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Biomedical subjects

D Bub

Publications and source records attributed to D Bub.

18 recordsLinked to original sources
PubMed1999

Cross-modal priming evidence for phonology-to-orthography activation in visual word recognition.

Subjects were asked to indicate which item of a word/nonword pair was a word. On critical trials the nonword was a pseudohomophone of the word. RTs of dyslexics were shorter in blocks of trials in which a congruent auditory prime was simultaneously presented with the visual stimuli. RTs of normal readers were longer for high frequency words when there was auditory priming. This provides evidence that phonology can activate orthographic representations; the size and direction of the effect of auditory priming on visual lexical decision appear to be a function of the relative speeds with which sight and hearing activate orthography.

Aged↗
PubMed1998

Aphasia diagrams: a new notational scheme for representing neurolinguistic deficits.

Models of language processing are becoming extremely complex. As a result, it has become very difficult to develop a thorough understanding of even a single patient's deficits, let alone to represent those deficits in a way which renders their significance apparent to others. In this paper, we describe and demonstrate the use of a notational system which has been developed specifically for representing the complexities of neurolinguistic deficits. The notational system is simple to learn and to use and may easily be extended and adapted to different models of language processing. It may also be used to represent the results from other nonlinguistic neuropsychological batteries which are composed of tightly interdependent subtests with many related factors included in each subtest. Despite its simplicity, the notational system has proven itself in the field as a useful tool for rendering complex deficits more easily interpretable.

Aphasia↗
PubMed1997

On the status of object concepts in aphasia.

While verbal comprehension is often impaired in aphasia due to left hemispheric damage, the status of nonverbal conceptual knowledge of objects remains controversial. We tested 16 aphasic subjects for their comprehension of concrete single words. Eight showed significant impairment on word-to-picture matching, when distractors were semantically and not just perceptually confusable. These 8 also made errors in answering verbal probe questions concerning the same items. When tested on a nonverbal pictorial version of the same probe questions, however, 3 of these 8 improved their performance to the level of normal controls. The other 5 showed continuing impairment in indicating responses to pictorial probes. These 5 showed no evidence of generalized intellectual impairment, and it is concluded that they demonstrated a comprehension deficit not limited to the verbal domain. Unlike the other aphasic patients, these latter 5 also had CT scan lesions extending into the posterior left temporal lobe (involving Brodmann's areas 22, 21, and 37). They were also more impaired in terms of general aphasia severity. It is suggested that a nonverbal (as well as verbal) semantic memory deficit occurs in a subgroup of patients with single word comprehension disturbance due to aphasia, and this may reflect general severity of language impairment as well as damage to certain localized brain regions.

Aged↗
PubMed1997

Primary progressive aphasia: a review of 112 cases.

Primary progressive aphasia (PPA) was first recognized by Mesulam in 1982. Although dozens of cases have since been described, it has been difficult to place these cases into a coherent framework due to the wide variation in measures which have been reported. We review 170 contacts with 112 patients to provide a clinical, neuroanatomical, and neuropsychological profile of patients with the disorder. The progression of the disease is analyzed over a 10-year reporting period starting from symptom onset to show how progression affects five general linguistic skills: oral and written naming, reading, repetition, and general comprehension. The pattern of functional and neurological deficits in PPA is heterogeneous. Differences in the distribution of neurological anomalies between patients with bilateral and unilateral changes suggest that there may be two separate disease processes involved.

Aphasia↗
PubMed1994

Increased semantic priming in patients with dementia of the Alzheimer's type.

Semantic priming on a lexical decision task(LDT) was examined in 50 patients with mild to moderate dementia of the Alzheimer's Type(DAT), and 25 normal age-matched controls. DAT patients were slower in their responses, and showed significantly greater priming effects (mean 54 ms vs. 27 ms in controls). The size of the priming effect correlated with the speed of response on the LDT task for the individual DAT patients but not for controls. Twenty of the DAT patients (vs. one control) showed priming greater than 60 ms. This subgroup of DAT patients with "hyperpriming" was slower than the nonhyperpriming group on "yes" responses to targets preceded by unassociated prime words and more impaired on tests of clock drawing and verbal fluency. Slowing of responses alone, however, seems unable to account for the presence of increased priming in DAT patients. Its presence may reflect semantic memory deficits, as well as impaired attentional processing and supervisory control systems. The exact mechanism of this increased priming remains to be established.

