Is there parallel and independent hemispheric processing of intonational and phonetic components of dichotic speech stimuli?

The possibility of hemisphere interaction in the processing of spoken language was studied in two dichotic listening experiments. The stimulus material consisted of six CV syllable triplets each spoken with each one of six intonation contours. In Experiment I, 15 aphasic patients, 8 patients with unilateral right hemisphere lesions, and 10 normal controls were asked to identify the four components of a dichotic item from a multiple-choice (MC) set comprising all possible CV triplets and intonation contours. In Experiment II, 30 normal subjects were required to identify either the right or left ear stimulus alone from an MC set comprising the right and left ear stimulus together with the two wrong combinations of right ear CV triplet with left ear intonation and vice versa. It is concluded from the results that the left hemisphere is capable of processing both phonetic and intonational information and that there is neither the necessity nor the tendency for right hemisphere participation in the perception of spoken language.     

Visual-spatial processing in deaf brain-damaged signers

Sign language displays all the complex linguistic structure found in spoken languages, but conveys its syntax in large part by manipulating spatial relations. This study investigated whether deaf signers who rely on a visual-spatial language nonetheless show a principled cortical separation for language and nonlanguage visual-spatial functioning. Four unilaterally brain-damaged deaf signers, fluent in American Sign Language (ASL) before their strokes, served as subjects. Three had damage to the left hemisphere and one had damage to the right hemisphere. They were administered selected tests of nonlanguage visual-spatial processing. The pattern of performance of the four patients across this series of tests suggests that deaf signers show hemispheric specialization for nonlanguage visual-spatial processing that is similar to hearing speaking individuals. The patients with damage to the left hemisphere, in general, appropriately processed visual-spatial relationships, whereas, in contrast, the patient with damage to the right hemisphere showed consistent and severe visual-spatial impairment. The language behavior of these patients was much the opposite, however. Indeed, the most striking separation between linguistic and nonlanguage visual-spatial functions occurred in the left-hemisphere patient who was most severely aphasic for sign language. Her signing was grossly impaired, yet her visual-spatial capacities across the series of tests were surprisingly normal. These data suggest that the two cerebral hemispheres of congenitally deaf signers can develop separate functional specialization for nonlanguage visual-spatial processing and for language processing, even though sign language is conveyed in large part via visual-spatial manipulation.     

听觉障碍人群的言语机制

对听觉障碍人群言语机制的研究,提供了独特的视角来探讨人脑内语言专门化系统的组织。该回顾了近年来在该领域内进行的损伤研究及功能性成像研究,着重综述了三个问题：(1)左右半球损伤造成的手语失语症的特点;(2)手语加工过程中左右半球的激活模式;(3)先天聋被试在阅读唇语过程中的脑内激活模式及后部扣带皮层在唇语阅读过程中的可能作用。     

Discourse deficits following right hemisphere damage in deaf signers

Previous findings have demonstrated that hemispheric organization in deaf users of American Sign Language (ASL) parallels that of the hearing population, with the left hemisphere showing dominance for grammatical linguistic functions and the right hemisphere showing specialization for non-linguistic spatial functions. The present study addresses two further questions: first, do extra-grammatical discourse functions in deaf signers show the same right-hemisphere dominance observed for discourse functions in hearing subjects; and second, do discourse functions in ASL that employ spatial relations depend upon more general intact spatial cognitive abilities? We report findings from two right-hemisphere damaged deaf signers, both of whom show disruption of discourse functions in absence of any disruption of grammatical functions. The exact nature of the disruption differs for the two subjects, however. Subject AR shows difficulty in maintaining topical coherence, while SJ shows difficulty in employing spatial discourse devices. Further, the two subjects are equally impaired on non-linguistic spatial tasks, indicating that spared spatial discourse functions can occur even when more general spatial cognition is disrupted. We conclude that, as in the hearing population, discourse functions involve the right hemisphere; that distinct discourse functions can be dissociated from one another in ASL; and that brain organization for linguistic spatial devices is driven by its functional role in language processing, rather than by its surface, spatial characteristics.     

Processing of basic speech acts following localized brain damage: a new light on the neuroanatomy of language

We examined the effect of localized brain lesions on processing of the basic speech acts (BSAs) of question, assertion, request, and command. Both left and right cerebral damage produced significant deficits relative to normal controls, and left brain damaged patients performed worse than patients with right-sided lesions. This finding argues against the common conjecture that the right hemisphere of most right-handers plays a dominant role in natural language pragmatics. In right-hemisphere damaged patients, there was no correlation between location and extent of lesion in perisylvian cortex and performance on BSAs. By contrast, processing of the different BSAs by left hemisphere-damaged patients was strongly affected by perisylvian lesion location, with each BSA showing a distinct pattern of localization. This finding raises the possibility that the classical left perisylvian localization of language functions, as measured by clinical aphasia batteries, partly reflects the localization of the BSAs required to perform these functions.     

