Neurobiological basis of speech: a case for the preeminence of temporal processing

Brainstem timing: implications for cortical processing and literacy

The search for a unique biological marker of language-based learning disabilities has so far yielded inconclusive findings. Previous studies have shown a plethora of auditory processing deficits in learning disabilities at both the perceptual and physiological levels. In this study, we investigated the association among brainstem timing, cortical processing of stimulus differences, and literacy skills. To that end, brainstem timing and cortical sensitivity to acoustic change [mismatch negativity (MMN)] were measured in a group of children with learning disabilities and normal-learning children. The learning-disabled (LD) group was further divided into two subgroups with normal and abnormal brainstem timing. MMNs, literacy, and cognitive abilities were compared among the three groups. LD individuals with abnormal brainstem timing were more likely to show reduced processing of acoustic change at the cortical level compared with both normal-learning individuals and LD individuals with normal brainstem timing. This group was also characterized by a more severe form of learning disability manifested by poorer reading, listening comprehension, and general cognitive ability. We conclude that abnormal brainstem timing in learning disabilities is related to higher incidence of reduced cortical sensitivity to acoustic change and to deficient literacy skills. These findings suggest that abnormal brainstem timing may serve as a reliable marker of a subgroup of individuals with learning disabilities. They also suggest that faulty mechanisms of neural timing at the brainstem may be the biological basis of malfunction in this group.

The effect of voice-onset-time on dichotic listening with consonant–vowel syllables

Dichotic listening (DL) is the most frequently used method to study language lateralization. The current study investigated the effect of voice-onset-time (VOT) in dichotic listening with consonant-vowel (CV) syllables. Eighty-nine subjects with normal hearing and overall right-ear-advantage (REA) were tested with a PC version of the DL test. Voiced and unvoiced stop-consonants were used in combination with the vowel /a/. This produced three syllables with short VOT /ba, da, ga/ and three syllables with long VOT /pa, ta, ka/. There were, therefore, four possible combinations of VOTs when the syllables were presented as dichotic pairs. These were short-long (SL), i.e. syllable-pairs with a short VOT in the left ear and a syllable with a long VOT in the right ear; and similarly long-short (LS), short-short (SS), and long-long (LL). The results showed that syllable pairs with long VOT presented in the right ear and short VOT simultaneously presented in the left ear, produced the largest REA. This was followed by the LL and SS conditions. The LS condition produced a significant left-ear-advantage (LEA). These results demonstrate that VOT significantly affects ear-advantage as observed in the DL test and suggest that VOT may be a more powerful determinant of DL performance than the classic REA effect. The findings are discussed within the framework of different hypotheses about speech laterality.

Deficits in achromatic phantom contour perception in poor readers

In a previous study [Sperling, A. J., Lu, Z. L., Manis, F. R., & Seidenberg, M. S. (2003). Selective deficits in magnocellular processing: A "phantom contour" study. Neuropsychologia, 41, 1422-1429] we found that dyslexic children were relatively slower in processing achromatic phantom contours. The maximum temporal frequency at which they could identify achromatic phantom contours was correlated with reading ability and orthographic skill in particular. Here we investigated whether similar deficits could be identified in adults. Poor readers were chosen who scored below the 25th percentile on either a standardized test of word identification or nonword pronunciation. Good readers were chosen who scored above the 40th percentile on both reading tasks. We replicated the findings of the child study: poor readers had slower processing in the achromatic version of the task, but not in the chromatic version. Achromatic performance correlated with several measures of reading and reading-related skills, including exception word reading and phonological awareness. We discuss the possibility that the deficits may indicate impairment in noise exclusion that is more readily apparent at higher temporal frequencies.

Spectro-temporal processing during speech perception involves left posterior auditory cortex

This functional magnetic resonance imaging study investigates the neural underpinnings of spectro-temporal integration during speech perception. Participants performed an auditory discrimination task on a set of sine-wave analogues that could be perceived as either nonspeech or speech. Behavioural results revealed a difference in the processing mode; spectro-temporal integration occurred during speech perception, but not when stimuli were perceived as nonspeech. In terms of neuroimaging, we observed an activation increase in the left posterior primary and secondary auditory cortex, namely Heschl's gyrus and planum temporale encroaching onto the superior temporal sulcus, reflecting a shift from auditory to speech perception. This finding demonstrates that the left posterior superior temporal lobe is essential for spectro-temporal processing during speech perception.

Hemispheric asymmetry for spectral and temporal processing in the human antero-lateral auditory belt cortex

The present study investigates the acoustic basis of the hemispheric asymmetry for the processing of speech and music. Experiments on this question ideally involve stimuli that are perceptually unrelated to speech and music, but contain acoustic characteristics of both. Stimuli in previous studies were derived from speech samples or tonal sequences. Here we introduce a new class of noise-like sound stimuli with no resemblance of speech or music that permit independent parametric variation of spectral and temporal acoustic complexity. Using these stimuli in a functional MRI experiment, we test the hypothesis of a hemispheric asymmetry for the processing of spectral and temporal sound structure by seeking cortical areas in which the blood oxygen level dependent (BOLD) signal covaries with the number of simultaneous spectral components (spectral complexity) or the temporal modulation rate (temporal complexity) of the stimuli. BOLD-responses from the left and right Heschl's gyrus (HG) and part of the right superior temporal gyrus covaried with the spectral parameter, whereas covariation analysis for the temporal parameter highlighted an area on the left superior temporal gyrus. The portion of superior temporal gyrus in which asymmetrical responses are apparent corresponds to the antero-lateral auditory belt cortex, which has been implicated with spectral integration in animal studies. Our results support a similar function of the anterior auditory belt in humans. The findings indicate that asymmetrical processing of complex sounds in the cerebral hemispheres does not depend on semantic, but rather on acoustic stimulus characteristics.

Asymmetry of evoked potential latency to speech sounds predicts the ear advantage in dichotic listening

The functional organization of the human auditory cortex is still not well understood with respect to speech perception and language lateralization. Especially, there is comparatively little data available in the brain imaging literature focusing on the timing of phonetic processing. We recorded auditory-evoked potentials (AEP) from 27 scalp and additional EOG channels in 12 healthy volunteers performing a free report dichotic listening task with simple speech sounds (CV syllables: [ba], [da], [ga], [pa], [ta], [ka]). ERP analysis employed independent components analysis (ICA) wavelet denoising for artifact reduction and improvement of the SNR. The main finding was a 15-ms shorter average latency of the N1-AEP recorded from the scalp approximately overlying the left supratemporal cortical plane compared to the N1-AEP over the homologous right side. Corresponding N1 amplitudes did not differ between these sites. The individual AEP latency differences significantly correlated with the ear advantage as an index of speech/language lateralization. The behaviorally relevant difference in N1 latency between the hemispheres indicates that an important key to understanding speech perception is to consider the functional implications of neuronal event timing.

