Newhart Melissa, Ken Lynda, Kleinman Jonathan T, Heidler-Gary Jennifer, Hillis Argye E
Department of Neurology, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD, USA.
Cogn Behav Neurol. 2007 Mar;20(1):25-30. doi: 10.1097/WNN.0b013e31802dc4a7.
Lesion/deficit association studies of aphasia commonly focus on one brain region as primarily responsible for a particular language deficit. However, functional imaging and some lesion studies indicate that multiple brain regions are likely necessary for any language task. We tested 156 acute stroke patients on basic language tasks (naming and spoken and written word comprehension) and magnetic resonance diffusion and perfusion imaging to determine the relative contributions of various brain regions to each task. Multivariate linear regression analysis indicated that the error rate on each task was best predicted by dysfunction in several perisylvian regions, with both common and distinct regions for the 3 tasks.
失语症的病灶/缺陷关联研究通常聚焦于一个主要负责特定语言缺陷的脑区。然而,功能成像和一些病灶研究表明,任何语言任务可能都需要多个脑区参与。我们对156名急性中风患者进行了基本语言任务(命名、口语和书面单词理解)测试以及磁共振扩散和灌注成像,以确定不同脑区对每项任务的相对贡献。多元线性回归分析表明,每项任务的错误率最好由几个颞叶周围区域的功能障碍来预测,这3项任务存在共同和不同的区域。