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Updated: Feb 11, 2026

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Study Design for Navigated Repetitive Transcranial Magnetic Stimulation for Speech Cortical Mapping
Published on: March 24, 2023
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Neural networks supporting audiovisual integration for speech: A large-scale lesion study
Gregory Hickok1, Corianne Rogalsky2, William Matchin3
1University of California, Irvine, USA.
Summary
Audiovisual (AV) speech integration relies on auditory and visual cortices, not just the superior temporal sulcus (STS). Lesion locations predict whether auditory or visual information dominates when AV speech processing fails.
Area of Science:
- Neuroscience
- Cognitive Science
- Audiology
Background:
- Auditory and visual speech information are typically integrated for enhanced perception.
- Mismatched audiovisual cues can lead to illusory percepts, such as the McGurk-MacDonald effect.
- Previous research implicated the posterior superior temporal sulcus (STS), auditory cortex, and inferior frontal gyrus in audiovisual speech integration.
Purpose of the Study:
- To investigate the causal involvement of brain regions in audiovisual (AV) speech integration using a large-scale lesion-based study.
- To determine if different measures of AV speech integration rely on the same neural mechanisms.
- To identify brain areas critical for AV speech enhancement and illusory fusion.
Main Methods:
- Conducted the first large-scale lesion-based study (N=100) on AV speech integration.
- Analyzed behavioral performance and lesion maps for AV enhancement and illusory fusion.
- Correlated lesion locations with specific types of AV speech processing failures (auditory vs. visual capture).
Main Results:
- Classic metrics for AV speech integration may not capture the same underlying processes.
- Lesions in superior temporal auditory, lateral occipital visual, and multisensory STS zones significantly disrupt AV speech integration.
- The location of brain lesions predicts whether auditory or visual information dominates when AV speech integration fails.
Conclusions:
- AV speech processing is supported by both unimodal auditory/visual cortices and multimodal regions like the STS.
- Motor-related frontal regions do not appear to be essential for AV speech integration.
- Understanding lesion effects provides insight into the neural basis of multisensory speech perception.
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