1
|
Cieslik EC, Ullsperger M, Gell M, Eickhoff SB, Langner R. Success versus failure in cognitive control: Meta-analytic evidence from neuroimaging studies on error processing. Neurosci Biobehav Rev 2024; 156:105468. [PMID: 37979735 DOI: 10.1016/j.neubiorev.2023.105468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 10/23/2023] [Accepted: 11/13/2023] [Indexed: 11/20/2023]
Abstract
Brain mechanisms of error processing have often been investigated using response interference tasks and focusing on the posterior medial frontal cortex, which is also implicated in resolving response conflict in general. Thereby, the role other brain regions may play has remained undervalued. Here, activation likelihood estimation meta-analyses were used to synthesize the neuroimaging literature on brain activity related to committing errors versus responding successfully in interference tasks and to test for commonalities and differences. The salience network and the temporoparietal junction were commonly recruited irrespective of whether responses were correct or incorrect, pointing towards a general involvement in coping with situations that call for increased cognitive control. The dorsal posterior cingulate cortex, posterior thalamus, and left superior frontal gyrus showed error-specific convergence, which underscores their consistent involvement when performance goals are not met. In contrast, successful responding revealed stronger convergence in the dorsal attention network and lateral prefrontal regions. Underrecruiting these regions in error trials may reflect failures in activating the task-appropriate stimulus-response contingencies necessary for successful response execution.
Collapse
Affiliation(s)
- Edna C Cieslik
- Institute of Systems Neuroscience, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany; Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany.
| | - Markus Ullsperger
- Institute of Psychology, Otto-von-Guericke University, D-39106 Magdeburg, Germany; Center for Behavioral Brain Sciences, Magdeburg, Germany
| | - Martin Gell
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany; Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH, Aachen, Germany
| | - Simon B Eickhoff
- Institute of Systems Neuroscience, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany; Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| | - Robert Langner
- Institute of Systems Neuroscience, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany; Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| |
Collapse
|
2
|
Cieslik EC, Ullsperger M, Gell M, Eickhoff SB, Langner R. Success versus failure in cognitive control: meta-analytic evidence from neuroimaging studies on error processing. bioRxiv 2023:2023.05.10.540136. [PMID: 37214978 PMCID: PMC10197606 DOI: 10.1101/2023.05.10.540136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Brain mechanisms of error processing have often been investigated using response interference tasks and focusing on the posterior medial frontal cortex, which is also implicated in resolving response conflict in general. Thereby, the role other brain regions may play has remained undervalued. Here, activation likelihood estimation meta-analyses were used to synthesize the neuroimaging literature on brain activity related to committing errors versus responding successfully in interference tasks and to test for commonalities and differences. The salience network and the temporoparietal junction were commonly recruited irrespective of whether responses were correct or incorrect, pointing towards a general involvement in coping with situations that call for increased cognitive control. The dorsal posterior cingulate cortex, posterior thalamus, and left superior frontal gyrus showed error-specific convergence, which underscores their consistent involvement when performance goals are not met. In contrast, successful responding revealed stronger convergence in the dorsal attention network and lateral prefrontal regions. Underrecruiting these regions in error trials may reflect failures in activating the task-appropriate stimulus-response contingencies necessary for successful response execution.
Collapse
Affiliation(s)
- Edna C. Cieslik
- Institute of Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| | - Markus Ullsperger
- Institute of Psychology, Otto-von-Guericke University, D-39106 Magdeburg, Germany
- Center for Behavioral Brain Sciences, Magdeburg, Germany
| | - Martin Gell
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - Simon B. Eickhoff
- Institute of Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| | - Robert Langner
- Institute of Systems Neuroscience, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| |
Collapse
|
3
|
Fröber K, Lerche V. Performance-contingent reward increases the use of congruent distracting information. Atten Percept Psychophys 2023;:1-25. [PMID: 36918512 DOI: 10.3758/s13414-023-02682-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2023] [Indexed: 03/16/2023]
Abstract
In conflict tasks like the Simon task, participants are instructed to respond to a task-relevant target dimension while ignoring additional distracting information. In the Simon task the distracting spatial information can be congruent or incongruent with the task-relevant target information, causing a congruency effect. As seen in the proportion congruency effect and the congruency sequence effect, this congruency effect is larger in mostly congruent blocks and following congruent trials, respectively. Common theories suggest that when the proportion of incongruent trials is high or after an incongruent trial, focus on the task-relevant target information is increased and distracting information is inhibited. In two experiments, we investigated how reward modulates these phenomena. Specifically, performance-contingent reward - but not non-contingent reward - increased the usage of the distracting information in mostly congruent blocks or following congruent trials, while the adaptation to incongruency (i.e., mostly incongruent blocks or preceding incongruent trials) was the same in all conditions. Additional diffusion model analyses found that this effect of performance-contingent reward was captured by the drift rate parameter. These results suggest an increased focus on the target information by incongruent trials independent from reward, while the adaptation to (mostly) congruent trials characterized by increased usage of distracting information can be motivationally boosted. That is, performance-contingent reward increases the use of congruent distracting information beyond a mere relaxation of the increased target-focus following (mostly) congruent trials.
