Cited by 1,035Neurobiology of Language and BilingualismReading and Literacy DevelopmentLanguage Development and Disorders

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Lesion analysis of the brain areas involved in language comprehension

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Dronkers, Nina F, Wilkins, David P, Van Valin, Robert D, Redfern, Brenda B, Jaeger, Jeri J·2004·Cognition

DOI 10.1016/j.cognition.2003.11.002

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Abstract

The cortical regions of the brain traditionally associated with the comprehension of language are Wernicke's area and Broca's area. However, recent evidence suggests that other brain regions might also be involved in this complex process. This paper describes the opportunity to evaluate a large number of brain-injured patients to determine which lesioned brain areas might affect language comprehension. Sixty-four chronic left hemisphere stroke patients were evaluated on 11 subtests of the Curtiss-Yamada Comprehensive Language Evaluation - Receptive (CYCLE-R; Curtiss, S., & Yamada, J. (1988). Curtiss-Yamada Comprehensive Language Evaluation. Unpublished test, UCLA). Eight right hemisphere stroke patients and 15 neurologically normal older controls also participated. Patients were required to select a single line drawing from an array of three or four choices that best depicted the content of an auditorily-presented sentence. Patients' lesions obtained from structural neuroimaging were reconstructed onto templates and entered into a voxel-based lesion-symptom mapping (VLSM; Bates, E., Wilson, S., Saygin, A. P., Dick, F., Sereno, M., Knight, R. T., & Dronkers, N. F. (2003). Voxel-based lesion-symptom mapping. Nature Neuroscience, 6(5), 448-450.) analysis along with the behavioral data. VLSM is a brain-behavior mapping technique that evaluates the relationships between areas of injury and behavioral performance in all patients on a voxel-by-voxel basis, similar to the analysis of functional neuroimaging data. Results indicated that lesions to five left hemisphere brain regions affected performance on the CYCLE-R, including the posterior middle temporal gyrus and underlying white matter, the anterior superior temporal gyrus, the superior temporal sulcus and angular gyrus, mid-frontal cortex in Brodmann's area 46, and Brodmann's area 47 of the inferior frontal gyrus. Lesions to Broca's and Wernicke's areas were not found to significantly alter language comprehension on this particular measure. Further analysis suggested that the middle temporal gyrus may be more important for comprehension at the word level, while the other regions may play a greater role at the level of the sentence. These results are consistent with those seen in recent functional neuroimaging studies and offer complementary data in the effort to understand the brain areas underlying language comprehension.

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Authors: Dronkers, N. F., Wilkins, D. P., Van Valin, R. D., Redfern, B. B., & Jaeger, J. J.
Affiliations: VA Northern California Health Care System (US)
University at Buffalo, State University of New York (US)
Corresponding author: Dronkers, Nina F
ORCID: Dronkers, Nina F
Wilkins, David P
Venue: Cognition
Publisher: Elsevier BV
Published: 2004-05
Volume: 92
Issue: 1-2
Pages: 145-177
ISSN: 0010-0277 (ISSN-L)
DOI: 10.1016/j.cognition.2003.11.002
OpenAlex: W2125711977
Cited by: 1,035
References: 72
Citations by year: 2026: 20 · 2025: 41 · 2024: 38 · 2023: 38 · 2022: 92 · 2021: 53 · 2020: 85 · 2019: 54 · 2018: 37 · 2017: 64 · 2016: 52 · 2015: 68 · 2014: 52 · 2013: 57 · 2012: 56
FWCI: 13.96
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Cognition (publishedVersion)
PubMed (publishedVersion)
MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
Funders: National Science Foundation (9207484)
U.S. Department of Veterans Affairs
National Institute on Deafness and Other Communication Disorders (2 R01DC00216, R01DC000216)
National Institute of Neurological Disorders and Stroke (P01 NS177786, P01 NS 40813, P01NS040813)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
Keywords: language comprehension, receptive language, stroke, lesion-symptom mapping, Wernicke's area, Broca's area, left hemisphere, right hemisphere, middle temporal gyrus, superior temporal sulcus, angular gyrus, Brodmann area 46
MeSH terms: Aged, Aphasia, Brain, Female, Humans, Functional Laterality, Male, Middle Aged, Neuropsychological Tests, Speech Perception

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Lesion analysis of the brain areas involved in language comprehension

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