Temporal organization of "internal speech" as a basis for cerebellar modulation of cognitive functions.

The sequencing of smooth and rhythmically "sculptured" words and phrases at a speaker's habitual speech rate (4 Hz to 6 Hz) critically depends on the cerebellum. Besides overt performance, the cerebellum also seems to organize the syllabic structure of "auditory verbal imagery" or "internal speech"--that is, a prearticulatory but otherwise fully elaborated and temporally organized representation of verbal utterances. As a consequence, cerebellar disorders may compromise cognitive operations that involve a speech code, such as verbal working memory, or disrupt cognitive processes that encompass linguistic mediation. Besides the temporal organization of syllable strings at a prearticulatory level, cerebellar patients are impaired in speech perception tasks requiring the encoding of durational parameters of the acoustic signal. The hemodynamic responses associated with these two aspects of verbal-acoustic communication--internal speech and speech perception--were found to be organized along the rostro-caudal direction within paravermal aspects of the superior right cerebellar hemisphere. Those areas of the right cerebellar hemisphere thus might provide a common platform for the computation of temporal aspects of verbal utterances in the domains of both speech production and perception.