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Zhu W, Deng S, Jiang H, Zhang J, Li B, Liu W, Jia Q, Liu W, Meng Z. Application of diffusion tensor imaging in the diagnosis of post-stroke aphasia: a meta-analysis and systematic review. Front Psychol 2023; 14:1140588. [PMID: 37790217 PMCID: PMC10544987 DOI: 10.3389/fpsyg.2023.1140588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 08/31/2023] [Indexed: 10/05/2023] Open
Abstract
Introduction Diffusion Tensor Imaging (DTI) indicators of different white matter (WM) fibers and brain region lesions for post-stroke aphasia (PSA) are inconsistent in existing studies. Our study examines the consistency and differences between PSA tests performed with DTI. In addition, obtaining consistent and independent conclusions between studies was made possible by utilizing DTI in PSA assessment. Methods In order to gather relevant studies using DTI for diagnosing PSA, we searched the Web of Science, PubMed, Embase, and CNKI databases. Based on the screening and evaluation of the included studies, the meta-analysis was used to conduct a quantitative analysis. Narrative descriptions were provided for studies that met the inclusion criteria but lacked data. Results First, we reported on the left hemisphere. The meta-analysis showed that fractional anisotropy (FA) of the arcuate fasciculus (AF) and superior longitudinal fasciculus (SLF), inferior frontal-occipital fasciculus (IFOF), inferior longitudinal fasciculus (ILF), and uncinate fasciculus (UF) were decreased in the PSA group in comparison with the healthy controls (p < 0.00001). However, in the comparison of axial diffusivity (AD), there was no statistically significant difference in white matter fiber tracts in the dual-stream language model of the PSA group. Elevated radial diffusivity (RD) was seen only in the IFOF and ILF (PIFOF = 0.01; PILF = 0.05). In the classic Broca's area, the FA of the PSA group was decreased (p < 0.00001) while the apparent diffusion coefficient was elevated (p = 0.03). Secondly, we evaluated the white matter fiber tracts in the dual-stream language model of the right hemisphere. The FA of the PSA group was decreased only in the IFOF (p = 0.001). AD was elevated in the AF and UF (PAF < 0.00001; PUF = 0.009). RD was elevated in the AF and UF (PAF = 0.01; PUF = 0.003). The other fiber tracts did not undergo similar alterations. Conclusion In conclusion, DTI is vital for diagnosing PSA because it detects WM changes effectively, but it still has some limitations. Due to a lack of relevant language scales and clinical manifestations, diagnosing and differentiating PSA independently remain challenging. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=365897.
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Affiliation(s)
- Weiming Zhu
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Shizhe Deng
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Hailun Jiang
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Jieying Zhang
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Boxuan Li
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Wei Liu
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
| | - Qingqing Jia
- Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Wei Liu
- Department of Scientific Research, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Zhihong Meng
- Clinical Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
- National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China
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López-Barroso D, Paredes-Pacheco J, Torres-Prioris MJ, Dávila G, Berthier ML. Brain structural and functional correlates of the heterogenous progression of mixed transcortical aphasia. Brain Struct Funct 2023:10.1007/s00429-023-02655-6. [PMID: 37256346 DOI: 10.1007/s00429-023-02655-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 05/13/2023] [Indexed: 06/01/2023]
Abstract
Mixed transcortical aphasia (MTCA) is characterized by non-fluent speech and comprehension deficits coexisting with preserved repetition. MTCA may evolve to less severe variants of aphasias or even to full language recovery. Mechanistically, MCTA has traditionally been attributed to a disconnection between the spared left perisylvian language network (PSLN) responsible for preserved verbal repetition, and damaged left extrasylvian networks, which are responsible for language production and comprehension impairments. However, despite significant advances in in vivo neuroimaging, the structural and functional status of the PSLN network in MTCA and its evolution has not been investigated. Thus, the aim of the present study is to examine the status of the PSLN, both in terms of its functional activity and structural integrity, in four cases who developed acute post-stroke MTCA and progressed to different types of aphasia. For it, we conducted a neuroimaging-behavioral study performed in the chronic stage of four patients. The behavioral profile of MTCA persisted in one patient, whereas the other three patients progressed to less severe types of aphasias. Neuroimaging findings suggest that preserved verbal repetition in MTCA does not always depend on the optimal status of the PSLN and its dorsal connections. Instead, the right hemisphere or the left ventral pathway may also play a role in supporting verbal repetition. The variability in the clinical evolution of MTCA may be explained by the varying degree of PSLN alteration and individual premorbid neuroanatomical language substrates. This study offers a fresh perspective of MTCA through the lens of modern neuroscience and unveils novel insights into the neural underpinnings of repetition.
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Affiliation(s)
- Diana López-Barroso
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias (CIMES), University of Malaga, Malaga, Spain
- Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain
- Instituto de Investigación Biomédica de Málaga - IBIMA, Malaga, Spain
- Department of Psychobiology and Methodology of Behavioural Sciences, Faculty of Psychology, University of Malaga, Malaga, Spain
| | - José Paredes-Pacheco
- Radiology and Psychiatry Department, Faculty of Medicine, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
- Molecular Imaging Unit, Centro de Investigaciones Médico-Sanitarias (CIMES), General Foundation of the University of Malaga, Malaga, Spain
| | - María José Torres-Prioris
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias (CIMES), University of Malaga, Malaga, Spain
- Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain
- Instituto de Investigación Biomédica de Málaga - IBIMA, Malaga, Spain
- Department of Psychobiology and Methodology of Behavioural Sciences, Faculty of Psychology, University of Malaga, Malaga, Spain
| | - Guadalupe Dávila
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias (CIMES), University of Malaga, Malaga, Spain
- Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain
- Instituto de Investigación Biomédica de Málaga - IBIMA, Malaga, Spain
- Department of Psychobiology and Methodology of Behavioural Sciences, Faculty of Psychology, University of Malaga, Malaga, Spain
| | - Marcelo L Berthier
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias (CIMES), University of Malaga, Malaga, Spain.
- Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain.
- Instituto de Investigación Biomédica de Málaga - IBIMA, Malaga, Spain.
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Chang WH, Wei KC, Chen PY, Chen YC, Wu YY, Tsai HC, Chen MH, Chao YP, Chen KT. The impact of patient factors and tumor characteristics on language neuroplasticity in left hemispheric diffuse gliomas prior to surgical resection. J Neurooncol 2023; 163:95-104. [PMID: 37093525 DOI: 10.1007/s11060-023-04311-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 04/07/2023] [Indexed: 04/25/2023]
Abstract
PURPOSE Language networks are reorganized during glioma growth, leading to varying language performance in patients with gliomas located in or around language-eloquent areas. Therefore, pre-treated language performance reflects the neuroplasticity potential. Different domains of language processing, such as speech expression, repetition, and comprehension, involving different neural networks. We analyzed the effects of patient factors and tumor characteristics on the pre-treated performance to investigate neuroplastic potential of different language domains. METHODS Patient age, sex, education level, tumor grade, language pathway involvement, T1 contrast enhanced (C+), and FLAIR (T2) volume were selected as variables. The correlation with abnormal language performance was verified using univariate and multivariate logistic regression. RESULTS In total, 104 left hemispheric glioma patients were enrolled in this study. 44% of patients had repetitive abnormalities, 34.9% had comprehensive abnormalities, and 32.1% had expressive abnormalities. The proportion of normal language performance was 60% in grade 2 and 3 gliomas and 16% in grade 4 gliomas. Tumor grade (p = 0.006) and T2 volume (p = 0.008) were associated with abnormal performance in the expressive domain, education level (p = 0.004) and T1 C+ volume (p = 0.049) in the repetitive domain, and education level (p = 0.013), T2 volume (p = 0.011), and tumor grade (p = 0.089) in the comprehensive domain. CONCLUSION Different clinical and radiological factors affected the abnormal performance of the three language domains, indicating their functional connectivity and neuroplastic potential are inherently varied. The dynamic interactions between patient factors, tumor characteristics, and language processing should be considered when resecting left hemispheric gliomas.
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Affiliation(s)
- Wei-Han Chang
- School of Traditional Chinese Medicine, Chang Gung University, Taoyuan, Taiwan
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Keelung, New Taipei, Taiwan
- Department of Nutrition and Health Sciences, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Kuo-Chen Wei
- Department of Neurosurgery, New Taipei Municipal TuCheng Hospital, Chang Gung Medical Foundation, New Taipei, Taiwan
- School of Medicine, Chang Gung University, Taoyuan, Taiwan
- Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | - Pin-Yuan Chen
- School of Medicine, Chang Gung University, Taoyuan, Taiwan
- Department of Neurosurgery, Chang Gung Memorial Hospital at Keelung, New Taipei, Taiwan
- Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | - Yi-Chun Chen
- Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan
- Dementia Center, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Yah-Yuan Wu
- Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan, Taiwan
- Dementia Center, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Hong-Chieh Tsai
- Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, No. 5, Fuxing Street, Guishan Dist., Taoyuan, 33305, Taiwan
| | - Mei-Hui Chen
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | - Yi-Ping Chao
- Department of Computer Science and Information Engineering, Chang Gung University, Taoyuan, Taiwan
| | - Ko-Ting Chen
- School of Traditional Chinese Medicine, Chang Gung University, Taoyuan, Taiwan.
- School of Medicine, Chang Gung University, Taoyuan, Taiwan.
- Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, No. 5, Fuxing Street, Guishan Dist., Taoyuan, 33305, Taiwan.
- Neuroscience Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
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de Zubicaray GI, Brownsett SLE, Copland DA, Drummond K, Jeffree RL, Olson S, Murton E, Ong B, Robinson GA, Tolkacheva V, McMahon KL. Chronic aphasias after left-hemisphere resective surgery. BRAIN AND LANGUAGE 2023; 239:105244. [PMID: 36889018 DOI: 10.1016/j.bandl.2023.105244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 01/23/2023] [Accepted: 02/23/2023] [Indexed: 05/10/2023]
Abstract
Surgical resection of brain tumours is associated with an increased risk of aphasia. However, relatively little is known about outcomes in the chronic phase (i.e., >6 months). Using voxel-based lesion symptom mapping (VLSM) in 46 patients, we investigated whether chronic language impairments are related to the location of surgical resection, residual tumour characteristics (e.g., peri-resection treatment effects, progressive infiltration, oedema) or both. Approximately 72% of patients scored below the cut-off for aphasia. Action naming and spoken sentence comprehension deficits were associated with lesions in the left anterior temporal and inferior parietal lobes, respectively. Voxel-wise analyses revealed significant associations between ventral language pathways and action naming deficits. Reading impairments were also associated with increasing disconnection of cerebellar pathways. The results indicate chronic post-surgical aphasias reflect a combination of resected tissue and tumour infiltration of language-related white matter tracts, implicating progressive disconnection as the critical mechanism of impairment.
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Affiliation(s)
- Greig I de Zubicaray
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD 4059, Australia.
| | - Sonia L E Brownsett
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD 4072, Australia; Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia
| | - David A Copland
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD 4072, Australia; Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Australia
| | - Kate Drummond
- Royal Melbourne Hospital, Melbourne, VIC 3050, Australia
| | | | - Sarah Olson
- Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
| | - Emma Murton
- Royal Melbourne Hospital, Melbourne, VIC 3050, Australia
| | - Benjamin Ong
- Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
| | - Gail A Robinson
- Queensland Brain Institute and School of Psychology, University of Queensland, Brisbane, QLD 4072, Australia
| | - Valeriya Tolkacheva
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD 4059, Australia
| | - Katie L McMahon
- School of Clinical Sciences, Centre for Biomedical Technologies, Queensland University of Technology, Brisbane, QLD 4059, Australia; Herston Imaging Research Facility, Royal Brisbane & Women's Hospital, Brisbane, QLD 4029, Australia
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Constrained spherical deconvolution -based tractography of major language tracts reveals post-stroke bilateral white matter changes correlated to aphasia. Magn Reson Imaging 2023; 95:19-26. [PMID: 36252694 DOI: 10.1016/j.mri.2022.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 10/04/2022] [Accepted: 10/11/2022] [Indexed: 11/19/2022]
Abstract
PURPOSE Using constrained spherical deconvolution (CSD)-based tractography, we aimed to obtain conjoint analysis of diffusion measures of major language white matter (WM) tracts in post-stroke aphasic patients bilaterally, and to correlate the measures of each tract to the different language deficits. MATERIAL AND METHODS 17 aphasic patients with left hemispheric stroke, at the subacute stage, and ten age- matched controls underwent diffusion MRI examination. CSD-based tractography was performed. Diffusion measures [fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), axial diffusivity (AD)] were extracted after dissection of major language tracts bilaterally. Aphasia was assessed using language subset of hemispheric stroke scale. Comparisons of diffusion measures, for all tracts, between the two groups were performed. Partial correlations between the diffusion measures and different language components were obtained. RESULTS In the left hemisphere, significant lower FA and or higher MD with higher RD of patients' WM tracts compared to the control group. Significant differences of diffusion measures were also evident in the right hemisphere yet, less prominent. All changes reflected damage of the tracts' integrity. Significant correlations were found between comprehension and FA of the left arcuate fasciculus (AF) and left inferior longitudinal fasciculus. Additionally, a significant correlation was found between MD of the right AF and repetition. CONCLUSION Conjoint analysis of diffusion measures, based on CSD tractography, can provide important markers for the underlying WM changes bilaterally. Moreover, our findings emphasize that language processing can be mediated by both ventral and dorsal streams and further highlight the contribution of the right AF in repetition.
