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1.
Elife ; 122023 Nov 21.
Article in English | MEDLINE | ID: mdl-37987578

ABSTRACT

One of the most common distinctions in long-term memory is that between semantic (i.e., general world knowledge) and episodic (i.e., recollection of contextually specific events from one's past). However, emerging cognitive neuroscience data suggest a surprisingly large overlap between the neural correlates of semantic and episodic memory. Moreover, personal semantic memories (i.e., knowledge about the self and one's life) have been studied little and do not easily fit into the standard semantic-episodic dichotomy. Here, we used fMRI to record brain activity while 48 participants verified statements concerning general facts, autobiographical facts, repeated events, and unique events. In multivariate analysis, all four types of memory involved activity within a common network bilaterally (e.g., frontal pole, paracingulate gyrus, medial frontal cortex, middle/superior temporal gyrus, precuneus, posterior cingulate, angular gyrus) and some areas of the medial temporal lobe. Yet the four memory types differentially engaged this network, increasing in activity from general to autobiographical facts, from autobiographical facts to repeated events, and from repeated to unique events. Our data are compatible with a component process model, in which declarative memory types rely on different weightings of the same elementary processes, such as perceptual imagery, spatial features, and self-reflection.


Subject(s)
Memory, Episodic , Semantics , Humans , Temporal Lobe , Parietal Lobe , Magnetic Resonance Imaging , Brain Mapping , Mental Recall , Brain/diagnostic imaging
2.
Biol Psychol ; 183: 108669, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37648076

ABSTRACT

The bioinformational theory of emotional imagery is a model of the hypothetical mental representations activated when people imagine emotionally engaging events, and was initially proposed to guide research and practice in the use of imaginal exposure as a treatment for fear and anxiety (Lang, 1979). In this 50 year overview, we discuss the development of bioinformational theory and its impact on the study of psychophysiology and psychopathology, most importantly assessing its viability and predictions in light of more recent brain-based studies of neural functional activation. Bioinformational theory proposes that narrative imagery, typically cued by language scripts, activates an associative memory network in the brain that includes stimulus (e.g., agents, contexts), semantic (e.g., facts and beliefs) and, most critically for emotion, response information (e.g., autonomic and somatic) that represents relevant real-world coping actions and reactions. Psychophysiological studies in healthy and clinical samples reliably find measurable response output during aversive and appetitive narrative imagery. Neuroimaging studies confirm that emotional imagery is associated with significant activation in motor regions of the brain, as well as in regions implicated in episodic and semantic memory retrieval, supporting the bioinformational view that narrative imagery prompts mental simulation of events that critically includes the actions and reactions engaged in emotional contexts.

3.
Memory ; 30(10): 1405-1420, 2022 11.
Article in English | MEDLINE | ID: mdl-36097651

ABSTRACT

Concreteness and levels of processing (LOP) effects have been attributed to the differential availability of visual images for concrete words, and at deeper levels of processing, respectively. Interestingly, the concreteness effect has been shown to disappear under conditions involving dynamic visual noise (DVN), which is thought to suppress the generation of visual images from long-term memory. The present study further investigated the role of visual imagery in concreteness and LOP effects. Across four experiments, DVN was manipulated during study, and participants' memory for concrete and abstract words was measured using recall and recognition tests. Although some support for dual-coding was found, concreteness and LOP effects were not fully explained by visual imagery because they were present under DVN conditions. We conclude that concreteness and LOP effects may be better explained by an "extended dual-coding theory" that incorporates the role of context availability in accounting for this pattern of results.


