scholarly journals Posterior superior temporal sulcus supports sequence-based language processing: Evidence from low-frequency repetitive transcranial magnetic stimulation

2020 ◽  
Author(s):  
Louise Kyriaki ◽  
Gabrielle Todd ◽  
Matthias Schlesewsky ◽  
Joseph Devlin ◽  
Ina Bornkessel-Schlesewsky

Understanding the sequence (i.e. word order) of linguistic input plays an important role in sentence comprehension, particularly in languages such as English (Bornkessel-Schlesewsky et al., 2015). Neuroimaging and clinical research shows that left posterior superior temporal sulcus (pSTS) contributes towards sequence processing in both linguistic and non-linguistic contexts (Bornkessel et al., 2005; Wilson et al., 2010). To test the causal contribution of left pSTS for sequence-dependent sentence processing, we applied image-guided low-frequency repetitive transcranial magnetic stimulation (1 Hz for 15 minutes at 90% resting motor threshold) to this region in 23 healthy native English speakers. Participants undertook an auditory sentence processing task and were asked to identify the sentential actor or undergoer. Sentences were either semantically plausible or were rendered implausible by an animacy violation (e.g. “The student will write the answer” versus “The answer will write the student”). After sham-rTMS (control condition), participants predominantly selected the first noun as the actor and second noun as the undergoer, relying strongly on sequence cues (word order) for interpretation as expected in English speakers. By contrast, after real-rTMS, participants were more likely to use animacy as a cue to interpretation, with higher selections of the animate noun as the actor and inanimate noun as the undergoer regardless of word order. This effect also interacted with question focus and response time. These results indicate that sequence-based language processing is reduced after low-frequency rTMS to pSTS, suggesting a role for pSTS in processing sequential aspects of language such as word order.

Author(s):  
Azza B. Hammad ◽  
Rasha E. Elsharkawy ◽  
Ghada S. Abdel Azim

Abstract Background Clinical applications of transcranial magnetic stimulation (TMS) have shown promising results in the treatment of headache disorders, with migraine being one of the most encountered. Objective To assess the role of low-frequency repetitive transcranial magnetic stimulation as a preventive treatment of migraine (with and without aura) and correlate the results with the serum level of the inflammatory biomarker (neurokinin A). Methods Forty patients, with age ranging from 15 to 55 years, diagnosed with migraine (30 migraine without aura and 10 with aura) and 20 apparently healthy individuals, who were age and sex matched with the patient group, were included in this study. A low-frequency (1 Hz) rTMS protocol was applied for all patients for five consecutive days interictally. Assessment of pain intensity using visual analogue scale and frequency and duration of attacks as well as number of pills taken by patients as an abortive treatment according to the Basic Diagnostic Headache Diary for 4 weeks before and 4 weeks after TMS sessions was done. In addition, the Migraine Disability Assessment scale (MIDAS) was applied to assess the severity and degree of disability caused by migraine. Measurement of neurokinin A serum level was done by using ELISA for all patients before and after TMS and for control group once. Results There was a significant reduction in pain intensity, frequency and duration of migraine attacks, migraine disability scores, and number of pills taken as abortive treatment for attacks after rTMS (P < 0.001). Also, serum level of neurokinin A in the patients was significantly reduced after rTMS (P < 0.001). Conclusion Low-frequency rTMS is an effective prophylactic treatment for migraine with and without aura.


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