Cited by 170Motor Control and AdaptationVestibular and auditory disordersNeurobiology of Language and Bilingualism

Cognitive sequencing impairment in patients with focal or atrophic cerebellar damage

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Leggio, M. G., Tedesco, A. M., Chiricozzi, F. R., Clausi, S., Orsini, A., Molinari, M.·2008·Brain

Abstract

Although cognitive impairment after cerebellar damage has been widely reported, the mechanisms of cerebro-cerebellar interactions are still a matter of debate. The cerebellum is involved in sequence detection and production in both motor and sensory domains, and sequencing has been proposed as the basic mechanism of cerebellar functioning. Furthermore, it has been suggested that knowledge of sequencing mechanisms may help to define cerebellar predictive control processes. In spite of its recognized importance, cerebellar sequencing has seldom been investigated in cognitive domains. Cognitive sequencing functions are often analysed by means of action/script elaboration. Lesion and activation studies have localized this function in frontal cortex and basal ganglia circuits. The present study is the first to report deficits in script sequencing after cerebellar damage. We employed a card-sequencing test, developed ad hoc, to evaluate the influence of the content to be sequenced. Stimuli consisted of sets of sentences that described actions with a precise logical and temporal sequence (Verbal Factor), sets of cartoon-like drawings that reproduced behavioural sequences (Behavioural Factor) or abstract figures (Spatial Factor). The influence of the lesion characteristics was analysed by grouping patients according to lesion-type (focal or atrophic) and lesion-side (right or left). The results indicated that patients with cerebellar damage present a cognitive sequencing impairment independently of lesion type or localization. A correlation was also shown between lesion side and characteristics of the material to be sequenced. Namely, patients with left lesions perform defectively only on script sequences based on pictorial material and patients with right lesions only on script sequences requiring verbal elaboration. The present data support the hypothesis that sequence processing is the cerebellar mode of operation also in the cognitive domain. In addition, the presence of right/left and pictorial/verbal differences is in agreement with the idea that cerebro-cerebellar interactions are organized in segregated cortico-cerebellar loops in which specificity is not related to the mode of functioning, but to the characteristics of the information processed.

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  1. Corsi PM. Human memory and the medial temporal regions of the brain. Dissertation Abstracts International, 34 (02), 891B. (University Microfilms No. AAI05-77717).
  2. Ivry R. Exploring the role of the cerebellum in sensory anticipation and timing: commentary on Tesche and Karhu. Hum Brain Mapp 2000; 9: 115-8.
  3. Lezak MD. Neuropychological assessment. New York: Oxford University Press; 1995.
  4. Parsons MW, Harrington DL, Rao SM. Distinct neural system underline learning visuomtor and spatial representations of motor skills. Hum Brain Mapp 2005; 24: 229-47.

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Authors
Leggio, M. G., Tedesco, A. M., Chiricozzi, F. R., Clausi, S., Orsini, A., & Molinari, M.
Affiliations
Fondazione Santa Lucia (IT)
Venue
Brain
Published
2008-03-11
Volume
131
Issue
5
Pages
1332-1343
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2099069737
Cited by
170
References
58
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 16 · 2020: 14 · 2019: 9 · 2018: 11 · 2017: 11 · 2016: 5 · 2015: 10 · 2014: 12 · 2013: 13 · 2012: 10
FWCI
6.57
Type
journal article
Language
en
Open access
Locations
  • Brain (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
  • INFM-OAR (INFN Catania) (submittedVersion, other-oa)
Funders
Ministero della Salute
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
Keywords
cerebellar lesions, cerebellar atrophy, hemispheric lateralization
MeSH terms
Adult, Aged, Atrophy, Cerebellar Ataxia, Cerebellar Diseases, Cerebellum, Cognition Disorders, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Psychomotor Performance, Retrospective Studies

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