Subject(s)
Mental Recall , Noise , Humans
4.
Cogn Neurosci ; 13(2): 61-76, 2022.
Article in English | MEDLINE | ID: mdl-34232829

ABSTRACT

Categorization - whether of objects, ideas, or events - is a cognitive process that is essential for human thinking, reasoning, and making sense of everyday experiences. Categorization abilities are typically measured by the Wechsler Adult Intelligence Scale (WAIS) similarity subtest, which consists of naming the shared category of two items (e.g., 'How are beer and coffee alike'). Previous studies show that categorization, as measured by similarity tasks, requires executive control functions. However, other theories and studies indicate that semantic memory is organized into taxonomic and thematic categories that can be activated implicitly in semantic priming tasks. To explore whether categories can be primed during a similarity task, we developed a double semantic priming paradigm. We measured the priming effect of two primes on a target word that was taxonomically or thematically related to both primes (double priming) or only one of them (single priming). Our results show a larger and additive priming effect in the double priming condition compared to the single priming condition, as measured by both response times and, more consistently, event-related potentials. Our results support the view that taxonomic and thematic categorization can occur during a double priming task and contribute to improving our knowledge on the organization of semantic memory into categories. These findings show how abstract categories can be activated, which likely shapes the way we think and interact with our environment. Our study also provides a new cognitive tool that could be useful to understand the categorization difficulties of neurological patients.


Subject(s)
Coffee , Semantics , Adult , Beer , Evoked Potentials/physiology , Humans , Reaction Time/physiology
5.
Neurobiol Learn Mem ; 183: 107482, 2021 09.
Article in English | MEDLINE | ID: mdl-34182134

ABSTRACT

Auditory closed-loop stimulation has gained traction in recent years as a means of enhancing slow oscillatory activity and, consequently, sleep-associated memory consolidation. Previous studies on this topic have primarily focused on the consolidation of semantically-congruent associations. In this study, we investigated the effect of auditory closed-loop stimulation on the overnight retention of semantically-incongruent associations. Twelve healthy males (age: M = 20.06, SD = 2.02 years) participated in two experimental conditions (simulation and sham). In the stimulation condition, clicks were delivered in phase with slow oscillation up-states, whereas in the sham condition no auditory stimuli were applied. Corroborating earlier work, stimulation (vs. sham) enhanced the slow oscillation rhythm, phase-coupled spindle activity and slow oscillation power. However, there was no benefit of stimulation on overnight memory retention. These findings suggest that closed-loop stimulation does not benefit semantically-incongruent associations.


Subject(s)
Acoustic Stimulation/methods , Association Learning/physiology , Memory Consolidation/physiology , Sleep, Slow-Wave/physiology , Adolescent , Cross-Over Studies , Electroencephalography , Humans , Male , Sleep , Young Adult
6.
Brain Lang ; 190: 10-15, 2019 03.
Article in English | MEDLINE | ID: mdl-30665002

ABSTRACT

Musical excerpts have been shown to have the capacity to prime the processing of target words and vice versa, strongly suggesting that music can convey concepts. However, to date no study has investigated an influence of musical semantics on novel word acquisition, thus corroborating evidence for a similarity of underlying semantic processing of music and words behaviourally. The current study investigates whether semantic content of music can assist the acquisition of novel words. Forty novel words and their German translation were visually presented to 26 participants accompanied by either semantically congruent or incongruent music. Semantic congruence between music and words was expected to increase performance in the subsequent forced-choice recognition test. Participants performed significantly better on the retention of novel words presented with semantically congruent music compared to those presented with semantically incongruent music. This provides first evidence that semantic "enrichment" by music during novel word learning can augment novel word acquisition. This finding may lead to novel approaches in foreign language acquisition and language rehabilitation, and further strongly supports the concept that music has a strong capacity to iconically convey meaning.


