In neuroanatomy, the arcuate fasciculus (AF; ) is a bundle of axons that generally connects the Broca's area and the Wernicke's area in the brain. It is an association fiber tract connecting caudal temporal cortex and inferior frontal lobe.
The arcuate fasciculus is a white matter tract that runs parallel to the superior longitudinal fasciculus. Due to their proximity, some researchers refer to them interchangeably. They can be distinguished by the location and function of their endpoints in the frontal cortex. The arcuate fasciculus terminates in Broca's area (specifically BA 44) which is linked to processing complex syntax. However, the superior longitudinal fasciculus ends in the premotor cortex which is implicated in acoustic-motor mapping.
Historically, the arcuate fasciculus has been understood to connect two important areas for language use: Broca's area in the inferior frontal gyrus and Wernicke's area in the posterior superior temporal gyrus. The majority of scientists consider this to be an oversimplification; however, this model is still utilized because a satisfactory replacement has not been developed. The topographical relationships between independent measures of white matter and gray matter integrity suggest that rich developmental or environmental interactions influence brain structure and function. The presence and strength of such associations may elucidate pathophysiological processes influencing systems such as language and motor planning.
As the technique of diffusion MRI has improved, this has become a testable hypothesis. Research indicates more diffuse termination of the fibers of the arcuate than previously thought. While the main caudal source of the fiber tract appears to be posterior superior temporal cortex, the rostral terminations are mostly in premotor cortex, part of Brodmann area 44.
Myelination is a process by which axons are covered with a protective substance called myelin that drastically increases the signaling efficiency of the neuron. The arcuate fasciculus is heavily myelinated in healthy adult brains.
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Transcortical sensory aphasia (TSA) is a kind of aphasia that involves damage to specific areas of the temporal lobe of the brain, resulting in symptoms such as poor auditory comprehension, relatively intact repetition, and fluent speech with semantic paraphasias present. TSA is a fluent aphasia similar to Wernicke's aphasia (receptive aphasia), with the exception of a strong ability to repeat words and phrases. The person may repeat questions rather than answer them ("echolalia").
Conduction aphasia, also called associative aphasia, is an uncommon form of difficulty in speaking (aphasia). It is caused by damage to the parietal lobe of the brain. An acquired language disorder, it is characterised by intact auditory comprehension, coherent (yet paraphasic) speech production, but poor speech repetition. Affected people are fully capable of understanding what they are hearing, but fail to encode phonological information for production.
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