Clinical Approaches to the Functional Organization of Language
Kyoko Suzuki
Department of Disability Medicine,
Tohoku University Graduate School of Medicine, Sendai, Japan
Abstract; More than 100 years ago, observation of language impairment
in aphasic patients was an only way to know the language function of
a specific cerebral region. Now many clinical, radiological and neurophysiological
techniques are available to research the neuronal bases of language.
These techniques are divided into two groups. The first group includes
lesion studies in aphasics, transcranial magnetic stimulation and cortical
electric stimulation, which indicate language organization by suppressing
neuronal activity on local areas and assessing the patientfs ability
to perform language tasks. The second group includes functional MRI,
PET, electroencephalography, magnetoencephalography, and functional
transcranial doppler sonography, which detect, directly or indirectly,
neuronal activity associated with performance of language tasks. Areas
indicated by each of these methods relating to a specific process of
language were not always in agreement. Sometimes partial overlapping
of related areas was observed between two methods, and complete disagreement
could also occur. This talk provides data using various methods and
examples of partial disagreement among techniques. To clarify the neuronal
bases of language, it is necessary to comprehend both advantages and
disadvantages in each method and to perform not only quantitative but
also qualitative analysis of the results.
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