Johannes Gerber

Carl Gustav Carus-Institut , Pforzheim, Baden-Wuerttemberg, Germany

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Publications (16)57.81 Total impact

  • Article: IMS-3, SYNTHESIS, and MR RESCUE: No Disaster, but Down to Earth.
    Rüdiger von Kummer, Johannes Gerber
    Clinical neuroradiology. 03/2013;
  • Article: The effect of verbal context on olfactory neural responses.
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    ABSTRACT: Odor names refer usually to "source" object categories. For example, the smell of rose is often described with its source category (flower). However, linguistic studies suggest that odors can also be named with labels referring to categories of "practices". This is the case when rose odor is described with a verbal label referring to its use in fragrance practices ("body lotion," cosmetic for example). It remains unknown whether naming an odor by its practice category influences olfactory neural responses differently than that observed when named with its source category. The aim of this study was to investigate this question. To this end, functional MRI was used in a within-subjects design comparing brain responses to four different odors (peach, chocolate, linden blossom, and rose) under two conditions whereby smells were described either (1) with their source category label (food and flower) or (2) with a practice category label (body lotion). Both types of labels induced activations in secondary olfactory areas (orbitofrontal cortex), whereas only the source label condition induced activation in the cingulate cortex and the insula. In summary, our findings offer a new look at olfactory perception by indicating differential brain responses depending on whether odors are named according to their source or practice category. Hum Brain Mapp, 2012. © 2012 Wiley Periodicals, Inc.
    Human Brain Mapping 12/2012; · 5.88 Impact Factor
  • Article: Olfactory bulb volume in smokers.
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    ABSTRACT: The study aimed to investigate the volume of the olfactory bulb in smokers. Specifically, we wanted to see whether environmental influences may exert a negative influence on OB structure. Twenty-one smokers and 59 non-smokers, matched for age and sex, underwent olfactory testing by means of the Sniffin' Sticks testing device (measurement of odor threshold and identification abilities). In addition, they underwent an MR scan with 2-mm-thick T2-weighted fast spin-echo images without interslice gap in the coronal plane covering the anterior and middle segments of the base of the skull. Olfactory function was not different between the 2 groups; however, olfactory bulb volumes were smaller in smokers than in non-smokers (p = 0.006). The deficit seen at the level of the OB did not correlate with the duration of smoking. The current data indicate that smoking may have a negative effect on the olfactory system before this becomes obvious in terms of a decreased olfactory function.
    Experimental Brain Research 12/2012; · 2.39 Impact Factor
  • Article: Treatment of acute ischemic stroke: systemic or local?
    Rüdiger von Kummer, Johannes Gerber
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    ABSTRACT: Systemic treatment of acute ischemic stroke currently means intravenous infusion of plasminogen activator in patients with the stroke syndrome after exclusion of brain hemorrhage irrespective of whether thrombotic arterial obstruction is present or not. In contrast, local intra-arterial treatment requires digital subtraction angiography and means direct treatment of the arterial pathology with the aim of recanalization and brain tissue reperfusion. Randomized controlled trials that test these two treatment approaches are missing. This paper discusses whether the time-saving systemic treatment approach is more promising for acute ischemic stroke patients than is the time-consuming endovascular local approach.
    Annals of the New York Academy of Sciences 09/2012; 1268(1):79-84. · 3.15 Impact Factor
  • Article: Olfactory bulb volume in patients with idiopathic normal pressure hydrocephalus.