Reorganization of the cerebro-cerebellar network of language production in patients with congenital left-hemispheric brain lesions

Patients with congenital lesions of the left cerebral hemisphere may reorganize language functions into the right hemisphere. In these patients, language production is represented homotopically to the left-hemispheric language areas. We studied cerebellar activation in five patients with congenital lesions of the left cerebral hemisphere to assess if the language network is reorganized completely in these patients, i.e. including also cerebellar language functions. As compared to a group of controls matched for age, sex, and verbal IQ, the patients recruited an area not in the right but in the left cerebellar hemisphere. The extent of laterality of the cerebellar activation correlated significantly with the laterality of the frontal activation. We suggest that the developing brain reacts to early focal lesions in the left hemisphere with a mirror-image organization of the entire cerebro-cerebellar network engaged in speech production.     

比喻性语言加工的脑机制

早期观点认为比喻性语言加工主要依赖右脑, 随着研究的深入, 右脑假说受到许多研究结果的挑战, 左脑参与比喻性语言的加工。同时, 左右脑语言区发挥各自不同的作用, 新的研究证实, 前额前部皮层同样参与比喻性语言的加工。比喻性语言的理解需要左右半球及前额皮层的共同激活, 同时对其加工还依赖左右半球的联合作用, 比喻性语言理解神经网络的建立需要新证据。     

Neuropsychological analysis of a case of crossed dysphasia verified at postmortem

A case is reported of crossed dysphasia in a right-handed monolingual patient, where neuropathological verification of the unilateral site of the lesion was obtained within a year of detailed neuropsychological assessment. The patient's pattern of language impairment was characterized by agrammatic speech and relatively preserved naming ability. In addition, the patient had good repetition, poor comprehension, and marked impairment on visuospatial tasks. Neuropathological investigations showed a large area of infarction affecting cortex, white matter, and subcortical structures in the right hemisphere. The possibility is discussed of a distinction between two types of crossed dysphasia with either dissociated or simultaneous language and visuospatial deficits due to reversed representation of hemispheric specific functions or transfer of most cognitive functions to the right hemisphere.     

Brain activity varies with modulation of dynamic pitch variance in sentence melody

Fourteen native speakers of German heard normal sentences, sentences which were either lacking dynamic pitch variation (flattened speech), or comprised of intonation contour exclusively (degraded speech). Participants were to listen carefully to the sentences and to perform a rehearsal task. Passive listening to flattened speech compared to normal speech produced strong brain responses in right cortical areas, particularly in the posterior superior temporal gyrus (pSTG). Passive listening to degraded speech compared to either normal or flattened speech particularly involved fronto-opercular and subcortical (Putamen, Caudate Nucleus) regions bilaterally. Additionally the Rolandic operculum (premotor cortex) in the right hemisphere subserved processing of neat sentence intonation. As a function of explicit rehearsing sentence intonation we found several activation foci in the left inferior frontal gyrus (Broca's area), the left inferior precentral sulcus, and the left Rolandic fissure. The data allow several suggestions: First, both flattened and degraded speech evoked differential brain responses in the pSTG, particularly in the planum temporale (PT) bilaterally indicating that this region mediates integration of slowly and rapidly changing acoustic cues during comprehension of spoken language. Second, the bilateral circuit active whilst participants receive degraded speech reflects general effort allocation. Third, the differential finding for passive perception and explicit rehearsal of intonation contour suggests a right fronto-lateral network for processing and a left fronto-lateral network for producing prosodic information. Finally, it appears that brain areas which subserve speech (frontal operculum) and premotor functions (Rolandic operculum) coincidently support the processing of intonation contour in spoken sentence comprehension.     

Role of the left hemisphere in sign language comprehension

We investigated the relative role of the left versus right hemisphere in the comprehension of American Sign Language (ASL). Nineteen lifelong signers with unilateral brain lesions [11 left hemisphere damaged (LHD) and 8 right hemisphere damaged (RHD)] performed three tasks, an isolated single-sign comprehension task, a sentence-level comprehension task involving simple one-step commands, and a sentence-level comprehension task involving more complex multiclause/multistep commands. Eighteen of the participants were deaf, one RHD subject was hearing and bilingual (ASL and English). Performance was examined in relation to two factors: whether the lesion was in the right or left hemisphere and whether the temporal lobe was involved. The LHD group performed significantly worse than the RHD group on all three tasks, confirming left hemisphere dominance for sign language comprehension. The group with left temporal lobe involvement was significantly impaired on all tasks, whereas each of the other three groups performed at better than 95% correct on the single sign and simple sentence comprehension tasks, with performance falling off only on the complex sentence comprehension items. A comparison with previously published data suggests that the degree of difficulty exhibited by the deaf RHD group on the complex sentences is comparable to that observed in hearing RHD subjects. Based on these findings we hypothesize (i) that deaf and hearing individuals have a similar degree of lateralization of language comprehension processes and (ii) that language comprehension depends primarily on the integrity of the left temporal lobe.     

