Clinical Study

Executive and Language Control in the Multilingual Brain

Figure 2

(a) MR scans of the trilingual patient revealing a major haematoma localized in the left frontal lobe and a minor one in the left temporoparietal junction. (b) The neural circuitry involved in language control (adapted from [20]) with the four key areas is identified. The ACC (anterior cingulate cortex) is involved in monitoring functions such as error detection (i.e., if the speaker has selected the correct language), the frontal lobe is involved in error correction and response inhibition, and the left caudate (LC) is involved in supervising the correct selection of the language and language planning while the left inferior parietal lobule (LIPL) along with its right-hemispheric counterpart is involved in more attentional processes such as biasing selection towards and from the language in use. This network resembles the domain-general executive control network (see [20] for details). Of note, the lesions of our trilingual patient reported in (a) may have interrupted the connections between the frontal and parietal areas of this neural circuitry, hence leading to an inability to inhibit the unwanted language (i.e., frontal lobe) and focusing attention on the language in use (i.e., parietal lobe).
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(a)
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(b)