Aged↗
PubMed1993

Modulation of the directional attention deficit in visual neglect by hemispatial factors.

Using a visuo-spatial cuing paradigm, Posner and collaborators (Posner, Cohen, & Rafal, 1982; Posner, Walker, Friedrich, & Rafal, 1984) reported that subjects with a parietal lobe lesion have difficulty in disengaging their visual attention from an invalidly precued location in the ipsilesional hemifield when the target they have to respond to is presented in the contralesional field. Later, these authors (Posner, Walker, Friedrich, & Rafal, 1987) proposed that this disengagement deficit is one involving spatial shifts of attention in a contralesional direction, irrespective of the visual hemifield in which the target is presented. This proposal of a directional disengagement deficit along the horizontal axis, present in either hemifield, contrasts with a report by Baynes, Holtzman, & Volpe (1986) showing, in right parietal subjects, a disengagement deficit for shifts of attention along the vertical axis that is only manifest in the contralesional hemifield. In the present report, we assessed the disengagement deficit of a neglect subject along the horizontal and vertical axes. Results show a disengagement deficit restricted to shifts of attention in the contralesional direction (horizontal axis), which is significant only in the contralesional visual hemifield. However, there is a clear trend for a directional disengagement deficit in the ipsilateral field. These observations indicate that the attention deficit present in neglect is directional and is modulated either by hemispatial factors or by the lateral target location in the visual field. On the basis of the present results, it is proposed that the deficit of parietal subjects may best be conceptualized as one of attentional capture for stimuli located on the contralesional side of the current focus of attention rather than one of disengagement.

Aged↗
PubMed1992

Anatomical mapping of functional activation in stereotactic coordinate space.

Numerous applications have been reported for the stereotactic mapping of focal changes in cerebral blood flow during sensory and cognitive activation as measured with positron emission tomography (PET) subtraction images. Since these images lack significant anatomical information, analysis of these kinds of data has been restricted to an automated search for peaks in the PET subtraction dataset and localization of the peak coordinates within a standardized stereotactic atlas. This method is designed to identify isolated foci with dimensions smaller than the image resolution. Details of activation patterns that may extend over finite distances, following the underlying anatomical structures, will not be apparent. We describe the combined mapping into stereotactic coordinate space of magnetic resonance imaging (MRI) and PET information from each of a set of subjects such that the major features of the activation pattern, particularly extended tracts of increased blood flow, can be immediately assessed within their true anatomical context as opposed to that presumed using a standard atlas alone. Near areas of high anatomical variability, e.g., central sulcus, or of sharp curvature, e.g., frontal and temporal poles, this information can be essential to the localization of a focus to the correct gyrus or for the rejection of extracerebral peaks. It also allows for the removal from further analysis of data from cognitively-normal subjects with abnormal anatomy such as enlarged ventricles. In patients with neuropathology, e.g., Alzheimer's disease, arteriovenous malformation, stroke, or neoplasm, the use of correlated MRI is mandatory for correct localization of functional activation.

Adult↗
PubMed1992

Language localization with activation positron emission tomography scanning.

We report the first instance of the use of 3-dimensional magnetic resonance imaging anatomically correlated to positron emission tomography (PET) scanning to identify language areas in a patient with an arteriovenous malformation (AVM) in the posterior speech region. The patient was a 24-year-old right-handed woman with an angiographically proven AVM (3-4 cm) in the left mid-posterior second temporal convolution in whom a left intracarotid injection of sodium Amytal produced significant language disruption. A baseline PET cerebral blood flow study identified the AVM, and an activation PET scan performed during the reading and speaking of simple words showed increased activity in the left parastriate cortex (the second visual area), in the left posterior third frontal convolution (Broca's area), and in the left inferior and midtemporal gyri (Wernicke's area). Increased activity was also noted in the right and left transverse temporal (Heschl's) gyri, in the left precentral gyrus, in the left medial superior frontal gyrus (the supplementary motor area), and in the right cerebellum. We conclude that activation PET scanning is useful in the preoperative assessment of patients who harbor cerebral AVMs in classically described speech regions.

