Lexical processing of vocabulary class in patients with Broca's aphasia: an event-related brain potential study on agrammatic comprehension.

This paper presents electrophysiological evidence of an impairment in the on-line processing of word class information in patients with Broca's aphasia with agrammatic comprehension. Event-related brain potentials (ERPs) were recorded from the scalp while Broca patients and non-aphasic control subjects read open- and closed-class words that appeared one at a time on a PC screen. Separate waveforms were computed for open- and closed-class words. The non-aphasic control subjects showed a modulation of an early left anterior negativity in the 210-325ms as a function of vocabulary class (VC), and a late left anterior negative shift to closed-class words in the 400-700ms epoch. An N400 effect was present in both control subjects and Broca patients. We have taken the early electrophysiological differences to reflect the first availability of word-category information from the mental lexicon. The late differences can be related to post-lexical processing. In contrast to the control subjects, the Broca patients showed no early VC effect and no late anterior shift to closed-class words. The results support the view that an incomplete and/or delayed availability of word-class information might be an important factor in Broca's agrammatic comprehension.