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Impaired comprehension of temporal connectives in Parkinson's disease-A neuroimaging study

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机构: [a]Department of Neurology,University of L¨ubeck, L¨ubeck 23538,Germany [b]Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing,China [c]Dept. of Neurology,Medical School Hannover,Germany [d]Dept. of Neurology,Medical University Sofia,Bulgaria [e]International Neuroscience Institute,Hannover,Germany
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关键词: Parkinson's disease Sentence comprehension Temporal connectives Caudate nucleus Prefrontal cortex fMRI Independent component analysis

摘要:
Parkinson's disease has been found to impair comprehension of complex sentences. Here we follow up on earlier findings that sentences describing two successive events in the form of "Before B, A" are understood worse by Parkinson patients than sentences in the form of "After A, B". Before-initial sentences express events in an order inconsistent with their actual order of occurrence and therefore require additional computations during comprehension. In a behavioral study we tested whether 28 German Parkinson patients reading 'before'- and 'after'-initial sentences correctly understood the sequence of events. A second functional magnetic resonance imaging study investigated 16 different patients who read sentences while in the scanner. The behavioral study revealed that 'before' sentences were misunderstood with regard to the temporal sequence of events in 53% (controls 6.5%). The imaging study demonstrated a functional network of the caudate nucleus, middle frontal gyrus, medial superior frontal gyrus, parietal lobule and inferior temporal gyrus. This network was dynamically modulated for 'before' compared to 'after' sentences in healthy controls but not in Parkinson patients. The current results suggest that the additional computations required for 'before' sentences are supported by a network with the caudate nucleus as a central element. This network was compromised in Parkinson patients. We propose that dysfunction of the caudate nucleus networks underlies Parkinson patients' difficulty in dealing with complex sentence structures. (C) 2012 Elsevier Ltd. All rights reserved.

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出版当年[2011]版:
大类 | 2 区 医学
小类 | 2 区 行为科学 3 区 神经科学
最新[2023]版:
大类 | 3 区 心理学
小类 | 2 区 行为科学 3 区 神经科学 3 区 心理学:实验
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出版当年[2010]版:
Q1 BEHAVIORAL SCIENCES Q1 PSYCHOLOGY, EXPERIMENTAL Q2 NEUROSCIENCES
最新[2023]版:
Q3 PSYCHOLOGY, EXPERIMENTAL Q3 BEHAVIORAL SCIENCES Q3 NEUROSCIENCES

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第一作者机构: [a]Department of Neurology,University of L¨ubeck, L¨ubeck 23538,Germany [b]Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing,China
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通讯机构: [a]Department of Neurology,University of L¨ubeck, L¨ubeck 23538,Germany
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