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    ABSTRACT: INTRODUCTION: An important pathological feature of idiopathic normal pressure hydrocephalus (iNPH) is a dysfunction of cerebrospinal fluid dynamics. Considering the delicate olfactory structures it appears possible that the olfactory bulb (OB) is compromised by this disease. Reports on the anatomy of the olfactory bulb and smell function in patients with idiopathic normal pressure hydrocephalus are absent in the literature. The main purpose of the present study was to evaluate the olfactory bulb (OB) volume and smell function in iNPH. METHODS: The study comprised 17 patients with iNPH (seven women and ten men, mean age = 66 years); they were compared to a group of 24 healthy people (11 women and 13 men, mean age = 62 years). Comprehensive assessment of olfactory function was conducted with the "Sniffin' Sticks" test kit. In an additional pilot study, in a small subgroup of eight patients, measurements were performed before and approximately 7 months after surgical treatment of the hydrocephalus. RESULTS: The OB volume in patients with iNPH was significantly smaller compared to healthy controls. In our small postoperative patient population (n = 8), there was no significant change of the OB volume. CONCLUSION: In conclusion our results suggest that iNPH significantly affects OB volumes.
    Neuroradiology 06/2012; · 2.82 Impact Factor
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    Article: Taste laterality studied by means of umami and salt stimuli: an fMRI study.
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    ABSTRACT: Aim of the present study was to investigate laterality of the gustatory system in the human brain for the taste qualities elicited by MSG (monosodium glutamate) and NaCl (sodium chloride). A total of 23 subjects participated in a block-design functional magnetic resonance imaging (fMRI) study. Liquid stimuli were presented at supra-threshold concentrations and delivered by means of a computer controlled gustometer. Left and right sides of the mouth were stimulated separately in order to correlate statistical parametrical maps to both the site of the stimulus and the specific taste quality. Following the effects of the site of stimulation through primary and secondary gustatory cortices an effort was made to explore the laterality of the gustatory pathways. Our results showed for both tastants a predominance of ipsilateral connections at the thalamus level. Insula left and right regions were both involved for both tastants. In these regions we found a high proportion of ipsilateral connection again for both the tastants. Considering orbitofrontal/prefrontal cortex, left-sided stimulation with NaCl or MSG produced left-sided activation of the orbito-frontal cortex clearly indicating the presence of an ipsilateral path. Finally, the hypothesis of frontal operculum as primary gustatory cortex and lateral prefrontal cortex as secondary was also supported by the results from dynamic causal modeling.
    NeuroImage 03/2012; 60(1):426-35. · 5.89 Impact Factor
  • Article: Improvement of chronic rhinitis under aspirin.
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    ABSTRACT: In a subset of aspirin-tolerant asthmatics, administration of aspirin improves respiratory symptoms. We present a patient with chronic rhinosinusitis with nasal polyps who exhibited relief of nasal obstruction and nasal discharge and improvement in the sense of smell following oral administration of 150 mg of aspirin daily. Improvement in the patency of the nasal passages was documented by nasal endoscopy and magnetic resonance imaging. Improvement of olfactory function was documented by validated psychophysical olfactory testing and by means of olfactory event-related potentials.
    Respiratory care 03/2012; 57(3):460-3. · 2.01 Impact Factor
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    Article: Dissociated representations of pleasant and unpleasant olfacto-trigeminal mixtures: an FMRI study.
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    ABSTRACT: How the pleasantness of chemosensory stimuli such as odorants or intranasal trigeminal compounds is processed in the human brain has been the focus of considerable recent interest. Yet, so far, only the unimodal form of this hedonic processing has been explored, and not its bimodal form during crossmodal integration of olfactory and trigeminal stimuli. The main purpose of the present study was to investigate this question. To this end, functional magnetic resonance imaging (fMRI) was used in an experiment comparing brain activation related to a pleasant and a relatively unpleasant olfacto-trigeminal mixture, and to their individual components (CO(2) alone, Orange alone, Rose alone). Results revealed first common neural activity patterns in response to both mixtures in a number of regions: notably the superior temporal gyrus and the caudate nucleus. Common activations were also observed in the insula, although the pleasant mixture activated the right insula whereas the unpleasant mixture activated the left insula. However, specific activations were observed in anterior cingulate gyrus and the ventral tegmental area only during the perception of the pleasant mixture. These findings emphasized for the firs time the involvement of the latter structures in processing of pleasantness during crossmodal integration of chemosensory stimuli.