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Billot A, Thiebaut de Schotten M, Parrish TB, Thompson CK, Rapp B, Caplan D, Kiran S. Structural disconnections associated with language impairments in chronic post-stroke aphasia using disconnectome maps. Cortex 2022; 155:90-106. [PMID: 35985126 PMCID: PMC9623824 DOI: 10.1016/j.cortex.2022.06.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 09/14/2021] [Accepted: 06/10/2022] [Indexed: 11/16/2022]
Abstract
Inconsistent findings have been reported about the impact of structural disconnections on language function in post-stroke aphasia. This study investigated patterns of structural disconnections associated with chronic language impairments using disconnectome maps. Seventy-six individuals with post-stroke aphasia underwent a battery of language assessments and a structural MRI scan. Support-vector regression disconnectome-symptom mapping analyses were performed to examine the correlations between disconnectome maps, representing the probability of disconnection at each white matter voxel and different language scores. To further understand whether significant disconnections were primarily representing focal damage or a more extended network of seemingly preserved but disconnected areas beyond the lesion site, results were qualitatively compared to support-vector regression lesion-symptom mapping analyses. Part of the left white matter perisylvian network was similarly disconnected in 90% of the individuals with aphasia. Surrounding this common left perisylvian disconnectome, specific structural disconnections in the left fronto-temporo-parietal network were significantly associated with aphasia severity and with lower performance in auditory comprehension, syntactic comprehension, syntactic production, repetition and naming tasks. Auditory comprehension, repetition and syntactic processing deficits were related to disconnections in areas that overlapped with and extended beyond lesion sites significant in SVR-LSM analyses. In contrast, overall language abilities as measured by aphasia severity and naming seemed to be mostly explained by focal damage at the level of the insular and central opercular cortices, given the high overlap between SVR-DSM and SVR-LSM results for these scores. While focal damage seems to be sufficient to explain broad measures of language performance, the structural disconnections between language areas provide additional information on the neural basis of specific and persistent language impairments at the chronic stage beyond lesion volume. Leveraging routinely available clinical data, disconnectome mapping furthers our understanding of anatomical connectivity constraints that may limit the recovery of some language abilities in chronic post-stroke aphasia.
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Affiliation(s)
- Anne Billot
- Sargent College of Health & Rehabilitation Sciences, Boston University, Boston, MA, USA; School of Medicine, Boston University, Boston, MA, USA.
| | - Michel Thiebaut de Schotten
- Brain Connectivity and Behaviour Laboratory, Sorbonne Universities, Paris, France; Groupe d'Imagerie Neurofonctionnelle, Institut des Maladies Neurodégénératives-UMR 5293, CNRS, CEA University of Bordeaux, Bordeaux, France
| | - Todd B Parrish
- Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Cynthia K Thompson
- Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA
| | - Brenda Rapp
- Department of Cognitive Science, Johns Hopkins University, Baltimore, MD, USA
| | - David Caplan
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Swathi Kiran
- Sargent College of Health & Rehabilitation Sciences, Boston University, Boston, MA, USA
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Integrity of the Left Arcuate Fasciculus Segments Significantly Affects Language Performance in Individuals with Acute/Subacute Post-Stroke Aphasia: A Cross-Sectional Diffusion Tensor Imaging Study. Brain Sci 2022; 12:brainsci12070907. [PMID: 35884714 PMCID: PMC9313217 DOI: 10.3390/brainsci12070907] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 07/05/2022] [Accepted: 07/08/2022] [Indexed: 01/05/2023] Open
Abstract
Objective: To investigate the correlation between the left arcuate fasciculus (AF) segments and acute/subacute post-stroke aphasia (PSA). Methods: Twenty-six patients underwent language assessment and MRI scanning. The integrity of the AF based on a three-segment model was evaluated using diffusion tensor imaging. All patients were classified into three groups according to the reconstruction of the left AF: completely reconstructed (group A, 8 cases), non-reconstructed (group B, 6 cases), and partially reconstructed (group C, 12 cases). The correlations and intergroup differences in language performance and diffusion indices were comprehensively estimated. Results: A correlation analyses showed that the lesion load of the language areas and diffusion indices on the left AF posterior and long segments was significantly related to some language subsets, respectively. When controlled lesion load was variable, significant correlations between diffusion indices on the posterior and long segments and comprehension, repetition, naming, and aphasia quotient were retained. Multiple comparison tests revealed intergroup differences in diffusion indices on the left AF posterior and long segments, as well as these language subsets. No significant correlation was found between the anterior segment and language performance. Conclusions: The integrity of the left AF segments, particularly the posterior segment, is crucial for the residual comprehension and repetition abilities in individuals with acute/subacute PSA, and lesion load in cortical language areas is an important factor that should be taken into account when illustrating the contributions of damage to special fiber tracts to language impairments.
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Baboyan V, Basilakos A, Yourganov G, Rorden C, Bonilha L, Fridriksson J, Hickok G. Isolating the white matter circuitry of the dorsal language stream: Connectome-Symptom Mapping in stroke induced aphasia. Hum Brain Mapp 2021; 42:5689-5702. [PMID: 34469044 PMCID: PMC8559486 DOI: 10.1002/hbm.25647] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 08/21/2021] [Indexed: 12/02/2022] Open
Abstract
The application of ℓ1-regularized machine learning models to high-dimensional connectomes offers a promising methodology to assess clinical-anatomical correlations in humans. Here, we integrate the connectome-based lesion-symptom mapping framework with sparse partial least squares regression (sPLS-R) to isolate elements of the connectome associated with speech repetition deficits. By mapping over 2,500 connections of the structural connectome in a cohort of 71 stroke-induced cases of aphasia presenting with varying left-hemisphere lesions and repetition impairment, sPLS-R was trained on 50 subjects to algorithmically identify connectomic features on the basis of their predictive value. The highest ranking features were subsequently used to generate a parsimonious predictive model for speech repetition whose predictions were evaluated on a held-out set of 21 subjects. A set of 10 short- and long-range parieto-temporal connections were identified, collectively delineating the broader circuitry of the dorsal white matter network of the language system. The strongest contributing feature was a short-range connection in the supramarginal gyrus, approximating the cortical localization of area Spt, with parallel long-range pathways interconnecting posterior nodes in supramarginal and superior temporal cortex with anterior nodes in both ventral and-notably-in dorsal premotor cortex, respectively. The collective disruption of these pathways indexed repetition performance in the held-out set of participants, suggesting that these impairments might be characterized as a parietotemporal disconnection syndrome impacting cortical area Spt and its associated white matter circuits of the frontal lobe as opposed to being purely a disconnection of the arcuate fasciculus.
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Affiliation(s)
- Vatche Baboyan
- Department of Cognitive ScienceUniversity of CaliforniaIrvineCaliforniaUSA
| | - Alexandra Basilakos
- Department of Communication Sciences and DisordersUniversity of South CarolinaColumbiaSouth CarolinaUSA
| | - Grigori Yourganov
- Department of PsychologyUniversity of South CarolinaColumbiaSouth CarolinaUSA
| | - Chris Rorden
- Department of PsychologyUniversity of South CarolinaColumbiaSouth CarolinaUSA
| | - Leonardo Bonilha
- Department of NeurologyMedical University of South CarolinaColumbiaSouth CarolinaUSA
| | - Julius Fridriksson
- Department of Communication Sciences and DisordersUniversity of South CarolinaColumbiaSouth CarolinaUSA
| | - Gregory Hickok
- Department of Cognitive ScienceUniversity of CaliforniaIrvineCaliforniaUSA
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Dickens JV, DeMarco AT, van der Stelt CM, Snider SF, Lacey EH, Medaglia JD, Friedman RB, Turkeltaub PE. Two types of phonological reading impairment in stroke aphasia. Brain Commun 2021; 3:fcab194. [PMID: 34522884 PMCID: PMC8432944 DOI: 10.1093/braincomms/fcab194] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 07/18/2021] [Accepted: 07/26/2021] [Indexed: 11/12/2022] Open
Abstract
Alexia is common in the context of aphasia. It is widely agreed that damage to phonological and semantic systems not specific to reading causes co-morbid alexia and aphasia. Studies of alexia to date have only examined phonology and semantics as singular processes or axes of impairment, typically in the context of stereotyped alexia syndromes. However, phonology, in particular, is known to rely on subprocesses, including sensory-phonological processing, motor-phonological processing, and sensory-motor integration. Moreover, many people with stroke aphasia demonstrate mild or mixed patterns of reading impairment that do not fit neatly with one syndrome. This cross-sectional study tested whether the hallmark symptom of phonological reading impairment, the lexicality effect, emerges from damage to a specific subprocess of phonology in stroke patients not selected for alexia syndromes. Participants were 30 subjects with left-hemispheric stroke and 37 age- and education-matched controls. A logistic mixed-effects model tested whether post-stroke impairments in sensory phonology, motor phonology, or sensory-motor integration modulated the effect of item lexicality on patient accuracy in reading aloud. Support vector regression voxel-based lesion-symptom mapping localized brain regions necessary for reading and non-orthographic phonological processing. Additionally, a novel support vector regression structural connectome-symptom mapping method identified the contribution of both lesioned and spared but disconnected, brain regions to reading accuracy and non-orthographic phonological processing. Specifically, we derived whole-brain structural connectomes using constrained spherical deconvolution-based probabilistic tractography and identified lesioned connections based on comparisons between patients and controls. Logistic mixed-effects regression revealed that only greater motor-phonological impairment related to lower accuracy reading aloud pseudowords versus words. Impaired sensory-motor integration was related to lower overall accuracy in reading aloud. No relationship was identified between sensory-phonological impairment and reading accuracy. Voxel-based and structural connectome lesion-symptom mapping revealed that lesioned and disconnected left ventral precentral gyrus related to both greater motor-phonological impairment and lower sublexical reading accuracy. In contrast, lesioned and disconnected left temporoparietal cortex is related to both impaired sensory-motor integration and reduced overall reading accuracy. These results clarify that at least two dissociable phonological processes contribute to the pattern of reading impairment in aphasia. First, impaired sensory-motor integration, caused by lesions disrupting the left temporoparietal cortex and its structural connections, non-selectively reduces accuracy in reading aloud. Second, impaired motor-phonological processing, caused at least partially by lesions disrupting left ventral premotor cortex and structural connections, selectively reduces sublexical reading accuracy. These results motivate a revised cognitive model of reading aloud that incorporates a sensory-motor phonological circuit.
