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The contribution of the cerebellum to speech production and speech perception: Clinical and functional imaging data 

Authors: Hermann Ackermann a;  Klaus Mathiak b; Axel Riecker c
Affiliations:   a Department of General Neurology, Hertie Institute for Clinical Brain Research, University of Tuumlbingen,
b Department of Psychiatry and Psychotherapy, Medical Center, RWTH Aachen University,
c Department of Neurology, University of Ulm, Germany
DOI: 10.1080/14734220701266742
Publication Frequency: 4 issues per year
Published in: journal The Cerebellum, Volume 6, Issue 3 2007 , pages 202 - 213
First Published: 2007
Subject: Movement Disorders;
Formats available: HTML (English) : PDF (English)

The circumstances under which this title is published have changed:

Reason for change: Changed Publisher
Now published by: Springer New York LLC
Date of change: 2008



Abstract

A classical tenet of clinical neurology proposes that cerebellar disorders may give rise to speech motor disorders (ataxic dysarthria), but spare perceptual and cognitive aspects of verbal communication. During the past two decades, however, a variety of higher-order deficits of speech production, e.g., more or less exclusive agrammatism, amnesic or transcortical motor aphasia, have been noted in patients with vascular cerebellar lesions, and transient mutism following resection of posterior fossa tumors in children may develop into similar constellations. Perfusion studies provided evidence for cerebello-cerebral diaschisis as a possible pathomechanism in these instances. Tight functional connectivity between the language-dominant frontal lobe and the contralateral cerebellar hemisphere represents a prerequisite of such long-distance effects. Recent functional imaging data point at a contribution of the right cerebellar hemisphere, concomitant with language-dominant dorsolateral and medial frontal areas, to the temporal organization of a prearticulatory verbal code ('inner speech'), in terms of the sequencing of syllable strings at a speaker's habitual speech rate. Besides motor control, this network also appears to be engaged in executive functions, e.g., subvocal rehearsal mechanisms of verbal working memory, and seems to be recruited during distinct speech perception tasks. Taken together, thus, a prearticulatory verbal code bound to reciprocal right cerebellar/left frontal interactions might represent a common platform for a variety of cerebellar engagements in cognitive functions. The distinct computational operation provided by cerebellar structures within this framework appears to be the concatenation of syllable strings into coarticulated sequences.
Keywords: Cerebellum; speech; language; cognition
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