Objectives: In contrast with disorders of comprehension and spontaneous expression, conduction aphasia is characterized by poor repetition, which is a hallmark of the syndrome. There are many theories on the repetition impairment of conduction aphasia. The disconnection theory suggests that a damaged in the arcuate fasciculus, which connects Broca's and Wernicke's area, is the cause of conduction aphasia. In this study, we examined the disconnection theory. Methods: We enrolled ten individuals with conduction aphasia and ten volunteers, and analysed their arcuate fasciculus using diffusion tensor imaging (DTI) and obtained fractional anisotropy (FA) values. Then, the results of the left hemisphere were compared with those of the right hemisphere, and the results of the conduction aphasia cases were compared with those of the volunteers. Results: There were significant differences in the FA values between the left and right hemispheres of volunteers and conduction cases. In volunteers, there was an increase in fiber in the left hemisphere compared with the right hemisphere, whereas there was an increase in fiber in the right hemisphere compared with the left hemisphere in conduction aphasia patients. The results of diffusion tensor tractography suggested that the configuration of the arcuate fasciculus was different between conduction aphasia patients and volunteers, suggesting that there was damage to the arcuate fasciculus of conduction aphasia cases. Conclusions: The damage seen in the arcuate fasciculus of conduction aphasia cases in this study supports the Wernicke-Geschwind disconnection theory. A disconnection between Broca's area and Wernicke's area is likely to be one mechanism of conduction aphasia repetition impairment.
基金:
Beijing municipal health bureau and administrations science research; Beijing Talents Foundation [20071D0300400078]; National Basic Research Program of China (973 Program)National Basic Research Program of China [2007CB512500, 2007CB512503, 2009CB521905]; NSFCNational Natural Science Foundation of China [30700224, 30770715]; 11.5th Key Technologies RD Program [2006BAI01A11]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;[4]Capital Med Univ, Beijing Tiantan Hosp, 6 Tiantanxili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Yumei,Wang Chunxue,Zhao Xingquan,et al.Diffusion tensor imaging depicting damage to the arcuate fasciculus in patients with conduction aphasia: a study of the Wernicke-Geschwind model[J].NEUROLOGICAL RESEARCH.2010,32(7):775-778.doi:10.1179/016164109X12478302362653.
APA:
Zhang, Yumei,Wang, Chunxue,Zhao, Xingquan,Chen, Hongyan,Han, Zaizhu&Wang, Yongjun.(2010).Diffusion tensor imaging depicting damage to the arcuate fasciculus in patients with conduction aphasia: a study of the Wernicke-Geschwind model.NEUROLOGICAL RESEARCH,32,(7)
MLA:
Zhang, Yumei,et al."Diffusion tensor imaging depicting damage to the arcuate fasciculus in patients with conduction aphasia: a study of the Wernicke-Geschwind model".NEUROLOGICAL RESEARCH 32..7(2010):775-778