Jefferies Elizabeth, Patterson Karalyn, Jones Roy W, Bateman David, Lambon Ralph Matthew A
University of Bristol, Bristol, UK.
Neuropsychologia. 2004;42(5):639-60. doi: 10.1016/j.neuropsychologia.2003.10.002.
This study explored possible reasons for the striking difference between digit span and word span in patients with semantic dementia. Immediate serial recall (ISR) of number and non-number words was examined in four patients. For every case, the recall of single-digit numbers was normal whereas the recall of non-number words was impaired relative to controls. This difference extended to multi-digit numbers, and remained even when frequency, imageability, word length, set size and size of semantic category were matched for the numbers and words. The advantage for number words also applied to the patients' reading performance. Previous studies have suggested that semantic memory plays a critical role in verbal short-term memory (STM) and reading: patients with semantic dementia show superior recall and reading of words that are still relatively well known compared to previously known but now semantically degraded words. Additional assessments suggested that this semantic locus was the basis of the patients' category-specific advantage for numbers. Comprehension was considerably better for number than non-number words. Number knowledge may be relatively preserved in semantic dementia because the cortical atrophy underlying the condition typically spares the areas of the parietal lobes thought to be crucial in numerical cognition but involves the inferolateral temporal-lobes known to support general conceptual knowledge.
本研究探讨了语义性痴呆患者数字广度和单词广度存在显著差异的可能原因。对4例患者进行了数字和非数字单词的即时序列回忆(ISR)测试。对于每一例患者,个位数的回忆正常,而相对于对照组,非数字单词的回忆受损。这种差异扩展到多位数,并且即使在数字和单词的频率、形象性、单词长度、集合大小和语义类别大小相匹配时仍然存在。数字单词的优势也适用于患者的阅读表现。先前的研究表明,语义记忆在言语短期记忆(STM)和阅读中起关键作用:与先前熟悉但现在语义退化的单词相比,语义性痴呆患者对仍然相对熟悉的单词表现出更好的回忆和阅读能力。额外的评估表明,这种语义位点是患者对数字具有类别特异性优势的基础。数字的理解明显优于非数字单词。数字知识在语义性痴呆中可能相对保留,因为该疾病潜在的皮质萎缩通常不会累及被认为对数字认知至关重要的顶叶区域,而是累及已知支持一般概念知识的颞叶下外侧区域。