If solely the left temporopari

If solely the left temporoparietal junction (TPJ) region was damaged in this fictional scenario, it could plausibly account for some significant attentional and cognitive difficulties, based on current research:

– The left TPJ plays an important role in sustaining and manipulating information in verbal working memory. Damage could cause problems holding/editing linguistic information.

– It contributes to selective attention abilities when competing stimuli are presented verbally or in the left visual field. Impairments may emerge on tests of dichotic listening, visual neglect, filtering distractions.

– The left TPJ helps integrate language and semantics. Issues with interpreting implied meanings, making inferences from text, understanding ambiguous/figurative speech could surface.

– Damage may disrupt the ability to flexibly shift attention between internal thoughts and outwardly-directed perception on demand. Task switching involving verbal stimuli could be impaired.

– Initiating and maintaining goal-directed thinking sequences requiring manipulation of linguistic information processing may falter.

– Socially, reading others’ intentions from verbal/linguistic cues, empathizing based on expressed thoughts/feelings could become more challenging.

So in summary, reasonably localized left TPJ damage could result in a cognitive/attentional profile centered around impairments in sustaining verbal working memory, selectively attending to linguistic stimuli, integrating language and semantics flexibly, and higher-order verbal reasoning abilities – all theoretically linked to left TPJ functions.


Stuttering in children has been linked to potential structural and functional abnormalities in brain regions including the temporoparietal junction (TPJ). Some specific ways left TPJ damage could potentially contribute to childhood stuttering include:

– Auditory-verbal processing: The left TPJ helps integrate auditory and linguistic information. Damage could impair self-monitoring of speech sounds and disrupt fluency.

– Semantic processing: It aids retrieval and selection of semantic/phonological representations for words. Disruptions here may increase stuttering on words with multiple meanings or representations.

– Self-monitoring: The TPJ contributes to monitoring speech errors and initiating corrective actions. Damage could reduce ability to naturally detect and recover from disfluencies.

– Cognitive control: It supports flexible attention shifting between internal and external speech processes. Impairments may limit capacity to dynamically regulate speech plans.

– Coordination: Connectivity between left TPJ and motor regions facilitates coordination of respiration, phonation and articulation. Disrupted coordination here could present as stuttering.

– Anxiety: The TPJ helps regulate emotional responses. Damage early in development may raise social-communicative anxiety levels as stuttering emerges, further impairing fluency.

So within a fictional case, localized left TPJ abnormalities early in life could theoretically set the stage for persistent developmental stuttering by impacting various speech-language functions the region subserves.


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