title: Keeping time: effects of focal frontal lesions.
abstract: This study examined the performance of 32 normal subjects and 39 patients with focal lesions of the frontal lobes on two simple timing tasks-responding in time with a tone that regularly repeated at a rate of once every 1.5s, and then maintaining the same regular response rhythm without any external stimulus. The hypothesis was that lesions to the right prefrontal cortex would disrupt timing performance. The two main findings were (1) an abnormally high variability in the timing performance (both self-timed and tone-timed) of patients with lesions to the right lateral frontal lobe, particularly involving Brodmann area 45 and subjacent regions of the basal ganglia; (2) an increase in the variability of timing performance as the task continued in patients with lesions to the superior medial regions of the frontal lobe. These findings indicate that the right lateral frontal lobe is crucially involved in the ongoing control of timed behavior, either because of its role in generating time intervals or in monitoring the passage of these intervals. In contrast, the superior medial regions of the frontal lobe are necessary to maintain consistent timing performance over prolonged periods of time.
authors.affiliation: The Rotman Research Institute, Baycrest Centre for Geriatric Care, 3560 Bathurst Street, Toronto, Ont., Canada M6A 2E1. tpicton@rotman-baycrest.on.ca
authors.forename: Terence W
authors.initials: TW
authors.lastname: Picton
authors.forename: Donald T
authors.initials: DT
authors.lastname: Stuss
authors.forename: Tim
authors.initials: T
authors.lastname: Shallice
authors.forename: Michael P
authors.initials: MP
authors.lastname: Alexander
authors.forename: Susan
authors.initials: S
authors.lastname: Gillingham
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D001479:Basal Ganglia / Q000503:physiopathology; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D001931:Brain Mapping; D004292:Dominance, Cerebral / Q000502:physiology; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology*; D006801:Humans; D007100:Imitative Behavior / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011597:Psychomotor Performance / Q000502:physiology*; D011930:Reaction Time / Q000502:physiology; D013998:Time Perception / Q000502:physiology*