    PLoS ONE 01/2012; 7(6):e38358. · 4.09 Impact Factor
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    Article: Heterosexual men and women both show a hypothalamic response to the chemo-signal androstadienone.
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    ABSTRACT: The odorous steroid compound 4,16-androstadien-3-one (androstadienone), found in axillary sweat, was previously reported to evoke hypothalamic activation in heterosexual women, but not in heterosexual men. However, subjects were exposed to the pure crystalline form of androstadienone, which raised the question whether the observed hypothalamic response is physiologically relevant. Therefore, in the present study, we asked whether sexually dimorphic hypothalamic responses could be measured when subjects were exposed to lower, more physiologically relevant concentrations of androstadienone. A total of 21 women and 16 men, all heterosexual, participated in our functional magnetic resonance imaging study (fMRI). Three different concentrations of androstadienone diluted in propylene glycol (10 mM "high," 0.1 mM "medium" and 0.001 mM "low") were delivered to the subjects' nostrils using a computer-controlled stimulator. When exposed to the "high" androstadienone concentration, women showed stronger hypothalamic activation than men. By contrast, men showed more hypothalamic activation when exposed to the "medium" androstadienone concentrations in comparison to women. Thus, we replicated that smelling the chemo-signal androstadienone elicits a hypothalamic activation. However, this effect does not seem to be gender-specific, because androstadienone activated the hypothalamus in both men and women, suggesting that androstadienone exerts specific effects in heterosexual individuals of both sexes.
    PLoS ONE 01/2012; 7(7):e40993. · 4.09 Impact Factor
  • Article: A salty-congruent odor enhances saltiness: Functional magnetic resonance imaging study.
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    ABSTRACT: Excessive intake of dietary salt (sodium chloride) may increase the risk of chronic diseases. Accordingly, various strategies to reduce salt intake have been conducted. This study aimed to investigate whether a salty-congruent odor can enhance saltiness on the basis of psychophysical (Experiment 1) and neuroanatomical levels (Experiment 2). In Experiment 1, after receiving one of six stimulus conditions: three odor conditions (odorless air, congruent, or incongruent odor) by two concentrations (low or high) of either salty or sweet taste solution, participants were asked to rate taste intensity and pleasantness. In Experiment 2, participants received the same stimuli during the functional magnetic resonance imaging scan. In Experiment 1, compared with an incongruent odor and/or odorless air, a congruent odor enhanced not only taste intensity but also either pleasantness of sweetness or unpleasantness of saltiness. In Experiment 2, a salty-congruent combination of odor and taste produced significantly higher neuronal activations in brain regions associated with odor-taste integration (e.g., insula, frontal operculum, anterior cingulate cortex, and orbitofrontal cortex) than an incongruent combination and/or odorless air with taste solution. In addition, the congruent odor-induced saltiness enhancement was more pronounced in the low-concentrated tastant than in the high-concentrated one. In conclusion, this study demonstrates the congruent odor-induced saltiness enhancement on the basis of psychophysical and neuroanatomical results. These findings support an alternative strategy to reduce excessive salt intake by adding salty-congruent aroma to sodium reduced food. However, there are open questions regarding the salty-congruent odor-induced taste unpleasantness. Hum Brain Mapp, 2011. © 2011 Wiley Periodicals, Inc.
    Human Brain Mapping 10/2011; · 5.88 Impact Factor
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    Article: Women with a history of childhood maltreatment exhibit more activation in association areas following non-traumatic olfactory stimuli: a fMRI study.