Collapse
|
4
|
Sulpizio S, Job R, Leoni P, Scaltritti M. Prepotent task-irrelevant semantic information is dampened by domain-specific control mechanisms during visual word recognition. Q J Exp Psychol (Hove) 2021; 75:390-405. [PMID: 34165355 DOI: 10.1177/17470218211030863] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We investigated whether semantic interference occurring during visual word recognition is resolved using domain-general control mechanisms or using more specific mechanisms related to semantic processing. We asked participants to perform a lexical decision task with taboo stimuli, which induce semantic interference, as well as a semantic Stroop task and a Simon task, intended as benchmarks of linguistic-semantic and non-linguistic interference, respectively. Using a correlational approach, we investigated potential similarities between effects produced in the three tasks, both at the level of overall means and as a function of response speed (delta-plot analysis). Correlations selectively surfaced between the lexical decision and the semantic Stroop task. These findings suggest that, during visual word recognition, semantic interference is controlled by semantic-specific mechanisms, which intervene to face prepotent but task-irrelevant semantic information interfering with the accomplishment of the task's goal.
Collapse
Affiliation(s)
- Simone Sulpizio
- Department of Psychology, University of Milano-Bicocca, Milano, Italy.,Milan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Milano, Italy
| | - Remo Job
- Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy
| | - Paolo Leoni
- Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy
| | - Michele Scaltritti
- Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy
| |
Collapse
|
5
|
Scrivano RM, Kieffaber PD. Behavioral and electrophysiological correlates of Simon and flanker conflict interference in younger and older adults. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 2021; 29:318-348. [PMID: 33472533 DOI: 10.1080/13825585.2021.1874278] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Conflict processing and interference control have been popular topics of research in the study of pathological brain aging. However, there remains much to be learned about how these cognitive processes are altered in the course of healthy brain aging. Moreover, few studies have combined multiple measures of interference control using factorial designs. The aim of this study was to determine the nature of age-related changes in behavioral and electroencephalographic correlates of interference control using a factorial combination of the Simon and flanker interference conditions. Data were collected from a group of younger and high-functioning older adults. Behavioral results indicated the presence of conflict interference effects in both groups, that both Simon and flanker conflict effects are increased in high-functioning older adults, that the two types of conflict interference interact superadditively, and that older adults are more susceptible to the superadditive costs of multiple conflict types. ERP analyses revealed that early perceptual and response-selection processes are differentially modulated by flanker and Simon conflict respectively, however, there was no evidence that these early processes were impaired in older adults. Later components of the ERP in the P3 time range mirrored behavioral results, reflecting the increased susceptibility to flanker and Simon conflict in older adults.
Collapse
Affiliation(s)
- Rachel M Scrivano
- The College of Social Work, the Ohio State University, Columbus, United States
| | - Paul D Kieffaber
- Department of Psychological Sciences, College of William & Mary, Williamsburg, United States
| |
Collapse
|
6
|
Abstract
Several experimental paradigms are purported to measure response conflict, including the Stroop, Simon, and Eriksen flanker tasks. Although these tasks are often treated as being similar, delta plot analyses of response time distributions have revealed marked differences across them. Several theories have been proposed to explain these differences, however, assessing their veracity is difficult given the numerous differences across tasks. To explore what might cause delta plots to differ in a more controlled manner, here stimulus materials were manipulated across four Eriksen flanker tasks. The results reveal substantially different delta plot shapes for different stimuli: positive-going functions when color or motion served as the target and flankers, and delta plots with negative-going components when stimuli were arrows or orientated gratings. These results cast doubt on the proposal that negative-going delta plots occur only when spatial location serves as the interfering stimulus dimension. Moreover, because targets and flankers were always of the same stimulus type, the results also suggest that differences in materials across the relevant and irrelevant dimensions do not determine delta plot shapes. Instead, we propose that the delta plot shape is determined by several factors, including how early the interfering information is processed in the visual cortex.
