4.5 Article

Neuroanatomical Correlates of Macrolinguistic Aspects in Narrative Discourse in Unilateral Left and Right Hemisphere Stroke: A Voxel-Based Morphometry Study

Journal

JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH
Volume 64, Issue 5, Pages 1650-1665

Publisher

AMER SPEECH-LANGUAGE-HEARING ASSOC
DOI: 10.1044/2020_JSLHR-20-00500

Keywords

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Funding

  1. Brazilian National Council for Scientific and Technological Development (CNPq) [471272/2014-0, MCTI/CNPQ/MEC/CAPES 22/2014]
  2. FAPERGS/Coordination for the Improvement of Higher Studies in Education (CAPES) [0429-2551/14-5]
  3. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior-Brasil (CAPES) [001]
  4. Fonds de Recherche du Quebec-Sante
  5. CAPES
  6. CNPq
  7. CNPq-Produtividade em Pesquisa

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The study investigates the relationship between gray matter density and macrolinguistic processing, identifying cohesion impairments in the left hemisphere group and impairments in coherence and macroproposition production in the right hemisphere group. The results suggest that both hemispheres are involved in macrolinguistic processes in narrative discourse.
Background: A growing body of literature has demonstrated the importance of discourse assessment in patients who suffered from brain injury, both in the left and right hemispheres, as discourse represents a key component of functional communication. However, little is known about the relationship between gray matter density and macrolinguistic processing. Purpose: This study aimed to investigate this relationship in a group of participants with middle-low to low socioeconomic status. Method: Twenty adults with unilateral left hemisphere (n = 10) or right hemisphere (n = 10) chronic ischemic stroke and 10 matched (age, education, and socioeconomic status) healthy controls produced three oral narratives based on sequential scenes. Voxel-based morphometry analysis was conducted using structural magnetic resonance imaging. Results: Compared to healthy controls, the left hemisphere group showed cohesion impairments, whereas the right hemisphere group showed impairments in coherence and in producing macropropositions. Cohesion positively correlated with gray matter density in the right primary sensory area (PSA)/precentral gyrus and the pars opercularis. Coherence, narrativity, and index of lexical informativeness were positively associated with the left PSA/insula and the superior temporal gyrus. Macropropositions were mostly related to the left PSA/insula and superior temporal gyrus, left cingulate, and right primary motor area/insula. Discussion: Overall, the present results suggest that both hemispheres are implicated in macrolinguistic processes in narrative discourse. Further studies including larger samples and with various socioeconomic status should be conducted.

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