The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study

Aphasia in bilingual patients is a therapeutic challenge since both languages can be impacted by the same lesion. Language control has been suggested to play an important role in the recovery of first (L1) and second (L2) language in bilingual aphasia following stroke. To test this hypothesis, we co...

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Main Authors: Narges Radman, Michael Mouthon, Marie Di Pietro, Chrisovalandou Gaytanidis, Beatrice Leemann, Jubin Abutalebi, Jean-Marie Annoni
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/8797086
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author Narges Radman
Michael Mouthon
Marie Di Pietro
Chrisovalandou Gaytanidis
Beatrice Leemann
Jubin Abutalebi
Jean-Marie Annoni
author_facet Narges Radman
Michael Mouthon
Marie Di Pietro
Chrisovalandou Gaytanidis
Beatrice Leemann
Jubin Abutalebi
Jean-Marie Annoni
author_sort Narges Radman
collection DOAJ
description Aphasia in bilingual patients is a therapeutic challenge since both languages can be impacted by the same lesion. Language control has been suggested to play an important role in the recovery of first (L1) and second (L2) language in bilingual aphasia following stroke. To test this hypothesis, we collected behavioral measures of language production (general aphasia evaluation and picture naming) in each language and language control (linguistic and nonlinguistic switching tasks), as well as fMRI during a naming task at one and four months following stroke in five bilingual patients suffering from poststroke aphasia. We further applied dynamic causal modelling (DCM) analyses to the connections between language and control brain areas. Three patients showed parallel recovery in language production, one patient improved in L1, and one improved in L2 only. Language-control functions improved in two patients. Consistent with the dynamic view of language recovery, DCM analyses showed a higher connectedness between language and control areas in the language with the better recovery. Moreover, similar degrees of connectedness between language and control areas were found in the patients who recovered in both languages. Our data suggest that engagement of the interconnected language-control network is crucial in the recovery of languages.
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spelling doaj-art-de9017b2daac4e4da990670044b8124f2025-02-03T01:22:02ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/87970868797086The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI StudyNarges Radman0Michael Mouthon1Marie Di Pietro2Chrisovalandou Gaytanidis3Beatrice Leemann4Jubin Abutalebi5Jean-Marie Annoni6Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, SwitzerlandNeurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, SwitzerlandNeurorehabilitation Department, University Hospital, University of Geneva, Geneva, SwitzerlandNeurorehabilitation Department, University Hospital, University of Geneva, Geneva, SwitzerlandNeurorehabilitation Department, University Hospital, University of Geneva, Geneva, SwitzerlandCenter for Neurolinguistics and Psycholinguistics, San Raffaele University and Scientific Institute San Raffaele, Milan, ItalyNeurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, SwitzerlandAphasia in bilingual patients is a therapeutic challenge since both languages can be impacted by the same lesion. Language control has been suggested to play an important role in the recovery of first (L1) and second (L2) language in bilingual aphasia following stroke. To test this hypothesis, we collected behavioral measures of language production (general aphasia evaluation and picture naming) in each language and language control (linguistic and nonlinguistic switching tasks), as well as fMRI during a naming task at one and four months following stroke in five bilingual patients suffering from poststroke aphasia. We further applied dynamic causal modelling (DCM) analyses to the connections between language and control brain areas. Three patients showed parallel recovery in language production, one patient improved in L1, and one improved in L2 only. Language-control functions improved in two patients. Consistent with the dynamic view of language recovery, DCM analyses showed a higher connectedness between language and control areas in the language with the better recovery. Moreover, similar degrees of connectedness between language and control areas were found in the patients who recovered in both languages. Our data suggest that engagement of the interconnected language-control network is crucial in the recovery of languages.http://dx.doi.org/10.1155/2016/8797086
spellingShingle Narges Radman
Michael Mouthon
Marie Di Pietro
Chrisovalandou Gaytanidis
Beatrice Leemann
Jubin Abutalebi
Jean-Marie Annoni
The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
Neural Plasticity
title The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
title_full The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
title_fullStr The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
title_full_unstemmed The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
title_short The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study
title_sort role of the cognitive control system in recovery from bilingual aphasia a multiple single case fmri study
url http://dx.doi.org/10.1155/2016/8797086
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