Speech Lateralization Research Articles

The role of working memory in dichotic-listening studies of auditory laterality

We present data related to the role of working memory in dichotic-listening studies of speech lateralization using consonant–vowel syllable stimuli. A working-memory procedure was actually used in the pioneering dichotic-listening studies by Doreen Kimura in 1960, a fact that was forgotten in later dichotic-listening studies, exclusively focusing on the perceptual aspects of speech sound lateralization. Capitalizing on the original Kimura (1961a, 1961b) studies, we hypothesized that an increase in working-memory load leads to an amplified right-ear advantage (REA) in the dichotic-listening task. A total of 30 participants completed a dichotic-listening task including three working-memory load conditions, each consisting of trials of 3, 4, and 5 dichotically presented letter pairs. Results confirmed an enhanced REA as working-memory load increased. This right-ear effect increased significantly from 3 to 4 stimulus pairs and leveled off with the 5th pair. In addition, the assumption was tested that, within a single load condition, the REA appears mainly in late serial input positions. A detailed analysis of the results revealed that only late positions contributed to the overall REA. However, the highest load condition (5 letter pairs) also produced significant ear differences in the early part of the input position curve. The mechanisms likely to be responsible for these results are discussed in terms of top-down and bottom-up processes in hemispheric asymmetry.

Ictal vocalizations occur more often in temporal lobe epilepsy with dominant (left‐sided) epileptogenic zone

To investigate the lateralization value of ictal vocalizations in temporal lobe epilepsy (TLE). We reviewed video-recordings of 97 patients who had undergone presurgical evaluation programs with video-EEG (electroencephalography)-recorded complex partial seizures (CPS) and high-resolution magnetic resonance imaging (MRI). All patients had surgery due to TLE and became seizure-free. In 57 patients, determination of speech dominance was necessary by using Wada tests or functional MRI (fMRI). To reevaluate the archived seizures, we reviewed one to three consecutively recorded CPS of each patient. Altogether 223 archived seizures were analyzed. Ictal vocalization was considered to be present in a particular patient if it occurred in at least one of the recorded seizures. Ictal vocalizations occurred in 22 patients. They occurred in 37% of left-sided and in 11% of right-sided patients with TLE (p = 0.003). In patients with determined speech lateralization, ictal vocalizations occurred in 37% of the dominant and in 14% in patients with nondominant epileptogenic zone (p = 0.04). In patients with ictal vocalizations, epilepsy began at age 8.7 +/- 6, whereas in the remaining patients, epilepsy started at age 14.0 +/- 9 (p = 0.017). Logistic regression showed that both hemispheric dominance and age at onset were independently associated with pure ictal vocalization (PIV). Ictal vocalization is a frequent phenomenon, occurring in 23% of patients with TLE. It is more often associated with left-sided and early onset TLE. Our results may improve the lateralization of the epileptogenic zone and suggest that nonspeech vocalizations in humans are related to the dominant (left-sided) hemisphere. Our study is a further argument that there are different subtypes of TLE depending on the age at onset.

Visual half-field testing for defining cerebral hemisphere speech laterality

The purpose of this study was to investigate to what extent the noninvasive visual half-field (VHF) test can reliably determine cerebral speech dominance for the individual patient with partial epilepsy considered for surgical treatment. The present VHF test consisted of a list of 36 words presented correctly and mirrored in the lateral visual fields to 13 right-handed and 14 left-handed control subjects and to 14 right-handed and 2 left-handed patients with partial epilepsy. In the controls, it was found that all right-handed and 10 out of 14 left-handed control subjects showed a right VHF (i.e., left hemisphere) advantage. Three of the left-handed control subjects showed the opposite pattern, and one showed no visual field advantage. All of the right-handed patients showed a right VHF advantage, except one who showed no VHF advantage. The two left-handed patients had both a left VHF advantage. Intracarotid amytal speech testing documented left hemisphere speech dominance in all right-handed patients. Of the two left-handed patients, one had right-sided, the other bilateral speech representation. The results suggest that the present VHF test reliably predicts cerebral hemisphere speech in patients with epilepsy.

