Aphasia Ypes Flashcards

1
Q

Non-fluent Aphasias

A

Broca’s
Global
Transcortical motor
mixed transcortical motor

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2
Q

Fluent Aphasia

A

Wernicke’s
Conduction
Transcortical sensory
Anomic

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3
Q

Classic Broca lesion site

A

Perisylvian

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4
Q

Classic TMA lesion site

A

Borderzone

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5
Q

Classic global lesion site

A

non-localizing

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6
Q

classic wernicke’s lesion site

A

Perisylvian

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7
Q

Classic TSA lesion site

A

Borderzone

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8
Q

classic conduction lesion site

A

perisylvian

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9
Q

classic anomic lesion site

A

non-localizing

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10
Q

Agrammatism

A
  • morphosyntactic imapirment

- omission and substitution of rammatiacl morphemes

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11
Q

telegraphic speech

A

simple two-word long sentences often composed of a noun and a verb

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12
Q

asyntactic processing

A

increased difficulty producing and comprehending syntactically complex sentences

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13
Q

canonical word order

A

subject, verb, object

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14
Q

anomia

A

word finding difficulties

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15
Q

perseveration

A

saying the same word over and over

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16
Q

paraphasia

A

incorrect and unintended substitution of a word or sound

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17
Q

semantic paraphasia

A

semantically related word substitution

stool for chair

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18
Q

verbal paraphasia

A

unrelated word substitution

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19
Q

phonological paraphasia

A

addition or subtraction of phonemes

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20
Q

neologistic paraphasia

A

SUBSTITUTION OF ENTIRELY NOVEL WORD

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21
Q

jargon

A

unintelligible speech, too many paraphasias

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22
Q

what is the insula important for

A

motor programming

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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)
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24
Q

white matter in parietal lobe –> frontal lobe that can be affected by brocas

A

arcuate fasciculus

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25
Q

where is the insula located

A

it is a cortex in the perisylvian fissure

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26
Q

Broca’s Production patterns

A
  • effortful, slow
  • restricted vocabulary: more open class {telegraphic speech) and more nouns/content words over verbs
  • reducaed grammatical complexity (agrammatic production)
  • syntactically simpler senetences
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27
Q

Repetition in Brocas

A

imparied, followed by motor/phonological errors)

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28
Q

Naming in Brocas

A

impaired

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29
Q

compensatory strategy Brocas

A

use of overlearned/sterotypical utterances

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30
Q

Do Brocas patient present with perseveration?

A

they get frustrated, and the errors can be motor processing

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31
Q

For broca’s ______ is harder than _____ language

A

expressive, receptive

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32
Q

Broca auditory comprehension

A

preserved when compared to expressive language

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33
Q

broca’s asyntactic comprehension

A

difficulty with semantically reversible sentences, canonical are easier than non-canonical (more complex syntax)

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34
Q

Broca’s reading comprehension

A

mild/moderate impairment

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35
Q

Broca’s writing

A

often similar to spoken output: nonfluent

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36
Q

Broca’s picture description

A

non-fluent, naming nouns

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37
Q

Brother of Broca’s Aphasia

A

Transcortical Motor Aphasia

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38
Q

lesion of TMA

A

borderzone/watershed region
- between ACA and MCA

superior MCA

  • prefrontal/premotor regions
  • superior or anterior to Broca’s area
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39
Q

TMA repetition

A

intact

**disproportionally intact when compared to verbal production

40
Q

Physical symptom of Broca;s

A

hemiparesis

41
Q

can TMA present with hemiparesis?

A

possibly, but lesion is not as severe as it is in Broca’s

42
Q

TMA verbal output

A

reduced

43
Q

Initiation of what is difficult for TMA patients

A

sentences

44
Q

Global aphasia lesion

A

nonlocalizing

45
Q

bodily symptoms to global aphasia

A

hemiparesis, right lower facial weakness, upper/lower extremities

46
Q

Global aphaisia lesion often involves what region?