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    ABSTRACT: The aim of this study was investigating how women with a history of childhood maltreatment (CM) process non-threatening and non-trauma related olfactory stimuli. The focus on olfactory perception is based on the overlap of brain areas often proposed to be affected in CM patients and the projection areas of the olfactory system, including the amygdala, orbitofrontal cortex, insula and hippocampus. Twelve women with CM and 10 controls participated in the study. All participants were, or have been, patients in a psychosomatic clinic. Participants underwent a fMRI investigation during olfactory stimulation with a neutral (coffee) and a pleasant (peach) odor. Furthermore, odor threshold and odor identification (Sniffin' Sticks) were tested. Both groups showed normal activation in the olfactory projection areas. However, in the CM-group we found additionally enhanced activation in multiple, mainly neocortical, areas that are part of those involved in associative networks. These include the precentral frontal lobe, inferior and middle frontal structures, posterior parietal lobe, occipital lobe, and the posterior cingulate cortex. The results indicate that in this group of patients, CM was associated with an altered processing of olfactory stimuli, but not development of a functional olfactory deficit. This complements other studies on CM insofar as we found the observed pattern of enhanced activation in associative and emotional regions even following non-traumatic olfactory cues.
    PLoS ONE 01/2010; 5(2):e9362. · 4.09 Impact Factor
  • Article: PET-based investigation of cerebral activation following intranasal trigeminal stimulation.
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    ABSTRACT: The present study aimed to investigate cerebral activation following intranasal trigeminal chemosensory stimulation using O15-H2O-PET. A total of 12 healthy male participants underwent a PET scan presented with four scanning conditions; two left-sided intranasal CO(2)-stimuli and two matched baseline conditions consisting of odorless air. CO(2) was used as it produces burning and stinging sensations. Stimulation started 20 s before intravenous injection of the isotope and lasted for the first 60 s of the 5 min scan time. A comparison between CO(2) and baseline showed a pronounced activation of the trigeminal projection area at the base of the postcentral gyrus (primary and secondary somatosensory cortex) which was more intense for the right hemisphere, contralateral to the side of stimulation. In addition, activation was also found in the piriform cortex which is typically activated following odor presentation and thus thought of as primary olfactory cortex. In conclusion, and in line with previously published work, our data suggest that intranasal trigeminal stimulation not only activates somatosensory projection areas, but that it also leads to activation in cerebral areas associated with the processing of olfactory information. This may be interpreted in terms of the intimate relation between the intranasal chemosensory systems.
    Human Brain Mapping 05/2008; 30(4):1100-4. · 5.88 Impact Factor
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    Article: Altered neural network supporting declarative long-term memory in mild cognitive impairment.
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    ABSTRACT: Autobiographical episodic memory represents a subsystem of declarative long-term memory and largely depends on combining information from multiple sources. The purpose of this study was to assess neural correlates of declarative long-term memory in patients with amnestic mild cognitive impairment (MCI) and controls using fMRI and a task requiring autobiographical and semantic memory retrieval. Comparison of the network supporting episodic autobiographical and semantic memory irrespective of remoteness (recent and remote) revealed significant activations in right parietal cortex and precuneus bilaterally in the patients. Autobiographical episodic versus semantic memory retrieval in the controls led to significant bilateral activations of the parietal-temporal junction, left temporal pole, anterior cingulate, retrosplenial cortex and cerebellum. In contrast, MCI patients activated left supplementary motor area, left premotor and superior temporal cortex. In MCI patients compared to controls a dysfunction of the retrosplenial cortex during memory retrieval was revealed by a lack of differential activation in relation to recency of memories and memory type. Our data suggest that MCI leads to a loss of specificity in the neural network supporting declarative long-term memory.
    Neurobiology of aging 08/2007; 30(2):284-98. · 5.94 Impact Factor
  • Article: Cerebral activation to intranasal chemosensory trigeminal stimulation.