Determinants of dominance: Is language laterality explained by physical or linguistic features of speech?

The nature of cerebral asymmetry of the language function is still not fully understood. Two main views are that laterality is best explained (1) by left cortical specialization for the processing of spectrally rich and rapidly changing sounds, and (2) by a predisposition of one hemisphere to develop a module for phonemes. We tested both of these views by investigating magnetic brain responses to the same brief acoustic stimulus, placed in contexts where it was perceived either as a noise burst with no resemblance of speech, or as a native language sound being part of a meaningless pseudoword. In further experiments, the same acoustic element was placed in the context of words. We found reliable left hemispheric dominance only when the sound was placed in word context. These results, obtained in a passive odd-ball paradigm, suggest that neither physical properties nor phoneme status of a sound are sufficient for laterality. In order to elicit left lateralized cortical activation in normal right-handed individuals, a rapidly changing spectrally rich sound with phoneme status needs to be placed in the context of frequently encountered larger language elements, such as words. This demonstrates that language laterality is bound to the processing of sounds as units of frequently occurring meaningful items and can thus be linked to the processes of learning and memory trace formation for such items rather than to their physical or phonological properties.

Using auditory-visual speech to probe the basis of noise-impaired consonant-vowel perception in dyslexia and auditory neuropathy

Both dyslexics and auditory neuropathy (AN) subjects show inferior consonant-vowel (CV) perception in noise, relative to controls. To better understand these impairments, natural acoustic speech stimuli that were masked in speech-shaped noise at various intensities were presented to dyslexic, AN, and control subjects either in isolation or accompanied by visual articulatory cues. AN subjects were expected to benefit from the pairing of visual articulatory cues and auditory CV stimuli, provided that their speech perception impairment reflects a relatively peripheral auditory disorder. Assuming that dyslexia reflects a general impairment of speech processing rather than a disorder of audition, dyslexics were not expected to similarly benefit from an introduction of visual articulatory cues. The results revealed an increased effect of noise masking on the perception of isolated acoustic stimuli by both dyslexic and AN subjects. More importantly, dyslexics showed less effective use of visual articulatory cues in identifying masked speech stimuli and lower visual baseline performance relative to AN subjects and controls. Last, a significant positive correlation was found between reading ability and the ameliorating effect of visual articulatory cues on speech perception in noise. These results suggest that some reading impairments may stem from a central deficit of speech processing.

Altered temporal profile of visual-auditory multisensory interactions in dyslexia

Recent studies have demonstrated that dyslexia is associated with deficits in the temporal encoding of sensory information. While most previous studies have focused on information processing within a single sensory modality, it is clear that the deficits seen in dyslexia span multiple sensory systems. Surprisingly, although the development of linguistic proficiency involves the rapid and accurate integration of auditory and visual cues, the capacity of dyslexic individuals to integrate information between the different senses has not been systematically examined. To test this, we studied the effects of task-irrelevant auditory information on the performance of a visual temporal-order-judgment (TOJ) task. Dyslexic subjects' performance differed significantly from that of control subjects, specifically in that they integrated the auditory and visual information over longer temporal intervals. Such a result suggests an extended temporal "window" for binding visual and auditory cues in dyslexic individuals. The potential deleterious effects of this finding for rapid multisensory processes such as reading are discussed.

Processing of sub-syllabic speech units in the posterior temporal lobe: An fMRI study

The objective of this study was to investigate phonological processing in the brain by using sub-syllabic speech units with rapidly changing frequency spectra. We used isolated stop consonants extracted from natural speech consonant-vowel (CV) syllables, which were digitized and presented through headphones in a functional magnetic resonance imaging (fMRI) paradigm. The stop consonants were contrasted with CV syllables. In order to control for general auditory activation, we used duration- and intensity-matched noise as a third stimulus category. The subjects were seventeen right-handed, healthy male volunteers. BOLD activation responses were acquired on a 1.5-T MR scanner. The auditory stimuli were presented through MR compatible headphones, using an fMRI paradigm with clustered volume acquisition and 12 s repetition time. The consonant vs. noise comparison resulted in unilateral left lateralized activation in the posterior part of the middle temporal gyrus and superior temporal sulcus (MTG/STS). The CV syllable vs. noise comparison resulted in bilateral activation in the same regions, with a leftward asymmetry. The reversed comparisons, i.e., noise vs. speech stimuli, resulted in right hemisphere activation in the supramarginal and superior temporal gyrus, as well as right prefrontal activation. Since the consonant stimuli are unlikely to have activated a semantic-lexical processing system, it seems reasonable to assume that the MTG/STS activation represents phonetic/phonological processing. This may involve the processing of both spectral and temporal features considered important for phonetic encoding.

Neurophysiological Indexes of Speech Processing Deficits in Children with Specific Language Impairment

We used neurophysiological and behavioral measures to examine whether children with specific language impairment (SLI) have deficits in automatic processing of brief, phonetically similar vowels, and whether attention plays a role in such deficits. The neurophysiological measure mismatch negativity (MMN) was used as an index of discrimination in two tasks; one in which children ignored the auditory stimuli and watched a silent video and a second in which they attended to the auditory modality. Children with SLI showed good behavioral discrimination, but significantly poorer behavioral identification of the brief vowels than the children with typical language development (TLD). For the TLD children, two neurophysiological measures (MMN and a later negativity, LN) indexed discrimination of the vowels in both tasks. In contrast, only the LN was elicited in either task for the SLI group. We did not see a direct correspondence between the absence of MMN and poor behavioral performance in the children with SLI. This pattern of findings indicates that children with SLI have speech perception deficiencies, although the underlying cause may vary.

