Person: Stecher, Ximena
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Publication Functional Dizziness as a Spatial Cognitive Dysfunction(2024) Breinbauer, Hayo; Stecher, Ximena; Zamorano, Francisco; Billeke, Pablo; Arévalo, Camilo; Villarroel, Karen; Lavin, Claudio; Faúndez, Felipe; Garrido, Rosario; Alarcón, Kevin; Delano, Paul(1) Background: Persistent postural-perceptual dizziness (PPPD) is a common chronic dizziness disorder with an unclear pathophysiology. It is hypothesized that PPPD may involve disrupted spatial cognition processes as a core feature. (2) Methods: A cohort of 19 PPPD patients underwent psycho-cognitive testing, including assessments for anxiety, depression, memory, attention, planning, and executive functions, with an emphasis on spatial navigation via a virtual Morris water maze. These patients were compared with 12 healthy controls and 20 individuals with other vestibular disorders but without PPPD. Vestibular function was evaluated using video head impulse testing and vestibular evoked myogenic potentials, while brain magnetic resonance imaging was used to exclude confounding pathology. (3) Results: PPPD patients demonstrated unique impairments in allocentric spatial navigation (as evidenced by the virtual Morris water maze) and in other high-demand visuospatial cognitive tasks that involve executive functions and planning, such as the Towers of London and Trail Making B tests. A factor analysis highlighted spatial navigation and advanced visuospatial functions as being central to PPPD, with a strong correlation to symptom severity. (4) Conclusions: PPPD may broadly impair higher cognitive functions, especially in spatial cognition. We discuss a disruption in the creation of enriched cognitive spatial maps as a possible pathophysiology for PPPDPublication Us versus them mentality in football fans: Significant social defeat engages the mentalization network and disengages cognitive control areas [version 1; peer review: awaiting peer review](2023) Zamorano, Francisco; Patricio Carvajal-Paredes; Soto-Icaza, Patricia; Stecher, Ximena; Salinas, César; Muñoz Reyes, José Antonio; López, Vladimir; Méndez, Waldemar; Barrera, Joel; Aragón-Caqueo, Gonzalo; Billeke, Pablo; Carvajal Paredes, FranciscoBackground: Social affiliation is one of the building blocks that shapes cultures and communities. This motivation contributes to the development of social bonding among individuals within a group, enjoying rights, assuming obligations, and strengthening its identity. Evidence has shown that social affiliation has inspired different social phenomena, such as wars, political movements, social struggles, among others, based on two human motivations: the ingroup love and the outgroup hate. One contemporary group to study as a proxy of social affiliation, and ingroup and outgroup motivations is the sports competition. However, this affiliation model has been poorly considered in social neuroscience research. This research aimed to shed light on the neurobiological networks that are related to social affiliation in football fans of two of the most popular Chilean football teams. Methods: To this end, 43 male fans of two football rival teams watched videos of winning and losing goals of their favorite team while their brain activity was measured with functional magnetic resonance imaging (fMRI). Results: The results showed that while the activation of the reward system was observed in fans when their team scores goals against the rival, both the activation of the mentalization network and the inhibition of the dorsal anterior cingulate cortex were associated with the emotional correlates of defeat in football fans. Conclusions: Taking these findings together could contribute to a deeper understanding of social affiliation, and more importantly, of extreme affiliation phenomena, and fanaticism.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; 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; Munoz 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-up.