Abstract

The adaptive potential of the language network to compensate for lesions remains elusive. We show that perturbation of a semantic region in the healthy brain induced suppression of activity in a large semantic network and upregulation of neighbouring phonological areas. After perturbation, the disrupted area increased its inhibitory influence on another semantic key node. The inhibitory influence predicted the individual delay in response speed, indicating that inhibition at remote nodes is functionally relevant. Individual disruption predicted the upregulation of semantic activity in phonological regions. In contrast, perturbation over a phonological region suppressed activity in the network and disrupted behaviour without inducing upregulation. The beneficial contribution of a neighbouring network might thus depend on the level of functional disruption and may be interpreted to reflect a differential compensatory potential of distinct language networks. These results might reveal generic mechanisms of plasticity in cognitive networks and inform models of language reorganization.

Highlights

  • The current knowledge of short- and long-term plasticity in the language network after strokeinduced aphasia is limited

  • Response speed for correct trials was investigated with a repeated measures ANOVA including the within-subject factors task and continuous thetaburst stimulation (cTBS) (AG vs. supramarginal gyrus (SMG) vs. sham)

  • This effect significantly interacted with cTBS (AG vs. SMG vs. sham), indicating that phonological and semantic decisions were differentially affected by cTBS (F2,28 = 5.36, p=0.011; h2= 0.28; Figure 1C)

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Summary

Introduction

The current knowledge of short- and long-term plasticity in the language network after strokeinduced aphasia is limited. It is still a matter of debate if the temporary recruitment of neighbouring, ipsilateral networks and / or homologous right-hemispheric regions after a lesion of one critical node in the left hemisphere is adaptive or maladaptive for stroke recovery (Chrysikou and Hamilton, 2011; Hamilton et al, 2011). Several TMS studies assigned the left aIFG a central role in semantic control processes

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