The intraparietal sulcus and perceptual organization

The structuring of the sensory scene (perceptual organization) profoundly affects what we perceive, and is of increasing clinical interest. In both vision and audition, many cues have been identified that influence perceptual organization, but only a little is known about its neural basis. Previous studies have suggested that auditory cortex may play a role in auditory perceptual organization (also called auditory stream segregation). However, these studies were limited in that they just examined auditory cortex and that the stimuli they used to generate different organizations had different physical characteristics, which per se may have led to the differences in neural response. In the current study, functional magnetic resonance imaging was used to test for an effect of perceptual organization across the whole brain. To avoid confounding physical changes to the stimuli with differences in perceptual organization, we exploited an ambiguous auditory figure that is sometimes perceived as a single auditory stream and sometimes as two streams. We found that regions in the intraparietal sulcus (IPS ) showed greater activity when 2 streams were perceived rather than 1. The specific involvement of this region in perceptual organization is exciting, as there is a growing literature that suggests a role for the IPS in binding in vision, touch, and cross-modally. This evidence is discussed, and a general role proposed for regions of the IPS in structuring sensory input.

Dyslexia (specific reading disability)

Converging evidence from a number of lines of investigation indicates that dyslexia represents a disorder within the language system and more specifically within a particular subcomponent of that system, phonological processing. Recent advances in imaging technology, particularly the development of functional magnetic resonance imaging, provide evidence of a neurobiological signature for dyslexia, specifically a disruption of two left hemisphere posterior brain systems, one parieto-temporal, the other occipito-temporal, with compensatory engagement of anterior systems around the inferior frontal gyrus and a posterior (right occipito-temporal) system. Furthermore, good evidence indicates a computational role for the left occipito-temporal system: the development of fluent (automatic) reading. The brain systems for reading are malleable and their disruption in dyslexic children may be remediated by provision of an evidence-based, effective reading intervention. In addition, functional magnetic resonance imaging studies of young adults with reading difficulties followed prospectively and longitudinally from age 5 through their mid twenties suggests that there may be two types of reading difficulties, one primarily on a genetic basis, the other, and far more common, reflecting environmental influences. These studies offer the promise for more precise identification and effective management of dyslexia in children, adolescents and adults.

Specific language impairment is not specific to language: the procedural deficit hypothesis

Specific Language Impairment (SLI) has been explained by two broad classes of hypotheses, which posit either a deficit specific to grammar, or a non-linguistic processing impairment. Here we advance an alternative perspective. According to the Procedural Deficit Hypothesis (PDH), SLI can be largely explained by the abnormal development of brain structures that constitute the procedural memory system. This system, which is composed of a network of inter-connected structures rooted in frontal/basal-ganglia circuits, subserves the learning and execution of motor and cognitive skills. Crucially, recent evidence also implicates this system in important aspects of grammar. The PDH posits that a significant proportion of individuals with SLI suffer from abnormalities of this brain network, leading to impairments of the linguistic and non-linguistic functions that depend on it. In contrast, functions such as lexical and declarative memory, which depend on other brain structures, are expected to remain largely spared. Evidence from an in-depth retrospective examination of the literature is presented. It is argued that the data support the predictions of the PDH, and particularly implicate Broca's area within frontal cortex, and the caudate nucleus within the basal ganglia. Finally, broader implications are discussed, and predictions for future research are presented. It is argued that the PDH forms the basis of a novel and potentially productive perspective on SLI.

Does brain white matter growth expand the cortex like a balloon? Hypothesis and consequences

Horrobin (2001) has proposed that phospholipid metabolism is linked to human brain growth, and that deviations in the metabolism may be linked to creativity as well as mental disorders. The present literature review leads to a framework or model which states that brain white matter growth causes the overlying cortex to expand tangentially, like a balloon, and that this expansion affects the cortex's capacity to differentiate afferent signals. The neuroanatomical description of this model is based on publications linking human white matter growth and mass to the thickness of the overlying cortex, and of some linking cortical thickness and surface area (inversely). The link between the surface area of a cortical region and its differentiation capacity is based on previous work on hemispheric differences and functional lateralisation in the human auditory cortices. The link between differentiation capacity and inappropriate responses or "loose associations" is based on publications linking perceptual deficits and abnormal cortical structure, especially abnormal laterality. Finally, perceptual deficits have been linked to aspects of schizophrenia or other "disorders".

[Is there a correlation between low-level auditory processing and phonological processing in preschool children?]

BACKGROUND

It appears to be widely accepted that specific language impairment (SLI) and developmental dyslexia result from some form of phonological deficit. Some theorists contend that these deficits are directly and exclusively caused by a cognitive deficit specific to representation and processing of speech sound. However, separate theories hold that phonological deficits indeed may cause SLI or dyslexia but phonological deficits arise due to sensory, mainly auditory, deficits. Here we studied if there is a correlation between two hotly debated measures of auditory low-level processing and measures of phonological processing in preschool children.

METHODS

DESIGN

prospective study.

SAMPLE

preschool children.

VARIABLES

monaural and binaural temporal order judgement (TOJ(b) and TOJ(m)), several standardized measures of broad and narrow phonological processing (Bielefelder Screening BISC).

STATISTICS

correlation analysis.

RESULTS

A significant correlation was found between TOJ(b)/TOJ(m )and phonological processing. However, these data show that "impaired" TOJ(b) and TOJ(m) is neither a necessary nor a sufficient prerequisite for impaired phonological processing.

DISCUSSION

Although TOJ(b) and TOJ(m) as measures of auditory low-level processing show a correlation with some measures of phonological processing, the precise nature of mechanisms leading to SLI or dyslexia still remains an unsolved problem.

Is humanlike cytoarchitectural asymmetry present in another species with complex social vocalization? A stereologic analysis of mustached bat auditory cortex

Considerable evidence suggests that left hemispheric lateralization for language comprehension in humans is associated with cortical microstructural asymmetries. However, despite the fact that left hemispheric dominance for the analysis of species-specific social vocalizations has been reported in several other species, little is known concerning microstructural asymmetries in auditory cortex of nonhumans. To test whether such neuroanatomical lateralization characterizes another species with complex social vocalizations, we performed stereologic analyses of Nissl-stained cells in layer III of area DSCF in mustached bats (Pteronotus parnellii). Area DSCF was selected because it contains neurons which are sensitive to several temporal features of conspecific vocalizations. Primary visual cortex (V1) was also studied as a comparative reference. We measured neuron densities, glial densities, and neuronal volumes in both hemispheres of 10 adult male bats. Results indicate that these variables are not significantly lateralized in area DSCF or V1. Additionally, magnopyramidal cells (i.e., the largest 10% of neurons from both hemispheres) were not asymmetric in their frequency of distribution at the population level. Although several individual bats had asymmetric neuron distributions, consistent hemispheric bias was not evident. Absence of population-level microstructural asymmetry in area DSCF of mustached bats suggests alternative evolutionary scenarios including: (1) microstructural lateralization of auditory cortical circuitry may be a unique adaptation for human language, and (2) the specialized biosonar function of mustached bat auditory cortex may require symmetrical cytoarchitectural structure. Resolution of these alternatives will require further data on the microstructure of auditory cortex in species with lateralized perception of acoustic social communication.

