Peter Brugger

Kliniken Valens · Neuropsychology Unit

Memory deficits are a hallmark of many different neurological and psychiatric conditions. The Rey–Osterrieth complex figure (ROCF) is the state-of-the-art assessment tool for neuropsychologists across the globe to assess the degree of non-verbal visual memory deterioration. To obtain a score, a trained clinician inspects a patient’s ROCF drawing an...

Memory deficits are a hallmark of many different neurological and psychiatric conditions. The Rey-Osterrieth complex figure (ROCF) is the state–of-the-art assessment tool for neuropsychologists across the globe to assess the degree of non-verbal visual memory deterioration. To obtain a score, a trained clinician inspects a patient’s ROCF drawing an...

Memory deficits are a hallmark of many different neurological and psychiatric conditions. The Rey-Osterrieth complex figure (ROCF) is the state–of-the-art assessment tool for neuropsychologists across the globe to assess the degree of non-verbal visual memory deterioration. To obtain a score, a trained clinician inspects a patient’s ROCF drawing an...

Objective: Acute hydrocephalus is a frequent complication after aneurysmal subarachnoid hemorrhage (aSAH). Among patients needing CSF diversion, some cannot be weaned. Little is known about the comparative neurological, neuropsychological, and health-related quality-of-life (HRQOL) outcomes in patients with successful and unsuccessful CSF weaning....

The felt presence experience is the basic feeling that someone else is present in the immediate environment, without clear sensory evidence. Ranging from benevolent to distressing, personified to ambiguous, felt presence has been observed in neurological case studies and within psychosis and paranoia, associated with sleep paralysis and anxiety, an...

Congenital heart disease (CHD) is associated with various neurocognitive deficits, particularly targeting executive functions (EFs), of which random number generation (RNG) is one indicator. RNG has, however, never been investigated in CHD. We administered the Mental Dice Task (MDT) to 67 young adults with CHD and 55 healthy controls. This 1-minute...

Congenital heart disease (CHD) patients are at risk for alterations in the cerebral white matter microstructure (WMM) throughout development. It is unclear whether the extent of WMM alterations changes with age, especially during adolescence when the WMM undergoes rapid maturation. We investigated differences in WMM between patients with CHD and he...

The Felt Presence (FP) experience is the basic feeling that someone else is present in the immediate environment, without any other clear sensory evidence. Ranging from benevolent to distressing, personified to ambiguous, FP has been observed in neuropsychological case studies, within psychosis and paranoia, associated with sleep paralysis, anxiety...

This historical note is a commemorial of Rorschach, the person, and Rorschach the test. Hermann Rorschach died 100 years ago, not quite a year after the publication of his book containing the 10 inkblots. These have reached an iconic status, but the "Rorschach Test" as used in psychiatry, legal organizations and aptitude assessments is not quite wh...

ZUSAMMENFASSUNG Vor 100 Jahren verstarb der Schweizer Psychiater Hermann Rorschach, nur ein Jahr nach der Geburt seines berühmt gewordenen Tests. Vorliegender Beitrag würdigt beide, Rorschach, den Menschen, und Rorschach, den Test. Herrmann Rorschach war Künstler, Arzt und Wissenschaftler. Das Deutenlassen von Zufallsformen war nur eines von vielen...

Memory deficits are a hallmark of many different neurological and psychiatric conditions. The Rey-Osterrieth complex figure (ROCF) is the state–of-the-art assessment tool for neuropsychologists across the globe to assess the degree of non-verbal visual memory deterioration. To obtain a score, a trained clinician inspects a patient’s ROCF drawing an...

Background Memory deficits are a hallmark of many different neurological and psychiatric conditions. The Rey-Osterrieth complex figure (ROCF) is the state–of-the-art assessment tool for neuropsychologists across the globe to assess the degree of non-verbal visual memory deterioration. To obtain a score, a trained clinician inspects a patient’s ROCF...