Adult↗
PubMed1991

Visual neglect and left-sided context effects.

Patients with visual neglect generally fail to respond to an item placed on the left of a target location, even when both stimuli are situated in the right visual field. Little is known, however, about the level of processing for the unattended items. Two patients with left visual neglect served as subjects in several experiments measuring passive contextual effects of a left-sided item on responses to a focal target. The results reveal that a neglected item may influence the speed of responding. The findings are interpreted relative to the loci of context effects in normal subjects.

Aged↗
PubMed1990

The evolution of pure alexia: a longitudinal study of recovery.

This case report documents the partial recovery, over a 12-month period, of pure alexia in an adult female following a left occipital infarction. Measures of speed and accuracy were obtained on an oral reading and a lexical decision task immediately postonset and then on 10 subsequent occasions. Explicit letter-by-letter reading was observed only during the first week poststroke but a significant effect of word length was seen in all testing sessions. Reading accuracy was relatively good at all stages and reading latency showed a remarkable decrease over time but did not reach normal reading rates. The inability to use higher-order orthographic knowledge, as manifest in the absence of a word superiority effect, was still noted at one year postonset. We therefore concluded that the change in behavior was attributable to increased proficiency in the use of the adaptive letter-by-letter procedure rather than to the resolution of the underlying deficit. It is suggested that longitudinal neurobehavioral studies add to our understanding of the alexic deficit and provide insight into the recovery process.

Adult↗
PubMed1990

Re-evaluating the effect of unilateral brain damage on simple reaction time to auditory stimulation.

Results of a previous experiments designed to test if there is a right hemisphere superiority over the left hemisphere in the capacity to react quickly to a stimulus have not lead to an unambiguous conclusion, although the majority of studies indicate that right-brain-damaged patients are generally slower than left-brain-damaged patients. The present experiment re-examines the speed of reaction time to auditory stimulation in a population of brain-damaged patients. Each case was presented with 120 auditory events and variable inter-trial intervals (from 1 s to 15 s). To ensure homogeneity of the population tested, only patients with a cerebro-vascular accident were chosen. The results show that the right-brain-damaged patients were not generally slower than left-brain-damaged patients. However, a marked deterioration in performance over time was observed in the right-hemisphere group while a small amount of improvement was found in the normal and left-brain-damaged patients. The outcome is discussed in terms of a sustained attention deficit associated with right-hemisphere damage.

Acoustic Stimulation↗
PubMed1990

Semantic memory loss in dementia of Alzheimer's type. What do various measures measure?

This paper examines three methodological issues concerning the measurement of semantic memory impairment in brain-damaged patients. Ten carefully selected patients with dementia of Alzheimer's type (DAT) and anomia were studied. A battery of perceptual tests and direct tests of semantic memory led to the conclusion that these patients represented a homogeneous group having a prominent deterioration of their semantic memory store without visual perceptual deficits. The first issue addressed in this patient group was whether verbal fluency impairment accurately reflected the loss of semantic memory. It was found that verbal fluency (generation of semantic category lists) was impaired due to two major constraints: deterioration of semantic memory store, and variable difficulties in semantic search. Verbal fluency, therefore, reflects semantic memory loss to some degree, but is not a direct test of semantic memory store in DAT. The second issue was whether semantic memory impairment in our patients conformed to the 'semantic storage disorder' syndrome hypothesized by Shallice (1987). It was shown that, consistent with this hypothesis, the patients demonstrated co-occurrence of consistency of errors, loss of semantic cueing, and preserved superordinate knowledge with loss of detailed knowledge of concept items. The third issue was whether semantic cueing and semantic priming are altered in a similar manner in DAT. It demonstrated that semantic cueing and semantic priming, using the same words whose concepts were degraded in semantic memory, yielded an entirely different pattern of results. Cueing and priming therefore may not be used interchangeably in the study of semantic loss after brain damage.