Collapse
|
7
|
Chmielewski WX, Beste C. RETRACTED: Neurophysiological mechanisms underlying the modulation of cognitive control by simultaneous conflicts. Cortex 2019; 115:216-30. [PMID: 30852376 DOI: 10.1016/j.cortex.2019.02.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 01/23/2019] [Accepted: 02/02/2019] [Indexed: 11/23/2022]
Abstract
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal)
This article has been retracted at the request of the Editor-in-Chief with the agreement of the authors.
In a previous version of the paper reviewed in another journal, the reviewer suggested changing the filter settings because the setting used (reported hp 0.5) can produce serious artifactual effects on the ERP components (N200, N400 and P300) that the authors were interested in. In this published version of the article a different filter (0.2Hz HP) setting is reported in the methods. However, the results sections are identical. A change in filter setting should have led to different results. There is reasonable doubt that the reported filter settings were indeed applied on the reported data. However, there is consensus that this was due to an error, acknowledged by the authors who fully co-operated with the investigation and agreed with the decision. There is no indication of any fraudulent motivation.
Collapse
|
8
|
Desender K. Different mechanisms can account for the instruction induced proportion congruency effect. Acta Psychol (Amst) 2018; 184:39-45. [PMID: 28366273 DOI: 10.1016/j.actpsy.2017.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Revised: 03/21/2017] [Accepted: 03/23/2017] [Indexed: 11/23/2022] Open
Abstract
When performing a conflict task, performance is typically worse on trials with conflict between two responses (i.e., incongruent trials) compared to when there is no conflict (i.e., congruent trials), a finding known as the congruency effect. The congruency effect is reduced when the proportion of incongruent trials is high, relative to when most of the trials are congruent (i.e., the proportion congruency effect). In the current work, it was tested whether different kinds of instructions can be used to induce a proportion congruency effect, while holding the actual proportion of congruent trials constant. Participants were instructed to strategically use the (invalid) information that most of the trials would be congruent versus incongruent, or they were told to adopt a liberal versus a conservative response threshold. All strategies effectively altered the size of the congruency effect relative to baseline, although in terms of statistical significance the effect was mostly limited to the error rates. A diffusion-model analysis of the data was partially consistent with the hypothesis that both types of instructions induced a proportion congruency effect by means of different underlying mechanisms.
Collapse
|
9
|
Olk B, Peschke C, Hilgetag CC. Attention and control of manual responses in cognitive conflict: Findings from TMS perturbation studies. Neuropsychologia 2015; 74:7-20. [PMID: 25661841 DOI: 10.1016/j.neuropsychologia.2015.02.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 02/03/2015] [Accepted: 02/05/2015] [Indexed: 10/24/2022]
Abstract
The article reviews studies that have used the perturbation approach of Transcranial Magnetic Stimulation (TMS) to assess the control of attention and manual response selection in conflict situations as elicited in three established paradigms: the Simon paradigm, the Flanker paradigm, and the Stroop paradigm. After describing the experimental conflict paradigms and briefly introducing TMS we review evidence for the involvement of different frontal and parietal cortical regions in the control of attention and response selection. For example, areas such as the frontal eye field (FEF) appear to significantly contribute to the encoding of spatial attributes of stimuli and areas of the parietal cortex, such as angular gyrus (AG), mediate the allocation of spatial attention and orienting. The dorsal medial frontal cortex (dMFC), supramarginal gyrus (SMG) and pre-supplementary motor area (pre-SMA) appear to be more related to response-related aspects of the conflicts (i.e., enhancement of signals related to correct movements, transformation of spatial information action codes, resolution of response selection conflicts, respectively). The reviewed studies illustrate crucial benefits but also limitations of TMS as well as the value of the combination of TMS with other methods. We suggest topics and approaches for future studies.
