A functional deficit in the sensorimotor interface component as revealed by oral reading in Thai conduction aphasia

A multimodal mapping study of conduction aphasia with impaired repetition and spared reading aloud

The present study explores the functional neuroanatomy of the phonological production system in an Italian aphasic patient (SP) who developed conduction aphasia of the reproduction type following brain surgery. SP presented with two peculiar features: (1) his lesion was localized in the superior temporal gyrus, just posterior to the primary auditory cortex and anterior/inferior to and neighboring the Sylvian parietal temporal (Spt) area, and (2) he presented with severely impaired repetition and spelling from dictation of words and pseudowords but spared reading-aloud of words and pseudowords. Structural, functional, fiber tracking and intraoperative findings were combined to analyze SP's pattern of performance within a widely used sensorimotor control scheme of speech production. We found a dissociation between an interrupted sector of the arcuate fasciculus terminating in STG, known to be involved in phonological processing, and a part of the arcuate fasciculus terminating in MTG, which is held to be involved in lexical-semantic processing. We argue that this phonological deficit should be interpreted as a disorder of the feedback system, in particular of the auditory and somatosensory target maps, which are assumed to be located along the Spt area. In patient SP, the spared part of the left arcuate fasciculus originating in MTG may support an unimpaired reading performance, while the damaged part of the left arcuate fasciculus originating in STG may be responsible for his impaired repetition and spelling from dictation.

Does tonal information affect the early stages of visual-word processing in Thai?

Thai offers a unique opportunity to investigate the role of lexical tone processing during visual-word recognition, as tone is explicitly expressed in its script. In order to investigate the contribution of tone at the orthographic/phonological level during the early stages of word processing in Thai, we conducted a masked priming experiment-using both lexical decision and word naming tasks. For a given target word (e.g., ห้อง/hᴐ:ŋ2/, room), five priming conditions were created: (a) identity (e.g., ห้อง/hᴐ:ŋ2/), (b) same initial consonant, but with a different tone marker (e.g., ห่อง/hᴐ:ŋ1/), (c) different initial consonant, but with the same tone marker (e.g., ศ้อง/sᴐ:ŋ2/), (d) orthographic control (different initial consonant, different tone marker; e.g., ศ่อง/sᴐ:ŋ1/), and (e) same tone homophony, but with a different initial consonant and different tone marker (e.g., ธ่อง/t(h)ᴐ:ŋ2/). Results of the critical comparisons revealed that segmental information (i.e., consonantal information) appears to be more important than tone information (i.e., tone marker) in the early stages of visual-word processing in alphabetic, tonal languages like Thai. Thus, these findings may help constrain models of visual-word recognition and reading in tonal languages.