Cited by 299Neurobiology of Language and BilingualismHemispheric Asymmetry in NeuroscienceStroke Rehabilitation and Recovery

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Cortical Language Activation in Stroke Patients Recovering From Aphasia With Functional MRI

Cao, Yue, Vikingstad, Eric M., George, K. Paige, Johnson, Alex F., Welch, K. M. A.·1999·Stroke

DOI 10.1161/01.str.30.11.2331

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Abstract

Background and Purpose —Two mechanisms for recovery from aphasia, repair of damaged language networks and activation of compensatory areas, have been proposed. In this study, we investigated whether both mechanisms or one instead of the other take place in the brain of recovered aphasic patients . Methods —Using blood oxygenation level–dependent functional MRI (fMRI), we studied cortical language networks during lexical-semantic processing tasks in 7 right-handed aphasic patients at least 5 months after the onset of left-hemisphere stroke and had regained substantial language functions since then. Results —We found that in the recovered aphasic patient group, functional language activity significantly increased in the right hemisphere and nonsignificantly decreased in the left hemisphere compared with that in the normal group. Bilateral language networks resulted from partial restitution of damaged functions in the left hemisphere and activation of compensated (or recruited) areas in the right hemisphere. Failure to restore any language function in the left hemisphere led to predominantly right hemispheric networks in some individuals. However, better language recovery, at least for lexical-semantic processing, was observed in individuals who had bilateral rather than right hemisphere–predominant networks. Conclusions —The results indicate that the restoration of left-hemisphere language networks is associated with better recovery and inversely related to activity in the compensated or recruited areas of the right hemisphere.

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Authors: Cao, Y., Vikingstad, E. M., George, K. P., Johnson, A. F., & Welch, K. M. A.
Affiliations: Henry Ford Health (US)
ORCID: Cao, Yue
Venue: Stroke
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1999-11
Volume: 30
Issue: 11
Pages: 2331-2340
ISSN: 0039-2499 (ISSN-L)
1524-4628
DOI: 10.1161/01.str.30.11.2331
OpenAlex: W2169731332
Cited by: 299
References: 35
Citations by year: 2026: 5 · 2025: 3 · 2024: 2 · 2023: 7 · 2022: 6 · 2021: 3 · 2020: 9 · 2019: 8 · 2018: 2 · 2017: 10 · 2016: 10 · 2015: 11 · 2014: 16 · 2013: 11 · 2012: 21
FWCI: 5.93
Type: journal article
Language: en
Open access: closed
Locations: Stroke (publishedVersion)
PubMed (publishedVersion)
Funders: American Heart Association
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
Life Sciences › Neuroscience › Cognitive Neuroscience › Hemispheric Asymmetry in Neuroscience
Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Keywords: aphasia recovery, right hemisphere activation, compensatory recruitment, lexical-semantic processing, hemispheric lateralization, functional recovery
MeSH terms: Adult, Aphasia, Cerebral Cortex, Female, Follow-Up Studies, Frontal Lobe, Humans, Image Processing, Computer-Assisted, Language, Language Tests, Functional Laterality, Magnetic Resonance Imaging, Male, Middle Aged, Neural Pathways, Oxygen, Oxygen Consumption, Parietal Lobe, Recruitment, Neurophysiological, Temporal Lobe, Recovery of Function, Stroke

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Cortical Language Activation in Stroke Patients Recovering From Aphasia With Functional MRI

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