Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study

Impairment on verbal fluency tasks has been one of the more consistently reported neuropsychological findings after cerebellar lesions, but it has not been uniformly observed and the possible underlying cognitive basis has not been investigated. We tested twenty-two patients with chronic, unilateral...

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Main Authors: Tom A. Schweizer, Michael P. Alexander, B. A. Susan Gillingham, Michael Cusimano, Donald T. Stuss
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-2010-0269
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author Tom A. Schweizer
Michael P. Alexander
B. A. Susan Gillingham
Michael Cusimano
Donald T. Stuss
author_facet Tom A. Schweizer
Michael P. Alexander
B. A. Susan Gillingham
Michael Cusimano
Donald T. Stuss
author_sort Tom A. Schweizer
collection DOAJ
description Impairment on verbal fluency tasks has been one of the more consistently reported neuropsychological findings after cerebellar lesions, but it has not been uniformly observed and the possible underlying cognitive basis has not been investigated. We tested twenty-two patients with chronic, unilateral cerebellar lesions (12 Left, 10 Right) and thirty controls on phonemic and semantic fluency tasks. We measured total words produced, words produced in the initial 15 seconds, errors and strategy switches. In the phonemic fluency task, the right cerebellar lesion (RC) group produced significantly fewer words compared to the left cerebellar lesion (LC) group and healthy controls, particularly over the first 15 seconds of the task with no increase in errors and significantly fewer switches over the entire task. In the semantic fluency task there was only a modest decrease in total words in the RC group compared to controls. RC lesions impair fluency with many of the same performance characteristics as left prefrontal lesions. This supports the hypotheses of a prefrontal-lateral cerebellar system for modulation of attention/executive or strategy demanding tasks.
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spelling doaj-art-2b05fcc33f304f709f58e3b1d7899d862025-02-03T06:47:24ZengWileyBehavioural Neurology0953-41801875-85842010-01-01231-2313710.3233/BEN-2010-0269Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency StudyTom A. Schweizer0Michael P. Alexander1B. A. Susan Gillingham2Michael Cusimano3Donald T. Stuss4Division of Neurosurgery, St. Michael's Hospital, Toronto, CanadaRotman Research Institute at Baycrest, Toronto, CanadaRotman Research Institute at Baycrest, Toronto, CanadaDivision of Neurosurgery, St. Michael's Hospital, Toronto, CanadaRotman Research Institute at Baycrest, Toronto, CanadaImpairment on verbal fluency tasks has been one of the more consistently reported neuropsychological findings after cerebellar lesions, but it has not been uniformly observed and the possible underlying cognitive basis has not been investigated. We tested twenty-two patients with chronic, unilateral cerebellar lesions (12 Left, 10 Right) and thirty controls on phonemic and semantic fluency tasks. We measured total words produced, words produced in the initial 15 seconds, errors and strategy switches. In the phonemic fluency task, the right cerebellar lesion (RC) group produced significantly fewer words compared to the left cerebellar lesion (LC) group and healthy controls, particularly over the first 15 seconds of the task with no increase in errors and significantly fewer switches over the entire task. In the semantic fluency task there was only a modest decrease in total words in the RC group compared to controls. RC lesions impair fluency with many of the same performance characteristics as left prefrontal lesions. This supports the hypotheses of a prefrontal-lateral cerebellar system for modulation of attention/executive or strategy demanding tasks.http://dx.doi.org/10.3233/BEN-2010-0269
spellingShingle Tom A. Schweizer
Michael P. Alexander
B. A. Susan Gillingham
Michael Cusimano
Donald T. Stuss
Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
Behavioural Neurology
title Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
title_full Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
title_fullStr Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
title_full_unstemmed Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
title_short Lateralized Cerebellar Contributions to Word Generation: A Phonemic and Semantic Fluency Study
title_sort lateralized cerebellar contributions to word generation a phonemic and semantic fluency study
url http://dx.doi.org/10.3233/BEN-2010-0269
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