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    ABSTRACT: Although numerous functional magnetic resonance imaging (FMRI) studies have been performed on the processing of olfactory information, the intranasal trigeminal system so far has not received much attention. In the present study, we sought to delineate the neural correlates of trigeminal stimulation using carbon dioxide (CO(2)) presented to the left or right nostril. Fifteen right-handed men underwent FMRI using single runs of 3 conditions (CO(2) in the right and the left nostrils and an olfactory stimulant-phenyl ethyl alcohol-in the right nostril). As expected, olfactory activations were located in the orbitofrontal cortex (OFC), amygdala, and rostral insula. For trigeminal stimulation, activations were found in "trigeminal" and "olfactory" regions including the pre- and postcentral gyrus, the cerebellum, the ventrolateral thalamus, the insula, the contralateral piriform cortex, and the OFC. Left compared with right side stimulations resulted in stronger cerebellar and brain stem activations; right versus left stimulation resulted in stronger activations of the superior temporal sulcus and OFC. These results suggest a trigeminal processing system that taps into similar cortical regions and yet is separate from that of the olfactory system. The overlapping pattern of cortical activation for trigeminal and olfactory stimuli is assumed to be due to the intimate connections in the processing of information from the 2 major intranasal chemosensory systems.
    Chemical Senses 06/2007; 32(4):343-53. · 2.60 Impact Factor
  • Article: Perceptual differences between chemical stimuli presented through the ortho‐ or retronasal route
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    ABSTRACT: Orthonasal or retronasal presentation of certain odours in everyday life, such as cheese or fish, evokes different responses. To study this phenomenon, stimulation techniques were developed to allow ortho- or retronasal presentation of chemosensory stimuli. Based on this technique, several studies were performed to investigate: (a) the subjects' ratings of stimulus intensity, hedonic characteristics of the stimuli, and stimulus quality; (b) the peripherally obtained electro-olfactogram; (c) EEG-derived olfactory event-related potentials; and (d) cerebral activation using functional magnetic resonance imaging; additional experiments investigated (e) the differential sensitivity of the nasal mucosa to trigeminal stimuli; and finally (f) clinical observations were obtained from patients with nasal polyposis with regard to ortho- or retronasal presentation of chemosensory stimuli. Summarizing these results, the studies indicate that there are perceptual differences in relation to ortho- and retronasal stimulus presentation. They appear to relate to: (i) contextual effects; (ii) subtle differences in nasal airflow, therefore access of stimuli to the olfactory epithelium may play a role in perceptual differences; in addition (iii) differential trigeminal sensitivities of the respiratory epithelium, possibly in combination with (iv) differential wiring of olfactory receptor neurons, may contribute to the observed differences in the perception of stimuli presented through the ortho- or retronasal routes. Copyright © 2006 John Wiley & Sons, Ltd.
    Flavour and Fragrance Journal 12/2005; 21(1):42 - 47. · 1.42 Impact Factor
  • Article: Reduced olfactory bulb volume in post-traumatic and post-infectious olfactory dysfunction.
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    ABSTRACT: The olfactory bulb is a highly plastic structure the volume of which partly reflects the degree of afferent neural activity. In this study, 22 patients with post-infectious olfactory deficit, nine participants with post-traumatic olfactory deficit, and 17 healthy controls underwent magnetic resonance volumetry of the olfactory bulb. Patients presented with significantly smaller olfactory bulb volumes than controls; significant correlations between olfactory function and bulb volume were observed. Patients with parosmia exhibited smaller olfactory bulb volumes than those without parosmia. Findings indicate that smell deficits leading to a reduced sensory input to the olfactory bulb result in structural changes at the level of the bulb. Reduced olfactory bulb volumes may also be considered to be characteristic of parosmia.
    Neuroreport 05/2005; 16(5):475-8. · 1.66 Impact Factor

Institutions

  • 2007–2013
    • Carl Gustav Carus-Institut
      Pforzheim, Baden-Wuerttemberg, Germany
    • McGill University
      Montréal, Quebec, Canada
  • 2012
    • Lyon Neuroscience Research Center
      Lyon, Rhone-Alpes, France
    • Ipswich Hospital NHS Trust
      Ipswich, ENG, United Kingdom
    • Universitätsklinikum Dresden
      Dresden, Saxony, Germany
  • 2010–2012
    • Technische Universität Dresden
      Dresden, Saxony, Germany