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Affiliation(s)
- Jonathan Vivian Dickens
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Andrew T DeMarco
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC 20007, USA.,Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Candace M van der Stelt
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Sarah F Snider
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Elizabeth H Lacey
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington, DC 20007, USA
| | - John D Medaglia
- Drexel University, Philadelphia, PA 19104, USA.,University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Rhonda B Friedman
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Peter E Turkeltaub
- Department of Neurology, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington, DC 20007, USA.,Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center, Washington, DC 20007, USA.,Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.,Research Division, MedStar National Rehabilitation Hospital, Washington, DC 20001, USA
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10
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Unger N, Heim S, Hilger DI, Bludau S, Pieperhoff P, Cichon S, Amunts K, Mühleisen TW. Identification of Phonology-Related Genes and Functional Characterization of Broca's and Wernicke's Regions in Language and Learning Disorders. Front Neurosci 2021; 15:680762. [PMID: 34539327 PMCID: PMC8446646 DOI: 10.3389/fnins.2021.680762] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 08/04/2021] [Indexed: 12/02/2022] Open
Abstract
Impaired phonological processing is a leading symptom of multifactorial language and learning disorders suggesting a common biological basis. Here we evaluated studies of dyslexia, dyscalculia, specific language impairment (SLI), and the logopenic variant of primary progressive aphasia (lvPPA) seeking for shared risk genes in Broca's and Wernicke's regions, being key for phonological processing within the complex language network. The identified "phonology-related genes" from literature were functionally characterized using Atlas-based expression mapping (JuGEx) and gene set enrichment. Out of 643 publications from the last decade until now, we extracted 21 candidate genes of which 13 overlapped with dyslexia and SLI, six with dyslexia and dyscalculia, and two with dyslexia, dyscalculia, and SLI. No overlap was observed between the childhood disorders and the late-onset lvPPA often showing symptoms of learning disorders earlier in life. Multiple genes were enriched in Gene Ontology terms of the topics learning (CNTNAP2, CYFIP1, DCDC2, DNAAF4, FOXP2) and neuronal development (CCDC136, CNTNAP2, CYFIP1, DCDC2, KIAA0319, RBFOX2, ROBO1). Twelve genes showed above-average expression across both regions indicating moderate-to-high gene activity in the investigated cortical part of the language network. Of these, three genes were differentially expressed suggesting potential regional specializations: ATP2C2 was upregulated in Broca's region, while DNAAF4 and FOXP2 were upregulated in Wernicke's region. ATP2C2 encodes a magnesium-dependent calcium transporter which fits with reports about disturbed calcium and magnesium levels for dyslexia and other communication disorders. DNAAF4 (formerly known as DYX1C1) is involved in neuronal migration supporting the hypothesis of disturbed migration in dyslexia. FOXP2 is a transcription factor that regulates a number of genes involved in development of speech and language. Overall, our interdisciplinary and multi-tiered approach provided evidence that genetic and transcriptional variation of ATP2C2, DNAAF4, and FOXP2 may play a role in physiological and pathological aspects of phonological processing.
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Affiliation(s)
- Nina Unger
- Cécile and Oskar Vogt Institute for Brain Research, Medical Faculty, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- Department of Neurology, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - Stefan Heim
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany
- JARA-Brain, Jülich-Aachen Research Alliance, Jülich, Germany
| | - Dominique I. Hilger
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
| | - Sebastian Bludau
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
| | - Peter Pieperhoff
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
| | - Sven Cichon
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- Department of Biomedicine, University of Basel, Basel, Switzerland
- Institute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland
| | - Katrin Amunts
- Cécile and Oskar Vogt Institute for Brain Research, Medical Faculty, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- JARA-Brain, Jülich-Aachen Research Alliance, Jülich, Germany
| | - Thomas W. Mühleisen
- Cécile and Oskar Vogt Institute for Brain Research, Medical Faculty, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
- Department of Biomedicine, University of Basel, Basel, Switzerland
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11
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Buklina SB, Zhukov VY, Goryainov SA, Batalov AI, Afandiev RM, Maryashev SA, Vologdina YO, Bykanov AE. [Conduction aphasia in patients with glioma in the left hemisphere]. ZHURNAL VOPROSY NEĬROKHIRURGII IMENI N. N. BURDENKO 2021; 85:29-40. [PMID: 34463448 DOI: 10.17116/neiro20218504129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background. According to Wernicke-Geschwind model, conduction aphasia following arcuate tract lesion was canonized as primary disorder of repetition in relatively intact speech. OBJECTIVE Syndromic analysis of speech and writing disorders in patients with arcuate tract lesion using the method by A.R. Luria and their comparison with well-known types of aphasia. MATERIAL AND METHODS Clinical and neuropsychological survey was performed in 14 patients with gliomas who underwent surgical treatment at the Burdenko Neurosurgical Center (10 gliomas of the frontal lobe and 4 tumors of the temporal lobe). All patients underwent MRI, HARDI MRI tractography and A.R. Luria's neuropsychological examination prior to surgery and after 5-6 postoperative days. Thirteen patients underwent awake craniotomy, 3 of them were examined one year after surgery. RESULTS In all patients, the tumor was localized near arcuate tract and its infiltration was noted. No intraoperative damage to the tract was ever noted according to speech monitoring data. However, postoperative edema followed by infiltration and dislocation of the tract (in all patients), as well as local ischemia in 4 patients were observed. After resection of prefrontal and premotor gliomas, aphasia included frontal (perseveration) and temporal components (disorders of naming, auditory-speech memory). Unusual verbal paraphrases were noted. We also observed severe violation of writing (temporal type) even if spontaneous speech and repetition were preserved. In case of resection of deep posterior temporal gliomas, speech disorders included signs of frontal lobe lesion (perseveration) and writing disorders. Similar motor abnormalities were identified in writing. CONCLUSION Arcuate tract lesion can result speech and writing disorders as signs of damage to certain cortical speech zones (frontal and temporal lobe). Violations of repetition were not predominant in any case. At the same time, interruption of connection between motor and auditory image of the word could be revealed in writing.
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Affiliation(s)
- S B Buklina
- Burdenko Neurosurgical Center, Moscow, Russia.,Pirogov Russian National Research Medical University, Moscow, Russia
| | - V Yu Zhukov
- Burdenko Neurosurgical Center, Moscow, Russia
| | | | - A I Batalov
- Burdenko Neurosurgical Center, Moscow, Russia
| | | | | | | | - A E Bykanov
- Burdenko Neurosurgical Center, Moscow, Russia
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12
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Alyahya RSW, Halai AD, Conroy P, Lambon Ralph MA. A unified model of post-stroke language deficits including discourse production and their neural correlates. Brain 2020; 143:1541-1554. [PMID: 32330940 PMCID: PMC7241958 DOI: 10.1093/brain/awaa074] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 01/14/2020] [Accepted: 02/02/2020] [Indexed: 11/28/2022] Open
Abstract
The clinical profiles of individuals with post-stroke aphasia demonstrate considerable variation in the presentation of symptoms. Recent aphasiological studies have attempted to account for this individual variability using a multivariate data-driven approach (principal component analysis) on an extensive neuropsychological and aphasiological battery, to identify fundamental domains of post-stroke aphasia. These domains mainly reflect phonology, semantics and fluency; however, these studies did not account for variability in response to different forms of connected speech, i.e. discourse genres. In the current study, we initially examined differences in the quantity, diversity and informativeness between three different discourse genres, including a simple descriptive genre and two naturalistic forms of connected speech (storytelling narrative, and procedural discourse). Subsequently, we provided the first quantitative investigation on the multidimensionality of connected speech production at both behavioural and neural levels. Connected speech samples across descriptive, narrative, and procedural discourse genres were collected from 46 patients with chronic post-stroke aphasia and 20 neurotypical adults. Content analyses conducted on all connected speech samples indicated that performance differed across discourse genres and between groups. Specifically, storytelling narratives provided higher quantities of content words and lexical diversity compared to composite picture description and procedural discourse. The analyses further revealed that, relative to neurotypical adults, patients with aphasia, both fluent and non-fluent, showed reduction in the quantity of verbal production, lexical diversity, and informativeness across all discourses. Given the differences across the discourses, we submitted the connected speech metrics to principal component analysis alongside an extensive neuropsychological/aphasiological battery that assesses a wide range of language and cognitive skills. In contrast to previous research, three unique orthogonal connected speech components were extracted in a unified model, reflecting verbal quantity, verbal quality, and motor speech, alongside four core language and cognitive components: phonological production, semantic processing, phonological recognition, and executive functions. Voxel-wise lesion-symptom mapping using these components provided evidence on the involvement of widespread cortical regions and their white matter connections. Specifically, left frontal regions and their underlying white matter tracts corresponding to the frontal aslant tract and the anterior segment of the arcuate fasciculus were particularly engaged with the quantity and quality of fluent connected speech production while controlling for other co-factors. The neural correlates associated with the other language domains align with existing models on the ventral and dorsal pathways for language processing.
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Affiliation(s)
- Reem S W Alyahya
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.,King Fahad Medical City, Riyadh, Saudi Arabia
| | - Ajay D Halai
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Paul Conroy
- Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester, UK
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13
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Berthier ML, Dávila G, Torres-Prioris MJ, Moreno-Torres I, Clarimón J, Dols-Icardo O, Postigo MJ, Fernández V, Edelkraut L, Moreno-Campos L, Molina-Sánchez D, de Zaldivar PS, López-Barroso D. Developmental Dynamic Dysphasia: Are Bilateral Brain Abnormalities a Signature of Inefficient Neural Plasticity? Front Hum Neurosci 2020; 14:73. [PMID: 32265672 DOI: 10.3389/fnhum.2020.00073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 02/19/2020] [Indexed: 12/30/2022] Open
Abstract
The acquisition and evolution of speech production, discourse and communication can be negatively impacted by brain malformations. We describe, for the first time, a case of developmental dynamic dysphasia (DDD) in a right-handed adolescent boy (subject D) with cortical malformations involving language-eloquent regions (inferior frontal gyrus) in both the left and the right hemispheres. Language evaluation revealed a markedly reduced verbal output affecting phonemic and semantic fluency, phrase and sentence generation and verbal communication in everyday life. Auditory comprehension, repetition, naming, reading and spelling were relatively preserved, but executive function was impaired. Multimodal neuroimaging showed a malformed cerebral cortex with atypical configuration and placement of white matter tracts bilaterally and abnormal callosal fibers. Dichotic listening showed right hemisphere dominance for language, and functional magnetic resonance imaging (fMRI) additionally revealed dissociated hemispheric language representation with right frontal activation for phonology and bilateral dominance for semantic processing. Moreover, subject D also had congenital mirror movements (CMM), defined as involuntary movements of one side of the body that mirror intentional movements of the other side. Transcranial magnetic stimulation and fMRI during voluntary unimanual (left and right) hand movements showed bilateral motor cortex recruitment and tractography revealed a lack of decussation of bilateral corticospinal tracts. Genetic testing aimed to detect mutations that disrupt the development of commissural tracts correlating with CMM (e.g., Germline DCC mutations) was negative. Overall, our findings suggest that DDD in subject D resulted from the underdevelopment of the left inferior frontal gyrus with limited capacity for plastic reorganization by its homologous counterpart in the right hemisphere. Corpus callosum anomalies probably contributed to hinder interhemispheric connectivity necessary to compensate language and communication deficits after left frontal involvement.
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Affiliation(s)
- Marcelo L Berthier
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain
| | - Guadalupe Dávila
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain.,Department of Psychobiology and Methodology of Behavioral Sciences, Faculty of Psychology, University of Malaga, Málaga, Spain
| | - María José Torres-Prioris
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain.,Department of Psychobiology and Methodology of Behavioral Sciences, Faculty of Psychology, University of Malaga, Málaga, Spain
| | | | - Jordi Clarimón
- Department of Neurology and Sant Pau Biomedical Research Institute, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.,Center for Networked Biomedical Research into Neurodegenerative Diseases, Madrid, Spain
| | - Oriol Dols-Icardo
- Department of Neurology and Sant Pau Biomedical Research Institute, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.,Center for Networked Biomedical Research into Neurodegenerative Diseases, Madrid, Spain
| | - María J Postigo
- Neurophysiology Unit, Regional University Hospital Carlos Haya, Málaga, Spain
| | - Victoria Fernández
- Neurophysiology Unit, Regional University Hospital Carlos Haya, Málaga, Spain
| | - Lisa Edelkraut
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain.,Department of Psychobiology and Methodology of Behavioral Sciences, Faculty of Psychology, University of Malaga, Málaga, Spain
| | - Lorena Moreno-Campos
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain
| | - Diana Molina-Sánchez
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain
| | - Paloma Solo de Zaldivar
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain
| | - Diana López-Barroso
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Málaga, Spain.,Department of Psychobiology and Methodology of Behavioral Sciences, Faculty of Psychology, University of Malaga, Málaga, Spain
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14
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Forkel SJ, Rogalski E, Drossinos Sancho N, D'Anna L, Luque Laguna P, Sridhar J, Dell'Acqua F, Weintraub S, Thompson C, Mesulam MM, Catani M. Anatomical evidence of an indirect pathway for word repetition. Neurology 2020; 94:e594-e606. [PMID: 31996450 PMCID: PMC7136066 DOI: 10.1212/wnl.0000000000008746] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 08/11/2019] [Indexed: 11/29/2022] Open
Abstract
Objective To combine MRI-based cortical morphometry and diffusion white matter tractography to describe the anatomical correlates of repetition deficits in patients with primary progressive aphasia (PPA). Methods The traditional anatomical model of language identifies a network for word repetition that includes Wernicke and Broca regions directly connected via the arcuate fasciculus. Recent tractography findings of an indirect pathway between Wernicke and Broca regions suggest a critical role of the inferior parietal lobe for repetition. To test whether repetition deficits are associated with damage to the direct or indirect pathway between both regions, tractography analysis was performed in 30 patients with PPA (64.27 ± 8.51 years) and 22 healthy controls. Cortical volume measurements were also extracted from 8 perisylvian language areas connected by the direct and indirect pathways. Results Compared to healthy controls, patients with PPA presented with reduced performance in repetition tasks and increased damage to most of the perisylvian cortical regions and their connections through the indirect pathway. Repetition deficits were prominent in patients with cortical atrophy of the temporo-parietal region with volumetric reductions of the indirect pathway. Conclusions The results suggest that in PPA, deficits in repetition are due to damage to the temporo-parietal cortex and its connections to Wernicke and Broca regions. We therefore propose a revised language model that also includes an indirect pathway for repetition, which has important clinical implications for the functional mapping and treatment of neurologic patients.