Speech versus tone processing in compensated dyslexia: Discrimination and lateralization with a dichotic mismatch negativity (MMN) paradigm

This study investigated the possibility of a pervasive auditory-processing deficit in 10 adult dyslexics who had compensated for their reading disability, compared to 10 matched controls. Unlike previous studies [Baldeweg, T., Richardson, A., Watkins, S., Foale, C. & Gruzelier, J. (1999). Impaired auditory frequency discrimination in dyslexia detected with mismatch evoked potentials. Annals of Neurology, 45(4): 495–503], the current EEG study used a dichotic presentation of stimuli in order to probe the relationship between ear advantage and left- and right-hemisphere dominance for processing speech and non-speech stimuli respectively. A dichotic presentation is thought to maximise lateralization effects, as well being a more ecologically valid paradigm. The Mismatch Negativity (MMN) was measured for both speech [consonant–vowel pairs: /ta/ vs. /ka/ and ba/ vs. /da/] and non-speech stimuli (pure tones: 1 kHz vs. 1.2 kHz). Smaller MMNs to tone stimuli were obtained for dyslexics versus controls, but no differences were found for speech stimuli. Controls differentiated between speech and tones, with larger MMNs to tone stimuli. Dyslexics showed significantly greater MMNs to one stop consonant discrimination (/ta/ vs /ka/) than the other (/ba/ vs /da/), but did not differentiate speech from tones, and no or minimal lateralization was found for either group or stimulus type, in line with recent studies [Kershner and Micallef, 1992; Bellis, T.J., Nicol, T., & Kraus, N. (2000). Aging affects hemispheric asymmetry in the neural representation of speech sounds. Journal of Neuroscience, 20, 791–797]. However, analysis of left and right dipole source activity suggested right hemispheric preference for tones in controls, and the lack of such a preference in dyslexics. Lateralization of the auditory system in general may be less specialized in compensated dyslexia, although no specific differences in speech lateralization were seen. The present study also extends previous findings to show that the frequency range over which dyslexics are shown to display impaired frequency discrimination can be extended to 20% (1 kHz vs. 1.2 kHz) if using a dichotic presentation.

Left Hemisphere Specialization for Oro-Facial Movements of Learned Vocal Signals by Captive Chimpanzees

BackgroundThe left hemisphere of the human brain is dominant in the production of speech and signed language. Whether similar lateralization of function for communicative signal production is present in other primates remains a topic of considerable debate. In the current study, we examined whether oro-facial movements associated with the production of learned attention-getting sounds are differentially lateralized compared to facial expressions associated with the production of species-typical emotional vocalizations in chimpanzees.Methodology/ Principal FindingsStill images captured from digital video were used to quantify oro-facial asymmetries in the production of two attention-getting sounds and two species-typical vocalizations in a sample of captive chimpanzees. Comparisons of mouth asymmetries during production of these sounds revealed significant rightward biased asymmetries for the attention-getting sounds and significant leftward biased asymmetries for the species-typical sounds.Conclusions/SignificanceThese results suggest that the motor control of oro-facial movements associated with the production of learned sounds is lateralized to the left hemisphere in chimpanzees. Furthermore, the findings suggest that the antecedents for lateralization of human speech may have been present in the common ancestor of chimpanzees and humans ∼5 mya and are not unique to the human lineage.

Category-specific recognition and naming deficits following resection of a right anterior temporal lobe tumor in a patient with atypical language lateralization

We present a patient with right-hemispheric speech lateralization who exhibited severe recognition and naming deficits for unique objects (famous faces and landmarks) and grossly normal recognition and naming performances for nonunique objects (animals and man-made objects) following an anterior right temporal lobe (TL) resection of a ganglioglioma. While recognition deficits have been reported for famous faces following right temporal pole lesions, and for landmarks and geographic regions following right TL damage in general, this is the first reported case of both recognition and naming deficits for these objects resulting from a single lesion. These results are consistent with research suggesting that the neuroanatomic substrates for the recognition and naming of unique objects lie in the anterior TL regions. Left temporal pole lesions have been associated with naming deficits for unique objects while right temporal pole lesions have been associated with recognition deficits for unique objects. However, these findings suggest that the substrates of naming can be located in homotopic regions of the right hemisphere when language lateralization is atypical. As various object categories appear to have different neuroanatomical representations in the TLs, we discuss the possible benefits of sampling a wider array of objects during cortical stimulation mapping of language.

