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Review Cortex; a journal devoted to the study of the nervous system and behavior. 2025 May 28:189:50-58. doi: 10.1016/j.cortex.2025.05.007 Q13.32024

The role of disconnection mechanisms in category-specific semantic disorders for living beings. A critical review

关于生物类语义障碍断连机制作用的批判性评述 翻译改进

Guido Gainotti  1

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  • 1 Institute of Neurology, Catholic University of the Sacred Heart, Policlinico Gemelli, Roma, Italy. Electronic address: guido.gainotti@unicatt.it.
  • DOI: 10.1016/j.cortex.2025.05.007 PMID: 40494020

    摘要 中英对照阅读

    This review reconsiders some debates raised by the discovery that herpes simplex encephalitis (HSE) can provoke category-specific semantic disorders (CSSD) for living entities, due to the greater weight that visual features have in the identification of members of this category. The main issues taken into account regard the interaction between two research domains. The first concerns the fractionation of the 'living beings' into the 'animals' and the 'plant life' categories, which has shown that the impairment of fruits and vegetables is provoked by lesions in the territory of the left posterior cerebral artery (PCA). The second concerns the role played by the etiology of lesions on CSSD for living beings. This issue stems from the fact that CSSD for living beings have been rarely reported in Semantic Dementia (SD), even if both HSE and SD involve the same anterior fronto-temporal structures. Our review strongly suggests that the impairment of plant life categories in patients with left PCA infarct may be due to a posterior disconnection mechanism, decoupling the verbal representations of fruits and vegetables from the processing of colors only through the right hemisphere. A disconnection of white matter tracts could also explain the discrepancy between HSE and SD lesions in the generation of CSSD for living beings, because SD affects only the cortical neurons, whereas the swelling lesions typical of HSE involve also the underlying white matter that plays a critical role in disconnection mechanisms.

    Keywords: Animals versus plant life; Category specificity; Disconnection mechanisms; HSE versus semantic dementia; Living versus artefacts.

    Keywords:disconnection mechanisms; semantic disorders; living beings

    本文重新考虑了由单纯疱疹病毒性脑炎(HSE)可以诱发生命体类别特异性语义障碍(CSSD)这一发现引发的一些争论,由于视觉特征在识别此类别成员时具有更大的权重。主要讨论的问题涉及两个研究领域的互动。第一个领域是将“生命体”划分为“动物”和“植物生活”这两类,研究表明,水果和蔬菜的损伤是由左侧后脑动脉(PCA)区域病变引起的。第二个领域关注病灶病因对生命体类别CSSD的作用。这一问题源于这样一个事实:尽管HSE和语义痴呆症(SD)都影响前额颞叶结构,但在SD中很少报告生命体类别的CSSD。我们的综述强烈表明,在左侧PCA梗死患者中植物生活类别的损伤可能是由于后部断开机制导致的,这种机制将水果和蔬菜的语言表征与仅通过右半球处理的颜色加工过程分离。白质束的断开也可能解释了HSE和SD在产生生命体类别CSSD方面的差异,因为SD只影响皮层神经元,而HSE典型的肿胀病灶还涉及起关键作用的下方白质。

    关键词: 动物与植物生活;类别特异性;断开机制;HSE与语义痴呆症;生命体与人工制品。

    关键词:断开机制; 语义障碍; 生物体

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    期刊名:Cortex

    缩写:CORTEX

    ISSN:0010-9452

    e-ISSN:1973-8102

    IF/分区:3.3/Q1

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