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. 1987 May;50(5):553–560. doi: 10.1136/jnnp.50.5.553

The aprosodias: further functional-anatomical evidence for the organisation of affective language in the right hemisphere.

P B Gorelick, E D Ross
PMCID: PMC1031966  PMID: 2438386

Abstract

Fourteen right-handed patients with right hemispheric strokes were examined for disorders of affective language in order to further define the clinical-anatomical correlates of the aprosodias. A bedside evaluation strategy and CT scan mappings were utilised to make these comparisons. There were six patients with motor aprosodia, one with global aprosodia, two with conduction aprosodia, one with sensory aprosodia, one with transcortical sensory aprosodia, one with pure affective deafness and two with normal examinations of affect. Functional-anatomical correlations were consistent with those predicted previously. Recovery of affective language function in selected cases was characterised by improvements in affective-prosodic repetition and/or evolution into other aprosodic subtypes. Our results lend further support to the hypothesis that the organisation of affective language in the right hemisphere mirrors that of propositional language in the left hemisphere.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Albert M. L., Bear D. Time to understand. A case study of word deafness with reference to the role of time in auditory comprehension. Brain. 1974 Jun;97(2):373–384. doi: 10.1093/brain/97.1.373. [DOI] [PubMed] [Google Scholar]
  2. Benson D. F., Sheremata W. A., Bouchard R., Segarra J. M., Price D., Geschwind N. Conduction aphasia. A clinicopathological study. Arch Neurol. 1973 May;28(5):339–346. doi: 10.1001/archneur.1973.00490230075011. [DOI] [PubMed] [Google Scholar]
  3. Blumstein S., Goodglass H. The perception of stress as a semantic cue in aphasia. J Speech Hear Res. 1972 Dec;15(4):800–806. doi: 10.1044/jshr.1504.800. [DOI] [PubMed] [Google Scholar]
  4. Brown J. W., Wilson F. R. Crossed aphasia in a dextral. A case report. Neurology. 1973 Sep;23(9):907–911. doi: 10.1212/wnl.23.9.907. [DOI] [PubMed] [Google Scholar]
  5. Cicone M., Wapner W., Gardner H. Sensitivity to emotional expressions and situations in organic patients. Cortex. 1980 Mar;16(1):145–158. doi: 10.1016/s0010-9452(80)80029-3. [DOI] [PubMed] [Google Scholar]
  6. Damasio A. R., Damasio H., Rizzo M., Varney N., Gersh F. Aphasia with nonhemorrhagic lesions in the basal ganglia and internal capsule. Arch Neurol. 1982 Jan;39(1):15–24. doi: 10.1001/archneur.1982.00510130017003. [DOI] [PubMed] [Google Scholar]
  7. Damasio H., Damasio A. R. The anatomical basis of conduction aphasia. Brain. 1980 Jun;103(2):337–350. doi: 10.1093/brain/103.2.337. [DOI] [PubMed] [Google Scholar]
  8. Davis K. R., Kistler J. P., Buonanno F. S. Clinical neuroimaging approaches to cerebrovascular diseases. Neurol Clin. 1984 Nov;2(4):655–665. [PubMed] [Google Scholar]
  9. Gazzaniga M. S., Glass A. V., Sarno M. T., Posner J. B. Pure word deafness and hemispheric dynamics: a case history. Cortex. 1973 Mar;9(1):136–143. doi: 10.1016/s0010-9452(73)80022-x. [DOI] [PubMed] [Google Scholar]
  10. Gloor P., Olivier A., Quesney L. F., Andermann F., Horowitz S. The role of the limbic system in experiential phenomena of temporal lobe epilepsy. Ann Neurol. 1982 Aug;12(2):129–144. doi: 10.1002/ana.410120203. [DOI] [PubMed] [Google Scholar]
  11. Heilman K. M., Scholes R., Watson R. T. Auditory affective agnosia. Disturbed comprehension of affective speech. J Neurol Neurosurg Psychiatry. 1975 Jan;38(1):69–72. doi: 10.1136/jnnp.38.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hughes C. P., Chan J. L., Su M. S. Aprosodia in Chinese patients with right cerebral hemisphere lesions. Arch Neurol. 1983 Nov;40(12):732–736. doi: 10.1001/archneur.1983.04050110050007. [DOI] [PubMed] [Google Scholar]
  13. Kent R. D., Rosenbek J. C. Prosodic disturbance and neurologic lesion. Brain Lang. 1982 Mar;15(2):259–291. doi: 10.1016/0093-934x(82)90060-8. [DOI] [PubMed] [Google Scholar]