ATYPICAL LANGUAGE IN LESIONAL AND NONLESIONAL COMPLEX PARTIAL EPILEPSY

I read the article by Gaillard et al. on the incidence of atypical handedness and language laterality in a cohort of 102 patients with epilepsy. I would like to make the following comments pertaining to their findings in table 1 and figure 1.1 The authors found an incidence of 22% for right hemisphere language laterality among their right-handed participants, calling it high and indicative of transfer of language capability from one hemisphere to the other (plasticity). However, data have indicated the presence of the same ratio of “atypical” laterality of speech in normal right-handed participants manifested in occurrences of crossed aphasia in right and left handedness.2 The logical conclusion to be drawn from this discrepancy relates to the arbitrary nature of inventory driven laterality determinations and of “thresholding” in fMRI data collection used by the authors in their study. I have also reviewed this.3,4 There is a choice in deciding on the laterality of a favorite hand in early childhood (an event long forgotten), but there is no choice as to the laterality of major hemisphere …

A fateful encounter: Sixty years later—Reflections on the Wada test

A fateful encounter: Sixty years later—Reflections on the Wada test

Verbal dichotic listening performance and its relationship with EEG features in benign childhood epilepsy with centrotemporal spikes

Benign epilepsy of childhood with centrotemporal spikes (BECTS) is the most common form of idiopathic partial epilepsy in children from 3 to 12 years old. Little and far from conclusive information is available on its chronic impact on the organization of higher cognitive functions during development. The aim of this study was to assess the effect of interictal EEG discharges in the peri-sylvian regions on language lateralization in BECTS. Twenty-four 7-12-year-old children with BECTS were compared with a control group of 16 healthy children matched for age, gender and schooling. Hemispheric speech lateralization was determined with the vowel-consonant dichotic listening (DL) test. DL data showed that BECTS children lacked the typical right ear/left hemisphere functional advantage. The side of the interictal spikes had no specific influence on DL performance, while a multifocal location of the discharges had a particularly significant effect on the laterality index, as shown by the complete loss of the right-ear advantage in favor of a symmetrical performance with the overall level of accuracy remaining constant. No correlation was found between spike frequency and DL data. BECTS coincides with an atypical performance in DL test with the loss of the usual right ear/left hemisphere advantage, suggesting that interictal activity may induce a reorganization of speech perception lateralization, with a bilateral representation of the phonological processing of auditory and verbal stimuli. This was particularly evident in the group with multifocal spikes, which may mean that a widespread hyperexcitability can affect the network underlying DL performance more severely.

Auditory hallucinations in schizophrenia: the role of cognitive, brain structural and genetic disturbances in the left temporal lobe.

In this article we review research in our laboratory on auditory hallucinations using behavioral and MRI measure. The review consists of both previously published and new data that for the first time is presented together in a cohesive way. Auditory hallucinations are among the most common symptoms in schizophrenia, affecting more than 70% of the patients. We here advance the hypothesis that auditory hallucinations are internally generated speech perceptions that are lateralized to the left temporal lobe, in the peri-Sylvian region. From this we predict that hallucinating patients should have problems identifying a simultaneously presented external speech sound, as measured through performance on the dichotic listening (DL) paradigm with consonant–vowel syllables, since this technique lateralizes the stimulus input. Across a series of behavioral experiments, we have shown that patients with schizophrenia who experience frequent auditory hallucinations fail to demonstrate an expected right ear advantage on the dichotic listening test. Absence of a right ear advantage is indicative of a functional deficit in the left peri-Sylvian region. The results also revealed that patients with ongoing auditory hallucinations were more impaired than patients with previous hallucinations, and that a higher score on the hallucination item in a standard symptom rating scale (BPRS) correlated negatively with number of correct reports for the right ear stimulus. Moreover, we have found that schizophrenia patients fail to shift attention to the left ear stimulus, when explicitly instructed to focus on the right or left ear stimulus only, thus showing a deficit in inhibition of attention and response-inhibition. The behavioral DL data are substantiated in two MR morphometry studies that revealed significant reductions in grey matter density in the left peri-Sylvian region in hallucinating patients, and patients with reduced left temporal lobe grey matter density. Hallucinating patients also failed to show a right ear advantage in the dichotic listening test. Ongoing fMRI studies are focused on the underlying synaptic and molecular mechanisms by investigating the effects of the glutamate antagonist drug memantine on auditory perception and speech lateralization, and examination of temporal cortex-specific gene expression in the left peri-Sylvian region.

