1
|
Michaelis K, Erickson LC, Fama ME, Skipper-Kallal LM, Xing S, Lacey EH, Anbari Z, Norato G, Rauschecker JP, Turkeltaub PE. Effects of age and left hemisphere lesions on audiovisual integration of speech. BRAIN AND LANGUAGE 2020; 206:104812. [PMID: 32447050 PMCID: PMC7379161 DOI: 10.1016/j.bandl.2020.104812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 04/02/2020] [Accepted: 05/04/2020] [Indexed: 06/11/2023]
Abstract
Neuroimaging studies have implicated left temporal lobe regions in audiovisual integration of speech and inferior parietal regions in temporal binding of incoming signals. However, it remains unclear which regions are necessary for audiovisual integration, especially when the auditory and visual signals are offset in time. Aging also influences integration, but the nature of this influence is unresolved. We used a McGurk task to test audiovisual integration and sensitivity to the timing of audiovisual signals in two older adult groups: left hemisphere stroke survivors and controls. We observed a positive relationship between age and audiovisual speech integration in both groups, and an interaction indicating that lesions reduce sensitivity to timing offsets between signals. Lesion-symptom mapping demonstrated that damage to the left supramarginal gyrus and planum temporale reduces temporal acuity in audiovisual speech perception. This suggests that a process mediated by these structures identifies asynchronous audiovisual signals that should not be integrated.
Collapse
Affiliation(s)
- Kelly Michaelis
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA
| | - Laura C Erickson
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA; Neuroscience Department, Georgetown University Medical Center, Washington DC, USA
| | - Mackenzie E Fama
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA; Department of Speech-Language Pathology & Audiology, Towson University, Towson, MD, USA
| | - Laura M Skipper-Kallal
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA
| | - Shihui Xing
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA; Department of Neurology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Elizabeth H Lacey
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA; Research Division, MedStar National Rehabilitation Hospital, Washington DC, USA
| | - Zainab Anbari
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA
| | - Gina Norato
- Clinical Trials Unit, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA
| | - Josef P Rauschecker
- Neuroscience Department, Georgetown University Medical Center, Washington DC, USA
| | - Peter E Turkeltaub
- Neurology Department and Center for Brain Plasticity and Recovery, Georgetown University Medical Center, Washington DC, USA; Research Division, MedStar National Rehabilitation Hospital, Washington DC, USA.
| |
Collapse
|
2
|
Baum SH, Martin RC, Hamilton AC, Beauchamp MS. Multisensory speech perception without the left superior temporal sulcus. Neuroimage 2012; 62:1825-32. [PMID: 22634292 DOI: 10.1016/j.neuroimage.2012.05.034] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2012] [Revised: 05/10/2012] [Accepted: 05/14/2012] [Indexed: 10/28/2022] Open
Abstract
Converging evidence suggests that the left superior temporal sulcus (STS) is a critical site for multisensory integration of auditory and visual information during speech perception. We report a patient, SJ, who suffered a stroke that damaged the left tempo-parietal area, resulting in mild anomic aphasia. Structural MRI showed complete destruction of the left middle and posterior STS, as well as damage to adjacent areas in the temporal and parietal lobes. Surprisingly, SJ demonstrated preserved multisensory integration measured with two independent tests. First, she perceived the McGurk effect, an illusion that requires integration of auditory and visual speech. Second, her perception of morphed audiovisual speech with ambiguous auditory or visual information was significantly influenced by the opposing modality. To understand the neural basis for this preserved multisensory integration, blood-oxygen level dependent functional magnetic resonance imaging (BOLD fMRI) was used to examine brain responses to audiovisual speech in SJ and 23 healthy age-matched controls. In controls, bilateral STS activity was observed. In SJ, no activity was observed in the damaged left STS but in the right STS, more cortex was active in SJ than in any of the normal controls. Further, the amplitude of the BOLD response in right STS response to McGurk stimuli was significantly greater in SJ than in controls. The simplest explanation of these results is a reorganization of SJ's cortical language networks such that the right STS now subserves multisensory integration of speech.
Collapse
Affiliation(s)
- Sarah H Baum
- Department of Neurobiology and Anatomy, University of Texas Medical School at Houston, TX, USA
| | | | | | | |
Collapse
|