Cited by 109Neurobiology of Language and BilingualismVoice and Speech DisordersNeurological and metabolic disorders

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Re-establishing Broca's initial findings

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Richardson, Jessica D., Fillmore, Paul, Rorden, Chris, LaPointe, Leonard L., Fridriksson, Julius·2012·Brain and Language

DOI 10.1016/j.bandl.2012.08.007PMC PMC6659403

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Abstract

The importance of the left inferior pre-frontal cortex (LIPC) for speech production was first popularized by Paul Broca, providing a cornerstone of behavioral neurology and laying the foundation for future research examining brain-behavior relationships. Although Broca's findings were rigorously challenged, comprehensive contradictory evidence was not published until 130years later. This evidence suggested that damage to left anterior insula was actually the best predictor of motor speech impairment. Using high-resolution structural magnetic resonance imaging (MRI) in patients with chronic stroke, we reveal that LIPC involvement more accurately predicts acquired motor speech impairment than insula damage. Perfusion-weighted MRI provides complementary evidence, highlighting how damage to left inferior pre-frontal gyrus often includes insula involvement, and vice versa. Our findings suggest that Broca's initial conclusions associating acquired motor speech impairment with LIPC damage remain valid nearly 150years after his initial report on this issue.

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Authors: Richardson, J. D., Fillmore, P., Rorden, C., LaPointe, L. L., & Fridriksson, J.
Affiliations: University of South Carolina (US)
Florida State University (US)
Corresponding author: Richardson, Jessica D.
ORCID: Richardson, Jessica D.
Fillmore, Paul
Rorden, Chris
Fridriksson, Julius
Venue: Brain and Language
Publisher: Elsevier BV
Published: 2012-11
Volume: 123
Issue: 2
Pages: 125-130
ISSN: 0093-934X (ISSN-L)
DOI: 10.1016/j.bandl.2012.08.007
PMC: PMC6659403
OpenAlex: W2137728507
Cited by: 109
References: 34
Citations by year: 2026: 1 · 2025: 4 · 2024: 5 · 2023: 9 · 2022: 39 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 7 · 2017: 6 · 2016: 2 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 1
FWCI: 3.60
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Brain and Language (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Scholar Commons (University of South Carolina) (submittedVersion)
Funders: National Institute on Deafness and Other Communication Disorders (R01DC008355, R01DC009571)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
Health Sciences › Medicine › Clinical Neurology › Neurological and metabolic disorders
Keywords: Broca's area, motor speech disorders, chronic stroke, speech production, perfusion-weighted MRI, structural MRI, history of neurology, brain-behavior relationship
MeSH terms: Aphasia, Broca, Cerebrovascular Circulation, Frontal Lobe, Humans, Magnetic Resonance Imaging, Stroke

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