CORTICAL ORGANIZATION
OF LANGUAGE FUNCTIONS
In accord with Pavlovian terminology, the human cortex comprises
the "superior ends" of four major analyzers: (1) the
visual analyzer, (2) the auditory analyzer (3) the somesthetic/kinesthetic
analyzer and (4) the motor analyzer. Each analyzer is represented
by a primary area bordered by secondary and tertiary areas or
"areas of overlap" with other analyzers. Although Luria
summarized the sites of lesions in terms of the Brodmann and
Vogts classifications, he usually used the less specific designations:
"frontal," "parietal," "occipital,"
and "temporal" as corresponding roughly to "motor,"
"somesthetic-kinesthetic," "visual," and
"auditory" analyzers respectively. He concluded that
the most important areas in aphasia were not the primary projection
areas but the secondary and tertiary areas of overlap between
the analyzers.
Luria recognized four major categories of aphasia:
Auditory Aphasias associated
with lesions of the temporal lobe
Afferent Motor Aphasias
associated with lesions of the anterior portion of the parietal lobe
Efferent Motor Aphasias
associated with lesions of the premotor areas of the frontal lobe
Semantic Aphasias associated
with lesions of the parieto-temporo-occipital area
In addition, he described several more specific syndromes, such as
(Frontal) Dynamic Aphasia, (Temporal) Auditory-Mnestic Aphasia, and Premotor
Speech Disturbances, which are not covered in this summary.
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