Chronic Auditory Agnosia Following Landau-Kleffner Syndrome: A 23 Year Outcome Study

We report a 27-year-old woman with chronic auditory agnosia following Landau-Kleffner Syndrome (LKS) diagnosed at age 4 1/2 . She grew up in the hearing/speaking community with some exposure to manually coded English and American Sign Language (ASL). Manually coded (signed) English is her preferred mode of communication. Comprehension and production of spoken language remain severely compromised. Disruptions in auditory processing can be observed in tests of pitch and duration, suggesting that her disorder is not specific to language. Linguistic analysis of signed, spoken, and written English indicates her language system is intact but compromised because of impoverished input during the critical period for acquisition of spoken phonology. Specifically, although her sign language phonology is intact, spoken language phonology is markedly impaired. We argue that deprivation of auditory input during a period critical for the development of a phonological grammar and auditory–verbal short-term memory has limited her lexical and syntactic development in specific ways.     

Crossed Wernicke's aphasia: a case report

Crossed aphasia is a phenomenon in which an individual sustains a lesion in the right hemisphere (typically non-language dominant), but who exhibits an aphasic syndrome. The authors present a case study of an individual with crossed aphasia (CA) in an attempt to provide anecdotal information for four questions posed by : (a). Is CA a reversal of the normal cerebral hemisphere pattern of language function? (b). Does the presence of aphasia following a right cerebral hemisphere lesion indicate that typical right hemisphere functions (e.g., visual perception) are intact? (c). How may the aphasia's presentation differ from typical left hemisphere aphasias? And (d). is the pattern of improvement following CA similar to that of typical left hemisphere aphasias? We longitudinally examined the communicative-cognitive performance of an adult man with crossed aphasia of the Wernicke's type following a cerebrovascular accident. A 21-week follow-up evaluation indicated improvements in his language functioning from our initial evaluation, but he continued to exhibit a classic, moderately severe Wernicke's aphasia.     

Metaphoric advertisement comprehension: The role of the cerebral hemispheres

Currently little is known about how implicit processes (i.e., cognitive processes that consumers are unaware of) are utilized as consumers read metaphoric advertisements. The field of cognitive neuroscience can help marketers better understand consumers' implicit processing by examining how each cerebral hemisphere uniquely contributes during metaphoric advertisement comprehension. A right hemisphere advantage has been demonstrated during metaphoric language processing; however, it is unclear how each hemisphere of the brain processes metaphors used in advertisements. This study combines the fields of marketing and cognitive neuroscience to investigate the hemispheric processing of metaphoric advertisements. Through the use of the divided visual field paradigm, participants read metaphor, literal, or neutral slogans and responded to related target words presented to either the left visual field‐right hemisphere or the right visual field‐left hemisphere. As predicted, there was a right hemisphere advantage, compared to the left hemisphere, for metaphoric slogans. Additionally, greater facilitation was evident in the right hemisphere for literal slogans compared to metaphoric slogans. Metaphoric messages were also remembered better than literal ones. These findings provide an in‐depth account of how consumers implicitly process messages, suggesting an important role of the right hemisphere during the comprehension of both metaphoric and literal messages. Copyright © 2011 John Wiley & Sons, Ltd.     

Spoken language correlates of reading impairments acquired in childhood

This study reports the reading difficulties of five children following unilateral left hemisphere stroke sustained either before or during the early stages of literacy acquisition. Although each of the children experienced a period of disturbed language processing in the initial stages postonset, at the time of testing none of the children were considered to be clinically aphasic. Yet, on a standardized test of oral reading each of the children achieved a reading age that lagged behind chronological age and marked reading impairments were disclosed in four of the five children. A set of standardized and nonstandardized tests, aimed at measuring aspects of cognitive and spoken language processing that are considered to be important for normal reading acquisition, was administered. Where nonstandardized tests were used, performance of each of the stroke children was compared to that of groups of normally developing control children, closely matched for chronological age. A range of residual deficits in cognitive and spoken language processing was disclosed among the five brain-damaged children that appeared to be associated with their reading impairments. Two children had expectedly poor reading due to a selective impairment in verbal IQ; a specific phonological reading disorder was revealed in two children, each of which had a residual impairment to phonological awareness; and delayed reading acquisition was observed in one child with a general language deficit. It is suggested that when a child suffers damage to the left hemisphere in the early stages of reading acquisition, difficulties with learning to read are likely to ensue and may arise as a consequence of an underlying cognitive or linguistic deficit.     

