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Biomedical subjects

H A Whitaker

Publications and source records attributed to H A Whitaker.

12 recordsLinked to original sources

Effects of right and left hemisphere cerebrovascular lesions on discrimination of prosodic and semantic aspects of affect in sentences.

Ten nonaphasic left cerebrovascular accident (CVA) patients, 12 right CVA patients, and 16 normals were matched for age, education, lesion sizes, and postonset intervals; all were right handed. One task consisted of 36 sentences connoting one of six primary emotions (joy, sadness, fear, surprise, disgust, anger) presented binaurally with a neutral emotional tone. Subjects were required to point to the appropriate emotion name on a vertically arranged list. A second task consisted of the same 36 sentences voiced emotionally by humming with a closed mouth, presented binaurally, and requiring the same response as for the preceding task. A third task consisted of 18 of the sentences spoken with concordant emotional tone and the remaining 18 sentences spoken with discordant emotional tone, presented binaurally and requiring pointing to the word "SAME" or "DIFFERENT" arrayed vertically. The right hemisphere (RH) patients were significantly impaired, relative to the left hemisphere (LH) patients and normals, on the pure prosody task (2) and on the emotional concordance task (3), the latter effect being significant only for mismatch categorization. The LH patients performed (nonsignificantly) less well than the RH patients and normals on the verbal contextual task (1). Performances on the three tasks were not significantly correlated in the patient groups. It was concluded that the RH probably dominates for phonetic discrimination of vowel trains (fundamental frequency and/or single vowel or multivowel contour) and that the RH probably dominates for certain forms of selective attention in the verbal domain perhaps involving simultaneous mismatch treatment of ongoing sentence-level, distracting, complementary, verbal processes. Comparison of similar right and left, cortical (frontoparietal), and subcortical (capsule and basal ganglia) lesions suggested, but did not prove, that the RH pure prosody impairment is cortical whereas the RH tonal-semantic mismatch categorization impairment involves subcortical as well as cortical contributions.

Adult

An empirical test of two opposing theoretical models of prefrontal function.

The purpose of this study was to compare the validity of two models which contrast with each other in the manner in which they integrate neuropsychological tests into distinct prefrontal constructs. The first prefrontal model consists of five distinct functional constructs drawn from human clinical neuropsychology. The second model, elaborated by Goldman-Rakic, is based primarily on monkey research and postulates a basic prefrontal function, "on-line representational memory," which guides behavior in the absence of, or despite discriminative environmental stimuli. In the latter model, distinct prefrontal functional constructs are primarily defined in terms of various types of representational memory involved in specific tasks. Eleven "prefrontal" measures were obtained from 259 normal adults, stratified for age, education, and sex. Confirmatory factor analyses revealed that the Goldman-Rakic model "fit" the data better than the model derived from human clinical neuropsychology, while several constructs commonly used in human neuropsychology were refuted. It was concluded that new research on brain-damaged humans with a view to understanding prefrontal function might benefit from using the Goldman-Rakic model as a starting point.

Adolescent

Acalculia: an historical review of localization.

This article reviews the brain localization of calculation disorders (acalculia) beginning with Gall's claim in the early 19th century for a "center" of calculation. A renewed interest in the subject arose around the time of Henschen during the first quarter of the 20th century. A summary of the cases of acalculia since Henschen leads to the conclusion that regardless of the functional modular nature of calculation ability, there is neither a localized region nor a specific hemisphere uniquely underlying the disorder.

Brain

The bilingual brain.

The localization of two languages in the lateral cortex of the dominant cerebral hemisphere was determined by the technique of mapping sites where electrical stimulation altered naming in two biligual patients. Sites in the center of the language area of each patient were involved in both languages. Peripheral to this, in both frontal and parietal cortex, were sites involved in only one of the languages. In each patient, each language in part used different areas of brain.

Adult

Alliteration and assonance in neologistic jargon aphasia.

This paper discusses certain aspects of the speech patterns of neologistic jargon aphasic patients, whose syndrome is one form of a more general classification referred to as Wernicke's or cortical sensory aphasia. The classical lesion site is in the posterior superior temporal convolution of the dominant hemisphere. Patients with such lesions typically have difficulties in the comprehension of auditory linguistic stimuli and their speech is often marked with neologistic jargon. A neologism is a phonological form produced by the patient for which one cannot recover with any reasonable degree of certainty some single item in the patient's vocabulary as it presumably existed before the onset of the disease. Specific analysis is focused on those stretches of speech which exhibit perseveration to the point where there is an excessive amount of alliteration and assonance. The data is described in terms of segments, syllables and sequences of syllables and related to both a mechanism underlying the production of this sort of speech and to the more general problems of neologisms in jargon aphasia.

Aphasia

Cognitive disturbances in Parkinson's disease.

To test the hypothesis that the cognitive impairments that accompany Parkinson's disease (PD) arise from frontal lobe dysfunction, patients with idiopathic PD and controls were tested on a neuropsychological battery that included measures of anterograde memory, visuospatial perception, and naming, as well as several tests that are known to be sensitive to lesions of the frontal lobes. PD patients of normal mental status as measured by the Mini-Mental State Examination performed normally on the naming, line orientation, and verbal recognition memory tests but exhibited deficits on verbal recall. On tests of frontal lobe function, these patients showed mild deficits on a category fluency task and on the Wisconsin Card Sorting Test. However, their errors on the latter were not typical of patients with frontal lesions, and they performed normally on a letter fluency task and exhibited normal release from proactive interference. Patients of lower than normal mental status performed poorly on nearly all of the cognitive tasks including confrontational naming, line orientation, and recognition memory, suggesting that their cerebral dysfunction extended beyond subcortical-frontal circuits. The present study supports the usefulness of the Mini-Mental State Examination for cognitive screening of PD patients, but does not support the hypothesis that the cognitive impairments in PD arise principally from disruption of frontal lobe functioning.

Aged