Aphasia Part 2

Question 1

pure word deafness

Answer 1

• loss of ability to understand spoken speech
• written comprehension intact, intact written/verbal production

Question 2

pure word deafness: behavior and anatomy dissociate from…

Answer 2

Wernicke’s aphasia

Question 3

subcortical aphasia: lesions

Answer 3

• internal capsule and putamen
• anterior limb of the internal capsule and putamen
• left posterior internal capsule/putamen
• left anterior/posterior internal capsule, putamen, and thalamic

Question 4

subcortical aphasia: lesions in internal capsule and putamen

Answer 4

aphasia shared features of both Broca’s and Wernicke’s, but did not completely resemble either

Question 5

subcortical aphasia: lesions in the anterior limb of the internal capsule and putamen

Answer 5

• severe impaired dysarthric speech
• adequate phrase length (4-6 words)
• mild word repetition deficit
• mild to moderate anomia
• mild auditory comprehension deficit
• mild to moderate reading problems
• marked to severe writing deficit
• persisting right hemiplegia

Question 6

subcortical aphasia: left posterior internal capsule/putamen lesions

Answer 6

• fluent speech
• adequate phrase length
• intact syntax
• mild or no articulatory problems
• severe auditory comprehension problems
• severe anomia
• repetition errors in sentences more than single words
• reading/writing moderately impaired

Question 7

subcortical aphasia: left anterior/posterior internal capsule, putamen, and thalamic lesions

Answer 7

• global aphasia
• spontaneous speech limited to sterotypic monosyllables
• phrase length of one word
• severe dysarthria
• no evidence of syntax
• auditory comprehension, naming, reading, and writing severely impaired
• persisting right hemiplegia

Question 8

subcortical aphasia: related disorders

Answer 8

• perseveration
• motor speech disorders
• hemiplegia
• impaired sensory motor efficiency
• emotional lability/catastrophic response
• visual field blindness
• visual agnosias

Question 9

perseveration

Answer 9

continuation of an activity beyond where it is appropriate

Question 10

motor speech disorders

Answer 10

• dysarthria
• apraxia of speech

Question 11

hemiplegia

Answer 11

right paresis/paralysis

Question 12

visual field blindness

Answer 12

• right homonymous hemianopsia
• patient unable to see to the right of midline
• most associated with posterior lesions

Question 13

visual agnosias

Answer 13

• visual object, color, prosopagnosia
• agnosia

Question 14

prosopagnosia

Answer 14

inability to identify faces

Question 15

agnosia

Answer 15

inability to identify something

Question 16

visual field blindness: related disorders

Answer 16

• auditory agnosias
• tactile agnosias
• modification of pre-morbid personality
• difficulty dealing with the abstract
• short attention span
• reduced intellectual functioning
• mild memory retention deficits
• increased ego-centricity
• need for order
• fatigue easily
• incontinence
• seizures
• breathing difficulties
• dysphagia

Question 17

auditory agnosia

Answer 17

good with nonspeech sounds, difficulty with words

Question 18

difficulty dealing with the abstract

Answer 18

figurative language, sarcasm

Question 19

short attention span

Answer 19

alternating, sustained, divided, joint, selective

Question 20

mild memory retention deficits

Answer 20

recall strategies

Question 21

increased ego-centricity

Answer 21

difficulty putting themselves into someone else’s shoes