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https://www.readbyqxmd.com/read/29231090/esophageal-dysmotility-in-patients-following-total-laryngectomy
#1
Teng Zhang, Julia Maclean, Michal Szczesniak, Paul P Bertrand, Harry Quon, Raymond K Tsang, Peter I Wu, Peter Graham, Ian J Cook
Objectives Dysphagia is common in total laryngectomees, with some symptoms suggesting esophageal dysmotility. Tracheoesophageal (TE) phonation requires effective esophagopharyngeal air passage. Hence, esophageal dysmotility may affect deglutition or TE phonation. This study aimed to determine (1) the characteristics of esophageal dysmotility in laryngectomees, (2) whether clinical history is sensitive in detecting esophageal dysmotility, and (3) the relationship between esophageal dysmotility and TE prosthesis dysfunction...
November 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29230808/dopamine-drives-left-hemispheric-lateralization-of-neural-networks-during-human-speech
#2
Stefan Fuertinger, Joel C Zinn, Ashwini D Sharan, Farid Hamzei-Sichani, Kristina Simonyan
Although the concept of left-hemispheric lateralization of neural processes during speech production has been known since the times of Broca, its physiological underpinnings still remain elusive. We sought to assess the modulatory influences of a major neurotransmitter, dopamine, on hemispheric lateralization during real-life speaking using a multimodal analysis of functional MRI, intracranial EEG recordings, and large-scale neural population simulations based on diffusion-weighted MRI. We demonstrate that speech-induced phasic dopamine release into the dorsal striatum and speech motor cortex exerts direct modulation of neuronal activity in these regions and drives left-hemispheric lateralization of speech production network...
December 12, 2017: Journal of Comparative Neurology
https://www.readbyqxmd.com/read/29228195/structural-connectivity-of-right-frontal-hyperactive-areas-scales-with-stuttering-severity
#3
Nicole E Neef, Alfred Anwander, Christoph Bütfering, Carsten Schmidt-Samoa, Angela D Friederici, Walter Paulus, Martin Sommer
A neuronal sign of persistent developmental stuttering is the magnified coactivation of right frontal brain regions during speech production. Whether and how stuttering severity relates to the connection strength of these hyperactive right frontal areas to other brain areas is an open question. Scrutinizing such brain-behaviour and structure-function relationships aims at disentangling suspected underlying neuronal mechanisms of stuttering. Here, we acquired diffusion-weighted and functional images from 31 adults who stutter and 34 matched control participants...
December 8, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29228180/longitudinal-structural-and-molecular-neuroimaging-in-agrammatic-primary-progressive-aphasia
#4
Katerina A Tetzloff, Joseph R Duffy, Heather M Clark, Edythe A Strand, Mary M Machulda, Christopher G Schwarz, Matthew L Senjem, Robert I Reid, Anthony J Spychalla, Nirubol Tosakulwong, Val J Lowe, Clifford R Jack, Keith A Josephs, Jennifer L Whitwell
The agrammatic variant of primary progressive aphasia affects normal grammatical language production, often occurs with apraxia of speech, and is associated with left frontal abnormalities on cross-sectional neuroimaging studies. We aimed to perform a detailed assessment of longitudinal change on structural and molecular neuroimaging to provide a complete picture of neurodegeneration in these patients, and to determine how patterns of progression compare to patients with isolated apraxia of speech (primary progressive apraxia of speech)...
December 8, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29225339/early-speech-development-in-koolen-de-vries-syndrome-limited-by-oral-praxis-and-hypotonia
#5
Angela T Morgan, Leenke van Haaften, Karen van Hulst, Carol Edley, Cristina Mei, Tiong Yang Tan, David Amor, Simon E Fisher, David A Koolen
Communication disorder is common in Koolen de Vries syndrome (KdVS), yet its specific symptomatology has not been examined, limiting prognostic counselling and application of targeted therapies. Here we examine the communication phenotype associated with KdVS. Twenty-nine participants (12 males, 4 with KANSL1 variants, 25 with 17q21.31 microdeletion), aged 1.0-27.0 years were assessed for oral-motor, speech, language, literacy, and social functioning. Early history included hypotonia and feeding difficulties...