Objective: While prior retrospective studies have suggested that delayed cerebral ischemia (DCI) is a predictor of neuropsychological deficits after aneurysmal subarachnoid hemorrhage (aSAH), all studies to date have shown a high risk of bias. This study was designed to determine the impact of DCI on the longitudinal neuropsychological outcome aft...

“Body integrity dysphoria" (BID) is a severe condition affecting non-psychotic individuals. In the amputation variant of BID a limb may be experienced as not being part of the body, despite normal anatomical development and intact sensorimotor functions. We previously demonstrated altered brain structural (gray matter) and functional connectivity i...

It has been speculated that superstitiousness and obsessivecompulsive disorder (OCD) exist along a continuum. The distinction between superstitious behavior italic>and superstitious belief, however, is crucial for any theoretical account of claimed associations between superstitiousness and OCD. By demonstrating that there is a dichotomy between be...

Various factors, such as fear of falling, postural instability, and altered executive function, contribute to the high risk of falling in Parkinson's disease (PD). Dual-task training is an established method to reduce this risk. Motor-perceptual task combinations typically require a patient to walk while simultaneously engaging in a perceptual task...

Recent behavioral evidence from a virtual reality (VR) study indicates that awake sleepwalkers show dissociation of motor control and motor awareness. This dissociation resembles the nocturnal disintegration of motor awareness and movement during episodes of sleepwalking. Here, we set out to examine the neural underpinnings of altered motor awarene...

In healthy subjects, the transient perturbation of body part ownership is accompanied by regional skin temperature decrease. This observation leaves an open question about a possible body part-specific thermoregulatory response in pathological conditions, in which the sense of ownership over that body part is altered. For instance, Body Integrity D...

Congenital heart disease (CHD) patients are at risk for neurodevelopmental impairments, including altered motor function. However, little is known about the neuroanatomical correlates of persistent motor deficits in CHD. Thus, we examined the link between corticospinal tract (CST) microstructure and motor function in adolescent and adult CHD patien...

Congenital heart disease is the most common birth defect, and patients are at risk for neurodevelopmental impairment and brain abnormalities. Yet, little is known about the link between brain volumes and cognitive function in adults with congenital heart disease. Forty-four patients and 53 controls between 18 and 32 years underwent brain magnetic r...

Body integrity dysphoria (BID), a long-lasting desire for the amputation of physically healthy limbs, is associated with reduced fMRI resting-state functional connectivity of somatosensory cortices. Here, we used fMRI to evaluate whether these findings could be replicated and expanded using a task-based paradigm. We measured brain activations durin...

Introduction: Increased efforts in neuroscience try to understand mental disorders as brain disorders. In the present study, we investigate how common a neuroreductionist inclination is among highly educated people. In particular, we shed light on implicit presuppositions of mental disorders little is known about in the public, exemplified here by...

Somatoparaphrenia refers to the delusional belief, typically observed in right brain-damaged patients, that the contralesional limbs belong to someone else. Here, we aimed to uncover the neural activity associated with this productive, i.e. confabulatory, component in a patient, S.P.P., with a large right-sided lesion of both cortical and subcortic...

Limb apparent motion perception (LAMP) refers to the illusory visual perception of a moving limb upon observing two rapidly alternating photographs depicting the same limb in two different postures. Fast stimulus onset asynchronies (SOAs) induce the more visually guided perception of physically impossible movements. Slow SOAs induce the perception...

Body integrity dysphoria (BID) is a severe condition affecting non-psychotic individuals where a limb may be experienced as non-belonging, despite normal anatomical development and intact sensorimotor functions. Limb amputation is desired for restoring their own identity. We previously demonstrated altered brain structural (gray matter) and functio...

There are few things as irrefutable as the evidence that our limbs belong to us. However, persons with body integrity dysphoria (BID) [1] deny the ownership of one of their fully functional limbs and seek its amputation [2]. We tapped into the brain mechanisms of BID, examining sixteen men desiring the removal of the left healthy leg. The primary s...

