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The Journal of Neuroscience, August 15, 2001, 21(16):6321-6328
Spatial Localization after Excision of Human Auditory Cortex
Robert J.
Zatorre and
Virginia B.
Penhune
Montreal Neurological Institute, McGill University, Montreal,
Quebec, Canada H3A 2B4
Neurophysiological and animal ablation studies concur that primary
auditory cortex is necessary for computation of the spatial coordinates
of a sound source. Human studies have reported conflicting findings but
have often suffered from inadequate psychophysical measures and/or poor
lesion localization. We tested patients with unilateral temporal lobe
excisions either encroaching on or sparing Heschl's gyrus (HG),
quantifying lesion extent using anatomical magnetic resonance
imaging measures. Subjects performed two tasks. In the
localization task, they heard single clicks in a free-field spatial
array subtending 180° of azimuth and indicated the perceived location
with a laser pointer. In the discrimination task, two clicks were
presented, and subjects indicated if they were in the same or different
position. As a group, patients with right temporal excision, either
encroaching onto HG or not, were significantly impaired in both
hemifields in both tasks, although this was not true for all
individuals. Patients with left temporal resections generally performed
normally, although some of the patients with left HG excision showed
impaired performance bilaterally, especially in the discrimination
task. This pattern stands in marked contrast to previous studies
showing significant preservation of localization in hemispherectomized
patients. We conclude that (1) contrary to hypotheses derived from
animal studies, human auditory spatial processes are dependent
primarily on cortical areas within right superior temporal cortex,
which encompass both spatial hemifields; (2) functional reorganization
may not take place after restricted focal damage but only after more
extensive early damage; and (3) the existence of individual differences
likely illustrates differential patterns of functional lateralization
and/or recovery.
Key words:
auditory cortex; Heschl's gyrus; auditory localization; functional reorganization; hemispheric specialization; spatial
discrimination
Copyright © 2001 Society for Neuroscience 0270-6474/01/21166321-08$05.00/0
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