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  • You may perceive language as one big function

  • the brain performs.

  • Interestingly, though, it's divided

  • into a lot of sub-functions.

  • In this video, we'll discuss how your brain speaks

  • and understands language and what

  • happens when those functions are disrupted.

  • First, let's go over some basic neuroanatomy.

  • For about 90% of right-handed people,

  • language functions are centralized

  • in the left hemisphere of the brain.

  • Lefties and ambidextrous folks are somewhat more

  • likely to have language centralized

  • in the right hemisphere, but still about 70% of them

  • will have language centralized in the left hemisphere.

  • Within whichever hemisphere is dominant,

  • the two main areas associated with language

  • are Broca's area, which helps us speak,

  • and Wernicke's area, which helps us understand language.

  • Broca's area is in the frontal lobe, usually

  • the left frontal lobe, and it's responsible for language

  • expression.

  • When Broca's area is damaged, people

  • tend to have trouble producing speech.

  • Their words become halting or slurred.

  • This is called non-fluent aphasia, or Broca's aphasia.

  • I remember this by thinking that Broca's aphasia means

  • "broken speech," and aphasia is just any type of disorder

  • that involves language.

  • When Wernicke's area, back in the temporal lobe, is damaged,

  • you get Wernicke's aphasia, which

  • is quite a different pattern of behavior

  • than you get with Broca's apahasia.

  • People have no trouble producing words--

  • in fact, words kind of just tumble out of them--

  • but the words that do come out don't make any sense.

  • It's like listening to a bunch of nonsense sentences.

  • People with Wernicke's aphasia, which is also sometimes called

  • "fluent aphasia," can also have trouble understanding

  • what other people say.

  • And when both Broca's aphasia and Wernicke's aphasia

  • are present, then you have something

  • called "global aphasia," because it globally affects language

  • instead of only affecting a subsection of it.

  • Broca's area and Wernicke's area are connected in the brain

  • by a bundle of nerve fibers called the arcuate fasciculus.

  • One cool thing is that this loop is also

  • found in deaf people who know sign language.

  • So it's not specific to a spoken language,

  • but the brain adapts to use whatever modality

  • is necessary for communication.

  • When this connection is damaged, people

  • experience something called "conduction aphasia."

  • Their ability to conduct information between listening

  • and speaking is disrupted, which makes

  • them unable to repeat things, even though they

  • understand what's being said.

  • Pretty crazy.

  • And once you think about how many

  • language-specific functions you do every day,

  • you might wonder how many different types of aphasia

  • there are.

  • And the answer is "a lot."

  • We have agraphia, which is the inability to write,

  • anomia, which is the inability to name things,

  • and other specific difficulties in reading, spelling, grammar,

  • pronunciation-- all sorts of things

  • you may not even realize that you do effortlessly

  • with a healthy brain.

  • But Broca's apahasia and Wernicke's aphasia

  • are the most common.

  • Language is just one example of how our brain works in general.

  • Big tasks are subdivided into small tasks, which are then

  • spread around in different parts of the brain.

  • And this can actually be a good thing,

  • because it means if you have very localized or very specific

  • brain damage, then you probably won't completely

  • lose your ability to perform some highly important function

  • like communication.

  • In fact, when functions are divided like that,

  • it's easier for your brain to adapt.

  • For example, when people have strokes

  • that affect the left hemisphere of their brain,

  • they may have trouble speaking or something

  • right after the stroke, but over time and with proper therapy,

  • some of those people are able to retrain

  • other speech-related parts of their brain

  • by creating new connections between neurons.

  • Building these connections, in combination

  • with some recovery of the originally damaged part

  • of the brain, can help these people speak again

  • with at least some degree of fluency.

  • And the brain's ability to adapt and move functions to new parts

  • is called neural plasticity, or synaptic plasticity.

  • The neurons are plastic, or flexible enough,

  • to learn new routes and connections, thus allowing

  • undamaged parts of the brain to take

  • over functions that the damaged parts previously performed.

  • Even with perfectly functioning hemispheres,

  • you might still have trouble naming objects.

  • This can happen if communication between the hemispheres

  • is disrupted by severing the corpus callosum, which

  • is a band of nerve fibers that connects your brain's two

  • hemispheres.

  • This creates what's called a split-brain patient,

  • because your brain is now split into two parts.

  • People used to have to do this sometimes

  • as a treatment for seizures, but in addition

  • to helping with that problem, this surgery

  • creates some pretty interesting side

  • effects in terms of language.

  • So assuming that language is centralized

  • in the left hemisphere, this means

  • that the right side of your brain

  • can't connect to the language side.

  • So anything that you perceive in the right side of your brain

  • can't be named or dealt with in terms of language.

  • Now, you may have heard before that your brain has

  • what's called a contralateral organization, meaning

  • that information that you perceive

  • in your left visual field gets processed by the right side

  • of your brain and vice-versa.

  • So let's think about what that means

  • for a split-brain patient.

  • If you see an object on your left,

  • and it gets sent to your right hemisphere,

  • you won't be able to name it.

  • You'd still be able to pick it up with your left hand,

  • because again, your right hemisphere is controlling

  • your left-side motor neurons, but you'd have to kind of turn

  • your head so that the object would

  • be in your right visual field before the language

  • part of your brain would have any access to it.

  • Now, when I say the right visual field,

  • that doesn't mean just your right eye.

  • It means the right side of your body, which

  • you can view with half of each eye.

  • So there you go.

  • Lots of pretty cool implications for how our brain is organized

  • and subdivided in terms of language.

You may perceive language as one big function

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語言與大腦。失語症和分腦病人 (Language and the brain: Aphasia and split-brain patients)

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    VoiceTube 發佈於 2021 年 01 月 14 日
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