Browsing by Author "Valdebenito-Oyarzo, Gabriela"
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Publication Patients recovering from COVID-19 who presented with anosmia during their acute episode have behavioral, functional, and structural brain alterations(2024) Kausel, Leonie; Figueroa-Vargas, Alejandra; Zamorano, Francisco; Stecher, Ximena; Aspé-Sánchez, Mauricio; Carvajal-Paredes, Patricio; Márquez-Rodríguez, Víctor; Martínez-Molina, María Paz; Román, Claudio; Soto-Fernández, Patricio; Valdebenito-Oyarzo, Gabriela; Manterola, Carla; Uribe-San-Martín, Reinaldo; Silva, Claudio; Henríquez-Ch, Rodrigo; Aboitiz, Francisco; Polania, Rafael; Guevara, Pamela; Muñoz-Venturelli, Paula; Soto-Icaza, Patricia; Billeke, PabloPatients recovering from COVID-19 commonly exhibit cognitive and brain alterations, yet the specific neuropathological mechanisms and risk factors underlying these alterations remain elusive. Given the significant global incidence of COVID-19, identifying factors that can distinguish individuals at risk of developing brain alterations is crucial for prioritizing follow-up care. Here, we report findings from a sample of patients consisting of 73 adults with a mild to moderate SARS-CoV-2 infection without signs of respiratory failure and 27 with infections attributed to other agents and no history of COVID-19. The participants underwent cognitive screening, a decision-making task, and MRI evaluations. We assessed for the presence of anosmia and the requirement for hospitalization. Groups did not differ in age or cognitive performance. Patients who presented with anosmia exhibited more impulsive alternative changes after a shift in probabilities (r = − 0.26, p = 0.001), while patients who required hospitalization showed more perseverative choices (r = 0.25, p = 0.003). Anosmia correlated with brain measures, including decreased functional activity during the decision-making task, thinning of cortical thickness in parietal regions, and loss of white matter integrity. Hence, anosmia could be a factor to be considered when identifying at-risk populations for follow-upPublication The parietal cortex has a causal role in ambiguity computations in humans(2024) Valdebenito-Oyarzo, Gabriela; Martínez-Molina, María Paz; Soto-Icaza, Patricia; Zamorano, Francisco; Figueroa-Vargas, Alejandra; Larraín-Valenzuela, Josefina; Stecher, Ximena; Salinas, César; Bastin, Julien; Valero-Cabré, Antoni; Polania, RafaelHumans often face the challenge of making decisions between ambiguous options. The level of ambiguity in decision-making has been linked to activity in the parietal cortex, but its exact computational role remains elusive. To test the hypothesis that the parietal cortex plays a causal role in computing ambiguous probabilities, we conducted consecutive fMRI and TMS-EEG studies. We found that participants assigned unknown probabilities to objective probabilities, elevating the uncertainty of their decisions. Parietal cortex activity correlated with the objective degree of ambiguity and with a process that underestimates the uncertainty during decision-making. Conversely, the midcingulate cortex (MCC) encodes prediction errors and increases its connectivity with the parietal cortex during outcome processing. Disruption of the parietal activity increased the uncertainty evaluation of the options, decreasing cingulate cortex oscillations during outcome evaluation and lateral frontal oscillations related to value ambiguous probability. These results provide evidence for a causal role of the parietal cortex in computing uncertainty during ambiguous decisions made by humans.