Unlocking the Language Code: Mapping Neural Changes in Patients with Primary Progressive Aphasia

Published on August 25, 2022

Imagine your brain is a bustling city, with different neighborhoods responsible for different tasks. In the city of language, primary progressive aphasia (PPA) is like a skilled craftsman striking specific regions and impairing their function. Researchers in Korea delved into the neuroanatomical changes related to language impairment in PPA patients. They recruited 96 patients from the memory clinic and conducted language tests while measuring cortical thickness. The results showed that poor performance in various language function tests correlated with lower cortical thickness in specific areas of the brain. These regions included the lateral and basal temporal regions for object naming and semantic generative naming, the prefrontal and inferior parietal regions for phonemic generative naming, and the superior and middle temporal regions for comprehension. Interestingly, the neural substrates for semantic generative naming differed between PPA patients and those with other causes of dementia. This study sheds light on the unique pathomechanisms underlying language impairments in PPA patients. To explore more about this fascinating research, dive into the full article!

ObjectiveLanguage function test-specific neural substrates in Korean patients with primary progressive aphasia (PPA) might differ from those in other causes of dementia and English-speaking PPA patients. We investigated the correlation between language performance tests and cortical thickness to determine neural substrates in Korean patients with PPA.Materials and methodsNinety-six patients with PPA were recruited from the memory clinic. To acquire neural substrates, we performed linear regression using the scores of each language test as a predictor, cortical thickness as an outcome and age, sex, years of education, and intracranial volume as confounders.ResultsPoor performance in each language function test was associated with lower cortical thickness in specific cortical regions: (1) object naming and the bilateral anterior to mid-portion of the lateral temporal and basal temporal regions; (2) semantic generative naming and the bilateral anterior to mid-portion of the lateral temporal and basal temporal regions; (3) phonemic generative naming and the left prefrontal and inferior parietal regions; and (4) comprehension and the left posterior portion of the superior and middle temporal regions. In particular, the neural substrates of the semantic generative naming test in PPA patients, left anterior to mid-portion of the lateral and basal temporal regions, quite differed from those in patients with other causes of dementia.ConclusionOur findings provide a better understanding of the different pathomechanisms for language impairments among PPA patients from those with other causes of dementia.

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