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Block 3.6. Neuropsychology (Clinical Specialization): Problem 2 Language and Memory, Enlish Summary

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Block 3.6. Neuropsychology (Clinical Specialization): Problem 2 Language and Memory English Summary of all the relevant material for this problem The grade obtained for this course was 8.6.

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  • 22 maart 2021
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PROBLEM 2. MEMORY AND LEARNING

Chapter 15: Temporal Lobes
Temporal Lobe Anatomy

 Temporal lobes: tissue below lateral fissure and anterior to occipital
cortex
 Subcortical temporal lobe structures: limbic cortex, amygdala,
hippocampal formation




 Subdivisions: the temporal regions can be divided into i) auditory, ii) ventral visual stream
o Inferotemporal cortex (TE): visual ventral stream o Medial temporal region: amygdala and uncus
o Insula: gustatory, auditory association cortex (limbic cortex), hippocampus (entorhinal &
o Superior Temporal Sulcus: receives input from perirhinal cortex) and fusiform gyrus
auditory, visual, somatic regions & parietal lobes o Temporoparietal junction: attention, memory,
o Parahippocampal cortex language, social tests-decision making in social
o Lateral temporal cortex: fusiform gyrus and inferior situations
temporal gyrus

 Connections:
o Corpus callosum: connects left-right temporal lobes
o Anterior commissure: connects medial temporal cortex with amygdala
1. Sensory pathway: stimulus recognition, from the auditory and visual (ventral streams) to temporal lobe
2. Auditory pathway (dorsal) directing movements (ends in parietal lobe) after auditory info
3. Polymodal pathway from visual and auditory assoc.areas into STS and help with stimulus categorization
4. Medial temporal projections: LTM; auditory and visual input to hippocampal formation or/and amygdala.
5. Frontal-lobe projection: STM, movement control, and affect
 Ventral Stream Anatomy:
1. Extends to striatum: supports habit and skill learning dependent on vision
2. Amygdala projections: emotional salience
3. Inferotemporal -Ventral striatum (n.accumbens-basal ganglia): valence
4. Medial temporal-LTM: Orbitofrontal: Reward association & Ventrolateral prefrontal: WM

Symptoms of Temporal Lobe Damage

 Auditory and Speech perception aphasia , inability to recognize words even
 Auditory processing discriminates i) rapidly though they can still hear pure tones
presenting and ii) complex stimuli  Disorders of Music perception
 Impaired auditory processing in  Left hemisphere: speed , Right hemisphere:
discriminating speech quick sounds, quick frequency differences (spectral sensitivity),
speech, and temporal order (esp. in left- Amusia: tone deaf
temporal lesions)  Right posterior STG lesion  rhythm
 Wernicke’s (receptive) aphasia-left lesions: discrimination problems
association cortex, word deafness: extreme  Anterior damage to either temporal lobes 
meter problems

, PROBLEM 2. MEMORY AND LEARNING
 Primary auditory cortex  pitch
discrimination problems

 Disorders of Visual perception tasks & sematic categories (recognize broad but
 Right-temporal lesions or lobectomy: poor visual not specific categories)
perception (e.g. Rey-Complex-Figure Test,  Inability to use contextual information
Mooney test)  Right temporal lobectomies
 General impairment in facial recognition + they  Memory impairment
are not able to perceive social signals & their  Media temporal lobe (hippocampus and
significance amygdala)  anterograde amnesia: forgetting all
 Disturbance of visual and auditory input events after surgery
selection  Inferotemporal cortex: problems w/ conscious
 Auditory: maintain right-ear advantage but left- information recollection
temporal lobe lesion the performance drops  Left-temporal lobe: impaired recall of verbal
significantly information
 Difficulty of focus on only one ear or in  Right temporal lobe: impaired recall of non-
processing input simultaneously verbal input e.g. faces, tunes, geometric drawings
 Visual: right lesions: bilateral deficits, left  Altered affect, personality and sexual behavior
lesions: unilateral  right t.lobe in selective  Temporal cortex stimulation  feelings of fear
attention of vs  Temporal-lobe personality (right): pedantic
 Impaired organization and categorization speech, egocentricity, perseveration in discussions
 Left-temporal lobe lesions: impaired of personal problems, paranoia, preoccupation
categorization of single words or pictures of with religion, and proneness to aggressive
familiar objects, difficulty in simple categorization outbursts (personality)
 Bilateral temporal damage  release of sexual
behavior (not observe in unilateral damage)

Assessment of temporal lobe damage

 Wechsler Memory Scale-IV: subtests used separately
because memory is maybe affected by attentional deficits
 Rey Complex-Figure Test : nonverbal memory function of
the right temporal lobe (“copy figure” after 45 minutes ask
them to recall and draw as much as possible)
o Limitation: depressed ppl refuse to remember
 Token test: language comprehension
o Limitation: difficulty localizing the damage


Chapter 19:
Language
Language structure

 Acoustic language, visual nature of reading
(touch language), movement language (sign)
 Language is recognized by presence of words
and word components, use of syllables made up of consonants and vowels
Producing sound
 Air from lungs drives oscillations of the vocal cords of the larynx  energy filtered in vocal tract  (sound
waves = formants) produce final product
 Core language skills
1. Categorization: categories of sensory info  perceive and later retrieve info (ventral visual stream through
temporal lobes and dorsal stream by making automatic distinctions)

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