Aged↗
PubMed1989

Priming and semantic memory loss in Alzheimer's disease.

Semantic memory (SM) was investigated in six patients with probable Alzheimer's disease (AD) by on-line measurement of semantic priming in a lexical decision task, and off-line tests of comprehension. Detailed assessment was carried out on naming, name comprehension, and probes of semantic knowledge with a battery of 150 items. The patients performed normally on perceptual tests and displayed an item-specific loss of knowledge on the semantic tests. In a primed lexical decision task, greater semantic priming was found relative to age-matched normals. The priming was substantially greater for items with "degraded" representations as determined by the off-line tests. Lexical decision was also performed more slowly on these items. These unexpected results demand a reevaluation of the concepts of the lexicon and semantic memory structure and their possible alteration in dementia.

Aged↗
PubMed1988

Agrammatism in sentence production without comprehension deficits: reduced availability of syntactic structures and/or of grammatical morphemes? A case study.

A French-speaking patient with Broca's aphasia--following a left-hemisphere lesion involving the sylvian region but sparing Broca's area--is presented. Like G. Miceli, A. Mazzuchi, L. Menn, and H. Goodglass's (1983, Brain and Language, 19, 65-97) case 2, this patient produces agrammatic speech in the absence of any comprehension deficit. Unlike Miceli's patient, though, agrammatic speech can be observed in all sentence production tasks (from spontaneous speech to repetition, oral reading, and writing) whereas production of individual words--be they open class or closed class--is almost always intact. On the basis of extensive (psycho)linguistic testing, it is argued that this patient's deficit is not central and not crucially syntactic (at least) at the level of knowledge but seems to disrupt specifically those (automatic?) processes responsible for both retrieval and production of free-standing grammatical morphemes whenever they have to be inserted into phrases and sentences.

Aphasia↗
PubMed1982

Deep agraphia.

Explore the source record for details and available documents.

Adult↗
PubMed1982

Evidence for lexicographic processing in a patient with preserved written over oral single word naming.

A number of studies have shown superior written over oral performance in fluent aphasia. One reasonable explanation for this result is that writing in these cases takes place through a different set of output mechanisms than oral naming. Specifically, conversion of lexical information directly into graphemic code can occur for writing whereas output requires access to underlying phonology. If phonological processing is impaired, it is possible that written performance can still be sustained via lexicographic retrieval of information. A case study is described supporting this account of incongruous written over oral naming. Written naming for single words was markedly superior to spoken naming. Performance in rhyme matching tasks disclosed impaired retrieval of the underlying sound component of words and nonlexical phonological processing was severely impaired in writing to dictation. This suggests that written naming was mediated entirely by nonphological processes. In addition, recovery of function indicated considerable independence of phonological processing between reading and writing. While grapheme-phoneme conversion improved substantially six months post-onset, phoneme-grapheme transcoding remained severely impaired. This suggests that different neural mechanisms mediate access to phonology for reading and writing systems.

Aged↗
PubMed1981

Can practice result in the ability to divide attention between two complex language tasks? Comment on Hirst et al.

Several studies at the beginning of the century demonstrated that extensive practice enables subjects to adequately perform two language tasks presented simultaneously. This result was recently confirmed by Hirst et al. These authors concluded that practice eventually results in the ability to attend to both tasks simultaneously, since evidence shows that both primary and secondary tasks are processed semantically. Two arguments are presented showing that this conclusion is questionable. First, the processing of category and semantic relationships between words and sentences can be automatic. Second, the conclusion that true divided attention is possible after training can only be made if evaluated against several criteria of automatic performance. Hirst et al. reported data pertaining to only one of these criteria. Therefore this study is inconclusive and fails to elucidate the nature of the changes in processing that occur.

Attention↗