Neurocognitive basis of repetition deficits in primary progressive aphasia.

TitleNeurocognitive basis of repetition deficits in primary progressive aphasia.
Publication TypeJournal Article
Year of Publication2019
AuthorsLukic S, Mandelli MLuisa, Welch A, Jordan K, Shwe W, Neuhaus J, Miller Z, H Hubbard I, Henry M, Miller BL, Dronkers NF, Gorno-Tempini MLuisa
JournalBrain Lang
Volume194
Pagination35-45
Date Published2019 07
ISSN1090-2155
KeywordsAged, Aphasia, Primary Progressive, Cognition, Female, Humans, Male, Memory, Short-Term, Middle Aged, Temporal Lobe
Abstract

Previous studies indicate that repetition is affected in primary progressive aphasia (PPA), particularly in the logopenic variant, due to limited auditory-verbal short-term memory (avSTM). We tested repetition of phrases varied by length (short, long) and meaning (meaningful, non-meaningful) in 58 participants (22 logopenic, 19 nonfluent, and 17 semantic variants) and 21 healthy controls using a modified Bayles repetition test. We evaluated the relation between cortical thickness and repetition performance and whether sub-scores could discriminate PPA variants. Logopenic participants showed impaired repetition across all phrases, specifically in repeating long phrases and any phrases that were non-meaningful. Nonfluent, semantic, and healthy control participants only had difficulty repeating long, non-meaningful phrases. Poor repetition of long phrases was associated with cortical thinning in left temporo-parietal areas across all variants, highlighting the importance of these areas in avSTM. Finally, Bayles repetition phrases can assist classification in PPA, discriminating logopenic from nonfluent/semantic participants with 89% accuracy.

DOI10.1016/j.bandl.2019.04.003
Alternate JournalBrain Lang
PubMed ID31055171
PubMed Central IDPMC6669076
Grant ListP50 AG023501 / AG / NIA NIH HHS / United States
U01 AG052943 / AG / NIA NIH HHS / United States
R01 NS100440 / NS / NINDS NIH HHS / United States
K24 DC015544 / DC / NIDCD NIH HHS / United States
R01 DC016345 / DC / NIDCD NIH HHS / United States
R03 DC013403 / DC / NIDCD NIH HHS / United States
P01 AG019724 / AG / NIA NIH HHS / United States
R01 DC016291 / DC / NIDCD NIH HHS / United States
R56 NS050915 / NS / NINDS NIH HHS / United States
R01 NS050915 / NS / NINDS NIH HHS / United States