Fabio Campanella

Semantic access dysphasia resulting from left temporal lobe tumours.

Unlike semantic degradation disorders, the mechanisms and the anatomical underpinnings of semantic access disorders are still unclear. We report the results of a case series study on the effects of temporal lobe gliomas on semantic access abilities of a group of 20 patients. Patients were tested 1–2 days before and 4–6 days after the removal of the tumour. Their semantic access skills were assessed with two spoken word-to-picture matching tasks, which aimed to separately control for rate of presentation, consistency and serial position effects (Experiment 1) and for word frequency and semantic distance effects (Experiment 2). These variables have been held to be critical in characterizing access in contrast to degraded-store semantic deficits, with access deficits characterized by inconsistency of response, better performance with slower presentation rates and with semantically distant stimuli, in the absence of frequency effects. Degradation deficits show the opposite pattern. Our results showed that low-grade slowly growing tumours tend not to produce signs of access problems. However, high-grade tumours especially within the left hemisphere consistently produce strong semantic deficits of a clear access type: response inconsistency and strong semantic distance effects in the absence of word frequency effects were detected. However, effects of presentation rate and serial position were very weak, suggesting non-refractory behaviour in the tumour patients tested. This evidence, together with the results of lesion overlapping, suggests the presence of a type of non-refractory semantic access deficit. We suggest that this deficit could be caused by the disconnection of posterior temporal lexical input areas from semantic system.

Manipulability and object recognition: is manipulability a semantic feature?

Several lines of evidence exist, coming from neuropsychology, neuroimaging and behavioural investigations on healthy subjects, suggesting that an interaction might exist between the systems devoted to object identification and those devoted to online object-directed actions and that the way an object is acted upon (manipulability) might indeed influence object recognition. In this series of experiments on speeded word-to-picture-matching tasks, it is shown how the presentation of pairs of objects sharing similar manipulation causes greater interference with respect to objects sharing only visual similarity (experiment 1). Moreover, (experiment 2) it is shown how the repeated presentation of pairs of objects sharing a similar type of manipulation leads to a ‘negative’ serial position effect, with the number of errors increasing across presentations, a behaviour that is typically found in patients with access deficits to semantic representations. By contrast, the repeated presentation of pairs of objects sharing only visual similarity leads to an opposite ‘positive’ serial position effect, with errors decreasing across presentations. It is argued that a negative serial position effect is linked to interference occurring within the semantic system, and therefore that the way an object is manipulated is indeed a semantic feature, critical in defining manipulable object properties at a semantic level. To our knowledge, this constitutes the first direct evidence of manipulability being a semantic dimension. The results are discussed in the light of current models of semantic memory organization.

Acute effects of surgery on emotion and personality of brain tumor patients: surgery impact, histological aspects, and recovery

BACKGROUND Cognitive effects of brain surgery for the removal of intracranial tumors are still under investigation. For many basic sensory/motor or language-based functions, focal, albeit transient, cognitive deficits have been reported low-grade gliomas (LGGs); however, the effects of surgery on higher-level cognitive functions are still largely unknown. It has recently been shown that, following brain tumors, damage to different brain regions causes a variety of deficits at different levels in the perception and interpretation of emotions and intentions. However, the effects of different tumor histologies and, more importantly, the effects of surgery on these functions have not been examined. METHODS The performance of 66 patients affected by high-grade glioma (HGG), LGG, and meningioma on 4 tasks tapping different levels of perception and interpretations of emotion and intentions was assessed before, immediately after, and (for LGG patients) 4 months following surgery. RESULTS Results showed that HGG patients were generally already impaired in the more perceptual tasks before surgery and did not show surgery effects. Conversely, LGG patients, who were unimpaired before surgery, showed a significant deficit in perceptual tasks immediately after surgery that was recovered within few months. Meningioma patients were substantially unimpaired in all tasks. CONCLUSIONS These results show that surgery can be relatively safe for LGG patients with regard to the higher-level, more complex cognitive functions and can provide further useful information to the neurosurgeon and improve communication with both the patient and the relatives about possible changes that can occur immediately after surgery.

Refractory semantic access dysphasia resulting from resection of a left frontal glioma

The existence of semantic access disorders is now well established, however the precise cognitive and anatomical underpinnings are still debated. Here we describe the case of a patient that became aphasic after the resection of a left frontal glioma. Detailed lesion reconstruction indicates that the lesion was mostly restricted to the left dorsal and ventral prefrontal cortices and the underlying white matter, but sparing temporal lobes. Critically, the patient showed all the signs of refractory semantic access dysphasia, supporting the association between this syndrome and damage to left prefrontal areas likely to subserve retrieval and selection mechanisms for verbal material.

The neural network associated with lexical- semantic knowledge about social groups

A person can be appraised as an individual or as a member of a social group. In the present study we tested whether the knowledge about social groups is represented independently of the living and non-living things. Patients with frontal and temporal lobe tumors involving either the left or the right hemisphere performed three tasks--picture naming, word-to-picture matching and picture sorting--tapping the lexical semantic knowledge of living things, non-living things and social groups. Both behavioral and voxel-based lesion-symptom mapping (VLSM) analyses suggested that social groups might be represented differently from other categories. VLSM analysis carried out on naming errors revealed that left-lateralized lesions in the inferior frontal gyrus, amygdala, insula and basal ganglia were associated with the lexical-semantic processing of social groups. These findings indicate that the social group representation may rely on areas associated with affective processing.