脳卒中後に言語理解が障害される仕組みを解明(Why the brain misunderstands speech after stroke)

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2026-02-19 スタンフォード大学

スタンフォード大学の研究で、脳卒中後の失語症に対する新たな治療戦略の可能性が示された。脳活動の詳細な解析により、発話に関与する神経回路が損傷後にどのように再編成されるかを解明。従来は損傷部位周辺の回復に注目していたが、健常側半球や広範なネットワークの関与が重要であることが判明した。これに基づき、神経刺激や個別化リハビリを組み合わせた治療法の最適化が期待される。成果は、失語症患者の言語機能回復を高める臨床応用につながる可能性がある。

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加齢と失語症における音素符号化の時空間ダイナミクス The Spatio-Temporal Dynamics of Phoneme Encoding in Aging and Aphasia

Jill Kries, Maaike Vandermosten and Laura Gwilliams
Journal of Neuroscience  Published:28 January 2026
DOI:https://doi.org/10.1523/JNEUROSCI.1001-25.2025

Abstract

During successful language comprehension, speech sounds (phonemes) are encoded within a series of neural patterns that evolve over time. Here we tested whether these neural dynamics of speech encoding are altered for individuals with a language disorder. We recorded EEG responses from the human brains of 39 individuals with post-stroke aphasia (13♀/26♂) and 24 healthy age-matched controls (i.e., older adults; 8♀/16♂) during 25 min of natural story listening. We estimated the duration of phonetic feature encoding, speed of evolution across neural populations, and the spatial location of encoding over EEG sensors. First, we establish that phonetic features are robustly encoded in EEG responses of healthy older adults. Second, when comparing individuals with aphasia to healthy controls, we find significantly decreased phonetic encoding in the aphasic group after a shared initial processing pattern (0.08–0.25 s after phoneme onset). Phonetic features were less strongly encoded over left-lateralized electrodes in the aphasia group compared to controls, with no difference in speed of neural pattern evolution. Finally, we observed that healthy controls, but not individuals with aphasia, encode phonetic features longer when uncertainty about word identity is high, indicating that this mechanism—encoding phonetic information until word identity is resolved—is crucial for successful comprehension. Together, our results suggest that aphasia may entail failure to maintain lower-order information long enough to recognize lexical items.

医療・健康
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