The arcuate fasciculus and the disconnection theme in language and aphasia: history and current state

Cortex. 2008 Sep;44(8):953-61. doi: 10.1016/j.cortex.2008.04.002. Epub 2008 May 23.

Abstract

Few themes have been more central to neurological models of aphasia than the disconnection paradigm and the role of the arcuate fasciculus. Introduced by luminaries of 19th Century neurology and resurrected by the charismatic work of Norman Geschwind, the disconnection theme has triggered spectacular advances of modern understanding of language and aphasia. But the disconnection paradigm had alternate fortunes, ranging from irrational exuberance to benign neglect, and its followers have not always shared the same view on its functional consequences and anatomical correlates. Our goal in this paper is, first, to survey the 19th Century roots of the connectionist approach to aphasia and, second, to describe emerging imaging technologies based on diffusion tensor imaging (DTI) that promise to consolidate and expand the disconnection approach to language and its disorders.

Publication types

  • Historical Article
  • Portrait
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aphasia / history
  • Aphasia / pathology
  • Arcuate Nucleus of Hypothalamus
  • Brain / pathology
  • Brain / physiopathology*
  • Diffusion Magnetic Resonance Imaging
  • Functional Laterality*
  • History, 18th Century
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Language Disorders / history*
  • Language Disorders / pathology
  • Language*
  • Models, Neurological
  • Neural Pathways / pathology*