Neurocognitive basis of repetition deficits in primary progressive aphasia

被引:33
作者
Lukic, Sladjana [1 ]
Mandelli, Maria Luisa [1 ]
Welch, Ariane [1 ]
Jordan, Kesshi [1 ]
Shwe, Wendy [1 ]
Neuhaus, John [1 ]
Miller, Zachary [1 ]
Hubbard, H. Isabel [2 ]
Henry, Maya [3 ]
Miller, Bruce L. [1 ]
Dronkers, Nina F. [4 ,5 ]
Gorno-Tempini, Maria Luisa [1 ]
机构
[1] Univ Calif San Francisco, Dept Neurol, Memory & Aging Ctr, 675 Nelson Rising Lane,Suite 190, San Francisco, CA 94158 USA
[2] Univ Kentucky, Lexington, KY USA
[3] Univ Texas Austin, Austin, TX 78705 USA
[4] Univ Calif Berkeley, Berkeley, CA 94720 USA
[5] Univ Calif Davis, Davis, CA 95616 USA
基金
美国国家卫生研究院;
关键词
Cortical thickness; Phrase repetition; Length; Semantics; Primary progressive aphasia; SHORT-TERM-MEMORY; TRACTOGRAPHY DEPICTING DAMAGE; SENSORY-MOTOR INTEGRATION; CONDUCTION APHASIA; WORKING-MEMORY; ARCUATE FASCICULUS; LOGOPENIC VARIANT; ANATOMY; CLASSIFICATION; IMPAIRMENT;
D O I
10.1016/j.bandl.2019.04.003
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Previous studies indicate that repetition is affected in primary progressive aphasia (PPA), particularly in the logopenic variant, due to limited auditory-verbal short-term memory (avSTM). We tested repetition of phrases varied by length (short, long) and meaning (meaningful, non-meaningful) in 58 participants (22 logopenic, 19 nonfluent, and 17 semantic variants) and 21 healthy controls using a modified Bayles repetition test. We evaluated the relation between cortical thickness and repetition performance and whether sub-scores could discriminate PPA variants. Logopenic participants showed impaired repetition across all phrases, specifically in repeating long phrases and any phrases that were non-meaningful. Nonfluent, semantic, and healthy control participants only had difficulty repeating long, non-meaningful phrases. Poor repetition of long phrases was associated with cortical thinning in left temporo-parietal areas across all variants, highlighting the importance of these areas in avSTM. Finally, Bayles repetition phrases can assist classification in PPA, discriminating logopenic from nonfluent/semantic participants with 89% accuracy.
引用
收藏
页码:35 / 45
页数:11
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