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Affiliation(s)
- Stephanie J Forkel
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Emily Rogalski
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Niki Drossinos Sancho
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Lucio D'Anna
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Pedro Luque Laguna
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Jaiashre Sridhar
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Flavio Dell'Acqua
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Sandra Weintraub
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Cynthia Thompson
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - M-Marsel Mesulam
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL
| | - Marco Catani
- From the Departments of Neuroimaging and Forensic and Neurodevelopmental Sciences (S.J.F., N.D.S., L.D., P.L.L., F.D., M.C.), Natbrainlab, Sackler Institute of Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Mesulam Center for Cognitive Neurology and Alzheimer's Disease (E.R., J.S., S.W., M.-M.M.), Department of Psychiatry and Behavioral Sciences (E.R.), and Department of Neurology (M.M.M.), Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Neuroscience and Experimental Psychology, School of Biological Sciences (N.D.S., S.W.), University of Manchester, UK; and Neurobiology of Language Recovery, Aphasia and Neurolinguistics Research Laboratory, Communication Sciences and Disorders, and Neurology (C.T.), Northwestern University, Chicago, IL.
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15
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Tábuas-Pereira M, Beato-Coelho J, Ribeiro J, Nogueira AR, Cruz L, Silva F, Sargento-Freitas J, Cordeiro G, Santana I. Single Word Repetition Predicts Long-Term Outcome of Aphasia Caused by an Ischemic Stroke. J Stroke Cerebrovasc Dis 2019; 29:104566. [PMID: 31836358 DOI: 10.1016/j.jstrokecerebrovasdis.2019.104566] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 11/03/2019] [Accepted: 11/21/2019] [Indexed: 12/01/2022] Open
Abstract
PURPOSE Better understanding of clinical predictors of aphasia outcome is of the utmost importance, in patients' rehabilitation planning, expectation management, and further physiopathology understanding. We aimed to identify clinical predictors of long-term poststroke aphasia's outcome. METHODS We conducted a prospective longitudinal observation study of patients with left-Middle Cerebral Artery stroke with aphasia. Patients were evaluated at baseline, day 7 and 6 months with National Institutes of Health Stroke Scale (NIHSS) and Aphasia Rapid Test Other demographic variables and vascular risk factors were collected. A linear regression was performed to identify best predictors of aphasia at 6 months. FINDINGS We included 113 patients with a left hemisphere stroke, with 81 reaching the final evaluation. Aphasia Handicap Score at 6 months was predicted by baseline total NIHSS (β = .077, 95%CI = [.026, .127]. P = .004), infarct volume on CT-scan (β = .009, 95%CI = [.003, .015]. P = .003), single word repetition at baseline (β = .188, 95%CI = [.040, .335]. P = .013), and infection during hospitalization (β = .759, 95%CI = [.263, 1.255]. P = .003). CONCLUSIONS Aphasia's outcome in patients with stroke is predicted by a single word repetition task at baseline. Infection during hospitalization has a negative impact on aphasia's outcome at 6 months.
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Affiliation(s)
- Miguel Tábuas-Pereira
- Memory Clinic, Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - José Beato-Coelho
- Stroke Unit, Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal MD, Stroke Unit, Neurology Department, Coimbra, Portugal
| | - Joana Ribeiro
- Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Ana Rita Nogueira
- Internal Medicine Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Luis Cruz
- Neuroradiology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Fernando Silva
- Stroke Unit, Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - João Sargento-Freitas
- Stroke Unit, Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Gustavo Cordeiro
- Stroke Unit, Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Isabel Santana
- Head of the Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Professor of Neurology, Faculty of Medicine of the University of Coimbra, Coimbra, Portugal
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Torres-Prioris MJ, López-Barroso D, Roé-Vellvé N, Paredes-Pacheco J, Dávila G, Berthier ML. Repetitive verbal behaviors are not always harmful signs: Compensatory plasticity within the language network in aphasia. BRAIN AND LANGUAGE 2019; 190:16-30. [PMID: 30665003 DOI: 10.1016/j.bandl.2018.12.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 12/14/2018] [Accepted: 12/19/2018] [Indexed: 06/09/2023]
Abstract
Repetitive verbal behaviors such as conduite d'approche (CdA) and mitigated echolalia (ME) are well-known phenomena since early descriptions of aphasia. Nevertheless, there is no substantial fresh knowledge on their clinical features, neural correlates and treatment interventions. In the present study we take advantage of three index cases of chronic fluent aphasia showing CdA, ME or both symptoms to dissect their clinical and neural signatures. Using multimodal neuroimaging (structural magnetic resonance imaging and [18]-fluorodeoxyglucose positron emission tomography during resting state), we found that despite of the heterogeneous lesions in terms of etiology (stroke, traumatic brain injury), volume and location, CdA was present when the lesion affected in greater extent the left dorsal language pathway, while ME resulted from preferential damage to the left ventral stream. The coexistence of CdA and ME was associated with involvement of areas overlapping with the structural lesions and metabolic derangements described in the subjects who showed one of these symptoms (CdA or ME). These findings suggest that CdA and ME represent the clinical expression of plastic changes that occur within the spared language network and its interconnected areas in order to compensate for the linguistic functions that previously relied on the activity of the damaged pathway. We discuss the results in the light of this idea and consider alternative undamaged neural networks that may support CdA and ME.
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Affiliation(s)
- María José Torres-Prioris
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Malaga, Spain; Area of Psychobiology, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain; Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain.
| | - Diana López-Barroso
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Malaga, Spain; Area of Psychobiology, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain; Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain.
| | - Núria Roé-Vellvé
- Molecular Imaging Unit, Centro de Investigaciones Médico-Sanitarias, General Foundation of the University of Malaga, Malaga, Spain; Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Barcelona, Spain
| | - José Paredes-Pacheco
- Molecular Imaging Unit, Centro de Investigaciones Médico-Sanitarias, General Foundation of the University of Malaga, Malaga, Spain; Molecular Imaging and Medical Physics Group, Department of Psychiatry, Radiology and Public Health, University of Compostela, Galicia, Spain
| | - Guadalupe Dávila
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Malaga, Spain; Area of Psychobiology, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain; Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain
| | - Marcelo L Berthier
- Cognitive Neurology and Aphasia Unit, Centro de Investigaciones Médico-Sanitarias, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Malaga, Malaga, Spain; Research Laboratory on the Neuroscience of Language, Faculty of Psychology and Speech Therapy, University of Malaga, Malaga, Spain
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17
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Ghazi-Saidi L, Ansaldo AI. Second Language Word Learning through Repetition and Imitation: Functional Networks as a Function of Learning Phase and Language Distance. Front Hum Neurosci 2017; 11:463. [PMID: 29033804 PMCID: PMC5625023 DOI: 10.3389/fnhum.2017.00463] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2017] [Accepted: 09/04/2017] [Indexed: 11/13/2022] Open
Abstract
Introduction and Aim: Repetition and imitation are among the oldest second language (L2) teaching approaches and are frequently used in the context of L2 learning and language therapy, despite some heavy criticism. Current neuroimaging techniques allow the neural mechanisms underlying repetition and imitation to be examined. This fMRI study examines the influence of verbal repetition and imitation on network configuration. Integration changes within and between the cognitive control and language networks were studied, in a pair of linguistically close languages (Spanish and French), and compared to our previous work on a distant language pair (Ghazi-Saidi et al., 2013). Methods: Twelve healthy native Spanish-speaking (L1) adults, and 12 healthy native Persian-speaking adults learned 130 new French (L2) words, through a computerized audiovisual repetition and imitation program. The program presented colored photos of objects. Participants were instructed to look at each photo and pronounce its name as closely as possible to the native template (imitate). Repetition was encouraged as many times as necessary to learn the object's name; phonological cues were provided if necessary. Participants practiced for 15 min, over 30 days, and were tested while naming the same items during fMRI scanning, at week 1 (shallow learning phase) and week 4 (consolidation phase) of training. To compare this set of data with our previous work on Persian speakers, a similar data analysis plan including accuracy rates (AR), response times (RT), and functional integration values for the language and cognitive control network at each measure point was included, with further L1-L2 direct comparisons across the two populations. Results and Discussion: The evidence shows that learning L2 words through repetition induces neuroplasticity at the network level. Specifically, L2 word learners showed increased network integration after 3 weeks of training, with both close and distant language pairs. Moreover, higher network integration was observed in the learners with the close language pair, suggesting that repetition effects on network configuration vary as a function of task complexity.
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Affiliation(s)
- Ladan Ghazi-Saidi
- Department of Communication Disorders, University of Nebraska at KearneyKearney, NE, United States
| | - Ana Ines Ansaldo
- School of Speech Therapy and Audiology, University of MontrealMontreal, QC, Canada.,Centre de Recherche de l'Institut Universitaire de Gériatrie de MontréalMontreal, QC, Canada
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18
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López-Barroso D, de Diego-Balaguer R. Language Learning Variability within the Dorsal and Ventral Streams as a Cue for Compensatory Mechanisms in Aphasia Recovery. Front Hum Neurosci 2017; 11:476. [PMID: 29021751 PMCID: PMC5623718 DOI: 10.3389/fnhum.2017.00476] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 09/12/2017] [Indexed: 12/28/2022] Open
Abstract
Dorsal and ventral pathways connecting perisylvian language areas have been shown to be functionally and anatomically segregated. Whereas the dorsal pathway integrates the sensory-motor information required for verbal repetition, the ventral pathway has classically been associated with semantic processes. The great individual differences characterizing language learning through life partly correlate with brain structure and function within these dorsal and ventral language networks. Variability and plasticity within these networks also underlie inter-individual differences in the recovery of linguistic abilities in aphasia. Despite the division of labor of the dorsal and ventral streams, studies in healthy individuals have shown how the interaction of them and the redundancy in the areas they connect allow for compensatory strategies in functions that are usually segregated. In this mini-review we highlight the need to examine compensatory mechanisms between streams in healthy individuals as a helpful guide to choosing the most appropriate rehabilitation strategies, using spared functions and targeting preserved compensatory networks for brain plasticity.
