bias-informed models fare equally well in accounting for observed human language processing data as their Transformer counterparts. This same modeling framework then suggests that surprisal and NAE temporally dissociate in the cortical language network -- surprisal being predictive of bilateral superior temporal gyrus and supramarginal gyrus activation [~]300-500 ms, and NAE being predictive of activity in the same regions, but later [~]750-850 ms. By demonstrating that interpretable neurocomputational models can achieve meaningful brain alignment while maintaining explanatory transparency, this work offers a methodological blueprint for bridging the gap between algorithmic theory and neural implementation.