Cerebral organization of oral and signed language responses: case study evidence from amytal and cortical stimulation studies

A normally hearing left-handed patient familiar with American Sign Language (ASL) was assessed under sodium amytal conditions and with left cortical stimulation in both oral speech and signed English. Lateralization was mixed but complementary in each language mode: the right hemisphere perfusion severely disrupted motoric aspects of both types of language expression, the left hemisphere perfusion specifically disrupted features of grammatical and semantic usage in each mode of expression. Both semantic and syntactic aspects of oral and signed responses were altered during left posterior temporal-parietal stimulation. Findings are discussed in terms of the neurological organization of ASL and linguistic organization in cases of early left hemisphere damage.     

Dichotic Perception of Mandarin Tones by Chinese and American Listeners

The dichotic perception of Mandarin tones by native and nonnative listeners was examined in order to investigate the lateralization of lexical tone. Twenty American listeners with no tone language background and 20 Chinese listeners were asked to identify dichotically presented tone pairs by identifying which tone they heard in each ear. For the Chinese listeners, 57% of the total errors occurred via the left ear, indicating a significant right ear advantage. However, the American listeners revealed no significant ear preference, with 48% of the errors attributable to the left ear. These results indicated that Mandarin tones are predominantly processed in the left hemisphere by native Mandarin speakers, whereas they are bilaterally processed by American English speakers with no prior tone experience. The results also suggest that the left hemisphere superiority for native Mandarin tone processing is similar to native processing of other tone languages.     

Cerebral asymmetry in visual attention

The traditional view of cerebral lateralization of various cognitive functions has been challenged by results from recent experimental and clinical studies. Evidence has been gathered to suggest that a seemingly unitized cognitive function can be further broken down into various processing subcomponents which are distributed across the two hemispheres. For instance, according to such a more complex conceptualization of cerebral lateralization, language is seen not as a unitary ability, but rather as a collection of syntactic, semantic, and prosodic components, with each lateralized in particular manners. In much the same way, the present study attempts to examine the cerebral lateralization patterns of the seemingly unitary visual perception process. In a visual half-field experiment, 20 normal subjects were asked to make same/different judgments to laterally presented arrays of stimuli of the same type as previously studied by Treisman and her colleagues in experiments attempting to separate the preattentive and attentive stages of visual perception. Hemispheric differences were obtained only in tasks requiring attentive processing (i.e., Treisman's glueing). Results indicate a local attentional strategy for the left hemisphere and a global attentional strategy for the right hemisphere.     

Bilateral brain processes for comprehending natural language

Comprehension of natural language--stories, conversations, text--is very simple for those doing the comprehending and very complex for cognitive neuroscientists. It also presents a paradox: the advantage of the left hemisphere (LH) for most language tasks is one of the best-established facts about the brain; yet, when it comes to comprehending complex, natural language, the right hemisphere (RH) might play an important role. Accumulated evidence from neuropsychology, neuroimaging, and neuroanatomy suggests at least three roughly separable (but highly interactive) components of semantic processing. Each process in turn has bilateral components, with the RH component performing coarser computations for the same general process. Examining asymmetrical brain and cognitive functions provides a unique opportunity for understanding the neural basis of complex cognition.     

The signing brain: the neurobiology of sign language

Most of our knowledge about the neurobiological bases of language comes from studies of spoken languages. By studying signed languages, we can determine whether what we have learnt so far is characteristic of language per se or whether it is specific to languages that are spoken and heard. Overwhelmingly, lesion and neuroimaging studies indicate that the neural systems supporting signed and spoken language are very similar: both involve a predominantly left-lateralised perisylvian network. Recent studies have also highlighted processing differences between languages in these different modalities. These studies provide rich insights into language and communication processes in deaf and hearing people.     

Early language development after peri-natal stroke

Early unilateral brain damage has different implications for language development than does similar damage in adults, given the plasticity of the developing brain. The goal of this study was to examine early markers of language and gesture at 12 and 24 months in children who had peri-natal right hemisphere (RH) or left hemisphere (LH) stroke (n = 71), compared with typically developing controls (n = 126). Parents completed the MacArthur-Bates Communicative Development Inventory (CDI): Words & Gestures (12 month data point), or the CDI: Words & Sentences (24 month data point). Statistical analyses were performed on percentile scores using analysis of variance techniques. At 12 months, there were no differences among groups for Words Understood, Phrases Understood or Words Produced. At 24 months, both lesion groups scored significantly lower than controls on Word Production, Irregular Words, and Mean Length of Sentences, but lesion groups did not differ from each other. In a longitudinal subset of participants, expressive vocabulary failed to progress as expected from 12 to 24 months in the stroke group, with no differences based on lesion side. Gesture and word production were dissociated in the left hemisphere subjects. Findings suggest that early language development after peri-natal stroke takes a different course from that of typical language development, perhaps reflecting brain reorganization secondary to plasticity in the developing brain.