Background While there is evidence that cognitive impairment of children with congenital heart disease (CHD) may persist into adolescence, little is known about the spectrum of neurocognitive functioning of young adults with this disorder. The aim of this study was to assess neurocognitive functioning in a population of young adults with different...

This study aimed to examine whether the cortical processing of emotional faces is modulated by the computerization of face stimuli (”avatars”) in a group of 25 healthy participants. Subjects were passively viewing 128 static and dynamic facial expressions of female and male actors and their respective avatars in neutral or fearful conditions. Event...

Limb apparent motion perception (LAMP) refers to the illusory visual perception of a moving limb upon observing two rapidly alternating photographs depicting the same limb in two different postures. Fast stimulus onset asynchronies (SOAs) induce the more visually guided perception of physically impossible movements. Slow SOAs induce the perception...

Background Hazardous alcohol consumption and HIV infection increase the risk of neurocognitive impairment (NCI). We examined the association between alcohol consumption and specific neurocognitive domain function in people with HIV (PWH) taking modern antiretroviral therapy. Methods The Neurocognitive Assessment in the Metabolic and Aging Cohort (...

Background: Depression may contribute to neurocognitive impairment (NCI) in people with HIV (PWH). Attributing NCI to depression rather than to HIV is complicated as depression may be both a causal factor and an effect of NCI. This study aimed to determine the association between depressive symptoms and NCI among PWH with well-controlled infection...

Color is key for the visual encoding of data, yet its use reportedly affects decision making in important ways. We examined the impact of various popular color schemes on experts’ and lay peoples’ map-based decisions in two, geography and neuroscience, scenarios, in an online visualization experiment. We found that changes in color mappings influen...

Asomatognosia designates the experience that one’s body has faded from awareness. It is typically a somaesthetic experience but may target the visual modality (“asomatoscopy”). Frequently associated symptoms are the loss of ownership or agency over a limb. Here, we elaborate on the rigorous nosographic classification of asomatognosia and introduce...

Adults with congenital heart disease are at risk for persisting executive function deficits, which are known to affect academic achievement and quality of life. Alterations in white -matter microstructure are associated with cognitive impairments in adolescents with congenital heart disease. This study aimed to identify microstructural alterations...

Recent behavioral evidence indicates that awake sleepwalkers show dissociation of motor control and motor awareness in a virtual reality (VR) paradigm. Intriguingly, this dissociation resembles the nocturnal disintegration of motor awareness and movement during episodes of sleepwalking. Here, we set out to examine the neural underpinnings of altere...

Clinical observations suggest dynamic alterations in behavior after brain surgery. While some alterations reportedly occur within days others gradually develop over several months. These alterations can be attributed to the pre-surgical impact of the diseased tissue, neuronal damage caused by the surgery, and subsequent plasticity. A key step towar...

To allow users to perform real walking in a virtual environment larger than the physical space, redirected walking (RDW) techniques could be employed. Users do not notice this manipulation and immersion remains intact when RDW is applied within certain thresholds. Although many studies on RDW detection thresholds exists, in none of these studies, u...

Visuospatial processing is a complex process that is vulnerable to bias. Line bisection paradigms are used to help detect the factors that balance left and right hemispatial attention that go beyond the domains of perception and action. For example, studies have indicated the “pseudoneglect” phenomenon in the bisection of horizontally presented lin...

Redirected walking (RDW) allows users to explore a virtual Environment larger than the physical tracking space by real walking. When RDWis applied within certain thresholds, users do not notice it and remain immersed in the virtual environment. There are many factors that affect these thresholds such as walking speed, gender, and field of view. How...

Increased efforts in neuroscience try to understand mental disorders as brain disorders. In the present study we investigate how common a neuroreductionist inclination is in the popular mind. Identically graphed, simulated data of mind-brain correlations were shown in three contexts with presumably different presumptions about causality. 738 highly...

