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Thursday May 28, 1998

NEW YORK (Reuters) -- An extraordinary experiment using electrodes
implanted on the surface of the brain of a conscious patient allowed a
team of neurosurgeons, neuropsychologists, and cognitive scientists to
directly measure the speed of language processing and object
comprehension.

The patient, a 22-year-old student fluent in both English and Farsi, had
174 platinum electrodes implanted in his cortex in preparation for
surgery to cure chronic, severe epilepsy. The electrodes are normally
used to identify the exact region of the brain that must be removed to
control seizure activity. This patient volunteered to undergo a
series of linguistic tests with the electrodes in place.

He was asked to name and categorize various objects, words and pictures
while the electrodes recorded the electrical activity of his brain. The
researchers, led by neurologist Dr. John Hart, of Johns Hopkins
University, Baltimore, Maryland, found that an area of the brain called
the left occipitotemporal gyrus became active about 300
milliseconds after the patient saw the picture or object.

Some of the same tests were then repeated while the investigators passed
a small electrical current through a few of the electrodes. The current
disabled tiny portions of the patient's brain for a fraction of a second
at a time.

If the team applied current to the occipitotemporal gyrus, located near
the rear base of the brain, the patient experienced difficulty speaking
normally. He had trouble finding words, and his speech became garbled.

Hart describes the patient's errors in an accompanying press release:
"Applying current (in the gyrus) as we presented the patient with a new
test could cause problems in understanding what objects are;
misinterpretations of verbs, colors or shapes; and word-finding
difficulties in spontaneous speech."

If the current was applied at the same time or up to 400 milliseconds
after a picture was shown to him, he could not name the object before
him. But if electrical current was delayed until at least one second
after he saw the picture, he had no trouble naming the object.

The researchers report their results in the May 25th issue of the
Proceedings of the National Academy of Sciences. They conclude from
these experiments that the patient's speech processing begins about 300
milliseconds after he sees an object, and ends before a second has
elapsed. Familiar objects take about 450 milliseconds to process, but
unfamiliar objects can take up to 750 milliseconds to comprehend.

The results imply that important aspects of recognition and
comprehension can be localized to one area in the brain, and give
support to the theory that language comprehension processing has a
single, discrete system in the brain. The time course also leads the
authors to suggest that "information accumulates gradually, rather than
in a strictly all-or-none fashion."

SOURCE: Proceedings of the National Academy of Sciences
1998;95:498-6503.
--
Judith Richards, London, Ontario, Canada
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