Localization of cerebral lesions in aphasia--a computer aided comparison between men and women
It is still a matter of debate whether there are differences between men and women concerning the localization of higher cerebral functions. To further elucidate this problem we conjointly evaluated the aphasia protocols and corresponding computer-assisted tomography (CT) scans of 49 men and 35 wome...
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| Veröffentlicht in: | Archives of women's mental health 2003-04, Vol.6 (2), p.139-145 |
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| description | It is still a matter of debate whether there are differences between men and women concerning the localization of higher cerebral functions. To further elucidate this problem we conjointly evaluated the aphasia protocols and corresponding computer-assisted tomography (CT) scans of 49 men and 35 women who presented with unilateral ischemic cerebral lesions. Both, the aphasia tests and CT scans, were fed into computer programs warranting a high degree of objectivity. Comparing the four main aphasic syndromes we found differences for each of them displaying a more posterior extension of lesions with global and amnestic aphasia in men and larger lesions with Broca and Wernicke aphasia in women. When all templates were compared, men displayed a wider extension within the left hemisphere than women whose lesions were more focused in the perisylvian area. This study confirms earlier findings claiming that aphasic men and women differ regarding the anterior-posterior extension and the frequency of lesions within the classical language zones. However, while the predominance of men's lesions in the posterior areas was in accordance with previous findings, the greater overall scatter within the left hemisphere contradicts published studies. |
| doi_str_mv | 10.1007/s00737-003-0166-6 |
| format | Article |
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To further elucidate this problem we conjointly evaluated the aphasia protocols and corresponding computer-assisted tomography (CT) scans of 49 men and 35 women who presented with unilateral ischemic cerebral lesions. Both, the aphasia tests and CT scans, were fed into computer programs warranting a high degree of objectivity. Comparing the four main aphasic syndromes we found differences for each of them displaying a more posterior extension of lesions with global and amnestic aphasia in men and larger lesions with Broca and Wernicke aphasia in women. When all templates were compared, men displayed a wider extension within the left hemisphere than women whose lesions were more focused in the perisylvian area. This study confirms earlier findings claiming that aphasic men and women differ regarding the anterior-posterior extension and the frequency of lesions within the classical language zones. However, while the predominance of men's lesions in the posterior areas was in accordance with previous findings, the greater overall scatter within the left hemisphere contradicts published studies.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-003-0166-6</identifier><identifier>PMID: 12720064</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Aphasia ; Aphasia - diagnosis ; Aphasia - epidemiology ; Brain - diagnostic imaging ; Comparative studies ; Computers ; Diagnosis, Computer-Assisted ; Female ; Humans ; Male ; Men ; Middle Aged ; Neuropsychological Tests ; Retrospective Studies ; Severity of Illness Index ; Sex Distribution ; Tomography, X-Ray Computed ; Women</subject><ispartof>Archives of women's mental health, 2003-04, Vol.6 (2), p.139-145</ispartof><rights>Copyright Springer-Verlag 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c239t-743221c61664eb40a1a10a074b979c31b0820e7d7ab95a2eda1a152020ab5ea63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12720064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lang, C J G</creatorcontrib><creatorcontrib>Moser, F</creatorcontrib><title>Localization of cerebral lesions in aphasia--a computer aided comparison between men and women</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><description>It is still a matter of debate whether there are differences between men and women concerning the localization of higher cerebral functions. To further elucidate this problem we conjointly evaluated the aphasia protocols and corresponding computer-assisted tomography (CT) scans of 49 men and 35 women who presented with unilateral ischemic cerebral lesions. Both, the aphasia tests and CT scans, were fed into computer programs warranting a high degree of objectivity. Comparing the four main aphasic