A noninvasive, presurgical expressive and receptive language investigation in a 9-year-old epileptic boy using near-infrared spectroscopy

The intracarotid amobarbital test (IAT) is used for presurgical evaluation of language lateralization. However, this procedure has many limitations, especially in children. As an alternative to IAT, in the case described here, near-infrared spectroscopy (NIRS) was used to investigate expressive and receptive language lateralization as part of the presurgical evaluation of a 9-year-old Yiddish-speaking boy with a probable left temporal epileptic focus. This child could not tolerate IAT or functional MRI. He underwent two NIRS recording sessions while performing expressive and receptive language tasks. Results indicated predominantly left-sided expressive language in Broca’s area with ipsilateral cortical recruitment of more posterior regions. Receptive language showed a bilateral cerebral pattern, perhaps as an expression of cerebral plasticity or compensation in this young patient. This case report illustrates that NIRS may contribute to presurgical investigation and could become a noninvasive alternative to IAT and functional MRI in determining speech lateralization in children.

Endogenous Cortical Rhythms Determine Cerebral Specialization for Speech Perception and Production

Across multiple timescales, acoustic regularities of speech match rhythmic properties of both the auditory and motor systems. Syllabic rate corresponds to natural jaw-associated oscillatory rhythms, and phonemic length could reflect endogenous oscillatory auditory cortical properties. Hemispheric lateralization for speech could result from an asymmetry of cortical tuning, with left and right auditory areas differentially sensitive to spectro-temporal features of speech. Using simultaneous electroencephalographic (EEG) and functional magnetic resonance imaging (fMRI) recordings from humans, we show that spontaneous EEG power variations within the gamma range (phonemic rate) correlate best with left auditory cortical synaptic activity, while fluctuations within the theta range correlate best with that in the right. Power fluctuations in both ranges correlate with activity in the mouth premotor region, indicating coupling between temporal properties of speech perception and production. These data show that endogenous cortical rhythms provide temporal and spatial constraints on the neuronal mechanisms underlying speech perception and production.

Near‐infrared spectroscopy as an alternative to the Wada test for language mapping in children, adults and special populations

The intracarotid amobarbital test (IAT) is the most widely used procedure for pre-surgical evaluation of language lateralization in epileptic patients. However, apart from being invasive, this technique is not applicable in young children or patients who present mental retardation and/or language deficits. Functional magnetic resonance imaging (fMRI) is increasingly employed as a non-invasive alternative. Again, this method is more difficult to use with young children, especially hyperactive ones, since they have to remain motionless during data acquisition. The aim of this study was to determine whether near-infrared spectroscopy (NIRS) can be used as an alternative technique to investigate language lateralization in children and special populations. Unlike Wada test, NIRS is non-invasive, and it is more tolerant to movement artefacts than fMRI. In the present study, NIRS data were acquired in four epileptic children, a 12-year-old boy with pervasive developmental disorder and a 3-year-old, healthy child, as well as three healthy and two epileptic adults, while they performed a verbal fluency task and a control task. When applicable, the results were compared to the subjects' fMRI and/or IAT findings. Clear laterality of speech was obtained in all participants, including the two non-epileptic children, and NIRS results matched fMRI and IAT findings. These results, if replicable in larger samples, are encouraging and suggest that NIRS has the potential to become a viable, non-invasive alternative to IAT and fMRI in the determination of speech lateralization in children and clinical populations that cannot be submitted to more invasive techniques.

