Effects of attention on dichotic listening in elderly and patients with dementia of the Alzheimer type

► Dichotic listening is an excellent method for measuring language lateralization. ► We studied attention effects on ear asymmetry in elderly and Alzheimer patients. ► Both groups showed particularly difficulties focusing attention on the left ear. ► This result may be due to a breakdown of the cort...

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Published inBrain and cognition Vol. 76; no. 2; pp. 286 - 293
Main Authors Bouma, Anke, Gootjes, Liselotte
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2011
Elsevier
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Abstract ► Dichotic listening is an excellent method for measuring language lateralization. ► We studied attention effects on ear asymmetry in elderly and Alzheimer patients. ► Both groups showed particularly difficulties focusing attention on the left ear. ► This result may be due to a breakdown of the cortical attentional network. ► Also callosal atrophy and subcortical white matter lesions contribute to this finding. This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura’s dichotic digits paradigm as a measure for left hemispheric predominance for processing language stimuli. In addition to structural brain mechanisms, we demonstrated that attention modulates the direction and degree of ear asymmetry in dichotic listening. Elderly showed increasingly more difficulties focusing attention on the left ear (LE) with advancing age. Alzheimer patients showed severe deficits to allocate attention to the LE, which could result in a right ear advantage. These results may be attributed to a breakdown of the cortical attentional network which is mediated by frontal (inhibitory control of attention) and parietal regions (spatial attention and ‘disengagement processes’). Both interhemispheric disconnectivity (callosal atrophy) and intrahemispheric disconnectivity (subcortical white matter lesions) appear to be important factors contributing to these findings.
AbstractList This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura's dichotic digits paradigm as a measure for left hemispheric predominance for processing language stimuli. In addition to structural brain mechanisms, we demonstrated that attention modulates the direction and degree of ear asymmetry in dichotic listening. Elderly showed increasingly more difficulties focusing attention on the left ear (LE) with advancing age. Alzheimer patients showed severe deficits to allocate attention to the LE, which could result in a right ear advantage. These results may be attributed to a breakdown of the cortical attentional network which is mediated by frontal (inhibitory control of attention) and parietal regions (spatial attention and 'disengagement processes'). Both interhemispheric disconnectivity (callosal atrophy) and intrahemispheric disconnectivity (subcortical white matter lesions) appear to be important factors contributing to these findings.
This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura's dichotic digits paradigm as a measure for left hemispheric predominance for processing language stimuli. In addition to structural brain mechanisms, we demonstrated that attention modulates the direction and degree of ear asymmetry in dichotic listening. Elderly showed increasingly more difficulties focusing attention on the left ear (LE) with advancing age. Alzheimer patients showed severe deficits to allocate attention to the LE, which could result in a right ear advantage. These results may be attributed to a breakdown of the cortical attentional network which is mediated by frontal (inhibitory control of attention) and parietal regions (spatial attention and "disengagement processes"). Both interhemispheric disconnectivity (callosal atrophy) and intrahemispheric disconnectivity (subcortical white matter lesions) appear to be important factors contributing to these findings. (Contains 1 table and 4 figures.)
► Dichotic listening is an excellent method for measuring language lateralization. ► We studied attention effects on ear asymmetry in elderly and Alzheimer patients. ► Both groups showed particularly difficulties focusing attention on the left ear. ► This result may be due to a breakdown of the cortical attentional network. ► Also callosal atrophy and subcortical white matter lesions contribute to this finding. This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura’s dichotic digits paradigm as a measure for left hemispheric predominance for processing language stimuli. In addition to structural brain mechanisms, we demonstrated that attention modulates the direction and degree of ear asymmetry in dichotic listening. Elderly showed increasingly more difficulties focusing attention on the left ear (LE) with advancing age. Alzheimer patients showed severe deficits to allocate attention to the LE, which could result in a right ear advantage. These results may be attributed to a breakdown of the cortical attentional network which is mediated by frontal (inhibitory control of attention) and parietal regions (spatial attention and ‘disengagement processes’). Both interhemispheric disconnectivity (callosal atrophy) and intrahemispheric disconnectivity (subcortical white matter lesions) appear to be important factors contributing to these findings.
Author Gootjes, Liselotte
Bouma, Anke
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Keywords Executive function
Alzheimer’s disease
MRI
Attention
Aging
Laterality
Dichotic listening
Auditory processing
Corpus callosum
MEG
Language English
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Snippet ► Dichotic listening is an excellent method for measuring language lateralization. ► We studied attention effects on ear asymmetry in elderly and Alzheimer...
This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura's dichotic digits paradigm as a measure for left...
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SubjectTerms Aged
Aged, 80 and over
Aging
Aging - physiology
Alzheimer Disease - physiopathology
Alzheimers Disease
Alzheimer’s disease
Attention
Attention - physiology
Attention Control
Auditory Perception
Auditory Perception - physiology
Auditory processing
Brain Hemisphere Functions
Corpus callosum
Dementia
Dichotic listening
Dichotic Listening Tests
Executive function
Functional Laterality - physiology
Human Body
Humans
Language Processing
Lateral Dominance
Laterality
Listening Skills
MEG
MRI
Older Adults
Patients
Title Effects of attention on dichotic listening in elderly and patients with dementia of the Alzheimer type
URI https://dx.doi.org/10.1016/j.bandc.2011.02.008
http://eric.ed.gov/ERICWebPortal/detail?accno=EJ925746
https://www.ncbi.nlm.nih.gov/pubmed/21429649
https://search.proquest.com/docview/867480755
Volume 76
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