There are few things as irrefutable as the evidence that our limbs belong to us. However, persons with body integrity dysphoria (BID) [1] deny the ownership of one of their fully functional limbs and seek its amputation [2]. We tapped into the brain mechanisms of BID, examining sixteen men desiring the removal of the left healthy leg. The primary s...

Computer-generated characters, so-called avatars, are widely used in advertising, entertainment, human-computer interaction, or as research tools to investigate human emotion perception. However, brain responses to avatar and human faces have scarcely been studied to date. As such, it remains unclear whether dynamic facial expressions of avatars ev...

Objective There is an ongoing debate on the potential negative effect of contact sport participation on long-term neurocognitive performance due to inherent exposure to concussive and subconcussive head impacts. The aim of the present study was to investigate whether cognitive ageing is exacerbated in elite soccer players compared to the general po...

Despite recent advances in prosthetics, many upper limb amputees still use prostheses with some reluctance. They often do not feel able to incorporate the artificial hand into their bodily self. Furthermore, prosthesis fitting is not usually tailored to accommodate the characteristics of an individual’s phantom limb sensations. These are experience...

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

A hand amputation is a highly disabling event, having severe physical and psychological repercussions on a person’s life. Despite extensive efforts devoted to restoring the missing functionality via dexterous myoelectric hand prostheses, natural and robust control usable in everyday life is still challenging. Novel techniques have been proposed to...

Spontaneous alternation behaviour (SAB) is the tendency to systematically alternate directional choices in successive maze arms. Originally discovered in rats, SAB has been extensively investigated in a broad range of species. In humans however, SAB has been mostly ignored, possibly due to the difficulties arising from the use of life-size mazes. W...

Background: Little is known about the prevalence of structural brain abnormalities and cognitive functioning in the growing population of patients with adult congenital heart disease (ACHD). Thus, our aim was to assess structural abnormalities on brain magnetic resonance imaging (MRI) and their association with intelligence quotient (IQ) in ACHD p...

The 'embodied cognition' framework proposes that our motor repertoire shapes visual perception and cognition. But recent studies showing normal visual body representation in individuals born without hands challenges the contribution of motor control on visual body representation. Here, we studied hand laterality judgements in three groups with fund...

Background Although most aneurysmal subarachnoid hemorrhage (aSAH) patients suffer from neuropsychological disabilities, outcome estimation is commonly based only on functional disability scales such as the modified Rankin Scale (mRS). Moreover, early neuropsychological screening tools are not used routinely. Objective To study whether two simple...

Objectives: Diagnosing neurocognitive impairment (NCI) in HIV infection requires time-consuming neuropsychological assessment. Screening tools are needed to identify when neuropsychological referral is indicated. We examined the positive and negative predictive values (PPVs and NPVs, respectively) of the three European AIDS Clinical Society (EACS)...

Hand amputation is a highly disabling event, having severe physical and psychological repercussions on a person's life. Despite extensive efforts devoted to restoring the missing functionality via dexterous myoelectric hand prostheses, natural and robust control usable in everyday life is still challenging. Novel techniques have been proposed to ov...

Zusammenfassung Hintergrund Die Implementierung von Frühmobilisation in der Akutversorgung bei Patienten mit Schädel-Hirn-Trauma (SHT) könnte sowohl in Bezug auf die funktionelle Erholung als auch auf die Hospitalisationsdauer von großer Bedeutung sein. Derzeit fehlen hierzu jedoch detaillierte, replizierbare Interventionsbeschreibungen. Ziel Der B...

Objective Phantom limb syndrome refers to afferent and efferent sensations and perceptions of a missing limb following its amputation. Non-painful phantom limb sensations (nPPLS) and phantom limb pain (PLP) are distinguished in literature. The theories proposed to explain the etiopathogenetic mechanisms show the importance of both peripheral and ce...

Schizotypy is a multidimensional construct conceptualized as the expression of the underlying vulnerability for schizophrenia. Certain traits of positive schizotypy, such as odd beliefs, unusual perceptual experiences, suspiciousness, and referential thinking show associations with aberrant salience. Positive schizotypy may involve hyper-attributio...