Sex and hemispheric differences for rapid auditory processing in normal adults

Previous research suggests that left hemisphere specialisation for processing speech may specifically depend on rate-specific parameters, with rapidly successive or faster changing acoustic stimuli (e.g. stop consonant-vowel syllables) processed preferentially by the left hemisphere. The current study further investigates the involvement of the left hemisphere in processing rapidly changing auditory information, and examines the effects of sex on the organisation of this function. Twenty subjects participated in an auditory discrimination task involving the target identification of a two-tone sequence presented to one ear, paired with white noise to the contralateral ear. Analyses demonstrated a right ear advantage for males only at the shorter interstimulus interval durations (mean = 20 msec) whereas no ear advantage was observed for women. These results suggest that the male brain is more lateralised for the processing of rapidly presented auditory tones, specifically at shorter stimulus durations.

Right Hemispheric Laterality of Human 40 Hz Auditory Steady-state Responses

Hemispheric asymmetries during auditory sensory processing were examined using whole-head magnetoencephalographic recordings of auditory evoked responses to monaurally and binaurally presented amplitude-modulated sounds. Laterality indices were calculated for the transient onset responses (P1m and N1m), the transient gamma-band response, the sustained field (SF) and the 40 Hz auditory steady-state response (ASSR). All response components showed laterality toward the hemisphere contralateral to the stimulated ear. In addition, the SF and ASSR showed right hemispheric (RH) dominance. Thus, laterality of sustained response components (SF and ASSR) was distinct from that of transient responses. ASSR and SF are sensitive to stimulus periodicity. Consequently, ASSR and SF likely reflect periodic stimulus attributes and might be relevant for pitch processing based on temporal stimulus regularities. In summary, the results of the present studies demonstrate that asymmetric organization in the cerebral auditory cortex is already established on the level of sensory processing.

Influence of auditory–verbal, visual–verbal, visual, and visual–visual processing speed on reading and spelling at the end of Grade 1

This study examined cognitive processing speed through four modalities (auditory-verbal, visual-verbal, visual, and visual-visual) at the end of Grade 1 and how it influences reading and spelling. The subjects were 124 French-speaking children, selected for their contrasting performance on reading and spelling tasks. The children in the first group (N=69) were average readers; the second group of children (N=55) performed worse or much worse on all reading and spelling tasks. The experimental design consisted of a set of 10 tasks administered in two sessions. The major findings reveal that: (1) the children with reading difficulties displayed low and slow performance on most cognitive tasks, whatever the modality; (2) auditory-verbal and visual-verbal processing speed significantly predicted written language, which was not the case with the visual modalities; and (3) that visual problems did not appear to be a potential cause of reading problems in most delayed readers. The findings also confirm the independence of phonological and naming-speed skills in reading development and reading impairment.

Renewal of the neurophysiology of language: functional neuroimaging

Functional neuroimaging methods have reached maturity. It is now possible to start to build the foundations of a physiology of language. The remarkable number of neuroimaging studies performed so far illustrates the potential of this approach, which complements the classical knowledge accumulated on aphasia. Here we attempt to characterize the impact of the functional neuroimaging revolution on our understanding of language. Although today considered as neuroimaging techniques, we refer less to electroencephalography and magnetoencephalography studies than to positron emission tomography and functional magnetic resonance imaging studies, which deal more directly with the question of localization and functional neuroanatomy. This review is structured in three parts. 1) Because of their rapid evolution, we address technical and methodological issues to provide an overview of current procedures and sketch out future perspectives. 2) We review a set of significant results acquired in normal adults (the core of functional imaging studies) to provide an overview of language mechanisms in the "standard" brain. Single-word processing is considered in relation to input modalities (visual and auditory input), output modalities (speech and written output), and the involvement of "central" semantic processes before sentence processing and nonstandard language (illiteracy, multilingualism, and sensory deficits) are addressed. 3) We address the influence of plasticity on physiological functions in relation to its main contexts of appearance, i.e., development and brain lesions, to show how functional imaging can allow fine-grained approaches to adaptation, the fundamental property of the brain. In closing, we consider future developments for language research using functional imaging.

Cortical activity of children with dyslexia during natural speech processing: evidence of auditory processing deficiency

Children with dyslexia have difficulties with phonological processing. It is assumed that deficits in auditory temporal processing underlie the phonological difficulties of dyslectic subjects (i.e. the processing of rapid acoustic changes that occur in speech). In this study we assessed behavioral and electrophysiological evoked brain responses of dyslectic and skilled reading children while performing a set of hierarchically structured auditory tasks. Stimuli consisted of auditory natural unmodified speech that was controlled for the parameter of changing rate of main acoustic cues: vowels (slowly changing speech cues: /i/ versus /u/) and consonant-vowel (CV) syllables (rapidly changing speech cues: /da/ versus /ga/). Brain auditory processing differed significantly between groups: reaction time of dyslectic readers was prolonged in identifying speech stimuli and increased with increased phonological demand. Latencies of auditory evoked responses (auditory event related potentials [AERPs]) recorded during syllable identification of the dyslectic group were prolonged relative to those of skilled readers. Moreover, N1 amplitudes during vowel processing were larger for the dyslectic children and P3 amplitudes during CV processing were smaller for the dyslectic children. From the results of this study it is evident that the latency and amplitude of AERPs are sensitive measures of the complexity of phonological processing in skilled and dyslectic readers. These results may be signs of deficient auditory processing of natural speech under normal listening conditions as a contributing factor to reading difficulties in dyslexia. Detecting a dysfunction in the central auditory processing pathway might lead to early detection of children who may benefit from phonetic-acoustic training methods.

