Logopenic and nonfluent variants of primary progressive aphasia are differentiated by acoustic measures of speech production

Differentiation of logopenic (lvPPA) and nonfluent/agrammatic (nfvPPA) variants of Primary Progressive Aphasia is important yet remains challenging since it hinges on expert based evaluation of speech and language production. In this study acoustic measures of speech in conjunction with voxel-based morphometry were used to determine the success of the measures as an adjunct to diagnosis and to explore the neural basis of apraxia of speech in nfvPPA. Forty-one patients (21 lvPPA, 20 nfvPPA) were recruited from a consecutive sample with suspected frontotemporal dementia. Patients were diagnosed using the current gold-standard of expert perceptual judgment, based on presence/absence of particular speech features during speaking tasks. Seventeen healthy age-matched adults served as controls. MRI scans were available for 11 control and 37 PPA cases; 23 of the PPA cases underwent amyloid ligand PET imaging. Measures, corresponding to perceptual features of apraxia of speech, were periods of silence during reading and relative vowel duration and intensity in polysyllable word repetition. Discriminant function analyses revealed that a measure of relative vowel duration differentiated nfvPPA cases from both control and lvPPA cases (r2 = 0.47) with 88% agreement with expert judgment of presence of apraxia of speech in nfvPPA cases. VBM analysis showed that relative vowel duration covaried with grey matter intensity in areas critical for speech motor planning and programming: precentral gyrus, supplementary motor area and inferior frontal gyrus bilaterally, only affected in the nfvPPA group. This bilateral involvement of frontal speech networks in nfvPPA potentially affects access to compensatory mechanisms involving right hemisphere homologues. Measures of silences during reading also discriminated the PPA and control groups, but did not increase predictive accuracy. Findings suggest that a measure of relative vowel duration from of a polysyllable word repetition task may be sufficient for detecting most cases of apraxia of speech and distinguishing between nfvPPA and lvPPA

Coupled Rapid Erosion and Foreland Sedimentation Control Orogenic Wedge Kinematics in the Himalayan Thrust Belt of Central Nepal

Spatial and temporal coincidence among rapid Pliocene-Holocene bedrock exhumation, development of a topographic bight, abundant monsoonal precipitation, accumulation of anomalously thick proximal foreland basin deposits, and development of an opposite-polarity salient-reentrant couple on the two most frontal major thrust faults in the Himalayan orogenic wedge of central Nepal provide a basis for a model that links these diverse phenomena and could be operating in other parts of the frontal Himalaya. Rapid bedrock erosion is documented by a concentration of young (<5 Ma) low-temperature thermochronologic ages in the Narayani River catchment basin. Where the river exits the Lesser Himalayan Zone, the Main Boundary thrust has a 15-km-amplitude reentrant. Directly south of the reentrant lies the ∼50 km wide Chitwan wedge-top basin, which is confined by a large salient on the Main Frontal thrust. Rapid erosion and sediment flux out of the Narayani catchment basin, possibly due to anomalously intense monsoonal precipitation in this topographically depressed region of central Nepal, causes greater flexural subsidence and surface aggradation in the foreland, both of which increase initial wedge taper and render this region more susceptible to anomalous forward propagation of the thrust front. Analysis of the modern and post-early Miocene taper history of the thrust belt suggests that rapid erosion hindered forward propagation of the contemporaneous Main Boundary thrust, but simultaneously produced conditions in the foreland that eventually elevated initial taper to a critical/supercritical value promoting forelandward propagation of the Main Frontal thrust. This analysis has implications for large damaging earthquakes in the Himalaya. © 2021. American Geophysical Union. All Rights Reserved.6 month embargo; first published: 06 March 2021This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]