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Affiliation(s)
- Diana López-Barroso
- Cognitive Neurology and Aphasia Unit, Cathedra ARPA of Aphasia, Centro de Investigaciones Médico-Sanitarias and Instituto de Investigación Biomédica de Málaga, University of Malaga, Malaga, Spain
- Area of Psychobiology, Faculty of Psychology, University of Malaga, Malaga, Spain
| | - Ruth de Diego-Balaguer
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain
- Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
- Institute of Neurosciences, University of Barcelona, Barcelona, Spain
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19
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Berthier ML, Torres-Prioris MJ, López-Barroso D. Thinking on Treating Echolalia in Aphasia: Recommendations and Caveats for Future Research Directions. Front Hum Neurosci 2017; 11:164. [PMID: 28420974 PMCID: PMC5376621 DOI: 10.3389/fnhum.2017.00164] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2016] [Accepted: 03/17/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Marcelo L Berthier
- Cognitive Neurology and Aphasia Unit and Cathedra ARPA of Aphasia, Centro de Investigaciones Médico-Sanitarias and Instituto de Investigación Biomédica de Málaga, University of MalagaMalaga, Spain
| | - María J Torres-Prioris
- Cognitive Neurology and Aphasia Unit and Cathedra ARPA of Aphasia, Centro de Investigaciones Médico-Sanitarias and Instituto de Investigación Biomédica de Málaga, University of MalagaMalaga, Spain.,Area of Psychobiology, Faculty of Psychology, University of MalagaMalaga, Spain
| | - Diana López-Barroso
- Cognitive Neurology and Aphasia Unit and Cathedra ARPA of Aphasia, Centro de Investigaciones Médico-Sanitarias and Instituto de Investigación Biomédica de Málaga, University of MalagaMalaga, Spain.,Area of Psychobiology, Faculty of Psychology, University of MalagaMalaga, Spain
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20
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The Left, The Better: White-Matter Brain Integrity Predicts Foreign Language Imitation Ability. Cereb Cortex 2016; 27:3906-3917. [DOI: 10.1093/cercor/bhw199] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Accepted: 02/06/2016] [Indexed: 11/15/2022] Open
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21
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Holland R, Johns SL, Woollams AM. The impact of phonological versus semantic repetition training on generalisation in chronic stroke aphasia reflects differences in dorsal pathway connectivity. Neuropsychol Rehabil 2016; 28:548-567. [DOI: 10.1080/09602011.2016.1190384] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Rachel Holland
- Division of Language and Communication Science, City University London, London, England
| | - Sasha L. Johns
- Neuroscience and Aphasia Research Unit, School of Psychological Sciences, University of Manchester, Manchester, England
| | - Anna M. Woollams
- Neuroscience and Aphasia Research Unit, School of Psychological Sciences, University of Manchester, Manchester, England
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22
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Moseley RL, Correia MM, Baron-Cohen S, Shtyrov Y, Pulvermüller F, Mohr B. Reduced Volume of the Arcuate Fasciculus in Adults with High-Functioning Autism Spectrum Conditions. Front Hum Neurosci 2016; 10:214. [PMID: 27242478 PMCID: PMC4867673 DOI: 10.3389/fnhum.2016.00214] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Accepted: 04/25/2016] [Indexed: 11/17/2022] Open
Abstract
Atypical language is a fundamental feature of autism spectrum conditions (ASC), but few studies have examined the structural integrity of the arcuate fasciculus, the major white matter tract connecting frontal and temporal language regions, which is usually implicated as the main transfer route used in processing linguistic information by the brain. Abnormalities in the arcuate have been reported in young children with ASC, mostly in low-functioning or non-verbal individuals, but little is known regarding the structural properties of the arcuate in adults with ASC or, in particular, in individuals with ASC who have intact language, such as those with high-functioning autism or Asperger syndrome. We used probabilistic tractography of diffusion-weighted imaging to isolate and scrutinize the arcuate in a mixed-gender sample of 18 high-functioning adults with ASC (17 Asperger syndrome) and 14 age- and IQ-matched typically developing controls. Arcuate volume was significantly reduced bilaterally with clearest differences in the right hemisphere. This finding remained significant in an analysis of all male participants alone. Volumetric reduction in the arcuate was significantly correlated with the severity of autistic symptoms as measured by the Autism-Spectrum Quotient. These data reveal that structural differences are present even in high-functioning adults with ASC, who presented with no clinically manifest language deficits and had no reported developmental language delay. Arcuate structural integrity may be useful as an index of ASC severity and thus as a predictor and biomarker for ASC. Implications for future research are discussed.
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Affiliation(s)
- Rachel L Moseley
- Department of Psychology, Bournemouth UniversityDorset, UK; Medical Research Council Cognition and Brain Sciences UnitCambridge, UK; Brain Mapping Unit, Department of Psychiatry, University of CambridgeCambridge, UK; Autism Research Centre, Department of Psychiatry, University of CambridgeCambridge, UK
| | - Marta M Correia
- Medical Research Council Cognition and Brain Sciences Unit Cambridge, UK
| | - Simon Baron-Cohen
- Autism Research Centre, Department of Psychiatry, University of CambridgeCambridge, UK; Cambridge Lifespan Asperger Syndrome Service Clinic, Cambridgeshire and Peterborough National Health Service Foundation TrustCambridge, UK
| | - Yury Shtyrov
- Medical Research Council Cognition and Brain Sciences UnitCambridge, UK; Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus UniversityAarhus, Denmark; Centre for Cognition and Decision Making, National Research University Higher School of EconomicsMoscow, Russia
| | - Friedemann Pulvermüller
- Medical Research Council Cognition and Brain Sciences UnitCambridge, UK; Brain Language Laboratory, Freie Universität BerlinBerlin, Germany
| | - Bettina Mohr
- Department of Psychiatry, Charité-Universitätsmedizin Berlin Berlin, Germany
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23
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Allendorfer JB, Hernando KA, Hossain S, Nenert R, Holland SK, Szaflarski JP. Arcuate fasciculus asymmetry has a hand in language function but not handedness. Hum Brain Mapp 2016; 37:3297-309. [PMID: 27144738 DOI: 10.1002/hbm.23241] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Revised: 04/20/2016] [Accepted: 04/21/2016] [Indexed: 11/09/2022] Open
Abstract
The importance of relationships between handedness, language lateralization and localization, and white matter tracts for language performance is unclear. The goal of the study was to investigate these relationships by examining arcuate fasciculus (AF) structural asymmetry (DTI) and functional asymmetry (fMRI) in language circuits, handedness, and linguistic performance. A large sample of right-handed (n = 158) and atypical-handed (n = 82) healthy adults underwent DTI at 3 T to assess number of streamlines and fractional anisotropy (FA) of the AF, and language fMRI. Language functions were assessed using standard tests of vocabulary, naming, verbal fluency, and complex ideation. Laterality indices (LIs) illustrated degree of asymmetry and lateralization patterns for the AF (streamlines and FA) and verb generation fMRI. Both handedness groups showed leftward lateralization bias for streamline and fMRI LIs and symmetry for FA LI. The proportion of subjects with left, right, or symmetric lateralization were similar between groups if based on AF LIs, but differed if based on fMRI LIs (p = 0.0016). Degree of right-handedness was not associated with AF lateralization, but was associated with fMRI language lateralization (p = 0.0014). FA LI was not associated with performance on language assessments, but streamline LI was associated with better vocabulary and complex ideation performance in atypical-handed subjects (p = 0.022 and p = 0.0098, respectively), and better semantic fluency in right-handed subjects (p = 0.047); however, these did not survive multiple comparisons correction. We provide evidence that AF asymmetry is independent of hand preference, and while degree of right-handedness is associated with hemispheric language lateralization, the majority of atypical-handed individuals are left-lateralized for language. Hum Brain Mapp 37:3297-3309, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Jane B Allendorfer
- Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Kathleen A Hernando
- Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Shyla Hossain
- Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Rodolphe Nenert
- Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Scott K Holland
- Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | - Jerzy P Szaflarski
- Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.,Department of Neurology, University of Cincinnati Academic Health Center, Cincinnati, Ohio
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24
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Razumov AN, Melnikova EA. [The modern approaches to the prognostication of rehabilitation of the patients after stroke on an individual basis: a review of the literature and the results of original investigations]. VOPROSY KURORTOLOGII, FIZIOTERAPII, I LECHEBNOI FIZICHESKOI KULTURY 2015; 92:11-16. [PMID: 26841523 DOI: 10.17116/kurort2015611-16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This article was designed to analyze the results of the investigations with the purpose of elucidation of the prognostic factors relevant to the rehabilitation of the patients who survived after stroke. Special attention is given to the role of demographic (age and sex) factors and the data of the clinical, neurological, psychological, cognitive, and instrumental examination of the patients. The results of the original studies based on the treatment of 203 stroke patients are discussed in the context of modern concepts of the significance of the factors contributing to the recovery of the patients in the course of the post-stroke rehabilitation. The prognostic value of the selected factors, such as leukoareosis (for the patients presenting with hemorrhagic stroke), has been demonstrated for the first time. The new data on the duration of the rehabilitation period are presented with reference to its dependence on the type of stroke and localization of the lesions. Specifically, it is estimated to be 2 years for the patients who suffered from ischemic stroke in the brain stem, 31 months for those with ischemic stroke of the hemispherical localization, and 38 months for the patients presenting with hemorrhagic stroke (hemispherical hematoma). In addition, the data on the magnitude of the post-ischemic atrophic changes of prognostic values are presented.
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Affiliation(s)
- A N Razumov
- State autonomous healthcare facility 'Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine', Moscow Health Department, Moscow, Russian Federation, 105120
| | - E A Melnikova
- State autonomous healthcare facility 'Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine', Moscow Health Department, Moscow, Russian Federation, 105120
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25
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Geva S, Correia MM, Warburton EA. Contributions of bilateral white matter to chronic aphasia symptoms as assessed by diffusion tensor MRI. BRAIN AND LANGUAGE 2015; 150:117-28. [PMID: 26401977 PMCID: PMC4669306 DOI: 10.1016/j.bandl.2015.09.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 06/09/2015] [Accepted: 09/01/2015] [Indexed: 06/05/2023]
Abstract
Language reorganisation following stroke has been studied widely. However, while studies of brain activation and grey matter examined both hemispheres, studies of white matter changes have mostly focused on the left hemisphere. Here we examined the relationship between bilateral hemispheric white matter and aphasia symptoms. 15 chronic stroke patients with aphasia and 18 healthy adults were studied using Diffusion Weighted Imaging data. By applying histogram analysis, Tract-Based Spatial Statistics, tractography and lesion-tract overlap methods, it was found that damage to the left hemisphere in general, and to the arcuate fasciculus in particular, correlated with impairments on word repetition, object naming, sentence comprehension and homophone and rhyme judgement. However, no such relationship was found in the right hemisphere. It is suggested that while some language function in aphasia can be explained by damage to the left arcuate fasciculus, it cannot be explained by looking at the contra-lesional tract.
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Affiliation(s)
- Sharon Geva
- Department of Clinical Neurosciences, University of Cambridge, United Kingdom; Cognitive Neuroscience and Neuropsychiatry Section, UCL Institute of Child Health, United Kingdom.
| | - Marta M Correia
- MRC Cognition and Brain Sciences Unit, Cambridge, United Kingdom
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26
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Banerjee P, Leu K, Harris RJ, Cloughesy TF, Lai A, Nghiemphu PL, Pope WB, Bookheimer SY, Ellingson BM. Association between lesion location and language function in adult glioma using voxel-based lesion-symptom mapping. NEUROIMAGE-CLINICAL 2015; 9:617-24. [PMID: 26740915 PMCID: PMC4644251 DOI: 10.1016/j.nicl.2015.10.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Revised: 10/19/2015] [Accepted: 10/21/2015] [Indexed: 12/03/2022]
Abstract
Background Management of language difficulties is an important aspect of clinical care for glioma patients, and accurately identifying the possible language deficits in patients based on lesion location would be beneficial to clinicians. To that end, we examined the relationship between lesion presence and language performance on tests of receptive language and expressive language using a highly specific voxel-based lesion–symptom mapping (VLSM) approach in glioma patients. Methods 98 adults with primary glioma, who were pre-surgical candidates, were administered seven neurocognitive tests within the domains of receptive language and expressive language. The association between language performance and lesion presence was examined using VLSM. Statistical parametric maps were created for each test, and composite maps for both receptive language and expressive language were created to display the significant voxels common to all tests within these language domains. Results We identified clusters of voxels with a significant relationship between lesion presence and language performance. All tasks were associated with several white matter pathways. The receptive language tasks were additionally all associated with regions primarily within the lateral temporal lobe and medial temporal lobe. In contrast, the expressive language tasks shared little overlap, despite each task being independently associated with large anatomic areas. Conclusions Our findings identify the key anatomic structures involved in language functioning in adult glioma patients using an innovative lesion analysis technique and suggest that expressive language abilities may be more task-dependent and distributed than receptive language abilities. Examined the association between lesion location and language in glioma patients. Utilized a highly specific voxel-based lesion–symptom mapping (VLSM) approach. Receptive language tasks were all associated with temporal and subcortical regions. Expressive language tasks showed little overlap across associated brain regions. Findings suggest expressive language is a more task-dependent, distributed ability.