Dynamics of thalamo-cortical network oscillations and human perception

There is increasing evidence that human cognitive functions can be addressed from a robust neuroscience perspective. In particular, the distributed coherent electrical properties of central neuronal ensembles are considered to be a promising avenue of inquiry concerning global brain functions. The intrinsic oscillatory properties of neurons (Llinás, R. (1988) The intrinsic electrophysiological properties of mammalian neurons: Insights into central nervous system function. Science, 242: 1654-1664), supported by a large variety of voltage-gated ionic conductances are recognized to be the central elements in the generation of the temporal binding required for cognition. Research in neuroscience further indicates that oscillatory activity in the gamma band (25-50 Hz) can be correlated with both sensory acquisition and pre-motor planning, which are non-continuous functions in the time domain. From this perspective, gamma-band activity is viewed as serving a broad temporal binding function, where single-cell oscillators and the conduction time of the intervening pathways support large multicellular thalamo-cortical resonance that is closely linked with cognition and subjective experience. Our working hypothesis is that although dedicated units achieve sensory processing, the cognitive binding process is a common mechanism across modalities. Moreover, it is proposed that such time-dependent binding when altered, will result in modifications of the sensory motor integration that will affect and impair cognition and conscious perception.

Question/statement judgments: an fMRI study of intonation processing

We examined changes in fMRI BOLD signal associated with question/statement judgments in an event-related paradigm to investigate the neural basis of processing one aspect of intonation. Subjects made judgments about digitized recordings of three types of utterances: questions with rising intonation (RQ; e.g., "She was talking to her father?"), statements with a falling intonation (FS; e.g., "She was talking to her father."), and questions with a falling intonation and a word order change (FQ; e.g., "Was she talking to her father?"). Functional echo planar imaging (EPI) scans were collected from 11 normal subjects. There was increased BOLD activity in bilateral inferior frontal and temporal regions for RQ over either FQ or FS stimuli. The study provides data relevant to the location of regions responsive to intonationally marked illocutionary differences between questions and statements.

Evidence for separate tonal and segmental tiers in the lexical specification of words: a case study of a brain-damaged Chinese speaker

We present an acoustic study of segmental and prosodic properties of words produced by a female speaker of Chinese with left-hemisphere brain damage. We measured the location of the point vowels /a, e, [Symbol: see text], i, y, o, u/ and determined their separation in the vowel plane, and their perceptual distinctivity. Similarly, the acoustic properties of the four lexical tones were measured in the F0 x time space. The data for our brain-damaged speaker were compared with those of a healthy control speaker. Results show that the patient's vowels hardly suffered from her lesion (relative to the vowel dispersion in the healthy control speaker), but that the identifiability of the four lexical tones was greatly compromised. These findings show that the tonal errors in aphasic speech behave independently of the segmental errors, even though both serve to maintain lexical contrasts in Chinese, and are therefore part of the lexical specification of Chinese words. The present study suggests that the specification of segmental and tonal aspects of lexical entries in Chinese, and in tone languages in general, are located or processed separately in the brain.

Cortical differentiation of speech and nonspeech sounds at 100 ms: implications for dyslexia

Neurophysiological measures indicate cortical sensitivity to speech sounds by 150 ms after stimulus onset. In this time window dyslexic subjects start to show abnormal cortical processing. We investigated whether phonetic analysis is reflected in the robust auditory cortical activation at approximately 100 ms (N100m), and whether dyslexic subjects show abnormal N100m responses to speech or nonspeech sounds. We used magnetoencephalography to record auditory responses of 10 normally reading and 10 dyslexic adults. The speech stimuli were synthetic Finnish speech sounds (/a/, /u/, /pa/, /ka/). The nonspeech stimuli were complex nonspeech sounds and simple sine wave tones, composed of the F1+F2+F3 and F2 formant frequencies of the speech sounds, respectively. All sounds evoked a prominent N100m response in the bilateral auditory cortices. The N100m activation was stronger to speech than nonspeech sounds in the left but not in the right auditory cortex, in both subject groups. The leftward shift of hemispheric balance for speech sounds is likely to reflect analysis at the phonetic level. In dyslexic subjects the overall interhemispheric amplitude balance and timing were altered for all sound types alike. Dyslexic individuals thus seem to have an unusual cortical organization of general auditory processing in the time window of speech-sensitive analysis.

Atypical brainstem representation of onset and formant structure of speech sounds in children with language-based learning problems

This study investigated how the human auditory brainstem represents constituent elements of speech sounds differently in children with language-based learning problems (LP, n = 9) compared to normal children (NL, n = 11), especially under stress of rapid stimulation. Children were chosen for this study based on performance on measures of reading and spelling and measures of syllable discrimination. In response to the onset of the speech sound /da/, wave V-V(n) of the auditory brainstem response (ABR) had a significantly shallower slope in LP children, suggesting longer duration and/or smaller amplitude. The amplitude of the frequency following response (FFR) was diminished in LP subjects over the 229-686 Hz range, which corresponds to the first formant of the/da/ stimulus, while activity at 114 Hz, representing the fundamental frequency of /da/, was no different between groups. Normal indicators of auditory peripheral integrity suggest a central, neural origin of these differences. These data suggest that poor representation of crucial components of speech sounds could contribute to difficulties with higher-level language processes.

Evidence for rapid auditory perception as the foundation of speech processing: a sparse temporal sampling fMRI study

We examined the processing of verbal and nonverbal auditory stimuli using an event-related functional magnetic resonance imaging (fMRI) study to reveal the neural underpinnings of rapid temporal information processing and it's relevance during speech perception. In the context of a clustered sparse-temporal fMRI data collection eight right-handed native German speakers performed: (i) an auditory gap detection task; and (ii) a CV syllable discrimination task. A tone perception task served as a nontemporal control condition. Here we aimed to research to what extent the left hemisphere preferentially processes linguistically relevant temporal information available in speech and nonspeech stimuli. Furthermore, we sought to find out as to whether a left hemisphere's preference for linguistically relevant temporal information is specifically constrained to verbal utterances or if nonlinguistic temporal information may also activate these areas. We collected haemodynamic responses from three time points of acquisition (TPA) with varying temporal distance from stimulus onset to gain an insight on the time course of auditory processing. Results show exclusively left-sided activations of primary and secondary auditory cortex associated with the perception of rapid temporal information. Furthermore, the data shows an overlap of activations evoked by nonspeech sounds and speech stimuli within primary and secondary auditory cortex of the left hemisphere. The present data clearly support the assumption of a shared neural network for rapid temporal information processing within the auditory domain for both speech and nonspeech signals situated in left superior temporal areas.

fMRI studies of temporal attention: allocating attention within, or towards, time

Attention is distributed in time as well as space. Moreover, attention can be actively directed both within, and towards, time. This review article summarises behavioural and neuroanatomical correlates of temporal aspects of attention. Orienting attention to particular moments in time, or selectively attending to temporal rather than non-temporal stimulus features, improves behavioural measures of performance. These effects are accompanied by specific increases in activity of functionally specialised, and anatomically discrete, brain regions. Left parietal cortex is associated with orienting attention to specific moments in time. Pre-supplementary motor area (SMA) is associated with selectively attending to, and estimating, time. Frontal operculum is associated with all of these processes as well as being activated when attentional resources are limited by time itself. The frontal operculum therefore plays a pivotal role in the multi-faceted interaction between time and attention.

