Cerebral Function Unit, Greater Manchester Neuroscience Centre, Salford Royal Foundation Trust, Salford, UK.
Behav Neurol. 2012;25(1):35-44. doi: 10.3233/BEN-2012-0347.
It is generally accepted that the anterior temporal lobes support knowledge of famous people. The specific roles of the right and left temporal lobe remain a subject of debate, with some studies suggesting differential roles based on modality (visual versus verbal information) and others category (person knowledge versus general semantics). The present study re-examined performance of semantic dementia patients with predominantly right and predominantly left temporal lobe atrophy on famous face, famous name and general semantic tasks, with the specific aim of testing the hypothesis that the right temporal lobe has a privileged role for person knowledge and the left temporal lobe for general semantic knowledge. Comparisons of performance rankings across tasks showed no evidence to support this hypothesis. By contrast, there was robust evidence from naming, identification and familiarity measures for modality effects: right-sided atrophy being associated with relatively greater impairment for faces and visual tasks and left-sided atrophy for names and verbal tasks. A double dissociation in test scores in two patients reinforced these findings. The data present a challenge for the influential `semantic hub' model, which views the anterior temporal lobes as an area of convergence in which semantic information is represented in amodal form.
人们普遍认为,前颞叶支持对名人的了解。左右颞叶的具体作用仍然存在争议,一些研究表明基于模态(视觉与言语信息)和类别(人物知识与一般语义)存在差异作用。本研究重新检查了主要表现为右颞叶和左颞叶萎缩的语义性痴呆患者在名人面孔、名人名字和一般语义任务上的表现,目的是检验右颞叶对人物知识具有特权作用,左颞叶对一般语义知识具有特权作用的假设。对任务表现排名的比较没有证据支持这一假设。相比之下,命名、识别和熟悉度测量提供了强有力的证据表明存在模态效应:右侧萎缩与面孔和视觉任务的相对较大损伤相关,左侧萎缩与名称和言语任务相关。两名患者的测试分数的双重分离加强了这些发现。这些数据对有影响力的“语义中心”模型提出了挑战,该模型将前颞叶视为语义信息以非模态形式表示的汇聚区域。