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Affiliation(s)
- Pia Banerjee
- UCLA Neuro-Oncology Program, University of California, Los Angeles, 710 Westwood Plaza, Reed Building 1–230, Los Angeles, CA 90095, USA
- Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, USA
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, 760 Westwood Plaza, C8-746, Los Angeles, CA 90095, USA
| | - Kevin Leu
- UCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers (CVIB), David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Science, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
| | - Robert J. Harris
- UCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers (CVIB), David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Biomedical Physics, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
| | - Timothy F. Cloughesy
- UCLA Neuro-Oncology Program, University of California, Los Angeles, 710 Westwood Plaza, Reed Building 1–230, Los Angeles, CA 90095, USA
- Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, USA
| | - Albert Lai
- UCLA Neuro-Oncology Program, University of California, Los Angeles, 710 Westwood Plaza, Reed Building 1–230, Los Angeles, CA 90095, USA
- Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, USA
| | - Phioanh L. Nghiemphu
- UCLA Neuro-Oncology Program, University of California, Los Angeles, 710 Westwood Plaza, Reed Building 1–230, Los Angeles, CA 90095, USA
- Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, USA
| | - Whitney B. Pope
- Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
| | - Susan Y. Bookheimer
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, 760 Westwood Plaza, C8-746, Los Angeles, CA 90095, USA
| | - Benjamin M. Ellingson
- UCLA Neuro-Oncology Program, University of California, Los Angeles, 710 Westwood Plaza, Reed Building 1–230, Los Angeles, CA 90095, USA
- UCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers (CVIB), David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Science, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Department of Biomedical Physics, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA
- Corresponding author at: Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, 924 Westwood Blvd, Suite 615, Los Angeles, CA 90024, USA.Department of Radiological SciencesDavid Geffen School of MedicineUniversity of California, Los Angeles924 Westwood BlvdSuite 615Los AngelesCA90024USA
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27
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Abstract
The language-relevant brain regions, Brodmann's area in the inferior frontal cortex and Wernicke's area in the superior temporal cortex, are connected via long-range fiber bundles, which are located dorsally and ventrally to the sylvian fissure. These dorsal and ventral pathways consist of a number of partly parallel-running fiber tracts, which can be differentiated by their termination regions and by the particular language functions of these termination regions. Dorsally, there are two major fiber tracts connecting the posterior temporal cortex with the frontal cortex: one terminating in the premotor cortex that subserves sensory-to-motor mapping and one terminating in posterior Broca's area, the pars opercularis, that supports the processing of complex syntactic structures. Ventrally, two language-related fiber tracts are discussed: one connects the inferior frontal cortex, i.e., the pars triangularis and orbitalis, with Wernicke's area and supports semantic processes and another one connects the most ventral portions of the inferior frontal cortex, including the frontal operculum, with the anterior temporal cortex. This latter ventral tract is suggested to subserve elementary combinatorial processes in language. Together these fiber tracts guarantee the transmission of information between different brain regions within the neural language network.
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Affiliation(s)
- Angela D Friederici
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
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Kielar A, Panamsky L, Links KA, Meltzer JA. Localization of electrophysiological responses to semantic and syntactic anomalies in language comprehension with MEG. Neuroimage 2014; 105:507-24. [PMID: 25463470 DOI: 10.1016/j.neuroimage.2014.11.016] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Revised: 10/02/2014] [Accepted: 11/07/2014] [Indexed: 10/24/2022] Open
Abstract
Syntactically and semantically anomalous words encountered during sentence comprehension are known to elicit dissociable electrophysiological responses, which are thought to reflect distinct aspects of language processing. However, the sources of these responses have not been well characterized. We used beamforming analysis of magnetoencephalography (MEG) data to map generators of electrophysiological responses to linguistic anomalies. Anomalous words occurred in the context of a sentence acceptability judgement task conducted in both visual and auditory modalities. Time-frequency analysis revealed that both kinds of violations elicited event-related synchronization (ERS) in the delta-theta frequency range (1-5 Hz), and desynchronization (ERD) in the alpha-beta range (8-30 Hz). In addition, these responses were differentially modulated by violation type and presentation modality. 1-5 Hz responses were consistently localized within medial prefrontal cortex and did not vary significantly across violation types, but were stronger for visual presentation. In contrast, 8-30 Hz ERD occurred in different regions for different violation types. For semantic violations the distribution was predominantly in the bilateral occipital cortex and left temporal and inferior frontal regions, and these effects did not differ for visual and auditory presentation. In contrast, syntactic responses were strongly affected by presentation modality. Under visual presentation, syntactic violations elicited bilateral 8-30 Hz ERD extending into dorsal parietal and frontal regions, whereas effects were much weaker and mostly statistically insignificant in the auditory modality. These results suggest that delta-theta ERS reflects generalized increases in working memory demands related to linguistic anomaly detection, while alpha-beta ERD reflects specific activation of cortical regions involved in distinct aspects of linguistic processing, such as semantic vs. phonological short-term memory. Beamforming analysis of time-domain average signals (ERFs) revealed an N400m effect for semantic anomalies in both modalities, localized to left superior temporal and posterior frontal regions, and a later P600-like effect for syntactic anomalies in both modalities, widespread over bilateral frontal, posterior temporal, and parietal regions. These results indicate that time-domain averaged responses and induced oscillatory responses have distinct properties, including localization and modality dependence, and likely reflect dissociable and complementary aspects of neural activity related to language comprehension and additional task-related processes.
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Affiliation(s)
- Aneta Kielar
- Rotman Research Institute, Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Toronto, Ontario, Canada
| | - Lilia Panamsky
- Rotman Research Institute, Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Toronto, Ontario, Canada
| | - Kira A Links
- Rotman Research Institute, Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Toronto, Ontario, Canada
| | - Jed A Meltzer
- Rotman Research Institute, Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
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Rosso C, Perlbarg V, Valabregue R, Arbizu C, Ferrieux S, Alshawan B, Vargas P, Leger A, Zavanone C, Corvol JC, Meunier S, Lehéricy S, Samson Y. Broca's area damage is necessary but not sufficient to induce after-effects of cathodal tDCS on the unaffected hemisphere in post-stroke aphasia. Brain Stimul 2014; 7:627-35. [PMID: 25022472 DOI: 10.1016/j.brs.2014.06.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Revised: 06/06/2014] [Accepted: 06/08/2014] [Indexed: 10/25/2022] Open
Abstract
BACKGROUND The inter-individual variability of behavioral effects after tDCS applied to the unaffected right hemisphere in stroke may be related to factors such as the lesion location. OBJECTIVE/HYPOTHESIS We investigated the effect of left Broca's area (BA) damage on picture naming in aphasic patients after cathodal tDCS applied over the right BA. METHODS We conducted a study using pre-interventional diffusion and resting state functional MRI (rsfMRI) and two cross-over tDCS sessions (TYPE: sham and cathodal) over the right homologous BA in aphasic stroke patients with ischemic lesions involving the left BA (BA+) or other left brain areas (BA-). Picture naming accuracy was assessed after each session. Inter-hemispheric (IH) functional balance was investigated via rsfMRI connectivity maps using the right BA as a seed. Probabilistic tractography was used to study the integrity of language white matter pathways. RESULTS tDCS had different effects on picture naming accuracy in BA+ and BA- patients (TYPE × GROUP interaction, F(1,19): 4.6, P: 0.04). All BA- patients except one did not respond to tDCS and demonstrated normal IH balance between the right and left BA when compared to healthy subjects. BA+ patients were improved by tDCS in 36% and had decreased level of functional IH balance. Improvement in picture naming after cathodal tDCS was associated with the integrity of the arcuate fasciculus in BA+ patients. CONCLUSIONS Behavioral effects of cathodal tDCS on the unaffected right hemisphere differ depending on whether BA and the arcuate fasciculus are damaged. Therefore, IH imbalance could be a direct consequence of anatomical lesions.
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Affiliation(s)
- C Rosso
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; COGIMAGE, UPMC Paris 6, Paris, France; APHP, Urgences Cérébro-Vasculaires, Hôpital Pitié-Salpêtrière, Paris, France; Univ Paris 11, IFR49, DSV/I2BM/NeuroSpin, Bat 145, Gif-sur-Yvette F-91191, France.
| | - V Perlbarg
- Univ Paris 11, IFR49, DSV/I2BM/NeuroSpin, Bat 145, Gif-sur-Yvette F-91191, France; Inserm, UPMC Univ Paris 06, UMRS 678, Laboratoire d'Imagerie Fonctionnelle, Paris, France
| | - R Valabregue
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; Institut du Cerveau et de la Moelle épinière, Centre de Neuro-Imagerie de Recherche (CENIR), Paris, France
| | - C Arbizu
- APHP, Urgences Cérébro-Vasculaires, Hôpital Pitié-Salpêtrière, Paris, France; Centre des Maladies Cognitives et Comportementales, IM2A, Hôpital Pitié-Salpêtrière, Paris, France
| | - S Ferrieux
- Centre des Maladies Cognitives et Comportementales, IM2A, Hôpital Pitié-Salpêtrière, Paris, France; APHP, Service de Soins de suites et Réadaptation, Hôpital Pitié-Salpêtrière, Paris, France
| | - B Alshawan
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; COGIMAGE, UPMC Paris 6, Paris, France
| | - P Vargas
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; COGIMAGE, UPMC Paris 6, Paris, France
| | - A Leger
- APHP, Urgences Cérébro-Vasculaires, Hôpital Pitié-Salpêtrière, Paris, France
| | - C Zavanone
- APHP, Service de Soins de suites et Réadaptation, Hôpital Pitié-Salpêtrière, Paris, France
| | - J C Corvol
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; INSERM, APHP, Centre d'Investigation Clinique CIC9503, Département des Maladies du Système Nerveux, Hôpital Pitié-Salpêtrière, Paris, France
| | - S Meunier
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; Institut du Cerveau et de la Moelle épinière, Movement Disorders and Basal Ganglia: Pathophysiology and Experimental Therapeutics, Paris, France
| | - S Lehéricy
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; Institut du Cerveau et de la Moelle épinière, Centre de Neuro-Imagerie de Recherche (CENIR), Paris, France; APHP, Service de Neuroradiologie, Hôpital Pitié-Salpêtrière, Paris, France
| | - Y Samson
- CRICM - Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière, UPMC Paris 6, Paris, France; Inserm, U975; CNRS, UMR 7225, Paris, France; COGIMAGE, UPMC Paris 6, Paris, France; APHP, Urgences Cérébro-Vasculaires, Hôpital Pitié-Salpêtrière, Paris, France
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Cook PA, McMillan CT, Avants BB, Peelle JE, Gee JC, Grossman M. Relating brain anatomy and cognitive ability using a multivariate multimodal framework. Neuroimage 2014; 99:477-86. [PMID: 24830834 DOI: 10.1016/j.neuroimage.2014.05.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2013] [Revised: 04/06/2014] [Accepted: 05/04/2014] [Indexed: 12/13/2022] Open
Abstract
Linking structural neuroimaging data from multiple modalities to cognitive performance is an important challenge for cognitive neuroscience. In this study we examined the relationship between verbal fluency performance and neuroanatomy in 54 patients with frontotemporal degeneration (FTD) and 15 age-matched controls, all of whom had T1- and diffusion-weighted imaging. Our goal was to incorporate measures of both gray matter (voxel-based cortical thickness) and white matter (fractional anisotropy) into a single statistical model that relates to behavioral performance. We first used eigenanatomy to define data-driven regions of interest (DD-ROIs) for both gray matter and white matter. Eigenanatomy is a multivariate dimensionality reduction approach that identifies spatially smooth, unsigned principal components that explain the maximal amount of variance across subjects. We then used a statistical model selection procedure to see which of these DD-ROIs best modeled performance on verbal fluency tasks hypothesized to rely on distinct components of a large-scale neural network that support language: category fluency requires a semantic-guided search and is hypothesized to rely primarily on temporal cortices that support lexical-semantic representations; letter-guided fluency requires a strategic mental search and is hypothesized to require executive resources to support a more demanding search process, which depends on prefrontal cortex in addition to temporal network components that support lexical representations. We observed that both types of verbal fluency performance are best described by a network that includes a combination of gray matter and white matter. For category fluency, the identified regions included bilateral temporal cortex and a white matter region including left inferior longitudinal fasciculus and frontal-occipital fasciculus. For letter fluency, a left temporal lobe region was also selected, and also regions of frontal cortex. These results are consistent with our hypothesized neuroanatomical models of language processing and its breakdown in FTD. We conclude that clustering the data with eigenanatomy before performing linear regression is a promising tool for multimodal data analysis.