Subject(s)
Acoustic Stimulation/psychology , Music , Semantics , Verbal Learning , Acoustic Stimulation/methods , Adult , Female , Healthy Volunteers , Humans , Language , Male , Music/psychology , Verbal Behavior , Verbal Learning/physiology , Young Adult
7.
Nutr Neurosci ; 22(6): 401-408, 2019 Jun.
Article in English | MEDLINE | ID: mdl-29098943

ABSTRACT

OBJECTIVES: Factors maintaining cognitive health are still largely unknown. In particular, the cognitive benefits associated with vitamin intake and vitamin supplementation are disputed. We investigated self-reported vitamin intake and serum vitamin levels with performance in cognitive factors sensitive to dementia progression in two large middle-aged general population cohorts. METHODS: Survey data were used to assess regular vitamin intake in 4400 NCDS 1958 and 1177 TwinsUK cohort members, and serum homocysteine and B vitamin levels were measured in 675 individuals from the TwinsUK study. Principal component analysis was applied to cognitive test performance from both cohorts resulting in two dementia-sensitive cognitive factors reflecting visuospatial associative memory and verbal semantic memory. RESULTS: In both cohorts, individuals who reported regular intake of vitamins, particularly B vitamins, showed significantly better performance in visuospatial associative memory and verbal semantic memory (P < 0.001). A significant association was also found between homocysteine levels, vitamin serum concentration and visuospatial associative memory performance which indicated that individuals with high B vitamin and homocysteine levels showed better visuospatial associative memory performance than individuals with low vitamin B levels (P < 0.05). DISCUSSION: The findings demonstrate that early dementia-sensitive cognitive changes can be identified in middle-aged asymptomatic individuals and that regular vitamin intake is associated with improved cognitive performance. These findings reinforce the potential cognitive benefits of regular vitamin intake, which should be considered as an economically viable therapeutic strategy for maintaining cognitive health.


Subject(s)
Dietary Supplements , Memory , Semantics , Spatial Processing , Vitamins/administration & dosage , Female , Homocysteine/administration & dosage , Humans , Male , Mental Status and Dementia Tests , Middle Aged , Surveys and Questionnaires
8.
Brain Lang ; 185: 1-8, 2018 10.
Article in English | MEDLINE | ID: mdl-29986168

ABSTRACT

Every day we integrate meaningful information coming from different sensory modalities, and previous work has debated whether conceptual knowledge is represented in modality-specific neural stores specialized for specific types of information, and/or in an amodal, shared system. In the current study, we investigated semantic processing through a cross-modal paradigm which asked whether auditory semantic processing could be modulated by the constraints of context built up across a meaningful visual narrative sequence. We recorded event-related brain potentials (ERPs) to auditory words and sounds associated to events in visual narratives-i.e., seeing images of someone spitting while hearing either a word (Spitting!) or a sound (the sound of spitting)-which were either semantically congruent or incongruent with the climactic visual event. Our results showed that both incongruent sounds and words evoked an N400 effect, however, the distribution of the N400 effect to words (centro-parietal) differed from that of sounds (frontal). In addition, words had an earlier latency N400 than sounds. Despite these differences, a sustained late frontal negativity followed the N400s and did not differ between modalities. These results support the idea that semantic memory balances a distributed cortical network accessible from multiple modalities, yet also engages amodal processing insensitive to specific modalities.


Subject(s)
Auditory Perception/physiology , Evoked Potentials/physiology , Visual Perception/physiology , Acoustic Stimulation/methods , Adult , Brain/physiology , Brain Mapping/methods , Electroencephalography/methods , Female , Humans , Male , Memory/physiology , Narration , Photic Stimulation/methods , Young Adult
9.
Neuropsychologia ; 114: 186-194, 2018 06.
Article in English | MEDLINE | ID: mdl-29723600