  14. Larsen B., Skinhøj E., Lassen N. A. Variations in regional cortical blood flow in the right and left hemispheres during automatic speech. Brain. 1978 Jun;101(2):193–209. doi: 10.1093/brain/101.2.193. [DOI] [PubMed] [Google Scholar]
  15. Luzzatti C., Scotti G., Gattoni A. Further suggestions for cerebral CT-localization. Cortex. 1979 Sep;15(3):483–490. doi: 10.1016/s0010-9452(79)80072-6. [DOI] [PubMed] [Google Scholar]
  16. Masdeu J. C., Schoene W. C., Funkenstein H. Aphasia following infarction of the left supplementary motor area: a clinicopathologic study. Neurology. 1978 Dec;28(12):1220–1223. doi: 10.1212/wnl.28.12.1220. [DOI] [PubMed] [Google Scholar]
  17. Mazzocchi F., Vignolo L. A. Computer assisted tomography in neuropsychological research: a simple procedure for lesion mapping. Cortex. 1978 Mar;14(1):136–144. doi: 10.1016/s0010-9452(78)80018-5. [DOI] [PubMed] [Google Scholar]
  18. Mohr J. P., Pessin M. S., Finkelstein S., Funkenstein H. H., Duncan G. W., Davis K. R. Broca aphasia: pathologic and clinical. Neurology. 1978 Apr;28(4):311–324. doi: 10.1212/wnl.28.4.311. [DOI] [PubMed] [Google Scholar]
  19. Naeser M. A., Alexander M. P., Helm-Estabrooks N., Levine H. L., Laughlin S. A., Geschwind N. Aphasia with predominantly subcortical lesion sites: description of three capsular/putaminal aphasia syndromes. Arch Neurol. 1982 Jan;39(1):2–14. doi: 10.1001/archneur.1982.00510130004002. [DOI] [PubMed] [Google Scholar]
  20. Racy A., Jannotta F. S., Lehner L. H. Aphasia resulting from occlusion of the left anterior cerebral artery. Report of a case with an old infarct in the left Rolandic region. Arch Neurol. 1979 Apr;36(4):221–224. doi: 10.1001/archneur.1979.00500400075012. [DOI] [PubMed] [Google Scholar]
  21. Ross E. D., Mesulam M. M. Dominant language functions of the right hemisphere? Prosody and emotional gesturing. Arch Neurol. 1979 Mar;36(3):144–148. doi: 10.1001/archneur.1979.00500390062006. [DOI] [PubMed] [Google Scholar]
  22. Ross E. D., Rush A. J. Diagnosis and neuroanatomical correlates of depression in brain-damaged patients. Implications for a neurology of depression. Arch Gen Psychiatry. 1981 Dec;38(12):1344–1354. doi: 10.1001/archpsyc.1981.01780370046005. [DOI] [PubMed] [Google Scholar]
  23. Ross E. D. The aprosodias. Functional-anatomic organization of the affective components of language in the right hemisphere. Arch Neurol. 1981 Sep;38(9):561–569. doi: 10.1001/archneur.1981.00510090055006. [DOI] [PubMed] [Google Scholar]
  24. SPREEN O., BENTON A. L., FINCHAM R. W. AUDITORY AGNOSIA WITHOUT APHASIA. Arch Neurol. 1965 Jul;13:84–92. doi: 10.1001/archneur.1965.00470010088012. [DOI] [PubMed] [Google Scholar]
  25. Schwartz G. E., Davidson R. J., Maer F. Right hemisphere lateralization for emotion in the human brain: interactions with cognition. Science. 1975 Oct 17;190(4211):286–288. doi: 10.1126/science.1179210. [DOI] [PubMed] [Google Scholar]
  26. Speedie L. J., Coslett H. B., Heilman K. M. Repetition of affective prosody in mixed transcortical aphasia. Arch Neurol. 1984 Mar;41(3):268–270. doi: 10.1001/archneur.1984.04050150046014. [DOI] [PubMed] [Google Scholar]
  27. Tucker D. M., Watson R. T., Heilman K. M. Discrimination and evocation of affectively intoned speech in patients with right parietal disease. Neurology. 1977 Oct;27(10):947–950. doi: 10.1212/wnl.27.10.947. [DOI] [PubMed] [Google Scholar]
  28. Wechsler A. F. The effect of organic brain disease on recall of emotionally charged versus neutral narrative texts. Neurology. 1973 Feb;23(2):130–135. doi: 10.1212/wnl.23.2.130. [DOI] [PubMed] [Google Scholar]
  29. Weintraub S., Mesulam M. M., Kramer L. Disturbances in prosody. A right-hemisphere contribution to language. Arch Neurol. 1981 Dec;38(12):742–744. doi: 10.1001/archneur.1981.00510120042004. [DOI] [PubMed] [Google Scholar]
  30. Zangwill O. L. Speech and the minor hemisphere. Acta Neurol Psychiatr Belg. 1967 Nov;67(11):1013–1020. [PubMed] [Google Scholar]
  31. Zangwill O. L. Two cases of crossed aphasia in dextrals. Neuropsychologia. 1979;17(2):167–172. doi: 10.1016/0028-3932(79)90007-1. [DOI] [PubMed] [Google Scholar]

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