December 11, 2017: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/29223113/comparisons-of-severity-classification-systems-for-oropharyngeal-dysfunction-in-children-with-cerebral-palsy-relations-with-other-functional-profiles
#6
Yu-Ra Goh, Ja Young Choi, Seon Ah Kim, Jieun Park, Eun Sook Park
This study aimed to investigate the relationships between various classification systems assessing the severity of oropharyngeal dysphagia and communication function and other functional profiles in children with cerebral palsy (CP). This is a prospective, cross-sectional, study in a university-affiliated, tertiary-care hospital. We recruited 151 children with CP (mean age 6.11 years, SD 3.42, range 3-18yr). The Eating and Drinking Ability Classification System (EDACS) and the dysphagia scales of Functional Oral Intake Scale (FOIS), Swallow Function Scales (SFS), and Food Intake Level Scale (FILS) were used...
December 6, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29222568/model-driven-treatment-of-childhood-apraxia-of-speech-positive-effects-of-the-speech-motor-learning-approach
#7
Anita van der Merwe, Mollie Steyn
Purpose: The aim of the study was to propose the speech motor learning approach (Van der Merwe, 2011) as a treatment for childhood apraxia of speech and to determine if it will effect positive change in the ability of a 33-month-old child to produce untreated nonwords and words containing treated age-appropriate consonants (Set 1 sounds), untreated age-appropriate consonants (Set 2), and untreated age-inappropriate consonants (Set 3) and also to determine the nature and number of segmental speech errors before and after treatment...
December 8, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29211651/cortico-cerebellar-networks-drive-sensorimotor-learning-in-speech
#8
Daniel R Lametti, Harriet J Smith, Phoebe Freidin, Kate E Watkins
The motor cortex and cerebellum are thought to be critical for learning and maintaining motor behaviors. Here we use transcranial direct current stimulation (tDCS) to test the role of the motor cortex and cerebellum in sensorimotor learning in speech. During productions of "head," "bed," and "dead," the first formant of the vowel sound was altered in real time toward the first formant of the vowel sound in "had," "bad," and "dad." Compensatory changes in first and second formant production were used as a measure of motor adaptation...
December 6, 2017: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/29205794/biallelic-mutations-in-lars2-can-cause-perrault-syndrome-type-2-with-neurologic-symptoms
#9
Rika Kosaki, Reiko Horikawa, Eriko Fujii, Kenjiro Kosaki
Perrault syndrome represents a genetically heterogeneous disorder characterized by sensorineural hearing loss in males and females and ovarian dysfunction in females. Causative genes include HARS2, HSD17B4, CLPP, C10orf2, and LARS2. Some patients with Perrault syndrome exhibit neurologic features including learning disability, cerebellar ataxia, and peripheral neuropathy and are classified as type 2 and are clinically separate from those without neurological symptoms other than a hearing loss (type 1). To date, all reported patients with LARS2 mutations (15 patients in 8 families) have been classified as type 1...
December 3, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/29203648/musical-training-sharpens-and-bonds-ears-and-tongue-to-hear-speech-better
#10
Yi Du, Robert J Zatorre
The idea that musical training improves speech perception in challenging listening environments is appealing and of clinical importance, yet the mechanisms of any such musician advantage are not well specified. Here, using functional magnetic resonance imaging (fMRI), we found that musicians outperformed nonmusicians in identifying syllables at varying signal-to-noise ratios (SNRs), which was associated with stronger activation of the left inferior frontal and right auditory regions in musicians compared with nonmusicians...