ABSTRACT

Embodied cognition theories of semantic memory still face the need for multiple sources of converging evidence in support of the involvement of sensory-motor systems in action-related knowledge. Previous studies showed that training manual actions improves semantic processing of verbs referring to the trained actions. The present work aimed to provide complementary evidence by measuring the brain plasticity effects of a cognitive training requiring sustained lexical-semantic processing of action-related verbs. We included two groups of participants, namely the Proximal Group (PG) and the Distal Group (DG), which underwent a 3-week training with verbs referring to actions involving the proximal and the distal upper limb musculature, respectively. Before and after training, we measured gray matter voxel brain morphometry based on T1 structural magnetic resonance imaging. By means of this 2 (Group: PG, DG) × 2 (Time: pre-, post-training) factorial design, we tested whether sustained cognitive experience with specific action-related verbs induces congruent brain plasticity modifications in target regions of interest pertaining to the action representation system. We found significant post- versus pre-training gray matter volume increases, specifically for PG in the left dorsal precentral gyrus, and for DG in the right cerebellar lobule VIIa. These preliminary results suggest that a cognitive training can induce structural plasticity modifications in brain regions specifically coding for the distal and proximal motor actions the trained verbs refer to.


Subject(s)
Brain/physiology , Cognition/physiology , Gray Matter/physiology , Neuronal Plasticity/physiology , Semantics , Verbal Behavior/physiology , Acoustic Stimulation , Adult , Brain/diagnostic imaging , Brain Mapping , Decision Making , Female , Gray Matter/diagnostic imaging , Humans , Image Processing, Computer-Assisted , Longitudinal Studies , Magnetic Resonance Imaging , Male , Mental Recall , Photic Stimulation , Reaction Time/physiology , Teaching , Young Adult
10.
Neurocase ; 22(6): 486-495, 2016 12.
Article in English | MEDLINE | ID: mdl-27849128

ABSTRACT

Music can induce particular emotions and activate semantic knowledge. In the semantic variant of primary progressive aphasia (svPPA), semantic memory is impaired as a result of anterior temporal lobe (ATL) atrophy. Semantics is responsible for the encoding and retrieval of factual knowledge about music, including associative and emotional attributes. In the present study, we report the performance of two individuals with svPPA in three experiments. NG with bilateral ATL atrophy and ND with atrophy largely restricted to the left ATL. Experiment 1 assessed the recognition of musical excerpts and both patients were unimpaired. Experiment 2 studied the emotions conveyed by music and only NG showed impaired performance. Experiment 3 tested the association of semantic concepts to musical excerpts and both patients were impaired. These results suggest that the right ATL seems essential for the recognition of emotions conveyed by music and that the left ATL is involved in binding music to semantics. They are in line with the notion that the ATLs are devoted to the binding of different modality-specific properties and suggest that they are also differentially involved in the processing of factual and emotional knowledge associated with music.


Subject(s)
Aphasia, Primary Progressive/complications , Emotions/physiology , Memory Disorders/etiology , Music , Semantics , Acoustic Stimulation , Aged , Aphasia, Primary Progressive/diagnostic imaging , Atrophy/etiology , Atrophy/pathology , Female , Humans , Judgment/physiology , Language Tests , Magnetic Resonance Imaging , Male , Mental Status Schedule , Middle Aged , Neuropsychological Tests , Recognition, Psychology , Temporal Lobe/pathology
11.
Psychophysiology ; 53(7): 1044-53, 2016 07.
Article in English | MEDLINE | ID: mdl-27006093

ABSTRACT

A cross-modal symbolic paradigm was used to elicit EEG activity related to semantic incongruence. Twenty-five undergraduate students viewed pairings of visual lexical cues (e.g., DOG) with congruent (50% of trials) or incongruent (50%) auditory nonlexical stimuli (animal vocalizations; e.g., sound of a dog woofing or a cat meowing). In one condition, many different pairs of congruent/incongruent stimuli were shown, whereas in a second condition only two pairs of stimuli were repeatedly shown. A typical N400-like pattern of incongruence-related activity (including activity in the N2 time window) was evident in the condition using many stimuli, whereas the incongruence-related activity in the two-stimuli condition was confined to differential N2-like activity. A supplementary analysis excluded stimulus characteristics as the source of this differential activity between conditions. We found that a single individual performing a fixed task can demonstrate either a protracted N400-like pattern of activity or a more temporally focused N2-like pattern of activity in response to the same stimulus, which suggests that the N2 may be a precursor to the protracted N400 response.


