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共识文件:语言与小脑:一个持续存在的谜。

Consensus paper: Language and the cerebellum: an ongoing enigma.

机构信息

Department of Clinical and Experimental Neurolinguistics, CLIN, Vrije Universiteit Brussel, Brussels, Belgium,

出版信息

Cerebellum. 2014 Jun;13(3):386-410. doi: 10.1007/s12311-013-0540-5.

Abstract

In less than three decades, the concept "cerebellar neurocognition" has evolved from a mere afterthought to an entirely new and multifaceted area of neuroscientific research. A close interplay between three main strands of contemporary neuroscience induced a substantial modification of the traditional view of the cerebellum as a mere coordinator of autonomic and somatic motor functions. Indeed, the wealth of current evidence derived from detailed neuroanatomical investigations, functional neuroimaging studies with healthy subjects and patients and in-depth neuropsychological assessment of patients with cerebellar disorders shows that the cerebellum has a cardinal role to play in affective regulation, cognitive processing, and linguistic function. Although considerable progress has been made in models of cerebellar function, controversy remains regarding the exact role of the "linguistic cerebellum" in a broad variety of nonmotor language processes. This consensus paper brings together a range of different viewpoints and opinions regarding the contribution of the cerebellum to language function. Recent developments and insights in the nonmotor modulatory role of the cerebellum in language and some related disorders will be discussed. The role of the cerebellum in speech and language perception, in motor speech planning including apraxia of speech, in verbal working memory, in phonological and semantic verbal fluency, in syntax processing, in the dynamics of language production, in reading and in writing will be addressed. In addition, the functional topography of the linguistic cerebellum and the contribution of the deep nuclei to linguistic function will be briefly discussed. As such, a framework for debate and discussion will be offered in this consensus paper.

摘要

在不到三十年的时间里,“小脑神经认知”的概念已经从一个单纯的次要想法发展成为神经科学研究的一个全新且多方面的领域。当代神经科学的三个主要研究方向之间的紧密相互作用,促使人们对小脑作为自主和躯体运动功能的单纯协调者的传统观点进行了实质性的修正。事实上,目前从详细的神经解剖学研究、健康受试者和患者的功能神经影像学研究以及对小脑障碍患者的深入神经心理学评估中获得的大量证据表明,小脑在情感调节、认知处理和语言功能方面起着至关重要的作用。尽管在小脑功能模型方面取得了相当大的进展,但关于“语言小脑”在广泛的非运动语言过程中的确切作用仍存在争议。这份共识文件汇集了一系列关于小脑对语言功能贡献的不同观点和意见。本文将讨论小脑在语言和一些相关障碍中的非运动调节作用的最新进展和见解。小脑在言语和语言感知、言语运动规划(包括言语失用)、言语工作记忆、音韵和语义流畅性、句法处理、语言产生的动态、阅读和写作中的作用将被讨论。此外,还将简要讨论语言小脑的功能拓扑和深部核团对语言功能的贡献。因此,本文提供了一个辩论和讨论的框架。

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