title: The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study.
abstract: Aphasia in bilingual patients is a therapeutic challenge since both languages can be impacted by the same lesion. Language control has been suggested to play an important role in the recovery of first (L1) and second (L2) language in bilingual aphasia following stroke. To test this hypothesis, we collected behavioral measures of language production (general aphasia evaluation and picture naming) in each language and language control (linguistic and nonlinguistic switching tasks), as well as fMRI during a naming task at one and four months following stroke in five bilingual patients suffering from poststroke aphasia. We further applied dynamic causal modelling (DCM) analyses to the connections between language and control brain areas. Three patients showed parallel recovery in language production, one patient improved in L1, and one improved in L2 only. Language-control functions improved in two patients. Consistent with the dynamic view of language recovery, DCM analyses showed a higher connectedness between language and control areas in the language with the better recovery. Moreover, similar degrees of connectedness between language and control areas were found in the patients who recovered in both languages. Our data suggest that engagement of the interconnected language-control network is crucial in the recovery of languages.
authors.affiliation: Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland.
authors.forename: Narges
authors.identifier: 0000-0002-3002-4930
authors.initials: N
authors.lastname: Radman
authors.affiliation: Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: Mouthon
authors.affiliation: Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland.
authors.forename: Marie
authors.initials: M
authors.lastname: Di Pietro
authors.affiliation: Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland; Neuropsychology Unit, Fribourg Cantonal Hospital, Fribourg, Switzerland.
authors.forename: Chrisovalandou
authors.initials: C
authors.lastname: Gaytanidis
authors.affiliation: Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland.
authors.forename: Beatrice
authors.identifier: 0000-0003-2226-6777
authors.initials: B
authors.lastname: Leemann
authors.affiliation: Center for Neurolinguistics and Psycholinguistics, San Raffaele University and Scientific Institute San Raffaele, Milan, Italy.
authors.forename: Jubin
authors.initials: J
authors.lastname: Abutalebi
authors.affiliation: Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Annoni
mesh_terms: D000368:Aged; D001037:Aphasia / Q000000981:diagnostic imaging* / Q000209:etiology; D001479:Basal Ganglia / Q000000981:diagnostic imaging / Q000502:physiology; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000502:physiology; D003071:Cognition / Q000502:physiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D009415:Nerve Net / Q000000981:diagnostic imaging / Q000502:physiology; D011597:Psychomotor Performance / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology*; D020521:Stroke / Q000150:complications / Q000000981:diagnostic imaging*