Collapse
Affiliation(s)
- Bettina Olk
- Jacobs University Bremen, Campus Ring 1, 28759 Bremen, Germany.
| | - Claudia Peschke
- Jacobs University Bremen, Campus Ring 1, 28759 Bremen, Germany; Department of Computational Neuroscience, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W36, 20246 Hamburg, Germany
| | - Claus C Hilgetag
- Department of Computational Neuroscience, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W36, 20246 Hamburg, Germany; Department of Health Sciences, Boston University, 635 Commonwealth Ave., MA 02215, USA
| |
Collapse
|
10
|
Paap KR, Sawi O. Bilingual advantages in executive functioning: problems in convergent validity, discriminant validity, and the identification of the theoretical constructs. Front Psychol 2014; 5:962. [PMID: 25249988 PMCID: PMC4158994 DOI: 10.3389/fpsyg.2014.00962] [Citation(s) in RCA: 160] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Accepted: 08/12/2014] [Indexed: 12/04/2022] Open
Abstract
A sample of 58 bilingual and 62 monolingual university students completed four tasks commonly used to test for bilingual advantages in executive functioning (EF): antisaccade, attentional network test, Simon, and color-shape switching. Across the four tasks, 13 different indices were derived that are assumed to reflect individual differences in inhibitory control, monitoring, or switching. The effects of bilingualism on the 13 measures were explored by directly comparing the means of the two language groups and through regression analyses using a continuous measure of bilingualism and multiple demographic characteristics as predictors. Across the 13 different measures and two types of data analysis there were very few significant results and those that did occur supported a monolingual advantage. An equally important goal was to assess the convergent validity through cross-task correlations of indices assume to measure the same component of executive functioning. Most of the correlations using difference-score measures were non-significant and many near zero. Although modestly higher levels of convergent validity are sometimes reported, a review of the existing literature suggests that bilingual advantages (or disadvantages) may reflect task-specific differences that are unlikely to generalize to important general differences in EF. Finally, as cautioned by Salthouse, assumed measures of executive functioning may also be threatened by a lack of discriminant validity that separates individual or group differences in EF from those in general fluid intelligence or simple processing speed.
Collapse
Affiliation(s)
- Kenneth R. Paap
- Language Attention and Cognitive Engineering Lab, Department of Psychology, San Francisco State UniversitySan Francisco, CA, USA
| | - Oliver Sawi
- Language Attention and Cognitive Engineering Lab, Department of Psychology, San Francisco State UniversitySan Francisco, CA, USA
- Department of Psychology, University of ConnecticutStorrs, CT, USA
| |
Collapse
|
11
|
Mohades SG, Struys E, Van Schuerbeek P, Baeken C, Van De Craen P, Luypaert R. Age of second language acquisition affects nonverbal conflict processing in children: an fMRI study. Brain Behav 2014; 4:626-42. [PMID: 25328840 PMCID: PMC4107382 DOI: 10.1002/brb3.246] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2013] [Revised: 06/02/2014] [Accepted: 06/09/2014] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND In their daily communication, bilinguals switch between two languages, a process that involves the selection of a target language and minimization of interference from a nontarget language. Previous studies have uncovered the neural structure in bilinguals and the activation patterns associated with performing verbal conflict tasks. One question that remains, however is whether this extra verbal switching affects brain function during nonverbal conflict tasks. METHODS In this study, we have used fMRI to investigate the impact of bilingualism in children performing two nonverbal tasks involving stimulus-stimulus and stimulus-response conflicts. Three groups of 8-11-year-old children--bilinguals from birth (2L1), second language learners (L2L), and a control group of monolinguals (1L1)--were scanned while performing a color Simon and a numerical Stroop task. Reaction times and accuracy were logged. RESULTS Compared to monolingual controls, bilingual children showed higher behavioral congruency effect of these tasks, which is matched by the recruitment of brain regions that are generally used in general cognitive control, language processing or to solve language conflict situations in bilinguals (caudate nucleus, posterior cingulate gyrus, STG, precuneus). Further, the activation of these areas was found to be higher in 2L1 compared to L2L. CONCLUSION The coupling of longer reaction times to the recruitment of extra language-related brain areas supports the hypothesis that when dealing with language conflicts the specialization of bilinguals hampers the way they can process with nonverbal conflicts, at least at early stages in life.