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Affiliation(s)
- Philip A Cook
- Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
| | - Corey T McMillan
- Penn Frontotemporal Degeneration Center, Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Brian B Avants
- Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Jonathan E Peelle
- Department of Otolaryngology, Washington University in St Louis, St Louis, MO 63110, USA
| | - James C Gee
- Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Murray Grossman
- Penn Frontotemporal Degeneration Center, Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
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Connectivity between Right Inferior Frontal Gyrus and Supplementary Motor Area Predicts After-Effects of Right Frontal Cathodal tDCS on Picture Naming Speed. Brain Stimul 2014; 7:122-9. [DOI: 10.1016/j.brs.2013.08.007] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2013] [Revised: 08/10/2013] [Accepted: 08/29/2013] [Indexed: 11/19/2022] Open
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Berthier ML, Froudist Walsh S, Dávila G, Nabrozidis A, Juárez Y Ruiz de Mier R, Gutiérrez A, De-Torres I, Ruiz-Cruces R, Alfaro F, García-Casares N. Dissociated repetition deficits in aphasia can reflect flexible interactions between left dorsal and ventral streams and gender-dimorphic architecture of the right dorsal stream. Front Hum Neurosci 2013; 7:873. [PMID: 24391569 PMCID: PMC3867969 DOI: 10.3389/fnhum.2013.00873] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2013] [Accepted: 11/29/2013] [Indexed: 01/01/2023] Open
Abstract
Assessment of brain-damaged subjects presenting with dissociated repetition deficits after selective injury to either the left dorsal or ventral auditory pathways can provide further insight on their respective roles in verbal repetition. We evaluated repetition performance and its neural correlates using multimodal imaging (anatomical MRI, DTI, fMRI, and18FDG-PET) in a female patient with transcortical motor aphasia (TCMA) and in a male patient with conduction aphasia (CA) who had small contiguous but non-overlapping left perisylvian infarctions. Repetition in the TCMA patient was fully preserved except for a mild impairment in nonwords and digits, whereas the CA patient had impaired repetition of nonwords, digits and word triplet lists. Sentence repetition was impaired, but he repeated novel sentences significantly better than clichés. The TCMA patient had tissue damage and reduced metabolism in the left sensorimotor cortex and insula. DTI showed damage to the left temporo-frontal and parieto-frontal segments of the arcuate fasciculus (AF) and part of the left ventral stream together with well-developed right dorsal and ventral streams, as has been reported in more than one-third of females. The CA patient had tissue damage and reduced metabolic activity in the left temporoparietal cortex with additional metabolic decrements in the left frontal lobe. DTI showed damage to the left temporo-parietal and temporo-frontal segments of the AF, but the ventral stream was spared. The direct segment of the AF in the right hemisphere was also absent with only vestigial remains of the other dorsal subcomponents present, as is often found in males. fMRI during word and nonword repetition revealed bilateral perisylvian activation in the TCMA patient suggesting recruitment of spared segments of the left dorsal stream and right dorsal stream with propagation of signals to temporal lobe structures suggesting a compensatory reallocation of resources via the ventral streams. The CA patient showed a greater activation of these cortical areas than the TCMA patient, but these changes did not result in normal performance. Repetition of word triplet lists activated bilateral perisylvian cortices in both patients, but activation in the CA patient with very poor performance was restricted to small frontal and posterior temporal foci bilaterally. These findings suggest that dissociated repetition deficits in our cases are probably reliant on flexible interactions between left dorsal stream (spared segments, short tracts remains) and left ventral stream and on gender-dimorphic architecture of the right dorsal stream.
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Affiliation(s)
- Marcelo L Berthier
- Unit of Cognitive Neurology an Aphasia, Department of Medicine, Centro de Investigaciones Médico-Sanitarias, University of Malaga Malaga, Spain
| | - Seán Froudist Walsh
- Department of Psychosis Studies, Institute of Psychiatry, King's Health Partners, King's College London London, UK
| | - Guadalupe Dávila
- Unit of Cognitive Neurology an Aphasia, Department of Medicine, Centro de Investigaciones Médico-Sanitarias, University of Malaga Malaga, Spain ; Department of Psychobiology and Methodology of Comportamental Sciences, Faculty of Psychology, University of Malaga Malaga, Spain
| | - Alejandro Nabrozidis
- Unit of Molecular Imaging, Centro de Investigaciones Médico-Sanitarias, General Foundation of the University of Malaga Malaga, Spain
| | - Rocío Juárez Y Ruiz de Mier
- Unit of Cognitive Neurology an Aphasia, Department of Medicine, Centro de Investigaciones Médico-Sanitarias, University of Malaga Malaga, Spain
| | - Antonio Gutiérrez
- Department of Psychobiology and Methodology of Comportamental Sciences, Faculty of Psychology, University of Malaga Malaga, Spain
| | - Irene De-Torres
- Unit of Cognitive Neurology an Aphasia, Department of Medicine, Centro de Investigaciones Médico-Sanitarias, University of Malaga Malaga, Spain
| | - Rafael Ruiz-Cruces
- Unit of Cognitive Neurology an Aphasia, Department of Medicine, Centro de Investigaciones Médico-Sanitarias, University of Malaga Malaga, Spain
| | - Francisco Alfaro
- Unit of Molecular Imaging, Centro de Investigaciones Médico-Sanitarias, General Foundation of the University of Malaga Malaga, Spain
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Investigating the ventral-lexical, dorsal-sublexical model of basic reading processes using diffusion tensor imaging. Brain Struct Funct 2013; 220:445-55. [PMID: 24189777 DOI: 10.1007/s00429-013-0666-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Accepted: 10/21/2013] [Indexed: 01/18/2023]
Abstract
Recent results from diffusion tensor imaging (DTI) studies provide evidence of a ventral-lexical stream and a dorsal-sublexical stream associated with reading processing. We investigated the relationship between behavioural reading speed for stimuli thought to rely on either the ventral-lexical, dorsal-sublexical, or both streams and white matter via fractional anisotropy (FA) and mean diffusivity (MD) using DTI tractography. Participants (N = 32) overtly named exception words (e.g., 'one', ventral-lexical), regular words (e.g., 'won', both streams), nonwords ('wum', dorsal-sublexical) and pseudohomophones ('wun', dorsal-sublexical) in a behavioural lab. Each participant then underwent a brain scan that included a 30-directional DTI sequence. Tractography was used to extract FA and MD values from four tracts of interest: inferior longitudinal fasciculus, uncinate fasciculus, arcuate fasciculus, and inferior fronto-occipital fasciculus. Median reaction times (RTs) for reading exception words and regular words both showed a significant correlation with the FA of the uncinate fasciculus thought to underlie the ventral processing stream, such that response time decreased as FA increased. In addition, RT for exception and regular words showed a relationship with MD of the uncinate fasciculus, such that response time increased as MD increased. Multiple regression analyses revealed that exception word RT accounted for unique variability in FA of the uncinate over and above regular words. There were no robust relationships found between pseudohomophones, or nonwords, and tracts thought to underlie the dorsal processing stream. These results support the notion that word recognition, in general, and exception word reading in particular, rely on ventral-lexical brain regions.
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Axer H, Klingner CM, Prescher A. Fiber anatomy of dorsal and ventral language streams. BRAIN AND LANGUAGE 2013; 127:192-204. [PMID: 22632814 DOI: 10.1016/j.bandl.2012.04.015] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2012] [Revised: 04/05/2012] [Accepted: 04/23/2012] [Indexed: 06/01/2023]
Abstract
Recent advances in neuroimaging have led to new insights into the organization of language related networks. Increasing evidence supports the model of dorsal and ventral streams of information flow between language-related areas. Therefore, a review of the descriptions of language-related fiber anatomy in the human and monkey brain was performed. In addition, case studies of macroscopical fiber dissection and polarized light imaging (PLI) with special focus on the ventral stream were done. Several fiber structures can be identified to play a role in language, i.e. the arcuate fasciculus as a part of the superior longitudinal fasciculus, the middle longitudinal fasciculus, the inferior fronto-occipital fasciculus, and extreme and external capsules. Substantial differences between human and monkey fiber architecture have been identified. Despite inconsistencies based on different terminologies used, there can be no doubt that dorsal and ventral language streams have a clear correlation in the structure of white matter tracts.
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Affiliation(s)
- Hubertus Axer
- Hans Berger Department of Neurology, Jena University Hospital, Jena, Germany.
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35
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Gierhan SME. Connections for auditory language in the human brain. BRAIN AND LANGUAGE 2013; 127:205-221. [PMID: 23290461 DOI: 10.1016/j.bandl.2012.11.002] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2012] [Revised: 10/29/2012] [Accepted: 11/05/2012] [Indexed: 06/01/2023]
Abstract
The white matter bundles that underlie comprehension and production of language have been investigated for a number of years. Several studies have examined which fiber bundles (or tracts) are involved in auditory language processing, and which kind of language information is transmitted by which fiber tract. However, there is much debate about exactly which fiber tracts are involved, their precise course in the brain, how they should be named, and which functions they fulfill. Therefore, the present article reviews the available language-related literature, and educes a neurocognitive model of the pathways for auditory language processing. Besides providing an overview of the current methods used for relating fiber anatomy to function, this article details the precise anatomy of the fiber tracts and their roles in phonological, semantic and syntactic processing, articulation, and repetition.
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Affiliation(s)
- Sarah M E Gierhan
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neuropsychology, Leipzig, Germany; Berlin School of Mind and Brain, Humboldt University of Berlin, Berlin, Germany.
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36
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Tuomiranta LM, Càmara E, Froudist Walsh S, Ripollés P, Saunavaara JP, Parkkola R, Martin N, Rodríguez-Fornells A, Laine M. Hidden word learning capacity through orthography in aphasia. Cortex 2013; 50:174-91. [PMID: 24262200 DOI: 10.1016/j.cortex.2013.10.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Revised: 06/14/2013] [Accepted: 10/14/2013] [Indexed: 11/17/2022]
Abstract
The ability to learn to use new words is thought to depend on the integrity of the left dorsal temporo-frontal speech processing pathway. We tested this assumption in a chronic aphasic individual (AA) with an extensive left temporal lesion using a new-word learning paradigm. She exhibited severe phonological problems and Magnetic Resonance Imaging (MRI) suggested a complete disconnection of this left-sided white-matter pathway comprising the arcuate fasciculus (AF). Diffusion imaging tractography confirmed the disconnection of the direct segment and the posterior indirect segment of her left AF, essential components of the left dorsal speech processing pathway. Despite her left-hemispheric damage and moderate aphasia, AA learned to name and maintain the novel words in her active vocabulary on par with healthy controls up to 6 months after learning. This exceeds previous demonstrations of word learning ability in aphasia. Interestingly, AA's preserved word learning ability was modality-specific as it was observed exclusively for written words. Functional magnetic resonance imaging (fMRI) revealed that in contrast to normals, AA showed a significantly right-lateralized activation pattern in the temporal and parietal regions when engaged in reading. Moreover, learning of visually presented novel word-picture pairs also activated the right temporal lobe in AA. Both AA and the controls showed increased activation during learning of novel versus familiar word-picture pairs in the hippocampus, an area critical for associative learning. AA's structural and functional imaging results suggest that in a literate person, a right-hemispheric network can provide an effective alternative route for learning of novel active vocabulary. Importantly, AA's previously undetected word learning ability translated directly into therapy, as she could use written input also to successfully re-learn and maintain familiar words that she had lost due to her left hemisphere lesion.
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Affiliation(s)
- Leena M Tuomiranta
- Department of Psychology and Logopedics, Abo Akademi University, Turku, Finland
| | - Estela Càmara
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Seán Froudist Walsh
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; Department of Psychosis Studies, Institute of Psychiatry, King's Health Partners, King's College, London, UK
| | - Pablo Ripollés
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; Department of Basic Psychology, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | | | | | - Nadine Martin
- Department of Communication Sciences and Disorders, Eleanor M. Saffran Center for Cognitive Neuroscience, Temple University, Philadelphia, PA, USA
| | - Antoni Rodríguez-Fornells
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; Department of Basic Psychology, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Matti Laine
- Department of Psychology and Logopedics, Abo Akademi University, Turku, Finland.
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De-Torres I, Dávila G, Berthier ML, Walsh SF, Moreno-Torres I, Ruiz-Cruces R. Repeating with the right hemisphere: reduced interactions between phonological and lexical-semantic systems in crossed aphasia? Front Hum Neurosci 2013; 7:675. [PMID: 24151460 PMCID: PMC3798981 DOI: 10.3389/fnhum.2013.00675] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2013] [Accepted: 09/26/2013] [Indexed: 11/13/2022] Open
Abstract
Knowledge on the patterns of repetition amongst individuals who develop language deficits in association with right hemisphere lesions (crossed aphasia) is very limited. Available data indicate that repetition in some crossed aphasics experiencing phonological processing deficits is not heavily influenced by lexical-semantic variables (lexicality, imageability, and frequency) as is regularly reported in phonologically-impaired cases with left hemisphere damage. Moreover, in view of the fact that crossed aphasia is rare, information on the role of right cortical areas and white matter tracts underpinning language repetition deficits is scarce. In this study, repetition performance was assessed in two patients with crossed conduction aphasia and striatal/capsular vascular lesions encompassing the right arcuate fasciculus (AF) and inferior frontal-occipital fasciculus (IFOF), the temporal stem and the white matter underneath the supramarginal gyrus. Both patients showed lexicality effects repeating better words than non-words, but manipulation of other lexical-semantic variables exerted less influence on repetition performance. Imageability and frequency effects, production of meaning-based paraphrases during sentence repetition, or better performance on repeating novel sentences than overlearned clichés were hardly ever observed in these two patients. In one patient, diffusion tensor imaging disclosed damage to the right long direct segment of the AF and IFOF with relative sparing of the anterior indirect and posterior segments of the AF, together with fully developed left perisylvian white matter pathways. These findings suggest that striatal/capsular lesions extending into the right AF and IFOF in some individuals with right hemisphere language dominance are associated with atypical repetition patterns which might reflect reduced interactions between phonological and lexical-semantic processes.
