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Camerino I, Ferreira J, Vonk JM, Kessels RPC, de Leeuw FE, Roelofs A, Copland D, Piai V. Systematic Review and Meta-Analyses of Word Production Abilities in Dysfunction of the Basal Ganglia: Stroke, Small Vessel Disease, Parkinson's Disease, and Huntington's Disease. Neuropsychol Rev 2024; 34:1-26. [PMID: 36564612 DOI: 10.1007/s11065-022-09570-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 10/13/2022] [Accepted: 11/16/2022] [Indexed: 12/25/2022]
Abstract
Clinical populations with basal ganglia pathologies may present with language production impairments, which are often described in combination with comprehension measures or attributed to motor, memory, or processing-speed problems. In this systematic review and meta-analysis, we studied word production in four (vascular and non-vascular) pathologies of the basal ganglia: stroke affecting the basal ganglia, small vessel disease, Parkinson's disease, and Huntington's disease. We compared scores of these clinical populations with those of matched cognitively unimpaired adults on four well-established production tasks, namely picture naming, category fluency, letter fluency, and past-tense verb inflection. We conducted a systematic search in PubMed and PsycINFO with terms for basal ganglia structures, basal ganglia disorders and language production tasks. A total of 114 studies were included, containing results for one or more of the tasks of interest. For each pathology and task combination, effect sizes (Hedges' g) were extracted comparing patient versus control groups. For all four populations, performance was consistently worse than that of cognitively unimpaired adults across the four language production tasks (p-values < 0.010). Given that performance in picture naming and verb inflection across all pathologies was quantified in terms of accuracy, our results suggest that production impairments cannot be fully explained by motor or processing-speed deficits. Our review shows that while language production difficulties in these clinical populations are not negligible, more evidence is necessary to determine the exact mechanism that leads to these deficits and whether this mechanism is the same across different pathologies.
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Affiliation(s)
- Ileana Camerino
- Donders Centre for Cognition, Radboud University, Nijmegen, The Netherlands
| | - João Ferreira
- Donders Centre for Cognition, Radboud University, Nijmegen, The Netherlands.
| | - Jet M Vonk
- Department of Neurology, Memory and Aging Center, University of California San Francisco (UCSF), San Francisco, CA, USA
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Roy P C Kessels
- Donders Centre for Cognition, Radboud University, Nijmegen, The Netherlands
- Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands
- Donders Centre for Medical Neuroscience, Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Frank-Erik de Leeuw
- Department of Neurology, Donders Centre for Medical Neuroscience, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Ardi Roelofs
- Donders Centre for Cognition, Radboud University, Nijmegen, The Netherlands
| | - David Copland
- School of Health and Rehabilitation Sciences, The University of Queensland, Saint Lucia, QLD, Australia
- Queensland Aphasia Research Centre, The University of Queensland, Herston, QLD, Australia
| | - Vitória Piai
- Donders Centre for Cognition, Radboud University, Nijmegen, The Netherlands
- Donders Centre for Medical Neuroscience, Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
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Tremblay C, Macoir J, Langlois M, Cantin L, Prud'homme M, Monetta L. The effects of subthalamic deep brain stimulation on metaphor comprehension and language abilities in Parkinson's disease. BRAIN AND LANGUAGE 2015; 141:103-109. [PMID: 25577507 DOI: 10.1016/j.bandl.2014.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2014] [Revised: 10/20/2014] [Accepted: 12/15/2014] [Indexed: 06/04/2023]
Abstract
The effects of subthalamic nucleus (STN) deep brain stimulation (DBS) in Parkinson's disease (PD) on different language abilities are still controversial and its impact on high-level language abilities such as metaphor comprehension has been overlooked. The aim of this study was to determine the effects of STN electrical stimulation on metaphor comprehension and language abilities such as lexical and semantic capacities. Eight PD individuals with bilateral STN-DBS were first evaluated OFF-DBS and, at least seven weeks later, ON-DBS. Performance on metaphor comprehension, lexical decision, word association and verbal fluency tasks were compared ON and OFF-DBS in addition to motor symptoms evaluation. STN stimulation had a significant beneficial effect on motor symptoms in PD. However, this stimulation did not have any effect on metaphor comprehension or any other cognitive ability evaluated in this study. These outcomes suggest that STN stimulation may have dissociable effects on motor and language functions.
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Affiliation(s)
- Christina Tremblay
- Faculté de médecine, Département de réadaptation, Université Laval, 1050, ave de la Médecine, Québec, QC G1V 0A6, Canada; Institut Universitaire en Santé Mentale de Québec, 2601, rue de la Canardière, Québec, QC G1J 2G3, Canada.
| | - Joël Macoir
- Faculté de médecine, Département de réadaptation, Université Laval, 1050, ave de la Médecine, Québec, QC G1V 0A6, Canada; Institut Universitaire en Santé Mentale de Québec, 2601, rue de la Canardière, Québec, QC G1J 2G3, Canada.
| | - Mélanie Langlois
- Clinique des troubles du mouvement, Hôpital de l'Enfant-Jésus, 1401, 18(e) rue, Québec, QC G1J 1Z4, Canada.
| | - Léo Cantin
- Clinique des troubles du mouvement, Hôpital de l'Enfant-Jésus, 1401, 18(e) rue, Québec, QC G1J 1Z4, Canada.
| | - Michel Prud'homme
- Clinique des troubles du mouvement, Hôpital de l'Enfant-Jésus, 1401, 18(e) rue, Québec, QC G1J 1Z4, Canada.
| | - Laura Monetta
- Faculté de médecine, Département de réadaptation, Université Laval, 1050, ave de la Médecine, Québec, QC G1V 0A6, Canada; Institut Universitaire en Santé Mentale de Québec, 2601, rue de la Canardière, Québec, QC G1J 2G3, Canada.
