1. Neuronavigated rTMS inhibition of right pars triangularis anterior in stuttering: Differential effects on reading and speaking
- Author
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Asli Demirtas-Tatlidede, A. Emre Öge, Oyku Tezel-Bayraktaroglu, Tamer Demiralp, and Zubeyir Bayraktaroglu
- Subjects
Adult ,Male ,Linguistics and Language ,medicine.medical_specialty ,Stuttering ,Cognitive Neuroscience ,medicine.medical_treatment ,media_common.quotation_subject ,Prefrontal Cortex ,Inferior frontal gyrus ,Percentage of Syllables Stuttered ,Experimental and Cognitive Psychology ,Stimulation ,Audiology ,Speech Fluency ,050105 experimental psychology ,Language and Linguistics ,Pars Opercularis ,Young Adult ,03 medical and health sciences ,Speech and Hearing ,0302 clinical medicine ,Functional neuroimaging ,Reading (process) ,Inferior Frontal Gyrus ,medicine ,Humans ,Speech ,0501 psychology and cognitive sciences ,Broca's Homologue ,Pars Triangularis ,media_common ,05 social sciences ,Transcranial Magnetic Stimulation ,nervous system diseases ,Transcranial magnetic stimulation ,Reading ,Speaking ,Female ,Pars triangularis ,medicine.symptom ,Primary motor cortex ,Psychology ,Repetitive Transcranial Magnetic Stimulation ,030217 neurology & neurosurgery - Abstract
Functional neuroimaging studies show an overactivation of speech and language related homologous areas of the right hemisphere in persons who stutter. In this study, we inhibited Broca's homologues using 1 Hz repetitive transcranial magnetic stimulation (rTMS) and assessed its effects on stuttering severity. The investigated cortical areas included pars opercularis (BA44), anterior and posterior pars triangularis (BA45), mouth area on the primary motor cortex (BA4). We collected reading and speaking samples before and after rTMS sessions and calculated the percentage of syllables stuttered. Only right anterior pars triangularis stimulation induced significant changes in speech fluency. Notably, the effects were differential for reading and speaking conditions. Overall, our results provide supportive evidence that right anterior BA45 may be a critical region for stuttering. The observed differential effects following the inhibition of right anterior BA45 merits further study of contributions of this region on different language domains in persons who stutter. Istanbul University
- Published
- 2020
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