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Adult Comps* > Aphasia profiles - Syndrome/General > Flashcards

Aphasia profiles - Syndrome/General Flashcards

1
Q

fluent types of aphasia

A
  • anomic
  • conduction
  • transcortical sensory
  • Wernike’s
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2
Q

nonfluent types of aphasia

A
  • Broca’s
  • Transcortical motor
  • Global
  • Severe mixed nonfluent
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3
Q

Global aphasia main features

A
  1. all aspects of lang impaired
  2. sterotyped utterences (usually well articulated)
  3. comprehension for personal information may be good compared to formal testing

(-) Naming
(-)Fluency
(-)Aud comp
(-) repetition

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4
Q

Broca’s main features

A
  1. awkward articulation
  2. limited vocab
  3. agrammatism
  4. relative preservation of aud comp
  5. reading comp mildly impaired

(-) Naming
(-) fluency
(+) Aud comp
(-) repetition

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5
Q

Transcortical motor main features

A
  1. repetition relatively intact
  2. aud comprehension is relatively spared
  3. other production abilities impaired
  4. word finding difficulties variable across patients
  5. Presevation of memorized material

(-) Naming
(-) Fluency
(+/-) aud comp
(+) repetition

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6
Q

Wernicke’s main features

A
  1. impaired aud comp
  2. fluent arctic and preserved syntax
  3. speech contains all kinds of paraphasias
  4. reading comp impaired

(-) Naming
(+) fluency
(-) aud comp
(-) rep

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7
Q

Conduction main features

A
  1. repetition is impaired
  2. many phonemic paraphasias (hallmark feature)
  3. fluency only mildly impaired
  4. aud is a relative strength, although mildly impaired
  5. speech main contain “conduit d’approche” or “conduit d’escart”

(-) Naming
(+) Fluency
(+ relatively) aud comp
(-) rep

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8
Q

anomic main features

A
  1. word finding difficulty
  2. fluent articulation and preserved syntax
  3. relative preservation of and comp
  4. may see circumlocutions
  5. reading & writing impairments

(-) naming
(+) fluency
(+) aud comp
(+) repetition

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9
Q

transcortical sensory main features

A
  1. preservation of rep…otherwise just like Wernicke’s

(-) Naming
(+) fluency
(-) aud comp
(+) repetition

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10
Q

neuro in Global

A

large portion of the perisylvian association cortex

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11
Q

neuro in broca’s

A

Brodmann areas 44 & 45 – adjacent inferior aspects of pre-central gyrus

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12
Q

neuro in transcortical motor

A

outside of Broca’s area…ant superior frontal lobe and deep portions of the L frontal lobe

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13
Q

neuro in Wernicke’s

A

posterior half of the 1st temporal gyrus and adjacent cortex

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14
Q

neuro in anomic

A

multiple sites

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15
Q

neuro in transcortical sensory

A

inferior partial connection parietal and temporal lobe —- white matter tracts connecting parietal lobe to temporal lobe or in the parietal lobe

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16
Q

main components to consider in the syndrome approach

A

NFAR

naming, fluency, aud comp, rep

17
Q

in the syndrome approach —- what to look at 1st/2nd?

A

naming
conversational speech & narrative discourse
test of aud comp
test of repetition

18
Q

verbal paraphasia

A

real word but unrelated to the word that you are trying to say (e.g., “table” for book)

19
Q

semantic paraphasia

A

word that is categorically related “Table” for chair

20
Q

phonemic paraphasia (aka literal paraphasia)

A

“mable” for table – phonemically related

21
Q

neologistism

A

a remote relationship — or a made up word (e.g. “shay” for table)

22
Q

verbal sterotypes

A

pt will produce involuntary phrases repeatedly

23
Q

types of central dyslexias

A
  1. surface dyslexia
  2. phonological dyslexia
  3. direct dyslexia
  4. semantic access dyslexia
  5. deep dyslexia
24
Q

surrface dyslexia

A
  • can use GPC’s
  • very good at reading non words
  • cant read exception or irregular words
  • produce regularization errors
  • understand regular words but not exception
25
Q

phonological dyslexia

A
  • can not use GPC’s …can only read via semantic and whole word
  • very poor at reading non words
  • can read exception or irregular words
  • often problem reading function words and bound morphemes
  • often read non words as visually similar real words
26
Q

direct dyslexia

A
  • semantic problem
  • can read words aloud but not understand them
  • may show priming effects suggesting some access to meaning
27
Q

semantic access dyslexia

A
  • very poor reading of words
  • lesion between the VIL and the semantics
  • some knowledge of words can not read
  • may activate correct input in visual input lexicon but can’t activate precise semantic entry or can’t bring t consciousness
28
Q

deep dyslexia

A
  • like phonological dyslexia … can’t use GPC route
  • cant read non words
  • make semantic errors (cost for money)
  • worse at abstract words than cornet
  • visual errors
  • errors on function words
29
Q

2 types of spelling impairements

A
  1. phonological agraphia

2. surface agraphia

30
Q

phonological agraphia

A
  • cant use the PGC route
  • can not spell non words
  • may not be able to produce letter associated with a sound
  • must generate spelling from meaning
31
Q

surface agraphia

A
  • can use PGC route
  • can spell non words
  • cannot use direct lexical route
  • most errors on words with irregular spellings
  • errors tend to be regularization
  • frequency effect for irregular words
32
Q

fluent vs nonfluent

A

–look at the longest 3 utterances

5 words or more is fluent
& do they use verbs? (fluents use more verbs)

**Helm-Estabrooks

33
Q

agrammatic

A

lacks inflectional markers, prepositions, auxillaries, verbs, copulas

-telegraphic speech-less severe

–usually nonfluent

34
Q

paragrammatic

A

-unsystematic omission and substitution of grammatical morphemes, nouns, verbs, adjectives

–usulayy fluent

35
Q

Expected number for verbal fluency task

Same letter category:

Animals:

A

Letters: 40

Animals: 20

—-Tombough et al

Adult Comps* (16 decks)

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