Timing speech: a review of lesion and neuroimaging findings

Time is a fundamental dimension of behavior and as such underlies the perception and production of speech. This paper reviews patient and neuroimaging studies that investigated brain structures that support temporal aspects of speech. The left-frontal cortex, the basal ganglia, and the cerebellum represent structures that have been implicated repeatedly. A comparison with the structures involved in the timing of non-speech events (e.g., tones, lights, finger movements) suggests both commonalities and differences: while the basal ganglia and the cerebellum contribute to the timing of speech and non-speech events, the contribution of left-frontal cortex seems to be specific to speech or rapidly changing acoustic information. Motivated by these commonalities and differences, this paper presents assumptions about the function of basal ganglia, cerebellum, and cortex in the timing of speech.

Impaired gap detection in juvenile microgyric rats

Previous research with adult animal models links the presence of cortical neuromigrational anomalies (i.e., microgyria similar to that found in brains of dyslexics) with rapid auditory processing (RAP) impairments. RAP impairments are in turn found in children with specific language impairment (SLI) and also in individuals with dyslexia. Gap detection, a simple measure of auditory temporal acuity, appears to be impaired in children with SLI but not in dyslexic adults, even though both groups exhibit impaired processing on more complex, rapid auditory tasks. In the current study, juvenile rats with bilateral microgyria, but not their adult counterparts, exhibited impaired detection of short duration silent gaps in white noise when compared to age-matched sham littermates. Results lend further support to: (1) an association between neuromigrational anomalies and RAP impairments; and (2) the validity of an animal model of RAP impairments associated with language disturbances in humans. Current results also support the view that auditory processing disturbances associated with cortical malformations may be evident early in development at a relatively "low" level (e.g., simple gap detection), but may require "higher-order" auditory discrimination tasks (e.g., tone sequences, phonemic discriminations) to be elicited later in life.

Gender differences in hemispheric asymmetry of syllable processing: Left-lateralized magnetic N100 varies with syllable categorization in females

The present study used magnetic source imaging to examine gender differences in the functional hemispheric asymmetry of auditory processing. The auditory evoked N100m was examined in male and female subjects in response to natural syllables with varying consonant and vowel as well as nonspeech noise. In an additional task subjects had to categorize different syllables from the first 35 ms of syllables, that is, the plosive and the formant transition. Syllable-evoked N100m activity was larger in the left than in the right hemisphere in female but not in male subjects. This gender-specific hemispheric asymmetry was speech specific, that is, absent when processing meaningless noise. Only in females did the degree of left-lateralization predict successful syllable categorization from short syllable bursts: Results suggest gender-specific differences in spectro-temporal analysis of speech.

Are poor readers semantically challenged? An event-related brain potential assessment

This study explores visual event-related potentials components in a group of poor readers (PRs) and control children who carried out figure and word categorization tasks. In both tasks, every child had to categorize between animal and non-animal stimuli in an odd-ball GO-GO paradigm. During the word categorization task, PRs presented longer reaction times, a poorer performance, longer and larger P2 amplitudes, and smaller amplitudes and longer P300 latencies than controls. There were no differences in the N400 component between groups. These results suggest that semantic processing underachievement in PRs may not be a semantic deficit per se, but the late reflection of an early word codification problem, deficient use of attentional resources and lack of target identification during reading.

Right temporal cortex is critical for utilization of melodic contextual cues in a pitch constancy task

Pitch constancy, perceiving the same pitch from tones with differing spectral shapes, requires one to extract the fundamental frequency from two sets of harmonics and compare them. We previously showed this difficult task to be easier when tonal context is present, presumably because the context creates a tonal reference point from which to judge the test tone. The present study assessed the role of the right auditory cortex in using tonal context for pitch judgements. Thirty-six patients with focal brain excisions of the right or left anterior temporal lobe (RT, LT) and 12 matched control participants (NC) made pitch judgements on complex tones that could differ in fundamental frequency and/or spectral shape. This task was performed in isolation and within a melodic context. The RT group showed impairments both on trials in which extraction of pitch from differing spectral shapes was required (different-timbre trials) and when this was not required (same-timbre trials). All groups performed poorly in the isolated condition, but improved with melodic context. Degree of improvement varied in that the LT group performed normally, whereas the RT group was not able to obtain the same amount of facilitation from the melodic context. In particular, melodic context did not facilitate the RT group's performance on different-timbre trials. Excisions within Heschl's gyrus did not affect these results, suggesting that the impairments were due to the removal of the anterior temporal cortex. The results of this study therefore implicate right anterior auditory cortical areas in making pitch judgements relative to tones that were heard previously. We propose that auditory association areas located on the anterior portion of the superior temporal gyrus, an area with connections to frontal regions implicated in working memory, could be involved in holding and integrating tonal information.

Brains That Are out of Tune but in Time

It is estimated that about 4% of the general population may have amusia (or tone deafness). Congenital amusia is a lifelong disability for processing music despite normal intellectual, memory, and language skills. Here we present evidence that the disorder stems from a deficit in fine-grained pitch perception. Amusic and control adults were presented with monotonic and isochronous sequences of five tones (i.e., constant pitch and intertone interval). They were required to detect when the fourth tone was displaced in pitch or time. All amusic participants were impaired in detecting the pitch changes, and showed no sign of improvement with practice. In contrast, they detected time changes as well as control adults and exhibited similar improvements with practice. Thus, the degraded pitch perception seen in the amusic individuals cannot be ascribed to nonspecific problems with the task or to poor hearing in general. Rather, the data point to the presence of a congenital neural anomaly that selectively impairs pitch processing.

