Abstract:With the aid of chronic subdural electrodes we have been able to record from the posterior banks of the sylvian fissure, auditory evoked potentials (AEPs) that had morphologies and peak latencies compatible with the primary AEPs described by Celesia and Puletti (1969). These AEPs had amplitudes that were not only affected by the side of stimulus presentation but were maximal in an area close to the primary auditory cortex. The AEPs also displayed an extremely steep spatial gradient and were not altered by pent… Show more
“…The auditory cortex of the superior temporal gyrus was suggested as the generator source of Pa, based on many clinical reports of missing or abnormal Pa components in subjects with temporal lobe lesions (Graham et al 1980;Kraus et al 1982;Ozdamar et al 1982;Rosati et al 1982;Ozdamar and Kraus 1983), and on topographical mapping (Lee et al 1984) and parametric studies (Erwin and Buchwald 1986a, b). The neuromagnetic study by Pelizzone et al (1987) suggests that the supratemporal auditory cortex is active during Pa and that a change in wave form morphology occurs on the anterior-posterior plane.…”
“…The auditory cortex of the superior temporal gyrus was suggested as the generator source of Pa, based on many clinical reports of missing or abnormal Pa components in subjects with temporal lobe lesions (Graham et al 1980;Kraus et al 1982;Ozdamar et al 1982;Rosati et al 1982;Ozdamar and Kraus 1983), and on topographical mapping (Lee et al 1984) and parametric studies (Erwin and Buchwald 1986a, b). The neuromagnetic study by Pelizzone et al (1987) suggests that the supratemporal auditory cortex is active during Pa and that a change in wave form morphology occurs on the anterior-posterior plane.…”
“…As a testament to his ingenuity, the technique of speech mapping has been largely unchanged over time except for minor modifications in this above described technique, and can also be performed extraoperatively with implanted electrode arrays. 59,60 Penfield described several forms of speech interference from electrical stimulation, including total speech arrest (anarthria), hesitation, slurring, distortion, repetition, and confusion (jumping from "six" to "twenty" and then back to "nine"). 86 During the picture-naming task, he described other more complex effects such as the inability to name with retained ability to speak and the perseveration of words that were presented previously.…”
T he pursuit of defining how the human brain processes language is one of the greatest challenges in neuroscience. Pierre Broca and Karl Wernicke made fundamental contributions at a time when the practice of localization by phrenology was pervasive. Their careful studies were some of the first to define functional localization in the brain by studying patients with defined brain injuries and lesions. Over time, their names have become synonymous with two key brain areas for language function: the inferior frontal gyrus and superior posterior temporal area, respectively. The brain regions that bear their names are now universal in every medical student's education. However, the dichotomy of language production based in the frontal lobe and language comprehension based in the temporal lobe is a commonly oversimplified interpretation of their work. For example, injuries to Wernicke's area result in abnormal speech production in addition to deficits in comprehension. Frontal lesions can also result in higherorder comprehension deficits. Thus, the language network is more complicated and integrated than commonly appreciated. In the last 15 years, an exponential increase in the number of studies on the neurobiology of language has improved our understanding of potential mechanisms, but many fundamental questions remain unresolved.Our goal in this overview is to provide an update to neurosurgeons by comparing classic with more recent models of language organization. It is not meant to be an exhaustive review of language research, which is beyond our intended scope, but rather to introduce contemporary theories and briefly review selected neurosurgical experience with stimulation-based language mapping. This will abbreviatioNs DTI = diffusion tensor imaging; fMRI = functional MRI; IFOF = inferior fronto-occipital fasciculus; MTG = middle temporal gyrus; PVWM = periventricular white matter; SLF = superior longitudinal fasciculus; SMA = supplementary motor area; STG = superior temporal gyrus; STS = superior temporal sulcus. Classic models of language organization posited that separate motor and sensory language foci existed in the inferior frontal gyrus (Broca's area) and superior temporal gyrus (Wernicke's area), respectively, and that connections between these sites (arcuate fasciculus) allowed for auditory-motor interaction. These theories have predominated for more than a century, but advances in neuroimaging and stimulation mapping have provided a more detailed description of the functional neuroanatomy of language. New insights have shaped modern network-based models of speech processing composed of parallel and interconnected streams involving both cortical and subcortical areas. Recent models emphasize processing in "dorsal" and "ventral" pathways, mediating phonological and semantic processing, respectively. Phonological processing occurs along a dorsal pathway, from the posterosuperior temporal to the inferior frontal cortices. On the other hand, semantic information is carried in a ventral pathway that runs fro...
“…These source differences were widely discussed in our earlier report (Pratt et al, 2009) and were reconciled by differences in methods of recording (electric or magnetic fields), beat frequency (40 Hz or a few Hz), source models (dipole, current density distribution or no model with only scalp distribution). These methodological variations resulted in differences in the relative contributions of symmetrical, high-frequency thalamocortical and lateralized, slower cortical sources to the scalp-recorded responses in addition to the relative contribution of slower cortical activity from secondary non-specific cortex and middle latency activity from specific auditory cortex (Galambos et al, 1981;Kileny and Shea, 1986;Hashimoto, 1982;Lee et al, 1984;McGee et al, 1992;Zaaroor et al, 2003). The earlier studies and this study thus complement each other, showing that beats, most probably present as early as the brainstem (human steady-state potentials and animal studies), persist through auditory processing at the thalamus and specific auditory cortex (previous beats studies) and further involve cortical non-specific areas in the left temporal lobe (this study).…”
Section: Sources Of Acoustic Beats and Binaural Beatsmentioning
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