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Neural Correlates Of Syntactic Comprehension In Normal And Agrammatic Aphasic Individuals

 Cynthia K. Thompson, Stephen C. Fix, Darren R. Gitelman, Kevin S. LaBar, Todd B. Parrish and Marsel-M. Mesulam
  
 

Abstract:
The construction and decoding of sentences with syntactically licensed dependencies have been associated with the left inferior frontal gyrus, i.e., Broca's area. Lesion-deficit correlational studies, for example, have shown that patients with Broca's aphasia present with difficulty comprehending sentences such as passives or object relative clauses in which noun phrases (NPs) have been moved out of the canonical S-V-O (in English) position (Grodzinsky, l990, 2000; Schwartz et al. l987). On-line sentence processing studies also have shown that patients with Brocas aphasia show impairments in sentence processing operations. In contrast to normal subjects and those with some forms of fluent aphasia, these patients do not link elements of dependency relations such as moved noun phrases (direct objects) with their trace sites (Swinney & Zurif l995; Zurif et al. l993). Some recent neuroimaging studies also have shown Brocas area activation during complex sentence processing (Stromswold et al. 1996; Caplan et al. 1998, 1999); others implicate Wernickes area and right-hemisphere homologues of Brocas and Wernickes areas as well (Just et al. 1996).

In the present study whole-brain echoplanar fMRI was used to examine neural correlates of auditory sentence processing as a function of syntactic complexity in eight normal, monolingual, English speaking volunteers. Participants matched auditory sentences of two types, either simple subject-clefts (e.g., It was the thief who chased the artist) or complex object-clefts (e.g., It was the artist who the thief chased), to pictures. Subjects responded by button press to matches and reaction times were recorded. Thirty-two contiguous 4-mm axial slices were obtained relative to the AC-PC line. Images were motion-corrected and normalized onto a common stereotactic space using SPM96. Results showed that both simple and complex sentences (as compared to a single words control condition) invoked activation of Brocas area (BA 44) and the supplementary motor area (BA 6) in the left hemisphere. Components of Wernickes area in the posterior superior and middle temporal gyri (BA 21 and 22), and the inferior parietal lobule (supramarginal (BA 40) and the angular gyri (BA 39)) were activated, bilaterally. Significant activation also was noted in the dorsal lateral prefrontal cortex (BA 46, 9) and the intraparietal sulcus in both the left and right hemispheres, sites concerned with verbal working memory and visual spatial attention. When complex sentences were contrasted with simple sentences, significant activation was seen only in the left hemisphere in Broca's (BA 44) and Wernicke's areas, including posterior superior and middle temporal gyri (BA 22, 21), and the angular gyrus (BA 39). These findings suggest that processing both simple and complex sentences involves traditional anterior and posterior language areas and that complex syntactic operations engage not only Brocas area, but also Wernickes area. Processing sentences also engaged neural networks involved in verbal working memory, but without clear-cut differences between the simple and complex sentences.

We also studied activation patterns under identical fMRI sentence processing conditions in five individuals with aphasia and compared them with our normal subjects data. All subjects had suffered a single, left hemisphere stroke in the distribution of the middle cerebral artery and were at least one year post-stroke at the time of the study. All were right-handed, monolingual, English speakers with years of education ranging from 14 16 years. Extensive language and neuropsychological testing showed patterns of performance consistent with a diagnosis of nonfluent, Brocas aphasia. Results showed that four of the five subjects recruited right hemisphere brain sites under sentence (as compared to single word) conditions.

 
 


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