Subject(s)
Auditory Perception/physiology , Cerebral Cortex/physiology , Evoked Potentials , Semantics , Visual Perception/physiology , Acoustic Stimulation , Adolescent , Adult , Electroencephalography , Humans , Photic Stimulation , Young Adult
12.
Cereb Cortex ; 26(5): 2018-34, 2016 May.
Article in English | MEDLINE | ID: mdl-25750259

ABSTRACT

Recent research indicates that sensory and motor cortical areas play a significant role in the neural representation of concepts. However, little is known about the overall architecture of this representational system, including the role played by higher level areas that integrate different types of sensory and motor information. The present study addressed this issue by investigating the simultaneous contributions of multiple sensory-motor modalities to semantic word processing. With a multivariate fMRI design, we examined activation associated with 5 sensory-motor attributes--color, shape, visual motion, sound, and manipulation--for 900 words. Regions responsive to each attribute were identified using independent ratings of the attributes' relevance to the meaning of each word. The results indicate that these aspects of conceptual knowledge are encoded in multimodal and higher level unimodal areas involved in processing the corresponding types of information during perception and action, in agreement with embodied theories of semantics. They also reveal a hierarchical system of abstracted sensory-motor representations incorporating a major division between object interaction and object perception processes.


Subject(s)
Brain/physiology , Concept Formation/physiology , Perception/physiology , Semantics , Acoustic Stimulation , Adult , Auditory Perception/physiology , Brain Mapping , Color Perception/physiology , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Motion Perception/physiology , Multivariate Analysis , Photic Stimulation , Young Adult
14.
Psychol Sci ; 26(6): 724-36, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25911123

ABSTRACT

People typically explain others' behaviors by attributing them to the beliefs and motives of an unobservable mind. Although such attributional inferences are critical for understanding the social world, it is unclear whether they rely on processes distinct from those used to understand the nonsocial world. In the present study, we used functional MRI to identify brain regions associated with making attributions about social and nonsocial situations. Attributions in both domains activated a common set of brain regions, and individual differences in the domain-specific recruitment of one of these regions--the dorsomedial prefrontal cortex (DMPFC)--correlated with attributional accuracy in each domain. Overall, however, the DMPFC showed greater activation for attributions about social than about nonsocial situations, and this selective response to the social domain was greatest in participants who reported the highest levels of social expertise. We conclude that folk explanations of behavior are an expert use of a domain-general cognitive ability.


Subject(s)
Prefrontal Cortex/physiology , Social Behavior , Social Perception , Theory of Mind , Adult , Brain Mapping , Cognition , Female , Humans , Individuality , Los Angeles , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological Tests , Young Adult
15.
J Neurosci ; 34(43): 14318-23, 2014 Oct 22.
Article in English | MEDLINE | ID: mdl-25339744

ABSTRACT

Research from the previous decade suggests that word meaning is partially stored in distributed modality-specific cortical networks. However, little is known about the mechanisms by which semantic content from multiple modalities is integrated into a coherent multisensory representation. Therefore we aimed to characterize differences between integration of lexical-semantic information from a single modality compared with two sensory modalities. We used magnetoencephalography in humans to investigate changes in oscillatory neuronal activity while participants verified two features for a given target word (e.g., "bus"). Feature pairs consisted of either two features from the same modality (visual: "red," "big") or different modalities (auditory and visual: "red," "loud"). The results suggest that integrating modality-specific features of the target word is associated with enhanced high-frequency power (80-120 Hz), while integrating features from different modalities is associated with a sustained increase in low-frequency power (2-8 Hz). Source reconstruction revealed a peak in the anterior temporal lobe for low-frequency and high-frequency effects. These results suggest that integrating lexical-semantic knowledge at different cortical scales is reflected in frequency-specific oscillatory neuronal activity in unisensory and multisensory association networks.