Collapse
Affiliation(s)
- Seyede Ghazal Mohades
- Medical Imaging Department (BEFY), Vrije Universiteit Brussel (VUB) Brussels, Belgium ; Radiology Department, UZ Brussel Brussels, Belgium
| | - Esli Struys
- Department of Linguistics, Vrije Universiteit Brussel Brussels, Belgium
| | | | - Chris Baeken
- Department of Psychiatry, UZ Brussel Brussels, Belgium ; Department of Psychiatry and Medical Psychology, Ghent University Ghent, Belgium
| | - Piet Van De Craen
- Department of Linguistics, Vrije Universiteit Brussel Brussels, Belgium
| | - Robert Luypaert
- Medical Imaging Department (BEFY), Vrije Universiteit Brussel (VUB) Brussels, Belgium ; Radiology Department, UZ Brussel Brussels, Belgium
| |
Collapse
|
12
|
Piai V, Roelofs A, Acheson DJ, Takashima A. Attention for speaking: domain-general control from the anterior cingulate cortex in spoken word production. Front Hum Neurosci 2013; 7:832. [PMID: 24368899 PMCID: PMC3856851 DOI: 10.3389/fnhum.2013.00832] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Accepted: 11/18/2013] [Indexed: 11/27/2022] Open
Abstract
Accumulating evidence suggests that some degree of attentional control is required to regulate and monitor processes underlying speaking. Although progress has been made in delineating the neural substrates of the core language processes involved in speaking, substrates associated with regulatory and monitoring processes have remained relatively underspecified. We report the results of an fMRI study examining the neural substrates related to performance in three attention-demanding tasks varying in the amount of linguistic processing: vocal picture naming while ignoring distractors (picture-word interference, PWI); vocal color naming while ignoring distractors (Stroop); and manual object discrimination while ignoring spatial position (Simon task). All three tasks had congruent and incongruent stimuli, while PWI and Stroop also had neutral stimuli. Analyses focusing on common activation across tasks identified a portion of the dorsal anterior cingulate cortex (ACC) that was active in incongruent trials for all three tasks, suggesting that this region subserves a domain-general attentional control function. In the language tasks, this area showed increased activity for incongruent relative to congruent stimuli, consistent with the involvement of domain-general mechanisms of attentional control in word production. The two language tasks also showed activity in anterior-superior temporal gyrus (STG). Activity increased for neutral PWI stimuli (picture and word did not share the same semantic category) relative to incongruent (categorically related) and congruent stimuli. This finding is consistent with the involvement of language-specific areas in word production, possibly related to retrieval of lexical-semantic information from memory. The current results thus suggest that in addition to engaging language-specific areas for core linguistic processes, speaking also engages the ACC, a region that is likely implementing domain-general attentional control.
Collapse
Affiliation(s)
- Vitória Piai
- Donders Institute for Brain, Cognition and Behaviour, Radboud University NijmegenNijmegen, Netherlands
- International Max Planck Research School for Language SciencesNijmegen, Netherlands
| | - Ardi Roelofs
- Donders Institute for Brain, Cognition and Behaviour, Radboud University NijmegenNijmegen, Netherlands
| | - Daniel J. Acheson
- Donders Institute for Brain, Cognition and Behaviour, Radboud University NijmegenNijmegen, Netherlands
- Neurobiology of Language Department, Max Planck Institute for PsycholinguisticsNijmegen, Netherlands
| | - Atsuko Takashima
- Donders Institute for Brain, Cognition and Behaviour, Radboud University NijmegenNijmegen, Netherlands
- Behavioural Science Institute, Radboud University NijmegenNijmegen, Netherlands
| |
Collapse
|
13
|
Abstract
Obturator hernia although considered a rare entity is the most frequently encountered pelvic floor hernia. Since the first published report in the 18th century, their unusual and unfamiliar clinical presentation still represents a diagnostic dilemma for the modern day clinician. A detailed history and clinical examination in our thin, elderly female patient who presented with intermittent small bowel obstruction and symptoms of right obturator nerve compression with a positive Howship-Romberg sign was crucial in establishing a diagnosis. Sophisticated radiologic modalities such as MRI as shown below in the case of our patient can reliably confirm the diagnosis of obturator hernia.
Collapse
|