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Are all brains one size fits all?
NO
-all brains slightly different (like snowflakes)
-cognition different too! everyone thinks differently
-we need to do research and take each person clinically
Logic of Lesion-Deficit Associations
The idea that damage to a specific brain area can reveal the cognitive function that area supports.
Functional Segregation
The concept that different brain regions perform distinct cognitive functions.
Functional Integration
The principle that separate brain areas work together in networks to support complex behaviors.
Lesion Mapping
The process of correlating specific brain damage with behavioral deficits to infer function.
Double Dissociation
A finding showing that two cognitive functions are independent, based on contrasting lesion patterns.
Limitations of Lesion Studies
Constraints such as variability in lesion size, location, and patient recovery affecting conclusions.
Voxel-Based Lesion-Symptom Mapping (VLSM)
A neuroimaging method linking voxel-level brain damage with behavioral performance.
Cognitive-Anatomic Organization
The structured relationship between cognitive processes and neural substrates.
White Matter Tracts
Bundles of axons connecting gray matter regions to enable communication across the brain.
Example: Arcuate Fasciculus
A white matter tract connecting Broca's and Wernicke's areas, important for repetition and speech fluency.
Aphasia
A language disorder caused by brain injury affecting comprehension, expression, or both.
Disconnection Approach
The theory that cognitive deficits result from disrupted communication between brain regions.
Cognitive Neuroscience Approach
A model focusing on distributed networks supporting cognitive functions.
Classic Model (Broca-Wernicke-Arcuate Fasciculus)
Traditional view linking Broca's area to production, Wernicke's to comprehension, and the arcuate fasciculus to repetition.
Broca's Area
Region in the left inferior frontal gyrus involved in speech production and syntax.
Wernicke's Area
Posterior superior temporal gyrus involved in language comprehension.
Arcuate Fasciculus
White matter tract connecting Broca's and Wernicke's areas, supporting repetition.
Angular Gyrus
Region implicated in reading, writing, and semantic processing.
White Matter Integrity
The degree to which white matter pathways are preserved; linked to communication efficiency.
Broca's Aphasia
Nonfluent, effortful speech with relatively good comprehension and poor repetition.
Wernicke's Aphasia
Fluent but nonsensical speech with poor comprehension and impaired repetition.
Conduction Aphasia
Fluent speech and good comprehension but impaired repetition due to arcuate fasciculus damage.
Anomic Aphasia
Word-finding difficulty with otherwise fluent and grammatical speech.
Global Aphasia
Severe language impairment across all modalities due to large perisylvian lesion.
Transcortical Motor Aphasia
Nonfluent speech with good repetition; lesion anterior or superior to Broca's area.
Transcortical Sensory Aphasia
Fluent speech with poor comprehension but preserved repetition.
Isolation of Speech Area
A rare syndrome with preserved repetition but severe comprehension and production deficits.
Paraphasias
Errors in speech such as sound substitutions or word errors.
Confabulations
Invented or distorted statements used to fill memory or language gaps.
Perseverations
Unintentional repetition of previous words, phrases, or responses.
Stereotypical Utterances
Repetitive, automatic phrases often used in severe aphasia.
Dysprosodia
Abnormal rhythm, pitch, or melody of speech.
Echolalia
Automatic repetition of another person's speech.
Lexical Representations
Mental storage of word forms and meanings.
Lexical Processing
Recognition, retrieval, and use of words during comprehension and production.
Semantic Lexicon
Mental store of word meanings.
Phonological Lexicon
Mental store of word sounds.
Orthographic Lexicon
Mental store of written word forms.
Alexia
Acquired reading disorder due to brain injury.
Visual Word Form Area (VWFA)
Region in left occipitotemporal cortex specialized for recognizing written words.
Agraphia
Acquired impairment in writing ability.
Syntactic Processing
Understanding and production of sentence structure.
Semantic Processing
Comprehension of word and sentence meaning.
Semantic Control
Ability to access and manipulate word meanings flexibly.
Thalamic Role in Semantics
Thalamus involvement in regulating semantic retrieval and attention.
Semantic Retrieval
Process of accessing stored word meanings from memory.
Dorsomedial BA6 (pre-SMA)
Region involved in selection and initiation of word retrieval and verbal fluency.
Semantic Representation Regions
Brain areas storing conceptual and categorical knowledge.
Summary of Aphasia Model Limitations
Classic models oversimplify language processing, ignoring distributed and dynamic brain networks.
Apraxia
Motor planning disorder impairing the ability to perform learned movements.
Limb Apraxia
Inability to execute purposeful limb movements despite normal strength and comprehension.
Ideomotor Apraxia
Difficulty performing gestures on command, though spontaneous movements may occur.
Ideational Apraxia
Impaired ability to perform sequences of actions involving object use.
Conceptual Apraxia
Loss of knowledge about tool use or gesture meaning.
Constructional Apraxia
Inability to copy or construct spatial designs.
Dressing Apraxia
Difficulty dressing due to spatial or sequencing deficits.
Buccofacial (Orofacial) Apraxia
Impairment in voluntary movements of face or mouth unrelated to weakness.
Callosal Apraxia
Unilateral limb apraxia due to disconnection between hemispheres via corpus callosum damage.
Gesticulation
Spontaneous hand movements that accompany speech for emphasis or meaning.
Praxis System
Network of brain regions supporting skilled voluntary movement.
Parietal Lobe Role in Apraxia
Stores movement rep