In bilingual aphasics, the neural correlates of rehabilitation benefits and their generalization across languages are still scarcely understood. The authors present the case of a highly proficient bilingual woman (Flemish, L1/Italian, L2) with chronic aphasia who, in the presence of the same pattern of impairment in both languages, showed parallel recovery in both languages after long-term rehabilitation therapy in L2. The authors postulated that this recovery was due to the engagement of the same neural substrates. To confirm this the authors used an event-related functional magnetic resonance imaging (fMRI) paradigm to explore cortical activation during an overt picture naming task, performed in both Flemish and Italian once before and once after 2 weeks of training in L2. Behaviorally, the patient showed complete recovery of both languages. The fMRI results indicated that the same cerebral regions were recruited for both languages before and after training. Increasing activations were observed perilesionally and in homologous contralesional areas. Our data, in agreement with previous results of fMRI studies in healthy bilinguals, indicate a promising direction for future research on the neural mechanisms associated with recovery in bilingual aphasics.
We present a patient, who, following a right posterior ischemia, showed a selective deficit in visually recognising pictures, objects and faces. She was able to read and comprehend any kind of written material and could recognise letters and numbers. Her inability to recognise pictures did not arise from a deficit at the structural description level and/or from a poor semantic knowledge of the stimuli. We argue that her recognition deficit arose from an inability in combining the different elements of the visual stimuli in an unitary percept. Results are discussed in terms of dissociations between local versus global processing, as well as bottom-up versus top-down mechanisms.
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