Subject(s)
Auditory Cortex/physiology , Biological Clocks/physiology , Nerve Net/physiology , Semantics , Visual Cortex/physiology , Acoustic Stimulation/methods , Adolescent , Adult , Cerebral Cortex/physiology , Female , Humans , Magnetoencephalography/methods , Male , Photic Stimulation/methods , Young Adult
16.
Cogn Neuropsychol ; 31(4): 287-312, 2014.
Article in English | MEDLINE | ID: mdl-24839997

ABSTRACT

Embodied cognition offers an approach to word meaning firmly grounded in action and perception. A strong prediction of embodied cognition is that sensorimotor simulation is a necessary component of lexical-semantic representation. One semantic distinction where motor imagery is likely to play a key role involves the representation of manufactured artefacts. Many questions remain with respect to the scope of embodied cognition. One dominant unresolved issue is the extent to which motor enactment is necessary for representing and generating words with high motor salience. We investigated lesion correlates of manipulable relative to nonmanipulable name generation (e.g., name a school supply; name a mountain range) in patients with nonfluent aphasia (N = 14). Lesion volumes within motor (BA4, where BA = Brodmann area) and premotor (BA6) cortices were not predictive of category discrepancies. Lesion symptom mapping linked impairment for manipulable objects to polymodal convergence zones and to projections of the left, primary visual cortex specialized for motion perception (MT/V5+). Lesions to motor and premotor cortex were not predictive of manipulability impairment. This lesion correlation is incompatible with an embodied perspective premised on necessity of motor cortex for the enactment and subsequent production of motor-related words. These findings instead support a graded or "soft" approach to embodied cognition premised on an ancillary role of modality-specific cortical regions in enriching modality-neutral representations. We discuss a dynamic, hybrid approach to the neurobiology of semantic memory integrating both embodied and disembodied components.


Subject(s)
Aphasia/physiopathology , Brain Mapping , Brain/physiopathology , Cognition , Language Tests , Magnetic Resonance Imaging , Adult , Aphasia/etiology , Aphasia/pathology , Aphasia/psychology , Aphasia, Broca/physiopathology , Brain/pathology , Frontal Lobe/physiopathology , Humans , Male , Memory , Motor Cortex/physiopathology , Neuroimaging/methods , Research Design , Stroke/complications
17.
Front Psychol ; 3: 329, 2012.
Article in English | MEDLINE | ID: mdl-23049515

ABSTRACT

Grounded cognition theory proposes that cognition, including meaning, is grounded in sensorimotor processing. The mechanism for grounding cognition is mental simulation, which is a type of mental imagery that re-enacts modal processing. To reveal top-down, cortical mechanisms for mental simulation of shape, event-related potentials were recorded to face and object pictures preceded by mental imagery. Mental imagery of the identical face or object picture (congruous condition) facilitated not only categorical perception (VPP/N170) but also later visual knowledge [N3(00) complex] and linguistic knowledge (N400) for faces more than objects, and strategic semantic analysis (late positive complex) between 200 and 700 ms. The later effects resembled semantic congruity effects with pictures. Mental imagery also facilitated category decisions, as a P3 peaked earlier for congruous than incongruous (other category) pictures, resembling the case when identical pictures repeat immediately. Thus mental imagery mimics semantic congruity and immediate repetition priming processes with pictures. Perception control results showed the opposite for faces and were in the same direction for objects: Perceptual repetition adapts (and so impairs) processing of perceived faces from categorical perception onward, but primes processing of objects during categorical perception, visual knowledge processes, and strategic semantic analysis. For both imagery and perception, differences between faces and objects support domain-specificity and indicate that cognition is grounded in modal processing. Altogether, this direct neural evidence reveals that top-down processes of mental imagery sustain an imagistic representation that mimics perception well enough to prime subsequent perception and cognition. Findings also suggest that automatic mental simulation of the visual shape of faces and objects operates between 200 and 400 ms, and strategic mental simulation operates between 400 and 700 ms.

