Aphasia Ypes Flashcards
1
Q
Non-fluent Aphasias
A
Broca’s
Global
Transcortical motor
mixed transcortical motor
2
Q
Fluent Aphasia
A
Wernicke’s
Conduction
Transcortical sensory
Anomic
3
Q
Classic Broca lesion site
A
Perisylvian
4
Q
Classic TMA lesion site
A
Borderzone
5
Q
Classic global lesion site
A
non-localizing
6
Q
classic wernicke’s lesion site
A
Perisylvian
7
Q
Classic TSA lesion site
A
Borderzone
8
Q
classic conduction lesion site
A
perisylvian
9
Q
classic anomic lesion site
A
non-localizing
10
Q
Agrammatism
A
- morphosyntactic imapirment
- omission and substitution of rammatiacl morphemes
11
Q
telegraphic speech
A
simple two-word long sentences often composed of a noun and a verb
12
Q
asyntactic processing
A
increased difficulty producing and comprehending syntactically complex sentences
13
Q
canonical word order
A
subject, verb, object
14
Q
anomia
A
word finding difficulties
15
Q
perseveration
A
saying the same word over and over
16
Q
paraphasia
A
incorrect and unintended substitution of a word or sound
17
Q
semantic paraphasia
A
semantically related word substitution
stool for chair
18
Q
verbal paraphasia
A
unrelated word substitution
19
Q
phonological paraphasia
A
addition or subtraction of phonemes
20
Q
neologistic paraphasia
A
SUBSTITUTION OF ENTIRELY NOVEL WORD
21
Q
jargon
A
unintelligible speech, too many paraphasias
22
Q
what is the insula important for
A
motor programming
23
Q
broca’s lesions
A
- perisylvian
- superior division of MCA
Broadmanns 44 and 45
insula
underlying white matter
extends to motor and premotor areas (3, 6, 9)
24
Q
white matter in parietal lobe –> frontal lobe that can be affected by brocas
A
arcuate fasciculus
25
where is the insula located
it is a cortex in the perisylvian fissure
26
Broca's Production patterns
- effortful, slow
- restricted vocabulary: more open class {telegraphic speech) and more nouns/content words over verbs
- reducaed grammatical complexity (agrammatic production)
- syntactically simpler senetences
27
Repetition in Brocas
imparied, followed by motor/phonological errors)
28
Naming in Brocas
impaired
29
compensatory strategy Brocas
use of overlearned/sterotypical utterances
30
Do Brocas patient present with perseveration?
they get frustrated, and the errors can be motor processing
31
For broca's ______ is harder than _____ language
expressive, receptive
32
Broca auditory comprehension
preserved when compared to expressive language
33
broca's asyntactic comprehension
difficulty with semantically reversible sentences, canonical are easier than non-canonical (more complex syntax)
34
Broca's reading comprehension
mild/moderate impairment
35
Broca's writing
often similar to spoken output: nonfluent
36
Broca's picture description
non-fluent, naming nouns
37
Brother of Broca's Aphasia
Transcortical Motor Aphasia
38
lesion of TMA
borderzone/watershed region
- between ACA and MCA
superior MCA
- prefrontal/premotor regions
- superior or anterior to Broca's area
39
TMA repetition
intact
| **disproportionally intact when compared to verbal production
40
Physical symptom of Broca;s
hemiparesis
41
can TMA present with hemiparesis?
possibly, but lesion is not as severe as it is in Broca's
42
TMA verbal output
reduced
43
Initiation of what is difficult for TMA patients
sentences
44
Global aphasia lesion
nonlocalizing
45
bodily symptoms to global aphasia
hemiparesis, right lower facial weakness, upper/lower extremities
46
Global aphaisia lesion often involves what region?
all perisylvian language areas
47
Global language
- nonfluent
- near complete loss of language
- perseveration is present
- production is severely reduced
48
global comprehension
severely impaired
49
global reading/wiritng
severely impaired
50
Since global is typically a frontal lesion, what can it evolve into
Brocas
51
another name for Mixed Transcortical Aphasia
Isolation Aphasia
52
Mixed Transcortical Aphasia is a mixture of what
TMA and TSA
53
TMA speech production
nonfluent, minimal production
54
MTA comprehension
poor
55
TMA repeition
intact!
56
hallmark of TMA speech
echolalia
57
Fluent Aphasias
wernickes
transcortical sensory aphasia
conduction
anomic
58
wernickes lesion
perisylvian
inferior division of MCA
posterior superior temporal gyrus
middle and inferior temporal gyri
59
does wernickes have hemiparesis
usually not
60
Classic areas of wenicke's lesion
STG, MTG, parietal lobe
61
Wernicke prosody
intact
62
wenicke syntax
can be complex but content usually doesnt make sense
63
wernickes naming
imapired
64
wernicke's self monitoring
impaired, may be related to comprehension impairment
65
hallmark of wernickes picture description
logorrhea
66
logorrhea
"press of speech;" talking really fast
67
Wernicke's paraphasias occur in what aspects of speech?
production and repetition
68
Wernicke's comprehension
severely impaired
69
for Wernicke's what is the most impaired?
comprehension more than production
70
Wernicke's reading comprehension
often impaired
71
Wernicke's writing
syntax is intact but content words are lacking
72
Transcortical sensory aphasia lesion
borderzone
- watershed between MCA and PCA
temporal/parietal areas
- posterior/inferior to Wernicke's
73
is there hemiparesis for transcortical sensory aphasia
usually not
74
TSA language characteristics
Wernicke like in production and comprehension
75
TSA repetition
intact
76
can TSA follow one step commands
probably not
77
Conduction Craig
can repeat 1-2 words, fluent, good syntax
78
conduction lesion
perisylvian
- inner division of MCA
- supramarginal gyrus
- left auditory cortex
- spares Wernicke's area
79
conduction production
fluent
| phonological paraphasias
80
conduction repetition
IMPAIRED
81
Conduction auditory comprehension
spared
82
conduction reading comprehension
generally unimpaired
83
conduction writing
paraphasic
| - letter omissions, reversals, letter substitutions
84
hallmark of anomic aphasia production
circomlocution
85
anomic lesion
nonlocalizing
MCA--usually inferior division
Posterior regions
86
Anomic naming
impaired, cant retrieve words on their own
87
Anomic linguistic skills
relatively good
88
Anomic naming impairments
struggle with nouns, verbs are less impaired
89
Nonfluent
- repetition
- comprehension
GLobal
90
nonfluent
-repetition
+ comprehension
Brocas
91
nonfluent
+ repetition
- comprehension
Isolation
92
nonfluent
+repetition
+comprehension
TMA
93
fluent
- repetition
- comprehension
wernickes
94
fluent
- repetition
+ comp
conduction
95
fluent + rep - comp
Transcortical sensory aphasia
96
fluent + rep + comp
anomic
