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Temporal lobe networks supporting the comprehension of spoken words.

ABSTRACT: Auditory word comprehension is a cognitive process that involves the transformation of auditory signals into abstract concepts. Traditional lesion-based studies of stroke survivors with aphasia have suggested that neocortical regions adjacent to auditory cortex are primarily responsible for word comprehension. However, recent primary progressive aphasia and normal neurophysiological studies have challenged this concept, suggesting that the left temporal pole is crucial for word comprehension. Due to its vasculature, the temporal pole is not commonly completely lesioned in stroke survivors and this heterogeneity may have prevented its identification in lesion-based studies of auditory comprehension. We aimed to resolve this controversy using a combined voxel-based-and structural connectome-lesion symptom mapping approach, since cortical dysfunction after stroke can arise from cortical damage or from white matter disconnection. Magnetic resonance imaging (T1-weighted and diffusion tensor imaging-based structural connectome), auditory word comprehension and object recognition tests were obtained from 67 chronic left hemisphere stroke survivors. We observed that damage to the inferior temporal gyrus, to the fusiform gyrus and to a white matter network including the left posterior temporal region and its connections to the middle temporal gyrus, inferior temporal gyrus, and cingulate cortex, was associated with word comprehension difficulties after factoring out object recognition. These results suggest that the posterior lateral and inferior temporal regions are crucial for word comprehension, serving as a hub to integrate auditory and conceptual processing. Early processing linking auditory words to concepts is situated in posterior lateral temporal regions, whereas additional and deeper levels of semantic processing likely require more anterior temporal regions.10.1093/brain/awx169_video1awx169media15555638084001.

SUBMITTER: Bonilha L

PROVIDER: S-EPMC8189019 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Numerous studies report brain potential evidence for the anticipation of specific words during language comprehension. In the most convincing demonstrations, highly predictable nouns exert an influence on processing even before they appear to a reader or listener, as indicated by the brain's neural response to a prenominal adjective or article when it mismatches the expectations about the upcoming noun. However, recent studies suggest that some well-known demonstrations of prediction may be hard to replicate. This could signal the use of data-contingent analysis, but might also mean that readers and listeners do not always use prediction-relevant information in the way that psycholinguistic theories typically suggest. To shed light on this issue, we performed a close replication of one of the best-cited ERP studies on word anticipation (Van Berkum, Brown, Zwitserlood, Kooijman & Hagoort, 2005; Experiment 1), in which participants listened to Dutch spoken mini-stories. In the original study, the marking of grammatical gender on pre-nominal adjectives ('groot/grote') elicited an early positivity when mismatching the gender of an unheard, highly predictable noun, compared to matching gender. The current pre-registered study involved that same manipulation, but used a novel set of materials twice the size of the original set, an increased sample size (N = 187), and Bayesian mixed-effects model analyses that better accounted for known sources of variance than the original. In our study, mismatching gender elicited more negative voltage than matching gender at posterior electrodes. However, this N400-like effect was small in size and lacked support from Bayes Factors. In contrast, we successfully replicated the original's noun effects. While our results yielded some support for prediction, they do not support the Van Berkum et al. effect and highlight the risks associated with commonly employed data-contingent analyses and small sample sizes. Our results also raise the question whether Dutch listeners reliably or consistently use adjectival inflection information to inform their noun predictions.

Project description:Objective: To evaluate local and distant blood oxygen level dependent (BOLD) signal changes related to interictal epileptiform discharges (IED) in drug-resistant temporal lobe epilepsy (TLE). Methods: Thirty-three TLE patients undergoing EEG-functional Magnetic Resonance Imaging (fMRI) as part of the presurgical workup were consecutively enrolled. First, a single-subject spike-related analysis was performed: (a) to verify the BOLD concordance with the presumed Epileptogenic Zone (EZ); and (b) to investigate the Intrinsic Connectivity Networks (ICN) involvement. Then, a group analysis was performed to search for common BOLD changes in TLE. Results: Interictal epileptiform discharges were recorded in 25 patients and in 19 (58%), a BOLD response was obtained at the single-subject level. In 42% of the cases, BOLD changes were observed in the temporal lobe, although only one patient had a pure concordant finding, with a single fMRI cluster overlapping (and limited to) the EZ identified by anatomo-electro-clinical correlations. In the remaining 58% of the cases, BOLD responses were localized outside the temporal lobe and the presumed EZ. In every patient, with a spike-related fMRI map, at least one ICN appeared to be involved. Four main ICNs were preferentially involved, namely, motor, visual, auditory/motor speech, and the default mode network. At the single-subject level, EEG-fMRI proved to have high specificity (above 65%) in detecting engagement of an ICN and the corresponding ictal/postictal symptom, and good positive predictive value (above 67%) in all networks except the visual one. Finally, in the group analysis of BOLD changes related to IED revealed common activations at the right precentral gyrus, supplementary motor area, and middle cingulate gyrus. Significance: Interictal temporal spikes affect several distant extra-temporal areas, and specifically the motor/premotor cortex. EEG-fMRI in patients with TLE eligible for surgery is recommended not for strictly localizing purposes rather it might be useful to investigate ICNs alterations at the single-subject level.

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Temporal lobe networks supporting the comprehension of spoken words.

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