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SLP > Aphasia > Flashcards

Aphasia Flashcards

0
Q

Wernickes aphasia

A 
Fluent
Impaired comprehension, repetition, naming, reading, writing
Paraphasias are common, all types
Logorrhea
Sensory issues
Motor intact
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1
Q

Location of wernickes area

A

Left temporal lobe

Superior posterior

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2
Q

Conduction aphasia location

A

Left supra marginal gyrus or
Left auditory cortex and insula
Arcuate fasciculus

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3
Q

Conduction aphasia

A 
Fluent
Good comprehension and reading
@@@Poor repetition@@@
Impaired naming, writing
Literal Paraphasias common
Awareness of deficits
Maybe motor and sensory deficits
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4
Q

Anomic aphasia

A 
Fluent
Impaired naming
Good comprehension, repetition
Reading and writing variable
Paraphasias rare
Motor good
Maybe sensory deficits
More posterior -- more involved reading, writing skills
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5
Q

Location anomic aphasia

A

Left angular gyrus
And, or
Posterior middle gyrus

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6
Q

Location transcortical sensory aphasia

A

Left frontal areas sparing brocas and arcuate fasciculus

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7
Q

Transcortical sensory aphasia

A 
Fluent
Impaired comprehension, naming, reading, writing
Good repetition
Literal Paraphasias common
Known as watershed lesion
Sensory and motor likely intact
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8
Q

Location Brocas aphasia

A

Left inferior posterior frontal lobe

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9
Q

Brocas aphasia

A

Nonfluent
Agrammatic
Good comprehension
Impaired repetition, naming, reading, writing
Paraphasias rare
In tact sensory
Hemiplegic or hemiparetic due to motor strip proximity

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10
Q

Location global aphasia

A

Large left perisylvian lesion

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11
Q

Global aphasia

A

Nonfluent
Poor comprehension, repetition, naming, reading, writing
Paraphasias common
Hemiparesis … Decreased motor, one side
Hemisensory … Decreased sensory on one side
Hemianopsia… Decreased vision on one side

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12
Q

Location transcortical motor

A

Anterior or superior to Brocas
Extrasylvian region
Upper frontal lobe

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13
Q

Transcortical motor aphasia

A 
Nonfluent
Impaired naming, writing
Good comprehension, repetition, reading
Paraphasias rare
Maybe impaired motor
Good sensory
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14
Q

Fluent aphasias

A

Wernickes
Transcortical sensory
Anomic
Conduction

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15
Q

Nonfluent aphasias

A

Brocas
Global
Transcortical motor
Mixed

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16
Q

Good repetition seen with…

A

Anomic
Transcortical sensory
Transcortical motor

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17
Q

No repetition

A 
Global
Brocas
Wernickes
Conduction
Mixed
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18
Q

Paraphasias common with…

A

Wernickes
Conduction
Transcortical sensory
Global

19
Q

Paraphasias rare with

A

Brocas
Transcortical motor
Anomic

20
Q

Impaired repetition is key to which type?

A

Conduction aphasia

21
Q

Impaired comprehension is key to…

A

Wernickes

22
Q

4 most relevant info for prognosis

A

Initial level of auditory comprehension
Initial level of motor speech impairment
Etiology … TBI is better than stroke
Ability to self correct

23
Q

Somewhat relevant to prognosis, secondary… 6

A 
Gender
Age
Health
Time post onset for tx initiation
Motivation
Headaches... Worse if right handed
24
Q

Not relevant for prognosis…

A 
Premorbid IQ
SES
Educational level, maybe
Race
Initial reading and writing skills after stroke
25
Q

Predictors of outcome … 7

A

Type, distribution, severity of physical impairment
Cognitive, language, communication ability
Number type and severity of co-morbid conditions
Level of motivation
Coping ability, style
Nature and degree of family supports
Type and quality of adaptation program, training

26
Q

What tends to improve first?

A

Receptive and imitative functions

27
Q

What is spontaneous recovery?

A

Substitution of functions

Brain reorganization

28
Q

Natural recovery includes…

A

Edema, inflammation, reduction of blood flow to brain

Between 1-3 weeks post stroke onset

29
Q

Sudden inhibition of fx after insult to brain, at a distance from original injury is called….

A

Passing of disaschisis

As a result of swelling, blood flow, etc

30
Q

Spontaneous recovery timeline

A

Biggest in 1-3 weeks

Still good gains from 0-3 months

31
Q

Verbal skills will still improve past — months post onset

A

6

32
Q

Slp should not see/assess patient in first —– to allow initial natural recovery

A

24-48 hours

33
Q

Occlusive stroke results in…

A

Death of brain cells

34
Q

Hemorrhagic stroke results in…

A

Displacement of fiber bundles without destroying them

35
Q

Recovery pattern for occlusive stroke

A

Greatest change in first 4-6 weeks

36
Q

Recovery for hemorrhagic stroke

A

Little change for several months, then rapid improvement

37
Q

Brocas outcomes…

A

Variable
Very large regions may persist, little recovery
Milder regions may have early progressive improvement, then form into milder aphasia with anomia

38
Q

Global outcomes…

A

Progress slowly
Comprehension improves more than expression
Improvements are slow and over a longer period, making gains up to 1 year post onset
Large lesions… Little recovery

39
Q

Wernickes outcomes

A

Variable

40
Q

Good initial word comprehension associated with…

A

Better naming

41
Q

Auditory comprehension deficits…

A

Not a predictor of auditory comprehension gains

If less severe, better expressive recovery

42
Q

Do fluent or Nonfluent improve faster?

A

Nonfluent, expressive

43
Q

Poorest recovery…

A

Anomic
Global

Temperoparietal lesion

44
Q

Best recovery with increased….

A

Blood flow

tPA

45
Q

Faster recovery for cortical or sub cortical?

A

Cortical

SLP (10 decks)

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