18.
Front Hum Neurosci ; 6: 285, 2012.
Article in English | MEDLINE | ID: mdl-23087637

ABSTRACT

The relationship between imagery and mental representations induced through perception has been the subject of philosophical discussion since antiquity and of vigorous scientific debate in the last century. The relatively recent advent of functional neuroimaging has allowed neuroscientists to look for brain-based evidence for or against the argument that perceptual processes underlie mental imagery. Recent investigations of imagery in many new domains and the parallel development of new meta-analytic techniques now afford us a clearer picture of the relationship between the neural processes underlying imagery and perception, and indeed between imagery and other cognitive processes. This meta-analysis surveyed 65 studies investigating modality-specific imagery in auditory, tactile, motor, gustatory, olfactory, and three visual sub-domains: form, color and motion. Activation likelihood estimate (ALE) analyses of activation foci reported within- and across sensorimotor modalities were conducted. The results indicate that modality-specific imagery activations generally overlap with-but are not confined to-corresponding somatosensory processing and motor execution areas, and suggest that there is a core network of brain regions recruited during imagery, regardless of task. These findings have important implications for investigations of imagery and theories of cognitive processes, such as perceptually-based representational systems.

19.
Psychol. av. discip ; 5(1): 107-119, Jan.-June 2011. ilus, tab
Article in Spanish | LILACS | ID: lil-659460

ABSTRACT

La dificultad para encontrar las palabras en una conversación y expresar lo que se piensa, así como la pérdida del conocimiento en la escritura de las palabras y su significado en presencia de un habla fluida; se evidencia en este estudio de caso; en una mujer de 62 años, con estudios en comercio y secretariado bilingüe, quien previamente a sus dificultades, se desempeñó como secretaria de alta gerencia con sobresalientes habilidades lingüísticas y en su escritura tipo palmer. Ha presentado una progresión gradual de sus déficits, evolucionando hacia un perfil de deterioro global cognoscitivo, específicamente de sus habilidades del lenguaje, déficit de memoria explicita verbal y semántica, alteración en el cálculo, disortografía, agrafia y disfunción ejecutiva, con parcial limitación para desempeñarse funcionalmente en las actividades de la vida diaria. Con la presentación de este caso, se encuentra un cuadro clínico inicial de afectación del sistema semántico y de la representación mental de las palabras, siendo congruente con una demencia semántica. Se presenta el papel fundamental de la evaluación neuropsicológica y la elaboración de la historia clínica, para efectuar un diagnóstico clínico diferencial entre las demencias degenerativas primarias como la enfermedad de Alzheimer y las variantes de las demencias frontotemporales.


The difficulty of finding words in a conversation and express what we think, and unconsciousness in the writing of words and their meaning in the presence of fluent speech, is evident in this study case, a woman of 62 years, with studies in business and bilingual secretary, who prior to his difficulties, she served as secretary of senior management with outstanding language skills and writing Palm OS. He has presented a gradual progression of their deficits, evolving towards a profile of global cognitive impairment, specifically their language skills, verbal explicit memory deficit and semantic change in the calculation, dysorthography, agraphia and executive dysfunction, with partial limitation to perform functionally in activities of daily living. By presenting this case, is a clinical initial involvement of the semantic system and the mental representation of words, being consistent with a semantic dementia. We report the role of neuropsychological assessment and the development of clinical history, to conduct a clinical differential diagnosis between primary degenerative dementia's such as Alzheimer's disease and variants of frontotemporal dementia.


Subject(s)
Aphasia, Broca , Clinical Diagnosis , Dementia , Frontotemporal Dementia , Memory Disorders , Activities of Daily Living , Diagnosis, Differential , Research Report , Alzheimer Disease , Memory
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