2004
DOI: 10.1136/jnnp.2003.018093
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Evidence for distinct cognitive deficits after focal cerebellar lesions

Abstract: Objectives: Anatomical evidence and lesion studies, as well as functional magnetic resonance imaging (fMRI) studies, indicate that the cerebellum contributes to higher cognitive functions. Cerebellar posterior lateral regions seem to be relevant for cognition, while vermal lesions seem to be associated with changes in affect. However, the results remain controversial. Deficits of patients are sometimes still attributed to motor impairment. Methods: We present data from a detailed neuropsychological examination… Show more

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Cited by 286 publications
(210 citation statements)
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“…Both psychophysical experiments in patient groups as well as functional imaging studies have provided some evidence to support a role for cerebello-cortical circuits in tasks in which high-level control of serial order is critical (Pascual-Leone et al, 1993;Dagher et al, 1999). The reasons for a role of right but not left cerebellum remain hypothetical, but this is consistent with results from some lesion (Gottwald et al, 2004), electrophysiological (Torriero et al, 2004), and functional imaging (Desmond et al, 1997) experiments in humans, which have shown an involvement of right cerebellum in cognitively demanding tasks.…”
Section: Discussionsupporting
confidence: 75%
“…Both psychophysical experiments in patient groups as well as functional imaging studies have provided some evidence to support a role for cerebello-cortical circuits in tasks in which high-level control of serial order is critical (Pascual-Leone et al, 1993;Dagher et al, 1999). The reasons for a role of right but not left cerebellum remain hypothetical, but this is consistent with results from some lesion (Gottwald et al, 2004), electrophysiological (Torriero et al, 2004), and functional imaging (Desmond et al, 1997) experiments in humans, which have shown an involvement of right cerebellum in cognitively demanding tasks.…”
Section: Discussionsupporting
confidence: 75%
“…This appears unlikely, as the single-interval timing tasks are less demanding than those of beat-based timing, and as the cognitive deficits demonstrated in patients with cerebellar damage were specific to aspects of executive function or attention (27)(28)(29) and would not lead to the present dissociation.…”
Section: Discussionmentioning
confidence: 84%
“…One alternative explanation for the difference in performance between patients and controls could be based on cognitive demands and the recent implication of the cerebellum in cognition (26)(27)(28)(29). This appears unlikely, as the single-interval timing tasks are less demanding than those of beat-based timing, and as the cognitive deficits demonstrated in patients with cerebellar damage were specific to aspects of executive function or attention (27)(28)(29) and would not lead to the present dissociation.…”
Section: Discussionmentioning
confidence: 84%
“…It is also important to consider the possible contribution of attentional processes to cerebellar activity associated with sensory discrimination tasks (Allen et al, 1997;Le et al, 1998;Gottwald et al, 2004). Patients with cerebellar lesions are impaired in divided-and shifting-attention tasks but are apparently normal in selection tasks that do not require attention shifts (Gottwald et al, 2003).…”
Section: Neural Responses To Varying Levels Of Sensory Signalmentioning
confidence: 99%