Search bioRxiv⌕ Search

Biology subjects

Dronkers, N. F.

Publications and source records attributed to Dronkers, N. F..

3 recordsLinked to original sources

Sensorimotor dynamics differentiate singing and speaking

Singing and speaking often dissociate clinically--people who stutter can sing fluently, and individuals with aphasia and speech output problems from stroke may express sentences fluently in song--yet the neural mechanisms of this centuries-old clinical phenomenon remain unclear. We recorded intracranial EEG while neurosurgical patients produced matched sentences by singing or speaking, sampling millimeter- and millisecond-scale activity across both hemispheres. During articulation, high-frequency activity (70-150 Hz) lateralized oppositely across behaviors, with right-dominant sensorimotor cortex (SMC) activation for singing and left-dominant activation for speaking. Phase-amplitude coupling revealed that mu-band ([~]10 Hz) phase locally organized HFA in left SMC in a channel-specific, spatially interdigitated architecture preserved across both behaviors. Mu-band synchrony in speaking showed an early left-led pattern, whereas singing exhibited a ramping of synchrony within the left sensorimotor cortex and between the two motor cortices, supporting progressive interhemispheric recruitment. Frequency-domain Granger- Geweke causality revealed that the left primary somatosensory cortex drives both motor cortices at speech onset. In contrast in singing, control over motor cortices relied on both hemispheres. Singing and speaking engage a shared mu-coupled sensorimotor substrate through distinct recruitment dynamics.

neuroscience↗

Cerebral perfusion in post-stroke aphasia and its relation to residual language abilities

Stroke alters blood flow to the brain resulting in damaged tissue and cell death. Moreover, the disruption of cerebral blood flow (perfusion) can be observed in areas surrounding and distal to the lesion. These structurally preserved but sub-optimally perfused regions may also affect recovery. Thus, to better understand aphasia recovery the relationship between cerebral perfusion and language needs to be systematically examined. In the current study, we aimed to evaluate 1) how stroke affects perfusion outside of lesioned areas in chronic aphasia, and 2) how perfusion in specific cortical areas and perilesional tissue relates to language outcomes in aphasia. We analyzed perfusion data from a large sample of participants with chronic aphasia due to left hemisphere stroke (n=43) and age-matched healthy controls (n=25). We used anatomically-defined regions of interest that covered the frontal, parietal, and temporal areas of the perisylvian cortex in both hemispheres, areas typically known to support language, along with several control regions not implicated in language processing. For the aphasia group we also looked at three regions of interest in the perilesional tissue. We compared perfusion levels between the two groups and investigated the relationship between perfusion levels and language subtest scores while controlling for demographic and lesion variables. First, we observed that perfusion levels outside the lesioned areas were significantly reduced in frontal and parietal regions in the left hemisphere in people with aphasia compared to the control group, while no differences were observed for the right hemisphere regions. Second, we found that perfusion in the left temporal lobe (and most strongly in the posterior part of both superior and middle temporal gyri) and inferior parietal areas (supramarginal gyrus) was significantly related to residual expressive and receptive language abilities. In contrast, perfusion in the frontal regions did not show such a relationship; no relationship with language was also observed for perfusion levels in control areas and all right hemisphere regions. Third, perilesional perfusion was only marginally related to language production abilities. Cumulatively, the current findings demonstrate that blood flow is reduced beyond the lesion site in chronic aphasia and that hypoperfused neural tissue in critical temporoparietal language areas has a negative impact on behavioral outcomes. These results, using perfusion imaging, underscore the critical and general role that left hemisphere posterior temporal regions play in various expressive and receptive language abilities. Overall, the study highlights the importance of exploring perfusion measures in stroke.

neuroscience↗

An empirical comparison of univariate versus multivariate methods for the analysis of brain-behavior mapping

Lesion symptom mapping (LSM) tools are used on brain injury data to identify the neural structures critical for a given behavior or symptom. Univariate lesion-symptom mapping (ULSM) methods provide statistical comparisons of behavioral test scores in patients with and without a lesion on a voxel by voxel basis. More recently, multivariate lesion-symptom mapping (MLSM) methods have been developed that consider the effects of all lesioned voxels in one model simultaneously. However, very little work has been done to empirically compare the advantages and disadvantages of these two different methods. In the current study, we provide a needed systematic comparison of 5 ULSM and 8 MLSM methods, using both synthetic and real data to identify the potential strengths and weaknesses of both approaches. We tested power and spatial precision of each LSM method for both single and dual (network type) anatomical target simulations across anatomical target location, sample size, noise level, and lesion smoothing. Additionally, we performed false positive simulations to identify the characteristics associated with each methods spurious findings. Simulations showed no clear superiority of either ULSM or MLSM methods overall, but rather highlighted specific advantages of different methods. No single method produced a thresholded LSM map that exclusively delineated brain regions associated with the target behavior. Thus, different LSM methods are indicated, depending on the particular study design, specific hypotheses, and sample size. Overall, we recommend the use of both ULSM and MLSM methods in tandem to enhance confidence in the results: Brain foci identified as significant across both types of methods are unlikely to be spurious and can be confidently reported as robust results.

neuroscience↗