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Affiliation(s)
- Irene De-Torres
- Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones, Médico-Sanitarias, University of MálagaMalaga, Spain
- Unit of Physical Medicine and Rehabilitation, Carlos Haya University HospitalMalaga, Spain
| | - Guadalupe Dávila
- Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones, Médico-Sanitarias, University of MálagaMalaga, Spain
- Psychobiology Area, Faculty of Psychology, University of MálagaMalaga, Spain
| | - Marcelo L. Berthier
- Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones, Médico-Sanitarias, University of MálagaMalaga, Spain
| | - Seán Froudist Walsh
- Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones, Médico-Sanitarias, University of MálagaMalaga, Spain
- Department of Psychosis Studies, Institute of Psychiatry, King's Health PartnersKing's College London, UK
| | | | - Rafael Ruiz-Cruces
- Unit of Cognitive Neurology and Aphasia, Centro de Investigaciones, Médico-Sanitarias, University of MálagaMalaga, Spain
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Specht K. Neuronal basis of speech comprehension. Hear Res 2013; 307:121-35. [PMID: 24113115 DOI: 10.1016/j.heares.2013.09.011] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Revised: 09/15/2013] [Accepted: 09/19/2013] [Indexed: 01/18/2023]
Abstract
Verbal communication does not rely only on the simple perception of auditory signals. It is rather a parallel and integrative processing of linguistic and non-linguistic information, involving temporal and frontal areas in particular. This review describes the inherent complexity of auditory speech comprehension from a functional-neuroanatomical perspective. The review is divided into two parts. In the first part, structural and functional asymmetry of language relevant structures will be discus. The second part of the review will discuss recent neuroimaging studies, which coherently demonstrate that speech comprehension processes rely on a hierarchical network involving the temporal, parietal, and frontal lobes. Further, the results support the dual-stream model for speech comprehension, with a dorsal stream for auditory-motor integration, and a ventral stream for extracting meaning but also the processing of sentences and narratives. Specific patterns of functional asymmetry between the left and right hemisphere can also be demonstrated. The review article concludes with a discussion on interactions between the dorsal and ventral streams, particularly the involvement of motor related areas in speech perception processes, and outlines some remaining unresolved issues. This article is part of a Special Issue entitled Human Auditory Neuroimaging.
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Affiliation(s)
- Karsten Specht
- Department of Biological and Medical Psychology, University of Bergen, Jonas Lies vei 91, 5009 Bergen, Norway; Department for Medical Engineering, Haukeland University Hospital, Bergen, Norway.
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Ueno T, Lambon Ralph MA. The roles of the "ventral" semantic and "dorsal" pathways in conduite d'approche: a neuroanatomically-constrained computational modeling investigation. Front Hum Neurosci 2013; 7:422. [PMID: 23986670 PMCID: PMC3752442 DOI: 10.3389/fnhum.2013.00422] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2013] [Accepted: 07/14/2013] [Indexed: 11/18/2022] Open
Abstract
Ever since the 19th century, the standard model for spoken language processing has assumed two pathways for repetition—a phonological pathway and a semantic pathway—and this idea has gained further support in the last decade. First, recent in vivo tractography studies have demonstrated both the “dorsal” (via arcuate fasciculus) and “ventral” (via extreme capsule and uncinate fasciculus) pathways connecting from the primary auditory area to the speech-motor area, the latter of which passes through a brain area associated with semantic processing (anterior temporal lobe). Secondly, neuropsychological evidence for the role of semantics in repetition is conduite d'approche, a successive phonological improvement (sometimes non-improvement) in aphasic patients' response by repeating several times in succession. Crucially, conduite d'approche is observed in patients with neurological damage in/around the arcuate fasciculus. Successful conduite d'approche is especially clear for semantically-intact patients and it occurs for real words rather than for non-words. These features have led researchers to hypothesize that the patients' disrupted phonological output is “cleaned-up” by intact lexical-semantic information before the next repetition. We tested this hypothesis using the neuroanatomically-constrained dual dorsal-ventral pathway computational model. The results showed that (a) damage to the dorsal pathway impaired repetition; (b) in the context of recovery, the model learned to compute a correct repetition response following the model's own noisy speech output (i.e., successful conduite d'approche); (c) this behavior was more evident for real words than non-words; and (d) activation from the ventral pathway contributed to the increased rate of successful conduite d'approche for real words. These results suggest that lexical-semantic “clean-up” is key to this self-correcting mechanism, supporting the classic proposal of two pathways for repetition.
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Affiliation(s)
- Taiji Ueno
- Neuroscience and Aphasia Research Unit, School of Psychological Sciences, University of Manchester Manchester, UK ; Japan Society of the Promotion of Science Tokyo, Japan
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Moritz-Gasser S, Duffau H. The anatomo-functional connectivity of word repetition: insights provided by awake brain tumor surgery. Front Hum Neurosci 2013; 7:405. [PMID: 23908617 PMCID: PMC3725408 DOI: 10.3389/fnhum.2013.00405] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2013] [Accepted: 07/10/2013] [Indexed: 11/23/2022] Open
Affiliation(s)
- Sylvie Moritz-Gasser
- Department of Neurosurgery, Hôpital Gui de Chauliac, Centre Hospitalier Universitaire Montpellier Montpellier, France ; Team "Plasticity of Central Nervous System, Stem Cells and Glial Tumors," INSERM U1051, Institute for Neuroscience of Montpellier, Hôpital Saint Eloi Montpellier, France
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Friederici AD, Gierhan SME. The language network. Curr Opin Neurobiol 2012; 23:250-4. [PMID: 23146876 DOI: 10.1016/j.conb.2012.10.002] [Citation(s) in RCA: 350] [Impact Index Per Article: 29.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 10/21/2012] [Indexed: 10/27/2022]
Abstract
Language processing is supported by different regions located in separate parts of the brain. A crucial condition for these regions to function as a network is the information transfer between them. This is guaranteed by dorsal and ventral pathways connecting prefrontal and temporal language-relevant regions. Based on functional brain imaging studies, these pathways' language functions can be assigned indirectly. Dorsally, one pathway connecting the temporal cortex (TC) and premotor cortex supports speech repetition, another one connecting the TC and posterior Broca's area supports complex syntactic processes. Ventrally, the uncinate fascile and the inferior fronto-occipital fascile subserve semantic and basic syntactic processes. Thus, the available evidence points towards a neural language network with at least two dorsal and two ventral pathways.
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Affiliation(s)
- Angela D Friederici
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
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Catani M, Dell'acqua F, Bizzi A, Forkel SJ, Williams SC, Simmons A, Murphy DG, Thiebaut de Schotten M. Beyond cortical localization in clinico-anatomical correlation. Cortex 2012; 48:1262-87. [PMID: 22995574 DOI: 10.1016/j.cortex.2012.07.001] [Citation(s) in RCA: 168] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2011] [Revised: 07/31/2012] [Accepted: 07/31/2012] [Indexed: 01/07/2023]
Affiliation(s)
- Marco Catani
- Natbrainlab, Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, King's College London, UK.
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Tsermentseli S, Leigh PN, Goldstein LH. The anatomy of cognitive impairment in amyotrophic lateral sclerosis: More than frontal lobe dysfunction. Cortex 2012; 48:166-82. [PMID: 21396632 DOI: 10.1016/j.cortex.2011.02.004] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2010] [Revised: 12/19/2010] [Accepted: 01/20/2011] [Indexed: 12/11/2022]
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Duffau H. The “frontal syndrome” revisited: Lessons from electrostimulation mapping studies. Cortex 2012; 48:120-31. [PMID: 21621762 DOI: 10.1016/j.cortex.2011.04.029] [Citation(s) in RCA: 67] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2010] [Revised: 03/11/2011] [Accepted: 04/11/2011] [Indexed: 10/18/2022]
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Bizzi A, Nava S, Ferrè F, Castelli G, Aquino D, Ciaraffa F, Broggi G, DiMeco F, Piacentini S. Aphasia induced by gliomas growing in the ventrolateral frontal region: assessment with diffusion MR tractography, functional MR imaging and neuropsychology. Cortex 2011; 48:255-72. [PMID: 22236887 DOI: 10.1016/j.cortex.2011.11.015] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2011] [Revised: 11/14/2011] [Accepted: 11/23/2011] [Indexed: 10/14/2022]
Abstract
INTRODUCTION Lesions in the ventrolateral region of the dominant frontal lobe have been historically associated with aphasia. Recent imaging results suggest that frontal language regions extend beyond classically defined Broca's area to include the ventral precentral gyrus (VPCG) and the arcuate fasciculus (AF). Frontal gliomas offer a unique opportunity to identify structures that are essential for speech production. The aim of this prospective study was to investigate the correlation between language deficits and lesion location in patients with gliomas. METHODS Nineteen patients with glioma and 10 healthy subjects were evaluated with diffusion tensor imaging magnetic resonance (MR) tractography, functional MR (verb generation task) and the Aachener Aphasie Test. Patients were divided into two groups according to lesion location with respect to the ventral precentral sulcus: (i) anterior (n=8) with glioma growing in the inferior frontal gyrus (IFG) and underlying white matter; (ii) posterior (n=11) with glioma growing in the VPCG and underlying white matter. Virtual dissection of the AF, frontal intralobar tract, uncinate fasciculus (UF) and inferior frontal occipital fasciculus (IFOF) was performed with a deterministic approach. RESULTS Seven posterior patients showed aphasia classified as conduction (4), Broca (1), transcortical motor (1) and an isolated deficit of semantic fluency; one anterior patient had transcortical mixed aphasia. All posterior patients had invasion of the VPCG, however only patients with aphasia had also lesion extension to the AF as demonstrated by tractography dissections. All patients with language deficits had high grade glioma. Groups did not differ regarding tumour volume. A functional pars opercularis was identified with functional MR imaging (fMRI) in 17 patients. CONCLUSIONS Gliomas growing in the left VPCG are much more likely to cause speech deficits than gliomas infiltrating the IFG, including Broca's area. Lesion extension to the AF connecting frontal to parietal and temporal regions is an important mechanism for the appearance of aphasia.
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Affiliation(s)
- Alberto Bizzi
- Neuroradiology, Foundation IRCCS Neurological Institute Carlo Besta, Milan, Italy.
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Thiebaut de Schotten M, Dell'Acqua F, Valabregue R, Catani M. Monkey to human comparative anatomy of the frontal lobe association tracts. Cortex 2011; 48:82-96. [PMID: 22088488 DOI: 10.1016/j.cortex.2011.10.001] [Citation(s) in RCA: 447] [Impact Index Per Article: 34.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2011] [Revised: 08/21/2011] [Accepted: 09/27/2011] [Indexed: 11/17/2022]
Abstract
The greater expansion of the frontal lobes along the phylogeny scale has been interpreted as the signature of evolutionary changes underlying higher cognitive abilities in humans functions in humans. However, it is unknown how an increase in number of gyri, sulci and cortical areas in the frontal lobe have coincided with a parallel increase in connectivity. Here, using advanced tractography based on spherical deconvolution, we produced an atlas of human frontal association connections that we compared with axonal tracing studies of the monkey brain. We report several similarities between human and monkey in the cingulum, uncinate, superior longitudinal fasciculus, frontal aslant tract and orbito-polar tract. These similarities suggest to preserved functions across anthropoids. In addition, we found major differences in the arcuate fasciculus and the inferior fronto-occipital fasciculus. These differences indicate possible evolutionary changes in the connectional anatomy of the frontal lobes underlying unique human abilities.
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Affiliation(s)
- Michel Thiebaut de Schotten
- Natbrainlab, Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, King's College London, UK.
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