syndromes we found differences for each of them displaying a more posterior extension of lesions with global and amnestic aphasia in men and larger lesions with Broca and Wernicke aphasia in women. When all templates were compared, men displayed a wider extension within the left hemisphere than women whose lesions were more focused in the perisylvian area. This study confirms earlier findings claiming that aphasic men and women differ regarding the anterior-posterior extension and the frequency of lesions within the classical language zones. However, while the predominance of men's lesions in the posterior areas was in accordance with previous findings, the greater overall scatter within the left hemisphere contradicts published studies.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aphasia</subject><subject>Aphasia - diagnosis</subject><subject>Aphasia - epidemiology</subject><subject>Brain - diagnostic imaging</subject><subject>Comparative studies</subject><subject>Computers</subject><subject>Diagnosis, Computer-Assisted</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Tomography, X-Ray Computed</subject><subject>Women</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNpdkE1r3DAQQEVJyfcP6KWIHnpTOiPJUnwMoW0CC7m014ixPUsdbGsj2YT211fOLgRy0GhGvBlGT4hPCFcI4L_lEoxXAEYBOqfcB3GK1lQKEfTRa24VXqM7EWc5PwFAVdf2WJyg9hrA2VPxuIktDf0_mvs4ybiVLSduEg1y4FyesuwnSbs_lHtSimQbx90yc5LUd9y9lpT6XHobnl-YJzmWQ1MnX2LJLsTHLQ2ZLw_3ufj94_uv2zu1efh5f3uzUa029ay8NVpj68onLDcWCAmBwNum9nVrsIFrDew7T01dkeZuBSoNGqipmJw5F1_3c3cpPi-c5zD2ueVhoInjkoM32mJtqwJ-eQc-xSVNZbeAdQXOOLdCuIfaFHNOvA271I-U_gaEsJoPe_OhmA-r-bBu8PkweGlG7t46DqrNf3wqfaA</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Lang, C J G</creator><creator>Moser, F</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope></search><sort><creationdate>200304</creationdate><title>Localization of cerebral lesions in aphasia--a computer aided comparison between men and women</title><author>Lang, C J G ; Moser, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c239t-743221c61664eb40a1a10a074b979c31b0820e7d7ab95a2eda1a152020ab5ea63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aphasia</topic><topic>Aphasia - diagnosis</topic><topic>Aphasia - epidemiology</topic><topic>Brain - diagnostic imaging</topic><topic>Comparative studies</topic><topic>Computers</topic><topic>Diagnosis, Computer-Assisted</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Tomography, X-Ray Computed</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lang, C J G</creatorcontrib><creatorcontrib>Moser, F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lang, C J G</au><au>Moser, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Localization of cerebral lesions in aphasia--a computer aided comparison between men and women</atitle><jtitle>Archives of women's mental health</jtitle><addtitle>Arch Womens Ment Health</addtitle><date>2003-04</date><risdate>2003</risdate><volume>6</volume><issue>2</issue><spage>139</spage><epage>145</epage><pages>139-145</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>It is still a matter of debate whether there are differences between men and women concerning the localization of higher cerebral functions. To further elucidate this problem we conjointly evaluated the aphasia protocols and corresponding computer-assisted tomography (CT) scans of 49 men and 35 women who presented with unilateral ischemic cerebral lesions. Both, the aphasia tests and CT scans, were fed into computer programs warranting a high degree of objectivity. Comparing the four main aphasic syndromes we found differences for each of them displaying a more posterior extension of lesions with global and amnestic aphasia in men and larger lesions with Broca and Wernicke aphasia in women. When all templates were compared, men displayed a wider extension within the left hemisphere than women whose lesions were more focused in the perisylvian area. This study confirms earlier findings claiming that aphasic men and women differ regarding the anterior-posterior extension and the frequency of lesions within the classical language zones. 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| subjects | Adolescent Adult Aged Aged, 80 and over Aphasia Aphasia - diagnosis Aphasia - epidemiology Brain - diagnostic imaging Comparative studies Computers Diagnosis, Computer-Assisted Female Humans Male Men Middle Aged Neuropsychological Tests Retrospective Studies Severity of Illness Index Sex Distribution Tomography, X-Ray Computed Women |
| title | Localization of cerebral lesions in aphasia--a computer aided comparison between men and women |
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