Abstract not found

Aphasia (defined as the loss or impairment of language abilities following acquired brain injury) is strongly associated with damage to the left hemisphere in adults. This well-known finding has led to the hypothesis that the left hemisphere is innately specialized for language, and may be the site of a specific "language organ". However, for over a century we have known that young children with left-hemisphere damage (LHD) do not suffer from aphasia, and in most studies do not differ significantly from children with right-hemisphere damage (RHD). This result provides strong evidence for plasticity, i.e., brain reorganization in response to experience, and constitutes a serious challenge to the language organ hypothesis. This chapter reviews the history of research on language outcomes in children vs. adults with unilateral brain injury, addressing some discrepancies in the literature to date, including methodological confounds that may be responsible for those discrepancies. It also reviews recent prospective studies of children with unilateral injury as they pass through the first stages of language development. Prospective studies have demonstrated specific correlations between lesion site and profiles of language delay, but they look quite different from lesionsymptom correlations in adults, and gradually disappear across the course of language development. The classic pattern of brain organization for language observed in normal adults may be the product rather than the cause of language learning, emerging out of regional biases in information processing that are relevant for language, but only indirectly related to language itself. If those

This paper attempts to identify certain neurobiological constraints of natural language processing and exam- ines the behavior of recurrent networks for the task of classifying aphasic subjects. The specific question posed here is: Can we train a neural network to distinguish between Broca aphasics, Wernicke aphasics and a control group of normal subjects on the basis of syntactic knowledge? This approach could aid dia- gnosis/classification of potential language disorders in the brain and it also addresses computational modeling of language acquisition.

We present the first direct comparison of language production in brain-injured children and adults, using agecorrected z scores for multiple lexical and grammatical measures. Spontaneous speech samples were elicited in a structured biographical interview from 38 children (5-8 years of age), 24 with congenital left-hemisphere damage (LHD) and 14 with congenital right-hemisphere damage (RHD), compared with 38 age- and gender-matched controls, 21 adults with unilateral injuries (14 LHD, 7 RHD), and 12 adult controls. Adults with LHD showed severe and contrasting profiles of impairment across all measures (including classic differences between fluent and nonfluent aphasia). Adults with RHD (and three nonaphasic adults with LHD) showed fluent but disinhibited and sometimes empty speech. None of these qualitative or quantitative deviations were observed in children with unilateral brain injury, who were in the normal range for their age on all measures. There were no significant differences between children with LHD and RHD on any measure. When LHD children were compared directly with LHD adults using age-corrected z scores, the children scored far better than their adult counterparts on structural measures. These results provide the first systematic confirmation of differential free-speech outcomes in children and adults, and offer strong evidence for neural and behavioral plasticity following early brain damage. For more than 3000 years, we have known that

Though stuttering is manifest in its motor characteristics, the cause of stuttering may not relate purely to impairments in the motor system as stuttering frequency is increased by linguistic factors, such as syntactic complexity and length of utterance, and decreased by changes in perception, such as masking or altering auditory feedback. Using functional and diffusion imaging, we examined brain structure and function in the motor and language areas in a group of young people who stutter. During speech production, irrespective of fluency or auditory feedback, the people who stuttered showed overactivity relative to controls in the anterior insula, cerebellum and midbrain bilaterally and underactivity in the ventral premotor, Rolandic opercular and sensorimotor cortex bilaterally and Heschl’s gyrus on the left. These results are consistent with a recent meta-analysis of functional imaging studies in developmental stuttering. Two additional findings emerged from our study. First, we found overactivity in the midbrain, which was at the level of the substantia nigra and extended to the pedunculopontine nucleus, red nucleus and subthalamic nucleus. This overactivity is consistent with suggestions in previous studies of abnormal function of the basal ganglia or excessive dopamine in people who stutter. Second, we found underactivity of the cortical motor and premotor areas associated with articulation and speech production. Analysis of the diffusion data revealed that the integrity of the white matter underlying the underactive areas in ventral premotor cortex was reduced in people who stutter. The white matter

We analyzed post-surgery linguistic outcomes of 43 hemispherectomy patients operated on at UCLA. We rated spoken language (Spoken Language Rank, SLR) on a scale from 0 (no language) to 6 (mature grammar), and examined the effects of side of resection damage, age at surgery/seizure onset, seizure control post-surgery, and etiology on language development. Etiology was defined as developmental (cortical dysplasia and pre-natal stroke) and acquired pathology (Rasmussen's encephalitis and post-natal stroke). We found that clinical variables were predictive of language outcomes only when they were considered within distinct etiology groups. Specifically, children with developmental etiologies had lower SLRs than those with acquired pathologies (p=0.0006); age factors positively correlated with higher SLRs only for children with acquired etiologies (p=0.0006); right sided resections led to higher SLRs only for the acquired group (p = 0.0008); and post-surgery seizure control positively corre...

We report the case of a neonate tested three weeks after a neonatal left sylvian infarct. We studied her perception of speech and non-speech stimuli with high-density event-related potentials. The results show that she was able to discriminate not only a change of timbre in tones but also a vowel change, and even a place of articulation contrast in stop consonants. Moreover, a discrimination response to stop consonants was observed even when syllables were produced by di#erent speakers. Her intact right hemisphere was thus able to extract relevant phonetic information in spite of irrelevant acoustic variation. These results suggest that both hemispheres contribute to phoneme perception during the first months of life and confirm our previous findings concerning bilateral responses in normal infants.

sensitivity in children with early focal brain injury and children with specific language impairment

Development and early focal brain injury 2 Over the past ten years, we have made significant progress in addressing key questions concerning deficit and development after early stroke. We found evidence of subtle early impairment and subsequent development in each domain examined. However, the profiles of impairment and development differed across domains. Deficits of language acquisition are initially pervasive in that they are observed following injury to widely distributed brain areas. Spatial analytic deficits exhibit more specific patterns of brain-behavior association, similar to those observed among adults with injury to comparable brain regions. Had we been working in isolation, the separate investigators associated with this project may have reached very different conclusions about the nature of development following early injury. Instead, we were forced to look for ways to resolve the apparent disparity in our cross-domain findings. The model that best fits our data focuses on redefining the nature of early plasticity. Recent animal studies provide strong evidence that plasticity plays a central role in brain development. Brain organization is to a large extent