Varieties of Bodily Experiences. Neural and Behavioral Explorations in the Borderlands of Body and Self
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Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2020 Varieties of Bodily Experiences. Neural and Behavioral Explorations in the Borderlands of Body and Self Saetta, Gianluca Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-192838 Dissertation Published Version Originally published at: Saetta, Gianluca. Varieties of Bodily Experiences. Neural and Behavioral Explorations in the Borderlands of Body and Self. 2020, University of Zurich, Faculty of Arts. VARIETIES OF BODILY EXPERIENCES. NEURAL AND BEHAVIORAL EXPLORATIONS IN THE BORDERLANDS OF BODY AND SELF Cumulative Thesis presented to the Faculty of Arts and Social Sciences of the University of Zurich for the degree of Doctor of Philosophy By Gianluca Saetta Accepted in the fall semester 2020 on the recommendation of the doctoral committee composed of Prof. Dr. Lutz Jäncke (main supervisor) Prof. Dr. Peter Brugger ii To my parents, and to the memory of my nephew. iii TABLE OF CONTENTS INTRODUCTION ........................................................................................................... 7 STUDY 1. Body Integrity Dysphoria ............................................................................ 14 ABSTRACT ......................................................................................................................... 15 INTRODUCTION ................................................................................................................ 16 RESULTS............................................................................................................................ 17 DISCUSSION ...................................................................................................................... 19 METHODS ......................................................................................................................... 24 Participants ............................................................................................................................................ 24 Clinical assessments and questionnaires ............................................................................................. 25 Magnetic resonance imaging data acquisition in Zurich ..................................................................... 27 Magnetic resonance imaging data acquisition in Milan ...................................................................... 27 Rs-fMRI Data preprocessing .................................................................................................................. 28 Intrinsic functional connectivity of the cortical hubs ........................................................................... 29 The BID Mask ......................................................................................................................................... 30 Voxel-based Morphometry analysis ..................................................................................................... 31 STUDY 2. Somatoparaphrenia ................................................................................... 33 ABSTRACT ......................................................................................................................... 34 INTRODUCTION ................................................................................................................ 35 METHODS ......................................................................................................................... 38 Case Report ........................................................................................................................................... 38 Neuropsychological assessment of personal neglect .......................................................................... 40 Neuropsychological assessment of AHP ............................................................................................... 40 Neuropsychological assessment of SP .................................................................................................. 41 MRI and fMRI and resting-state fMRI acquisition parameter ............................................................. 42 Voxel-based Lesion Mapping ................................................................................................................ 43 Mapping mother’s hand in the brain. A motor imagery fMRI experiment ......................................... 44 Resting-state functional connectivity ................................................................................................... 46 RESULTS............................................................................................................................ 49 Brain activity of the productive component of somatoparaphrenia .................................................. 49 The sensorimotor and the productive component networks of somatoparaphrenia ....................... 52 DISCUSSION ...................................................................................................................... 54 Somatoparaphrenia and multisensory integration in the brain .......................................................... 54 Somatoparaphrenia and inter-hemispheric communication .............................................................. 57 4 SUPPLEMENTARY MATERIALS ........................................................................................... 60 STUDY 3. Asomatognosia .......................................................................................... 64 ABSTRACT ......................................................................................................................... 65 INTRODUCTION ................................................................................................................ 66 METHODS ......................................................................................................................... 68 Case Report ........................................................................................................................................... 68 Assessment of visuo-motor imagery .................................................................................................... 73 RESULTS............................................................................................................................ 75 DISCUSSION ...................................................................................................................... 77 Appendix: Structured interview ........................................................................................ 80 Additional remarks ................................................................................................................................ 83 STUDY 4. Phantom Limb Sensation I .......................................................................... 85 ABSTRACT ......................................................................................................................... 87 INTRODUCTION ................................................................................................................ 88 METHODS ......................................................................................................................... 91 Participants ............................................................................................................................................ 91 Ethical Requirements ............................................................................................................................ 92 ACQUISITION SETUP ......................................................................................................... 92 MDS2 and MDS4 ................................................................................................................................... 92 MDSInfo ................................................................................................................................................. 96 ACQUISITION PROTOCOL .................................................................................................. 99 POST-PROCESSING .......................................................................................................... 102 DATA RECORDS............................................................................................................... 103 MDS2 ................................................................................................................................................... 103 MDS4 ................................................................................................................................................... 105 MDSInfo ............................................................................................................................................... 108 TECHNICAL VALIDATION ................................................................................................. 108 MDS2 and MDS4 ................................................................................................................................. 108 MDS2 ................................................................................................................................................... 112 USAGE NOTES ................................................................................................................. 115 Code Availability .................................................................................................................................