December 4, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29203153/focused-ultrasound-subthalamotomy-in-patients-with-asymmetric-parkinson-s-disease-a-pilot-study
#11
Raul Martínez-Fernández, Rafael Rodríguez-Rojas, Marta Del Álamo, Frida Hernández-Fernández, Jose A Pineda-Pardo, Michele Dileone, Fernando Alonso-Frech, Guglielmo Foffani, Ignacio Obeso, Carmen Gasca-Salas, Esther de Luis-Pastor, Lydia Vela, José A Obeso
BACKGROUND: Ablative neurosurgery has been used to treat Parkinson's disease for many decades. MRI-guided focused ultrasound allows focal lesions to be made in deep brain structures without skull incision. We investigated the safety and preliminary efficacy of unilateral subthalamotomy by focused ultrasound in Parkinson's disease. METHODS: This prospective, open-label pilot study was done at CINAC (Centro Integral de Neurociencias), University Hospital HM Puerta del Sur in Madrid, Spain...
December 1, 2017: Lancet Neurology
https://www.readbyqxmd.com/read/29194516/deficits-in-cortical-suppression-during-vocalization-are-associated-with-structural-abnormalities-in-the-arcuate-fasciculus-in-early-illness-schizophrenia-and-clinical-high-risk-for-psychosis
#12
Thomas J Whitford, Lena K L Oestreich, Judith M Ford, Brian J Roach, Rachel L Loewy, Barbara K Stuart, Daniel H Mathalon
Self-generated speech produces a smaller N1 amplitude in the auditory-evoked potential than externally generated speech; this phenomenon is known as N1-suppression. Schizophrenia patients show less N1-suppression than healthy controls. This failure to self-suppress may underlie patients' characteristic tendency to misattribute self-generated thoughts and actions to external sources. While the cause of N1-suppression deficits to speech in schizophrenia remains unclear, structural damage to the arcuate fasciculus is a candidate, due to its ostensible role in transmitting the efference copy of the motor plan to speak...
November 29, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/29193663/clinical-and-genetic-characterization-of-ap4b1-associated-spg47
#13
Darius Ebrahimi-Fakhari, Chi Cheng, Kira Dies, Amelia Diplock, Danielle B Pier, Conor S Ryan, Brendan C Lanpher, Jennifer Hirst, Wendy K Chung, Mustafa Sahin, Elisabeth Rosser, Basil Darras, James T Bennett
The hereditary spastic paraplegias (HSPs) are a heterogeneous group of disorders characterized by degeneration of the corticospinal and spinocerebellar tracts leading to progressive spasticity. One subtype, spastic paraplegia type 47 (SPG47 or HSP-AP4B1), is due to bi-allelic loss-of-function mutations in the AP4B1 gene. AP4B1 is a subunit of the adapter protein complex 4 (AP-4), a heterotetrameric protein complex that regulates the transport of membrane proteins. Since 2011, 11 individuals from six families with AP4B1 mutations have been reported, nine of whom had homozygous mutations and were from consanguineous families...
November 28, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/29180084/cerebellar-mutism-syndrome-and-other-complications-following-surgery-in-the-posterior-fossa-in-adults-a-prospective-study
#14
Morten Wibroe, Per Rochat, Marianne Juhler
BACKGROUND: The Cerebellar Mutism Syndrome (CMS) is rarely described in adults; however data on self-assessed linguistic complications after posterior fossa surgery do not exist. METHODS: Through a prospective single-centre study data on 59 tumour operations in the posterior fossa data was collected preoperatively as well as 1 week and 1 month postoperatively. Data on self-assessed problems in five CMS-related domains, CMS-scores, neurology as well as surgical procedure and complications were obtained...
November 24, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29177494/domain-general-subregions-of-the-medial-prefrontal-cortex-contribute-to-recovery-of-language-after-stroke
#15
Fatemeh Geranmayeh, Tsz Wing Chau, Richard J S Wise, Robert Leech, Adam Hampshire
We hypothesized that the recovery of speech production after left hemisphere stroke not only depends on the integrity of language-specialized brain systems, but also on 'domain-general' brain systems that have much broader functional roles. The presupplementary motor area/dorsal anterior cingulate forms part of the cingular-opercular network, which has a broad role in cognition and learning. Consequently, we have previously suggested that variability in the recovery of speech production after aphasic stroke may relate in part to differences in patients' abilities to engage this domain-general brain region...