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Nair VA, Young BM, La C, Reiter P, Nadkarni TN, Song J, Vergun S, Addepally NS, Mylavarapu K, Swartz JL, Jensen MB, Chacon MR, Sattin JA, Prabhakaran V. Functional connectivity changes in the language network during stroke recovery. Ann Clin Transl Neurol 2015; 2:185-95. [PMID: 25750922 PMCID: PMC4338958 DOI: 10.1002/acn3.165] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Revised: 11/16/2014] [Accepted: 11/25/2014] [Indexed: 02/03/2023] Open
Abstract
Objective Several neuroimaging studies have examined language reorganization in stroke patients with aphasia. However, few studies have examined language reorganization in stroke patients without aphasia. Here, we investigated functional connectivity (FC) changes after stroke in the language network using resting-state fMRI and performance on a verbal fluency (VF) task in patients without clinically documented language deficits. Methods Early-stage ischemic stroke patients (N = 26) (average 5 days from onset), 14 of whom were tested at a later stage (average 4.5 months from onset), 26 age-matched healthy control subjects (HCs), and 12 patients with cerebrovascular risk factors (patients at risk, PR) participated in this study. We examined FC of the language network with 23 seed regions based on a previous study. We evaluated patients' behavioral performance on a VF task and correlation between brain resting-state FC (rsFC) and behavior. Results Compared to HCs, early stroke patients showed significantly decreased rsFC in the language network but no difference with respect to PR. Early stroke patients showed significant differences in performance on the VF task compared to HCs but not PR. Late-stage patients compared to HCs and PR showed no differences in brain rsFC in the language network and significantly stronger connections compared to early-stage patients. Behavioral differences persisted in the late stage compared to HCs. Change in specific connection strengths correlated with changes in behavior from early to late stage. Conclusions These results show decreased rsFC in the language network and verbal fluency deficits in early stroke patients without clinically documented language deficits.
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Affiliation(s)
- Veena A Nair
- Department of Radiology, UW-Madison Madison, Wisconsin
| | - Brittany M Young
- Department of Radiology, UW-Madison Madison, Wisconsin ; Neuroscience Training Program, UW-Madison Madison, Wisconsin ; Medical Scientist Training Program, UW-Madison Madison, Wisconsin
| | - Christian La
- Department of Radiology, UW-Madison Madison, Wisconsin ; Neuroscience Training Program, UW-Madison Madison, Wisconsin
| | - Peter Reiter
- Department of Radiology, UW-Madison Madison, Wisconsin
| | - Tanvi N Nadkarni
- Rosalind Franklin University of Medicine and Science Chicago, Illinois
| | - Jie Song
- Department of Radiology, UW-Madison Madison, Wisconsin ; Department of Biomedical Engineering, UW-Madison Madison, Wisconsin
| | - Svyatoslav Vergun
- Department of Radiology, UW-Madison Madison, Wisconsin ; Department of Medical Physics, UW-Madison Madison, Wisconsin ; Clinical Neuroengineering Training Program, UW-Madison Madison, Wisconsin
| | | | | | | | | | | | | | - Vivek Prabhakaran
- Department of Radiology, UW-Madison Madison, Wisconsin ; Neuroscience Training Program, UW-Madison Madison, Wisconsin ; Medical Scientist Training Program, UW-Madison Madison, Wisconsin ; Clinical Neuroengineering Training Program, UW-Madison Madison, Wisconsin ; Department of Neurology, UW-Madison Madison, Wisconsin ; Departments of Psychology and Psychiatry, UW-Madison Madison, Wisconsin
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Whelan BM, Murdoch BE, Bellamy N. Delineating Communication Impairments Associated With Mild Traumatic Brain Injury. J Head Trauma Rehabil 2007; 22:192-7. [PMID: 17510595 DOI: 10.1097/01.htr.0000271120.04405.db] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Mild traumatic brain injury (mTBI) without frank neurological disturbance has been linked to persistent physical, cognitive, and affective disturbances in some cases. The cognitive sequelae of this syndrome represent the most frequently studied symptoms, yet the legacy of such injuries on communicative functions remains largely undetermined. METHODS A detailed language profile of a 19-year-old woman, 1 year 10 months following mTBI is compared with a matched normative cohort of 10 participants with nonneurological impairment. RESULTS Deficits in attention, lexical access, complex lexical-semantic manipulation, response monitoring, and organization were revealed as a consequence of mTBI. CONCLUSIONS This profile provides support for hypotheses pertaining to neuronal fallout mechanisms within the frontal lobes as a consequence of mild neurological insult.
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Affiliation(s)
- Brooke-Mai Whelan
- Motor Speech and Neurogenic Language Research Centre, Division of Speech Pathology, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
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