Aphasia Ypes Flashcards
Non-fluent Aphasias
Broca’s
Global
Transcortical motor
mixed transcortical motor
Fluent Aphasia
Wernicke’s
Conduction
Transcortical sensory
Anomic
Classic Broca lesion site
Perisylvian
Classic TMA lesion site
Borderzone
Classic global lesion site
non-localizing
classic wernicke’s lesion site
Perisylvian
Classic TSA lesion site
Borderzone
classic conduction lesion site
perisylvian
classic anomic lesion site
non-localizing
Agrammatism
- morphosyntactic imapirment
- omission and substitution of rammatiacl morphemes
telegraphic speech
simple two-word long sentences often composed of a noun and a verb
asyntactic processing
increased difficulty producing and comprehending syntactically complex sentences
canonical word order
subject, verb, object
anomia
word finding difficulties
perseveration
saying the same word over and over
paraphasia
incorrect and unintended substitution of a word or sound
semantic paraphasia
semantically related word substitution
stool for chair
verbal paraphasia
unrelated word substitution
phonological paraphasia
addition or subtraction of phonemes
neologistic paraphasia
SUBSTITUTION OF ENTIRELY NOVEL WORD
jargon
unintelligible speech, too many paraphasias
what is the insula important for
motor programming
broca’s lesions
- perisylvian
- superior division of MCA
Broadmanns 44 and 45
insula
underlying white matter
extends to motor and premotor areas (3, 6, 9)
white matter in parietal lobe –> frontal lobe that can be affected by brocas
arcuate fasciculus
where is the insula located
it is a cortex in the perisylvian fissure
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
Repetition in Brocas
imparied, followed by motor/phonological errors)
Naming in Brocas
impaired
compensatory strategy Brocas
use of overlearned/sterotypical utterances
Do Brocas patient present with perseveration?
they get frustrated, and the errors can be motor processing
For broca’s ______ is harder than _____ language
expressive, receptive
Broca auditory comprehension
preserved when compared to expressive language
broca’s asyntactic comprehension
difficulty with semantically reversible sentences, canonical are easier than non-canonical (more complex syntax)
Broca’s reading comprehension
mild/moderate impairment
Broca’s writing
often similar to spoken output: nonfluent
Broca’s picture description
non-fluent, naming nouns
Brother of Broca’s Aphasia
Transcortical Motor Aphasia
lesion of TMA
borderzone/watershed region
- between ACA and MCA
superior MCA
- prefrontal/premotor regions
- superior or anterior to Broca’s area