July 1, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29177122/subject-specific-biomechanical-modelling-of-the-oropharynx-towards-speech-production
#16
(no author information available yet)
Biomechanical models of the oropharynx are beneficial to treatment planning of speech impediments by providing valuable insight into the speech function such as motor control. In this paper, we develop a subject-specific model of the oropharynx and investigate its utility in speech production. Our approach adapts a generic tongue-jaw-hyoid model (Stavness et al. 2011) to fit and track dynamic volumetric MRI data of a normal speaker, subsequently coupled to a source-filter based acoustic synthesizer. We demonstrate our model's ability to track tongue tissue motion, simulate plausible muscle activation patterns, as well as generate acoustic results that have comparable spectral features to the associated recorded audio...
2017: Computer Methods in Biomechanics and Biomedical Engineering. Imaging & Visualization
https://www.readbyqxmd.com/read/29174890/learning-biases-underlie-universals-in-avian-vocal-sequencing
#17
Logan S James, Jon T Sakata
Biological predispositions in vocal learning have been proposed to underlie commonalities in vocal sequences, including for speech and birdsong, but cultural propagation could also account for such commonalities [1-4]. Songbirds such as the zebra finch learn the sequencing of their acoustic elements ("syllables") during development [5-8]. Zebra finches are not constrained to learn a specific sequence of syllables, but significant consistencies in the positioning and sequencing of syllables have been observed between individuals within populations and between populations [8-10]...
November 21, 2017: Current Biology: CB
https://www.readbyqxmd.com/read/29174050/phonological-working-memory-and-foxp2
#18
Katrin Schulze, Faraneh Vargha-Khadem, Mortimer Mishkin
The discovery and description of the affected members of the KE family (aKE) initiated research on how genes enable the unique human trait of speech and language. Many aspects of this genetic influence on speech-related cognitive mechanisms are still elusive, e.g. if and how cognitive processes not directly involved in speech production are affected. In the current study we investigated the effect of the FOXP2 mutation on Working Memory (WM). Half the members of the multigenerational KE family have an inherited speech-language disorder, characterised as a verbal and orofacial dyspraxia caused by a mutation of the FOXP2 gene...
November 22, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/29173721/an-interprofessional-team-approach-to-the-differential-diagnosis-of-children-with-language-disorders
#19
REVIEW
Xueman Lucy Liu, Dawn M Zahrt, Mark D Simms
The ability to communicate effectively with others is central to children's development. Delays or disruptions due to isolated expressive language delay, articulation errors, multiple sound production errors with motor planning deficits, or mixed expressive and receptive language delay, often bring widespread consequences. Physical anomalies, neurologic and genetic disorder, cognitive and intellectual disabilities, and emotional disturbances may affect speech and language development. Communication disorders may be misdiagnosed as intellectual impairment or autism...
February 2018: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/29173597/congenital-heart-disease-and-neurodevelopment-clinical-manifestations-genetics-mechanisms-and-implications
#20
REVIEW
Sarah N Nattel, Laura Adrianzen, Erica C Kessler, Gregor Andelfinger, Mathieu Dehaes, Gabriel Côté-Corriveau, M Pilar Trelles
Children with congenital heart disease (CHD) are at increased risk of neurodevelopmental disorders (NDDs) and psychiatric conditions. These include cognitive, adaptive, motor, speech, behavioural, and executive functioning deficits, as well as autism spectrum disorder and psychiatric conditions. Structural and functional neuroimaging have demonstrated brain abnormalities in young children with CHD before undergoing surgical repair, likely as a result of an in utero developmental insult. Surgical factors do not seem to play a significant role in neurodevelopmental outcomes...
December 2017: Canadian Journal of Cardiology
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