Effects of temporal fine structure on the lateralization of speech and on speech understanding in noise.

This study evaluated the role of temporal fine structure in the lateralization and understanding of speech in six normal-hearing listeners. Interaural time differences (ITDs) were introduced to invoke lateralization. Speech reception thresholds (SRTs) were evaluated in backgrounds of two-talker babble and speech-shaped noise. Two-syllable words with ITDs of 0 and 700 micros were used as targets. A vocoder technique, which systematically randomized fine structure, was used to evaluate the effects of fine structure on these tasks. Randomization of temporal fine structure was found to significantly reduce the ability of normal-hearing listeners to lateralize words, although for many listeners, good lateralization performance was achieved with as much as 80% fine-structure randomization. Most listeners demonstrated some rudimentary ability to lateralize with 100% fine-structure randomization. When ITDs were 0 micros, randomization of fine structure had a much greater effect on SRT in two-talker babble than in speech-shaped noise. Binaural advantages were also observed. In steady noise, the difference in SRT between words with 0- vs 700-micros ITDs was, on average, 6 dB with no fine-structure randomization and 2 dB with 100% fine-structure randomization. In two-talker babble this difference was 1.9 dB and, for most listeners, showed little effect of the degree of fine-structure randomization. These results suggest that (1) improved delivery of temporal fine structure would improve speech understanding in noise for implant recipients, (2) bilateral implant recipients might benefit from temporal envelope ITDs, and (3) improved delivery of temporal information could improve binaural benefits.

Some problems for representations of brain organization based on activation in functional imaging

Functional brain imaging has overshadowed traditional lesion studies in becoming the dominant approach to the study of brain-behavior relationships. The proponents of functional imaging studies frequently argue that this approach provides an advantage over lesion studies by observing normal brain activity in vivo without the disruptive effects of brain damage. However, the enthusiastic onslaught of brain images, frequently presented as veridical representations of mental function, has sometimes overwhelmed some basic facts about brain organization repeatedly observed over more than a century. In particular, the lateralization of speech and language to the left cerebral hemisphere in over 90% of the right-handed population does not appear to have been taken as a serious constraint in the interpretation of imaging results in studies of these functions. This paper reviews a number of areas in which standard activation assumptions yield results that are at odds with clinical experience. The activation approach will be contrasted with a performance-based analysis of functional image data, which, at least in the case of speech production, yields results in better agreement with lesion data. Functional imaging represents enormous opportunities for understanding brain-behavior relationships, but at the present level of understanding of what is being represented in such images, it is premature to adhere to a single approach based on the strong but questionable assumptions inherent in most activation studies.

Left‐sided Interictal Epileptic Activity Induces Shift of Language Lateralization in Temporal Lobe Epilepsy: An fMRI Study

By using speech-activated functional MRI (fMRI), we investigated whether the frequency of left-sided interictal epileptic activity (IED: spikes or sharp waves on the EEG) is associated with atypical speech lateralization. We investigated 28 patients (13 men, aged 17-59 years) with left-sided mesial temporal lobe epilepsy (MTLE) and 11 patients with right-sided MTLE as a control population. Only patients with unilateral hippocampal sclerosis with unilateral IED were included. For fMRI of individual patients, we contrasted images sampled during covert word generation with a low-level rest condition. With SPM99, an individual comparison for the contrast "word generation versus resting inactivity" was conducted. To characterize speech lateralization in individual patients, we calculated asymmetry indexes (AIs): the difference between activated left-sided and right-sided voxels was divided by all activated voxels. Analyzing long-term EEG, the first 2 min of each hour were evaluated for the frequency of IED. Univariate associations with AIs were assessed by Pearson's correlation and by t test. When testing the independent associations, multivariate linear regression was performed. The AIs in patients with left-sided MTLE were 0.40 +/- 0.53 on average (range, -0.83 to +1.0), whereas in right-sided MTLE, they were 0.78 +/- 0.15 (p = 0.029). For the further investigations, we included left-sided MTLE patients only. The median frequency of IED was six per hour (range, 0-240). Higher IED frequency was correlated with left-right shift of lateralization of speech fMRI activity (p = 0.002). Higher left-sided spike frequency in MTLE was associated with a left-right shift of speech representation, suggesting that chronic frequent interictal activity may induce a reorganization of speech lateralization.