A

all perisylvian language areas

47
Q

Global language

A
  • nonfluent
  • near complete loss of language
  • perseveration is present
  • production is severely reduced
48
Q

global comprehension

A

severely impaired

49
Q

global reading/wiritng

A

severely impaired

50
Q

Since global is typically a frontal lesion, what can it evolve into

A

Brocas

51
Q

another name for Mixed Transcortical Aphasia

A

Isolation Aphasia

52
Q

Mixed Transcortical Aphasia is a mixture of what

A

TMA and TSA

53
Q

TMA speech production

A

nonfluent, minimal production

54
Q

MTA comprehension

A

poor

55
Q

TMA repeition

A

intact!

56
Q

hallmark of TMA speech

A

echolalia

57
Q

Fluent Aphasias

A

wernickes
transcortical sensory aphasia
conduction
anomic

58
Q

wernickes lesion

A

perisylvian
inferior division of MCA
posterior superior temporal gyrus
middle and inferior temporal gyri

59
Q

does wernickes have hemiparesis

A

usually not

60
Q

Classic areas of wenicke’s lesion

A

STG, MTG, parietal lobe

61
Q

Wernicke prosody

A

intact

62
Q

wenicke syntax

A

can be complex but content usually doesnt make sense

63
Q

wernickes naming

A

imapired

64
Q

wernicke’s self monitoring

A

impaired, may be related to comprehension impairment

65
Q

hallmark of wernickes picture description

A

logorrhea

66
Q

logorrhea

A

“press of speech;” talking really fast

67
Q

Wernicke’s paraphasias occur in what aspects of speech?

A

production and repetition

68
Q

Wernicke’s comprehension

A

severely impaired

69
Q

for Wernicke’s what is the most impaired?

A

comprehension more than production

70
Q

Wernicke’s reading comprehension

A

often impaired

71
Q

Wernicke’s writing

A

syntax is intact but content words are lacking

72
Q

Transcortical sensory aphasia lesion

A

borderzone
- watershed between MCA and PCA
temporal/parietal areas
- posterior/inferior to Wernicke’s

73
Q

is there hemiparesis for transcortical sensory aphasia

A

usually not

74
Q

TSA language characteristics

A

Wernicke like in production and comprehension

75
Q

TSA repetition

A

intact

76
Q

can TSA follow one step commands

A

probably not

77
Q

Conduction Craig

A

can repeat 1-2 words, fluent, good syntax

78
Q

conduction lesion

A

perisylvian

  • inner division of MCA
  • supramarginal gyrus
  • left auditory cortex
  • spares Wernicke’s area
79
Q

conduction production

A

fluent

phonological paraphasias

80
Q

conduction repetition

A

IMPAIRED

81
Q

Conduction auditory comprehension

A

spared

82
Q

conduction reading comprehension

A

generally unimpaired

83
Q

conduction writing

A

paraphasic

- letter omissions, reversals, letter substitutions

84
Q

hallmark of anomic aphasia production

A

circomlocution

85
Q

anomic lesion

A

nonlocalizing
MCA–usually inferior division
Posterior regions

86
Q

Anomic naming

A

impaired, cant retrieve words on their own

87
Q

Anomic linguistic skills

A

relatively good

88
Q

Anomic naming impairments

A

struggle with nouns, verbs are less impaired

89
Q

Nonfluent

  • repetition
  • comprehension
A

GLobal

90
Q

nonfluent
-repetition
+ comprehension

A

Brocas

91
Q

nonfluent
+ repetition
- comprehension

A

Isolation

92
Q

nonfluent
+repetition
+comprehension

A

TMA

93
Q

fluent

  • repetition
  • comprehension
A

wernickes

94
Q

fluent
- repetition
+ comp

A

conduction

95
Q

fluent + rep - comp

A

Transcortical sensory aphasia

96
Q

fluent + rep + comp

A

anomic