Super-refractory status epilepticus has a high mortality, and its treatment remains a challenge for clinical epileptologists. Deep brain stimulation (DBS) is successfully used in pharmacotherapy-resistant epilepsy andlargerstudies showed significant seizure reduction byhigh frequency stimulation in the anterior nucleus of the thalamus (ANT) [1]. Fur...

Background: Neuropsychological screening becomes increasingly important for the evaluation of subarachnoid hemorrhage (SAH) and stroke patients. It is often performed during the surveillance period on the intensive (ICU), while it remains unknown, whether the distraction in this environment influences the results. We aimed to study the reliability...

Previous studies suggest that visual encoding of ethnicity of in-group/out-group members might influence empathy and sensorimotor sharing. Here, we investigated whether mental perspective taking, presumably a precursor of empathy, is also influenced by in-group/out-group perception and the implicit attitudes toward it. We used an embodied egocentri...

Our understanding of mind wandering (MW) has dramatically increased over the past decade. Studies have shown that in the vast majority of cases, MW is directed to times other than the present, and a bias toward the future has been reported (prospective bias). The processing of time is not independent of the processing of space: humans represent tim...

Background: Findings on the effects of vitamin D on cognitive performance have been inconsistent and no clinical trials with detailed cognitive testing in healthy older adults have been reported. Objectives: We tested whether 2000 IU is superior to 800 IU vitamin D3/d for cognitive performance among relatively healthy older adults. Design: We...

Zusammenfassung. „Chemobrain“ bezeichnet kognitive Defizite, die oftmals in Zusammenhang mit chemotherapeutischen Behandlungen nichtzentralnervöser Karzinomerkrankungen auftreten und bei einigen Betroffenen über Jahre persistieren. Diese Defizite entstehen aus einem Zusammenspiel verschiedener biologischer und psychologischer Faktoren und lassen si...

Anomalous or weakened sense of self was central to early theories of schizophrenia. Recent studies have also documented disturbances in body ownership and increased susceptibility for dissociative experiences, such as the out‐of‐body experience in individuals with schizophrenia, but further research is necessary to clarify components of bodily self...

Redirected walking allows users of virtual reality applications to explore virtual environments larger than the available physical space. This is achieved by manipulating users’ walking trajectories through visual rotation of the virtual surroundings, without users noticing this manipulation. Apart from ist applied relevance, redirected walking is...

While pathologies of the central nervous system (CNS) are often associated with neuropsychological deficits, adequate quantification and monitoring of such deficits remains challenging. Due to their complex nature, comprehensive neuropsychological evaluations are needed, which are time-consuming, resource-intensive and do not adequately account for...

Space, numbers and time share similar processing mechanisms mediated by parietal cortex. In parallel to the spatial representation of numbers along a horizontal line, temporal information is mapped on a horizontal axis with short intervals (and the past) represented to the left of long intervals (and the future). Little is known about the represent...

The displacement of the final position of a moving object in the direction of the observed motion path, i.e. an overestimation, is known as representational momentum. It has been described both in the visual and the auditory domain, and is suggested to be modality-independent. Here, we tested whether a representational momentum can also be demonstra...

Objective: Concussion diagnosis and management in sports largely relies on neurocognitive testing. In the absence of baseline assessment, only norm values of the general population are available for comparison with scores of concussed athletes. To evaluate whether (elite) sport specific norm values are needed, cognitive performance was compared be...

To enable real walking in a virtual environment (VE) that is larger than the available physical space, redirection techniques that introduce multisensory conflicts between visual and nonvisual cues to manipulate different aspects of a user's trajectory could be applied. When applied within certain thresholds, these manipulations could go unnoticed...

Small and large numbers are typically associated with the left and right side of space, respectively. We conducted an online version of the classical Spatial-Numerical Association of Response Codes (SNARC) paradigm in 604 subjects in order to analyse how previous trials and responses affect SNARC. Our results point to a strong inversion of number-s...