title: Sentence processing strategies in healthy seniors with poor comprehension: an fMRI study.
abstract: We used fMRI to examine patterns of brain recruitment in 22 healthy seniors, half of whom had selective comprehension difficulty for grammatically complex sentences. We found significantly reduced recruitment of left posterolateral temporal [Brodmann area (BA) 22/21] and left inferior frontal (BA 44/6) cortex in poor comprehenders compared to the healthy seniors with good sentence comprehension, cortical regions previously associated with language comprehension and verbal working memory, respectively. The poor comprehenders demonstrated increased activation of left prefrontal (BA 9/46), right dorsal inferior frontal (BA 44/6), and left posterior cingulate (BA 31/23) cortices for the grammatically simpler sentences that they understood. We hypothesize that these brain regions support an alternate, nongrammatical strategy for processing complex configurations of symbolic information. Moreover, these observations emphasize the crucial role of the left perisylvian network for grammatically guided sentence processing in subjects with good comprehension.
authors.affiliation: Department of Neurology, University of Pennsylvania, Philadelphia, USA. mgrossma@mail.med.upenn.edu
authors.forename: Murray
authors.initials: M
authors.lastname: Grossman
authors.forename: Ayanna
authors.initials: A
authors.lastname: Cooke
authors.forename: Chris
authors.initials: C
authors.lastname: DeVita
authors.forename: Willis
authors.initials: W
authors.lastname: Chen
authors.forename: Peachie
authors.initials: P
authors.lastname: Moore
authors.forename: John
authors.initials: J
authors.lastname: Detre
authors.forename: David
authors.initials: D
authors.lastname: Alsop
authors.forename: James
authors.initials: J
authors.lastname: Gee
mesh_terms: D000368:Aged; D001921:Brain / Q000033:anatomy & histology*; D003072:Cognition Disorders / Q000175:diagnosis*; D005260:Female; D005625:Frontal Lobe / Q000033:anatomy & histology; D006179:Gyrus Cinguli / Q000033:anatomy & histology; D006304:Health Status; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D013067:Speech Perception / Q000502:physiology*; D013702:Temporal Lobe / Q000033:anatomy & histology