Automatic and controlled processing of acoustic and phonetic contrasts

Changes in the temporal properties of the speech signal provide important cues for phoneme identification. An impairment or inability to detect such changes may adversely affect one's ability to understand spoken speech. The difference in meaning between the Finnish words tuli (fire) and tuuli (wind), for example, lies in the difference between the duration of the vowel /u/. Detecting changes in the temporal properties of the speech signal, therefore, is critical for distinguishing between phonemes and identifying words. In the current study, we tested whether detection of changes in speech sounds, in native Finnish speakers, would vary as a function of the position within the word that the informational changes occurred (beginning, middle, or end) by evaluating how length contrasts in segments of three-syllable Finnish pseudo-words and their acoustic correlates were discriminated. We recorded a combination of cortical components of event-related brain potentials (MMN, N2b, P3b) along with behavioral measures of the perception of the same sounds. It was found that speech sounds were not processed differently than non-speech sounds in the early stages of auditory processing indexed by MMN. Differences occurred only in later stages associated with controlled processes. The effects of position and attention on speech and non-speech stimuli are discussed.

The fragile nature of the speech-perception deficit in dyslexia: natural vs synthetic speech

A number of studies reported that developmental dyslexics are impaired in speech perception, especially for speech signals consisting of rapid auditory transitions. These studies mostly made use of a categorical-perception task with synthetic-speech samples. In this study, we show that deficits in the perception of synthetic speech do not generalise to the perception of more naturally sounding speech, even if the same experimental paradigm is used. This contrasts with the assumption that dyslexics are impaired in the perception of rapid auditory transitions.

Neural correlates of sensory and decision processes in auditory object identification

Physiological studies of auditory perception have not yet clearly distinguished sensory from decision processes. In this experiment, human participants identified speech sounds masked by varying levels of noise while blood oxygenation signals in the brain were recorded with functional magnetic resonance imaging (fMRI). Accuracy and response time were used to characterize the behavior of sensory and decision components of this perceptual system. Oxygenation signals in a cortical subregion just anterior and lateral to primary auditory cortex predicted accuracy of sound identification, whereas signals in an inferior frontal region predicted response time. Our findings provide neurophysiological evidence for a functional distinction between sensory and decision mechanisms underlying auditory object identification. The present results also indicate a link between inferior frontal lobe activation and response-selection processes during auditory perception tasks.

Dyslexia and music. From timing deficits to musical intervention

The underlying causes of the language and literacy difficulties experienced by dyslexic children are not yet fully understood, but current theories suggest that timing deficits may be a key factor. Dyslexic children have been found to exhibit timing difficulties in the domains of language, music, perception and cognition, as well as motor control. The author has previously suggested that group music lessons, based on singing and rhythm games, might provide a valuable multisensory support tool for dyslexic children by encouraging the development of important auditory and motor timing skills and subsequently language skills. In order to examine this hypothesis, a research program was designed that involved the development of group music lessons and musical tests for dyslexic children in addition to three experimental studies. It was found that classroom music lessons had a positive effect on both phonologic and spelling skills, but not reading skills. Results also indicated that dyslexic children showed difficulties with musical timing skills while showing no difficulties with pitch skills. These apparent disassociations between spelling and reading ability and musical timing and pitch ability are discussed. The results of the research program are placed in the context of a more general model of the potential relationship between musical training and improved language and literacy skills.

Right-hemispheric dominance for processing extended non-linguistic frequency transitions

The left hemisphere is specialized for most linguistic tasks and the right hemisphere is specialized for many non-linguistic tasks, but the cause of these functional asymmetries is unknown. One of the stimulus factors that appears to influence these asymmetries is the rate at which stimuli change. In the present experiment, 41 participants completed the Fused Dichotic Words Test (FDWT) and a non-linguistic Frequency Transition Task (FTT) wherein the Frequency Transitions (FTs) were either rapid (40 ms) or relatively slow (200 ms). There was a right hemisphere advantage for slow FTs when the change was at the front of the stimulus, but no corresponding left hemisphere advantage for the rapid FTs. There was no relationship between either FTT and the left hemisphere advantage exhibited on the FDWT. This finding provides support for the position that the right hemisphere dominates tasks that require temporal processing over relatively long periods of time.

Interindividual variability in the hemispheric organization for speech

A PET activation study was designed to investigate hemispheric specialization during speech comprehension and production in right- and left-handed subjects. Normalized regional cerebral blood flow (NrCBF) was repeatedly monitored while subjects either listened to factual stories (Story) or covertly generated verbs semantically related to heard nouns (Gener), using silent resting (Rest) as a common control condition. NrCBF variations in each task, as compared to Rest, as well as functional asymmetry indices (FAI = right minus left NrCBF variations), were computed in anatomical regions of interest (AROIs) defined on the single-subject MNI template. FAIs were predominantly leftward in all regions during both tasks, although larger FAIs were observed during Gener. Subjects were declared "typical" for language hemispheric specialization based on the presence of significant leftward asymmetries (FAI < 0) in the pars triangularis and opercularis of the inferior frontal gyrus during Gener, and in the middle and inferior temporal AROIs during Story. Six subjects (including five LH) showed an atypical language representation. Among them, one presented a right hemisphere specialization during both tasks, another a shift in hemispheric specialization from production to comprehension (left during Gener, right during Story). The group of 14 typical subjects showed significant positive correlation between homologous left and right AROIs NrCBF variations in temporal areas during Story, and in temporal and inferior frontal areas during Gener, almost all regions presenting a leftward FAI. Such correlations were also present in deactivated areas with strong leftward asymmetry (supramarginalis gyrus, inferior parietal region). These results suggest that entry into a language task translates into a hemispheric reconfiguration of lateral cortical areas with global NrCBF increase in the dominant hemisphere and decrease in the minor hemisphere. This can be considered as the setting up of a "language mode", under the control of a mechanism that operates at a perisylvian level. On top of this global organization, regional variations carry on the performance of the cognitive operations specific to the language task to be performed. Hemispheric relationships could be different in atypical subjects, with either between task hemispheric regulation differences or differences in regional specialization.

