Impairment of Speech Production Predicted by Lesion Load of the Left Arcuate Fasciculus
Author(s) -
Sarah Marchina,
Lin Zhu,
Andrea Norton,
Lauryn Zipse,
Catherine Y. Wan,
Gottfried Schlaug
Publication year - 2011
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.110.606103
Subject(s) - arcuate fasciculus , lesion , medicine , fasciculus , superior longitudinal fasciculus , uncinate fasciculus , aphasia , audiology , anatomy , diffusion mri , pathology , radiology , magnetic resonance imaging , tractography , fractional anisotropy , psychiatry
Previous studies have suggested that patients' potential for poststroke language recovery is related to lesion size; however, lesion location may also be of importance, particularly when fiber tracts that are critical to the sensorimotor mapping of sounds for articulation (eg, the arcuate fasciculus) have been damaged. In this study, we tested the hypothesis that lesion loads of the arcuate fasciculus (ie, volume of arcuate fasciculus that is affected by a patient's lesion) and of 2 other tracts involved in language processing (the extreme capsule and the uncinate fasciculus) are inversely related to the severity of speech production impairments in patients with stroke with aphasia.
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