Cited by 47Dementia and Cognitive Impairment ResearchNeurobiology of Language and BilingualismAmyotrophic Lateral Sclerosis Research

A longitudinal study of speech production in primary progressive aphasia and behavioral variant frontotemporal dementia

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Ash, Sharon, Nevler, Naomi, Phillips, Jeffrey, Irwin, David J., McMillan, Corey T., Rascovsky, Katya, Grossman, Murray·2019·Brain and Language

Abstract

We examined longitudinal change in language expression during a semi-structured speech sample in 48 patients with primary progressive aphasia (PPA) or behavioral variant frontotemporal dementia (bvFTD) and related this to longitudinal neuroimaging of cortical thickness available in 25 of these patients. All patient groups declined significantly on measures of both speech fluency and grammar, although patients with nonfluent/agrammatic PPA (naPPA) declined to a greater extent than patients with the semantic variant, the logopenic variant, and bvFTD. These patient groups also declined on several neuropsychological measures, but there was no correlation between decline in speech expression and decline in neuropsychological performance. Longitudinal decline in grammaticality, assessed by the number of well-formed sentences produced, was associated with longitudinal progression of gray matter atrophy in left frontal operculum/insula and bilateral temporal cortex.

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Authors
Ash, S., Nevler, N., Phillips, J., Irwin, D. J., McMillan, C. T., Rascovsky, K., & Grossman, M.
Affiliations
University of Pennsylvania (US)
Corresponding author
Ash, Sharon
Venue
Brain and Language
Publisher
Elsevier BV
Published
2019-07
Volume
194
Pages
46-57
ISSN
0093-934X (ISSN-L)
OpenAlex
W2943955580
Cited by
47
References
71
Citations by year
2026: 3 · 2025: 7 · 2024: 9 · 2023: 11 · 2022: 6 · 2021: 11
FWCI
3.39
Type
journal article
Language
en
Open access
Locations
  • Brain and Language (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (AG017586, AG054519, AG052943, K23NS088341, K043503)
  • Institute on Aging (AG04350)
  • Alzheimer’s Association (AACSF-18-567-131)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
Keywords
primary progressive aphasia, behavioral variant frontotemporal dementia, speech production, language loss, cortical thickness, gray matter atrophy, speech fluency, grammaticality, temporal cortex, neuropsychological decline
MeSH terms
Aged, Cerebral Cortex, Female, Humans, Longitudinal Studies, Magnetic Resonance Imaging, Male, Middle Aged, Semantics, Speech, Aphasia, Primary Progressive, Frontotemporal Dementia, Gray Matter

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