Aphasia Flashcards
Fluent Aphasias
Wernicke’s
Conduction
Anomic
Transcortical Sensory
Nonfluent Aphasias
Broca’s
Global
Transcortical motor
Mixed Transcoritcal
Wernicke’s
Fluent
Comprehends: No
Repeats: No
Characteristics:
Jargon, paraphasias, neologisms.
Poor awareness of errors (anosognosia).
Empty speech with normal prosody.
Common Lesion Site: Posterior part of the superior temporal gyrus in the dominant hemisphere
Conduction
Fluent
Comprehends: Yes
Repeats: No
Characteristics:
Difficulty with word repetition and phonemic paraphasias.
Good articulation and self-correction attempts.
Common Lesion Site: Arcuate fasciculus or supramarginal gyrus.
Anomic
Fluent
Comprehends: Yes
Repeats: Yes
Characteristics:
Word-finding difficulties (naming impairments, especially for nouns and verbs).
Intact grammar and articulation.
Common Lesion Site: Varied; angular gyrus or temporal lobe.
Transcortical Sensory
Fluent or Non-Fluent: Fluent
Comprehends: No
Repeats: Yes
Characteristics:
Echolalia (repetition of others’ speech).
Poor auditory comprehension.
Similar to Wernicke’s but with preserved repetition.
Common Lesion Site: Temporal-parietal junction, posterior to Wernicke’s area.
Broca’s
Non-Fluent
Comprehends: Yes
Repeats: No
Characteristics:
Agrammatism, telegraphic speech.
Good self-awareness (frustration common).
Impaired writing (agraphia).
Common Lesion Site: Posterior inferior frontal gyrus
Global
Fluent or Non-Fluent: Non-Fluent
Comprehends: No
Repeats: No
Characteristics:
Severe deficits across all language modalities.
Few or no meaningful words.
Common Lesion Site: Large lesion affecting both anterior and posterior language areas, often in the MCA territory
Transcortical Motor
Non-Fluent
Comprehends: Yes
Repeats: Yes
Characteristics:
Sparse output, difficulty initiating speech.
Relatively preserved repetition.
Common Lesion Site: Anterior to Broca’s area in the supplementary motor area or prefrontal cortex.
Mixed Transcortical Aphasia
Non-Fluent
Comprehends: No
Repeats: Yes
Characteristics:
Severe deficits in spontaneous speech and comprehension.
Preserved echolalia.
Common Lesion Site: Watershed areas between MCA and ACA/PCA territories
What treatment is most appropriate to promote expressive and receptive language performance in conversation for an individual with aphasia?
Promoting Aphasics’ Communication Effectiveness
Lacunar Stroke
Impairs memory, problem-solving, orientation
Regression in Therapy
Modify cues and consider external factors affecting progress.
generalization
Testing whether skills transfer to new, untrained stimuli
Transcortical Motor Aphasia TX
Capitalize on strengths (language comprehension intact)