Structural plasticity of the ventral stream and aphasia recovery.

Structural plasticity of the ventral stream and aphasia recovery.
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DOI:
10.1002/ana.24983
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发表时间:
2017-07
影响因子:
11.2
通讯作者:
Bonilha L
Bonilha L
中科院分区:
医学1区
文献类型:
--
作者:
McKinnon ET;Fridriksson J;Glenn GR;Jensen JH;Helpern JA;Basilakos A;Rorden C;Shih AY;Spampinato MV;Bonilha L

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脑卒中后失语症患者的言语恢复可能需要重新强化残余的语言网络。八名慢性失语症患者接受了为期三周的强化言语治疗,治疗前后进行了标准化的命名测试和脑MRI。基于峰度的弥散张量纤维束成像被用来测量沿着下纵束(ILF)段的平均峰度(MK)。治疗相关的语义错误而非音位错误的数量减少与ILF MK的加强(重新规范化)相关(r=-0.90,P<0.05校正),表明言语恢复与残余语言网络的语言特异性成分的结构可塑性有关。
Re-strengthening of the residual language network is likely crucial for speech recovery in post-stroke aphasia. Eight participants with chronic aphasia received intensive speech therapy for three weeks, with standardized naming tests and brain MRIs before and after therapy. Kurtosis-based diffusion tensor tractography was used to measure mean kurtosis (MK) along a segment of the inferior longitudinal fasciculus (ILF). Therapy related reduction in the number of semantic but not phonemic errors was associated with strengthening (renormalization) of ILF MK (r=-0.90, P<0.05 corrected), suggesting that speech recovery is related to structural plasticity of linguistic specific components of the residual language network.
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