How ‘generalized’ is the ‘slowed processing’ in SLI? The case of visuospatial attentional orienting

The study was designed to assess the speed and efficiency of visuospatial attentional orienting and the speed of visual processing and motor response in school-age children diagnosed with specific language impairment (SLI). Fifteen participants with SLI (7-15 years old) and their gender- and age-matched normally developing peers performed two formats of a simple visual discrimination task, one requiring the use of attentional orienting for accurate performance, and the other not requiring shifts of attention. The SLI group was characterized by (a) slower visual processing, and (b) slower motor response, but (c) similar attentional orienting speed, relative to the control group. The results are discussed in relation to the 'generalized slowing hypothesis' in SLI and the neural underpinning of visuospatial attentional orienting and SLI.

Automatic activation of the semantic network in schizophrenia: evidence from event-related brain potentials

BACKGROUND

Language disorder associated with schizophrenia might be due to disturbances in both automatic activation and mechanisms of controlled attention. The contribution of each process to semantic memory dysfunction has not been determined for schizophrenia, and the semantic priming paradigm is well-suited for addressing this question. In the present report, event-related potentials (ERPs) elicited under conditions assumed to reveal automatic activation (short prime-target interval and low proportion of related words) are compared directly with ERPs elicited under conditions associated with controlled processing (long prime-target interval and high proportion of related words).

METHODS

Visual ERPs were recorded during a lexical decision task, in which semantic relationship (associated and unassociated words), expectancy (relatedness proportions), and prime-target interval (250- and 850-msec inter-stimulus intervals [ISIs]) were varied. Diagnosis and expectancy were between-subjects factors; semantic relationship and ISI were repeated measures. The N400 priming effect (enhanced negativity to unassociated words) was compared between 34 male normal control subjects tested once and 37 male schizophrenia inpatients evaluated during their participation in a double-blind haloperidol maintenance therapy and placebo replacement protocol.

RESULTS

The N400 priming effect for patients was significantly reduced during both pharmacologic phases, compared with controls. During haloperidol treatment, however, patients showed a significant N400 priming effect over the anterior scalp region and additionally under the automatic activation condition. The N400 priming effect was enhanced under the controlled processing condition for control subjects; this effect was not observed for patients. N400 amplitude elicited under the rapid presentation rate (250-msec ISI) differed between medicated patients and controls; groups did not differ for the 850-msec ISI.

CONCLUSIONS

Findings suggest that automatic activation and mechanisms of controlled attention are both disrupted during semantic memory access for schizophrenia patients. Pharmacologic agents, such as haloperidol, might enhance automatic activation of the semantic network in this patient population, as indexed by the N400 component of the ERP.

The auditory basis of language impairments: temporal processing versus processing efficiency hypotheses

Claims have been made that language-impaired children have deficits processing rapidly presented or brief sensory information. These claims, known as the 'temporal processing hypothesis', are supported by demonstrations that language-impaired children have excess backward masking (BM). One explanation for these results is that BM is developmentally delayed in these children. However, little was known about how BM normally develops. Recently, we assessed BM in normally developing 6- and 8-year-old children and adults. Results showed that BM thresholds continue to improve over a comparatively protracted period (>10 years old). We also analysed reported deficits in BM in language-impaired and younger children, in terms of a model of temporal resolution. This analysis suggests that poor processing efficiency, rather than deficits in temporal resolution, can account for these results. This 'processing efficiency hypothesis' was recently tested in our laboratory. This experiment measured BM as a function of delays between the tone and the noise in children and adults. Results supported the processing efficiency hypothesis, and suggested that reduced processing efficiency alone could account for differences between adults and children. These findings provide a new perspective on the mechanisms underlying communication disorders, and imply that remediation strategies should be directed towards improving processing efficiency, not temporal resolution.

The relationship between membrane pathology and language disorder in schizophrenia

Receptive language disorder in schizophrenia has been hypothesized to involve a fundamental deficit in the temporal (time-based) dynamics of brain function that includes disruptions to patterns of activation and synchronization. In this paper, candidate mechanisms and pathways that could account for this basic deficit are discussed. Parallels are identified between the patterns of language dysfunction observed for schizophrenia and dyslexia, two separate clinical disorders that may share a common abnormality in cell membrane phospholipids. A heuristic is proposed which details a trajectory involving an interaction of brain fatty acids and second-messenger function that modulates synaptic efficacy, and, in turn, influences language processing in schizophrenia patients. It is additionally hypothesized that a primary deficit of functional excitation originating in the cerebellum, in combination with a compensatory decrease of functional inhibition in the prefrontal cortex, influences receptive language dysfunction in schizophrenia.

Integration of heard and seen speech: a factor in learning disabilities in children

Normal-learning children (NL) and children with learning disabilities (LD) reported their perceptions of unisensory (auditory or visual), concordant audiovisual (e.g. visual /apa/ and auditory /apa/) and conflicting (e.g. visual /aka/ and auditory /apa/) speech stimuli in quiet and noise (0 dB and -12 dB signal-to-noise ratio, SNR). In normal populations, watching such conflicting combinations typically changes auditory percepts ('McGurk effect'). NL and LD children identified unisensory auditory and congruent audiovisual stimuli similarly in all conditions. Despite being less accurate identifying unisensory visual stimuli, LD children were more likely than NL children to report hearing only the visual component of incongruent audiovisual stimuli at -12 dB SNR. Furthermore, LD children with brainstem timing deficits demonstrated a distinctive pattern of audiovisual perception. The results suggest that the perception of simultaneous auditory and visual speech differs between NL and LD children, perhaps reflecting variations in neural processing underlying multisensory integration.

Neuropsychological Studies of Musical Timbre

Musical timbre is a multidimensional property of sound that allows one to distinguish musical instruments. In this paper, studies that explore the cerebral substrate underlying the processing of musical timbre are discussed. Perceptual asymmetries measured in normal participants, deficits of musical timbre perception obtained in brain-damaged patients, as well as results obtained with various neuroimaging methods are reviewed. The findings obtained in all of these studies generally support the predominant involvement of right temporal lobe areas, and more specifically of its anterior part, in processing spectral and temporal envelopes of musical timbre. However, controversies still exist about the contribution of the left temporal lobe in timbre perception. The necessity of comparing data obtained with different perceptual paradigms (same-different discrimination and similarity judgment) and various types of stimuli (single tones and melodies) was emphasized by reporting lesion studies carried out in patients with unilateral temporal lobe lesions. The few neuroimaging studies published in this domain provided additional and complementary findings. Unlike lesion studies that allow us to infer the cerebral structures that are essential for timbre perception, the latter investigations implicate a more distributed neural network in timbre processing that extends along the superior temporal gyrus to include not only anterior but also posterior temporal regions and possibly frontal areas as well.