Gender differences in handedness and speech lateralization related to early neurologic insults

Left-handedness is a normal variant but also may result from early-life brain insults. Speech typically resides in the left cerebral hemisphere in normal subjects. In 170 subjects with past brain injuries, bilateral or right hemisphere speech lateralization, determined by the intracarotid amobarbital procedure, was more frequent in females (19 vs 5, p = 0.003) as was left-handedness (26 vs 10, p = 0.004). This could be attributed to greater plasticity or functional symmetry in females.

The genetic basis of hair whorl, handedness, and other phenotypes

Evidence is presented that RHD, RHCE, and other RH genes, may be interesting candidates to consider when searching for the genetic basis of hair whorl rotation (i.e., clockwise or counterclockwise), handedness (i.e., right handed, left handed or ambidextrous), speech laterality (i.e., right brained or left brained), speech dyslexia (e.g., stuttering), sexual orientation (i.e., heterosexual, homosexual, bisexual, or transsexual), schizophrenia, bipolar disorder, and autism spectrum disorder. Such evidence involves the need for a genetic model that includes maternal immunization to explain some of the empirical results reported in the literature. The complex polymorphisms present among the maternally immunizing RH genes can then be used to explain other empirical results. Easily tested hypotheses are suggested, based upon genotypic (but not phenotypic) frequencies of the RH genes. In particular, homozygous dominant individuals are expected to be less common or lacking entirely among the alternative phenotypes. If it is proven that RH genes are involved in brain architecture, it will have a profound effect upon our understanding of the development and organization of the asymmetrical vertebrate brain and may eventually lead to a better understanding of the developmental processes which occur to produce the various alternative phenotypes discussed here. In addition, if RH genes are shown to be involved in the production of these phenotypes, then the evolutionary studies can be performed to demonstrate the beneficial effect of the recessive alleles of RHD and RHCE, and why human evolution appears to be selecting for the recessive alleles even though an increase in the frequency of such alleles may imply lower average fecundity among some individuals possessing them.

Handedness, dichotic-listening ear advantage, and gender effects on planum temporale asymmetry—A volumetric investigation using structural magnetic resonance imaging

Previous research has often examined whether the asymmetrical structure of the planum temporale (PT) represents an anatomical correlate of lateralized language-processing functions, gathering diverging empirical evidence by comparing PT asymmetry in subjects with differing handedness, gender, or speech lateralization. Apart from other methodological problems, direct comparisons between studies are hampered by insufficient assessment and consideration of all three potential determinants of structural cerebral asymmetry. Based on volumetric assessment of structural Magnetic Resonance Imaging (MRI) scans of 104 healthy subjects, the present study replicated earlier observations of an overall leftward PT asymmetry, which was found to prevail irrespective of handedness, gender, or dichotic-listening ear advantage. However, the mean magnitude of this leftward asymmetry was not determined by either one of these factors in itself, but varied depending on their specific combination. A clear correspondence between structural and functional asymmetry was only observed among right-handed males. In this particular subgroup, more pronounced structural asymmetry was associated with an enlarged PT on the left side, while the enhanced leftward asymmetry of female sinistrals resulted from smaller adjusted volumes of their right PT. The existence of such complex interactions suggests that future research in this area can only be expected to overcome past inconsistencies by adequately considering handedness, gender, and speech lateralization.

Endovascular ablation of a temporal lobe epileptogenic focus - a complication of Wada testing

The authors report on a patient with a long history of medically refractory temporal lobe epilepsy. During pre-operative evaluation for anterior temporal lobectomy he underwent a Wada test for speech and memory lateralization. During the procedure, he suffered a focal cerebral infarct, within the right medial temporal lobe, at the site of the epileptic focus. This resulted in the resolution of his seizure disorder. The possibility of endovascular management of seizure disorders of the temporal lobe should be investigated further as a potentially minimal invasive therapeutic option for medically intractable epilepsy.