Aphasia Terms Flashcards

1
Q

word-retrieval deficits with preserved repetition and spontaneous speech

A

anomia

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2
Q

anomia can be a…____ or ____

A

symptom of aphasia or can be type of aphasia itself

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3
Q

typical characteristics of anomis

A
  1. delayed or unable to retrieve words
  2. may be specific to certain classes of words
  3. may talk around the problem (circumlocution)
  4. may substitute general words for a specific thing
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4
Q

is anomia a phoneme problem or a semantic, word level problem

A

it IS a semantic, word-level problem

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5
Q

What is paraphasia

A

production of unintended syllables, words, or phrases during speech.

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6
Q

Are paraphasia errors deliberate?

A

No, substitution errors, not deliberate

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7
Q

What type of aphasia usually demonstrates paraphasia

A

generally found in fluent aphasia

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8
Q

3 types of substitutions found in paraphasia

A

literal, neologistic, and verbal

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9
Q

What are literal substitutions

A

phonemic substitutions, sequential errors (nen for pen, or pet for pen) have a mix fluent or non

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10
Q

What are neologisitc substitutions

A

jargon substitutions (alovit for pen), resulting from severe phonemic substitutions and/or mis-sequencing (Neologisms). Isolated to wernickes or Post or fluent aphasia

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11
Q

What are verbal (semantic) substituions

A

word substitutions (paper for pen); not a circumlocution, which is an intended substitution

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12
Q

What is perseverative paraphasia

A

previous response persists, interferes with retrieval of new response

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13
Q

What is stereotypic speech

A

Oral expression relegated to sub-propositional speech only
i.e. overlearned, rote productions
May be limited to only yes/no, even

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14
Q

Agrammatic is usually found in what type of aphasia

A

non-fleunt oral expression–>brocas

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15
Q

Agrammatism is characterized by

A

Omission of grammatical variety
Omission of functor words (articles, prepositions personal pronouns, verb inflections)
Lack variety, clarity, specificity

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16
Q

Examples of description of agrammatic sytntax

A

likely omitting parts of speech that are obliged to be there, simplifications, not a variety in sentence strucutres

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17
Q

Paragrammatism is a descriptor of syntax in

A

fluent oral expression (typically)

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18
Q

Is Paragrammatism is characterized by omission or errors in grammar

A

errors in grammar

19
Q

Paragrammatism- errors in grammar include

A

tense markers, misuse of pronouns, confused syntax, and oddly produced sentence forms. Violate grammar and syntax rules

20
Q

What is repetition

A

“Ability to reproduce, from auditory presentation, patterns of familiar speech sounds”
-Impaired repetition is diagnostically significant
Intact repetition requires whole “circuit”

21
Q

What is oral reading

A
  • Motor speech production of written text
  • Ability to phonetically decode written text and
  • Ability to motorically produce that code aloud
22
Q

What is reading comprehension

A
  • Understanding the meaning, implications, of written text
  • Concrete v. abstract
  • Literal v. metaphorical
23
Q

What is alexia

A

acquired reading disorder; different types

24
Q

Different types of alexia

A
  1. right hemisphere based

2. left hemisphere based- often associated with alexia. Every patient with aphasia will have some degree of alexia

25
Q

Alexia with agraphia (parieto-temporal alexia)

A

impaired reading and writing

26
Q

Alexia without agraphia (occipital alexia)

A

Impaired reading, relatively preserved writing

27
Q

Frontal alexia

A
  • Single-word RC for content
  • Impaired RC for other parts of speech
  • Also impaired writing
28
Q

Written Expression is

A

Transmission of linguistically organized motor instructions & produced in visual symbol format (not auditory symbol) (G

29
Q

What is agraphia

A

acquired impairment in written expression. Right or left hemi based. If left, often associated with aphasia

30
Q

Frontal agraphia

A

Impaired motoric aspects of writing (spelling, formation)

31
Q

Parietal agraphia

A

Impaired access to, or organization of, graphemes to support meaning

32
Q

Alexic-agraphia

A

Impaired reading and writing

33
Q

Apraxic-agraphia

A

Impaired ability to plan/sequence writing movements, even gestures

34
Q

General Category- Nonfluent/anterior. What are the syndromes

A

Brocas, Transcortical motor, Global, and Transcortical mixed

35
Q

General Category-Fluent/posterior

A

Wernickes, Conduction, anomic, and transcortical sensory

36
Q

Key symptoms and generally associated site of lesion for Brocas

A
  • agrammatic production

- Broca’s and surrounding area

37
Q

Key symptoms and generally associated site of lesion for Transcortical Motor

A
  • agrammatic production~like borca’s

- prefrontal cortex of L frontal lobe

38
Q

Key symptoms and generally associated site of lesion for Global

A
  • poor AC, minimal OE

- Posterior & frontal perisylvian language region

39
Q

Key symptoms and generally associated site of lesion for Transcortical mixed

A
  • poor AC, minimal OE~Like Global, but repetition intact

- Diffuse, multifocal damage to frontal, parietal lobes

40
Q

Key symptoms and generally associated site of lesion for Wernicke’s

A
  • Poor AC, jargon OE, press for speech

- Wernicke’s area (post part of superior temporal gyrus)

41
Q

Key symptoms and generally associated site of lesion for Conduction

A
  • Severely impaired repetition, otherwise “good” OE

- Association tract beneath posterior temporo-parietal boundary (arcuate fasciculus)

42
Q

Key symptoms and generally associated site of lesion for Anomic

A
  • Word-finding deficits, empty speech

- Angular gyrus (posterior temporo-parietal boundary)

43
Q

Key symptoms and generally associated site of lesion for Transcortical-sensory

A
  • Like Wernicke’s, but repetition intact

- Inferior temporo-occipital border area