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布洛卡和韦尼克已经过时了,或者说正在超越经典的语言神经生物学模型。

Broca and Wernicke are dead, or moving past the classic model of language neurobiology.

作者信息

Tremblay Pascale, Dick Anthony Steven

机构信息

Département de Réadaptation, Faculté de Médecine, Université Laval, Québec City, QC, Canada; Centre de Recherche de l'Institut Universitaire en Santé Mentale de Québec, Québec City, QC, Canada.

Florida International University, Miami, FL, USA.

出版信息

Brain Lang. 2016 Nov;162:60-71. doi: 10.1016/j.bandl.2016.08.004. Epub 2016 Aug 30.

Abstract

With the advancement of cognitive neuroscience and neuropsychological research, the field of language neurobiology is at a cross-roads with respect to its framing theories. The central thesis of this article is that the major historical framing model, the Classic "Wernicke-Lichtheim-Geschwind" model, and associated terminology, is no longer adequate for contemporary investigations into the neurobiology of language. We argue that the Classic model (1) is based on an outdated brain anatomy; (2) does not adequately represent the distributed connectivity relevant for language, (3) offers a modular and "language centric" perspective, and (4) focuses on cortical structures, for the most part leaving out subcortical regions and relevant connections. To make our case, we discuss the issue of anatomical specificity with a focus on the contemporary usage of the terms "Broca's and Wernicke's area", including results of a survey that was conducted within the language neurobiology community. We demonstrate that there is no consistent anatomical definition of "Broca's and Wernicke's Areas", and propose to replace these terms with more precise anatomical definitions. We illustrate the distributed nature of the language connectome, which extends far beyond the single-pathway notion of arcuate fasciculus connectivity established in Geschwind's version of the Classic Model. By illustrating the definitional confusion surrounding "Broca's and Wernicke's areas", and by illustrating the difficulty integrating the emerging literature on perisylvian white matter connectivity into this model, we hope to expose the limits of the model, argue for its obsolescence, and suggest a path forward in defining a replacement.

摘要

随着认知神经科学和神经心理学研究的进展,语言神经生物学领域在其理论框架方面正处于十字路口。本文的核心论点是,主要的历史框架模型,即经典的“韦尼克-利希海姆-盖施温德”模型及其相关术语,已不再适用于当代对语言神经生物学的研究。我们认为,经典模型(1)基于过时的脑解剖学;(2)没有充分体现与语言相关的分布式连接;(3)提供了一种模块化且“以语言为中心”的观点;(4)主要关注皮质结构,大部分忽略了皮质下区域及相关连接。为了阐述我们的观点,我们讨论解剖学特异性问题,重点关注“布洛卡区和韦尼克区”术语的当代用法,包括在语言神经生物学界进行的一项调查结果。我们证明,对于“布洛卡区和韦尼克区”不存在一致的解剖学定义,并提议用更精确的解剖学定义取代这些术语。我们展示了语言连接组的分布式性质,它远远超出了盖施温德版经典模型中建立的弓形束连接的单一路径概念。通过说明围绕“布洛卡区和韦尼克区”的定义混乱,以及说明将关于外侧裂周围白质连接的新兴文献整合到该模型中的困难,我们希望揭示该模型的局限性,论证其过时性,并提出定义替代模型的前进方向。

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