The nature and treatment of stuttering as revealed by fMRI

Autor: Harald A. Euler, Heinrich Lanfermann, Christine Preibisch, Volker Gall, Katrin Neumann, Anne-Lise Giraud, Alexander Wolff von Gudenberg
Rok vydání: 2003
Předmět:
Zdroj: Journal of Fluency Disorders. 28:381-410
ISSN: 0094-730X
DOI: 10.1016/j.jfludis.2003.07.003
Popis: This article reviews some of our recent functional magnetic resonance imaging (fMRI) studies of stuttering. Using event-related fMRI experiments, we investigated brain activation during speech production. Results of three studies comparing persons who stutter (PWS) and persons who do not stutter (PWNS) are outlined. Their findings point to a region in the right frontal operculum (RFO) that was consistently implicated in stuttering. During overt reading and before fluency shaping therapy, PWS showed higher and more distributed neuronal activation than PWNS. Immediately after therapy differential activations were even more distributed and left sided. They extended to frontal, temporal, and parietal regions, anterior cingulate, insula, and putamen. These over-activations were slightly reduced and again more right sided two years after therapy. Left frontal deactivations remained stable over two years of observation, and therefore possibly indicate a dysfunction. After therapy, we noted higher activations in persons who stutter moderately than in those who stutter
Databáze: OpenAIRE