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. 2021 May 10;376(1824):20200191.
doi: 10.1098/rstb.2020.0191. Epub 2021 Mar 22.

The prehistory of speech and language is revealed in brain damage

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The prehistory of speech and language is revealed in brain damage

Chris Code. Philos Trans R Soc Lond B Biol Sci. .

Abstract

The aim of this paper is to develop further the idea that symptoms that emerge in speech and language processing following brain damage can make a contribution to discussions of the early evolution of language. These diverse impairments are called aphasia, and this paper proposes that the recovery of a non-fluent aphasia syndrome following stroke could provide insights into the course of the pre-history of human language evolution. The observable symptoms emerge during recovery, crucially enabled by (dis)inhibition in parallel with a range of impairments in action processing (apraxias), including apraxia of speech. They are underpinned by changes in cortical and subcortical status following brain damage. It is proposed that the observed recovery mimics ontogenic and phylogenic processes in human speech and language. The arguments put forward provide insights tending to support the motor-gestural model of speech and language evolution. This article is part of the theme issue 'Reconstructing prehistoric languages'.

Keywords: apraxia; apraxia of speech; early evolution of speech and language; non-fluent aphasia; pathogenesis.

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