We studied forty-two patients with aphasia secondary to left hemisphere strokes
and twenty-five control subjects for the ability to assign and interpret three
syntactic structures (passives, object extracted relative clauses, and reflexive
pronouns) in enactment, sentence-picture matching and grammaticality judgment
tasks. We measured accuracy, RT and self-paced listening times in SPM and GJ. We
obtained magnetic resonance (MR) and five-deoxyglucose positron emission
tomography (FDG PET) data on 31 patients and 12 controls. The percent of
selected regions of interest (ROIs) that was lesioned on MR and the mean
normalized PET counts per voxel in ROI were calculated. In regression analyses,
lesion measures in both perisylvian and non-perisylvian ROIs predicted
performance. Patients who performed at similar levels behaviorally had lesions
of very different sizes, and patients with equivalent lesion sizes varied
greatly in their level of performance. The data are consistent with a model in
which the neural tissue that is responsible for the operations underlying
sentence comprehension and syntactic processing is localized in different neural
regions in different individuals.