Degenerative and Vascular Fluent Aphasia: Looking for Differences.

作者: Maria Caterina Silveri , Sonia Di Tella , Eugenio Magni , Fulvio Pepe , Edoardo Leone

DOI: 10.1097/WNN.0000000000000207

关键词:

摘要: Objective To investigate whether the characteristics of language disorders degenerative and vascular aphasias depend on underlying neuropathology. Methods Logopenic variant/mixed primary progressive aphasics (lvmPPA; n=18) poststroke fluent (PSA; n=11) underwent a neuropsychological examination an assessment macro- microlinguistic aspects language. A principal component analysis cluster applying two-group solution were performed scores obtained from examination. Results Global cognition, lexical-semantic, morphosyntactic components, two components loading macrolinguistic variables, extracted by analysis. first 18 participants (14 lvmPPA 4 PSA) second 11 (4 7 identified. Participants in significantly more impaired than those global components. Macrolinguistic did not differentiate clusters. showed bilateral cortical thinning (greater left), whereas atrophy only left. with PSA both clusters lesions encompassing posterior left perisylvian regions. Underestimation severity leukoencephalopathy damage interhemispheric connectivity might be responsible for inclusion individuals cluster, despite unilateral lesion. Conclusions Lesion localization is main factor that determines aphasic deficits. Etiology indirectly acts through different sensitivity brain regions to various pathologies.

参考文章(49)
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
M.-Marsel Mesulam, Cynthia K. Thompson, Sandra Weintraub, Emily J. Rogalski, The Wernicke conundrum and the anatomy of language comprehension in primary progressive aphasia Brain. ,vol. 138, pp. 2423- 2437 ,(2015) , 10.1093/BRAIN/AWV154
R. Debleser, R. Cubelli, C. Luzzatti, Conduction aphasia, misrepresentations, and word representations. Brain and Language. ,vol. 45, pp. 475- 494 ,(1993) , 10.1006/BRLN.1993.1056
Stephen M. Wilson, Sebastiano Galantucci, Maria Carmela Tartaglia, Kindle Rising, Dianne K. Patterson, Maya L. Henry, Jennifer M. Ogar, Jessica DeLeon, Bruce L. Miller, Maria Luisa Gorno-Tempini, Syntactic processing depends on dorsal language tracts Neuron. ,vol. 72, pp. 397- 403 ,(2011) , 10.1016/J.NEURON.2011.09.014
Kyrana Tsapkini, Argye E. Hillis, Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia Behavioural Neurology. ,vol. 26, pp. 55- 66 ,(2013) , 10.3233/BEN-2012-110240
Cristian E. Leyton, John R. Hodges, Catriona A. McLean, Jillian J. Kril, Olivier Piguet, Kirrie J. Ballard, Is the logopenic-variant of primary progressive aphasia a unitary disorder? Cortex. ,vol. 67, pp. 122- 133 ,(2015) , 10.1016/J.CORTEX.2015.03.011
Roberto Cabeza, Lars Nyberg, Imaging Cognition II: An Empirical Review of 275 PET and fMRI Studies Journal of Cognitive Neuroscience. ,vol. 12, pp. 1- 47 ,(2000) , 10.1162/08989290051137585
Maria Caterina Silveri, Emanuele Pravatà, Anna Clelia Brita, Erika Improta, Nicoletta Ciccarelli, Paola Rossi, Cesare Colosimo, Primary progressive aphasia: linguistic patterns and clinical variants Brain and Language. ,vol. 135, pp. 57- 65 ,(2014) , 10.1016/J.BANDL.2014.05.004
M.-Marsel Mesulam, Emily J. Rogalski, Christina Wieneke, Robert S. Hurley, Changiz Geula, Eileen H. Bigio, Cynthia K. Thompson, Sandra Weintraub, Primary progressive aphasia and the evolving neurology of the language network Nature Reviews Neurology. ,vol. 10, pp. 554- 569 ,(2014) , 10.1038/NRNEUROL.2014.159
Andrea Marini, Sara Andreetta, Silvana del Tin, Sergio Carlomagno, A multi-level approach to the analysis of narrative language in aphasia Aphasiology. ,vol. 25, pp. 1372- 1392 ,(2011) , 10.1080/02687038.2011.584690