brain dysfanction affecting languague Flashcards

1
Q

Marc Dax

A

claimed left hemisphere was asymmetrically dominant for speech

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2
Q

aphasia

A

-aphasia is a disorder that results from dysfuction of the brain’s launguage system

-patients have deficits in the use of languague that cannot be readily attributed to sensory,motor or intellectual dysfunction

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3
Q

Broca work

A

reported the results of postmortem exams of two aphasic patients:they have deficits in the use of languague that were not attributtable to any sensory,motor,or intellectual issues

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4
Q

LeBourgne

A

one of his patients were called LeBourgne

broca’s study of this patient led him to the idea that the leasioned are was important in languague production

he was only able to say tan after the leason

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5
Q

Broca’s aphasis (expressive aphasia)

A

individuals are able to understand languague,but have difficulty forming or articulating words

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6
Q

Broca’s aphasia is defined by three core symptoms

A

1.agrammatism:severe issues using grammar
2.anomia:inability to produce the right words
3.articulation problems

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7
Q

Wernicke’s work

A

new type of languague disorder:

-deficits in languague comprehension

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8
Q

Wernicke’s aphasia(receptive aphasia)

A

individuals are able to speak fluently,but they cannot comprehend languague

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9
Q

difference between wernick’s and brocas aphasias

A

the person can speak perfectly well but they do not understand languague spoke to them

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10
Q

case NB

A

Ihear everything. I also know what to
do with sounds that are not words. But
when you start speaking, it is like
listening to a foreign language.

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11
Q

Liepmann’s work

A

showed that apraxia was almost always associated with left hemesphere demage

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12
Q

apraxia

A

difficulty performing movments with either side of the body when asked to do so,but not when performing spontenly does not effect old motions just new ones

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13
Q

Wada test(Juhn Wada

A

wada test(sodium amytal test)-how to figure out what hemisphere langugue is on

-administered to paitients prior to neurosurgery to determine side of speech lateralization

-sodium amytal is injected into one carotid artery,this anesthsetize the ipsilateral hemisphere and allows the abilities of the contralateral hemisphere to be assed

ask them to count

it is not always the left hemisphere for languague just most!!

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14
Q

Dichotic listening task

A

one hadphone is saying a silable and the other another sillable then ask them what they here

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15
Q

FMRI(most often these days)

A

give a person a probre letter (ex:e)

think of as many words starting with e as possible within 30 s:elephant:extrodinary:exactly

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16
Q

FMRI activation during passive listening

A

a lot in the frontal lobe when u are speking , when listen a lot on the temporal lobe

17
Q

factoid

A

when participants spoke,
a majority opened the
right half of their mouth
slightly more than the
left

18
Q

it is not true

A

that lateralization in one side being logic and the other creativity and even the things that have some diffrence is very slightly

19
Q

latterality and handedness

A
  • left hemisphere dominance for language:88% righ-handed,78 left handed

-ambilateralization for languague:12% of right-hand and 15% of left handed

-right hemesphire dominance for languague:0% of right handers,7% of left handed

20
Q

sex differences in tarerality

A

early reserchsuggests males brains are more laterized

more recent evidence fail to confirm this

21
Q

languague displays the greatest degree of laterality!!

A
22
Q

wernicke-geschwind

A

very localized

23
Q

wernicke-geschwind

A

responding a heard question:

primary auditory context(hear)>Wernick’s area(comprehension)>Broca’s area(articulate words)>primary motor(actually sounds the words)

24
Q

Wernicke-Geschwind Model

A

reading aloud:

primary visual cortext(read)>information travels to the angular gyrus (translated into auditory form)>Wernick’s area(comprehension)> broca’s area and primary motor cortext for output

25
Q

problams with this model:

A

-no aphasic patients have demage restricted only to Broca’s area or Wenicke’s area

-aphasic patients almost always have significant demage to white matter(not part of the model)

-demage associated with aphasia is usally not related to demage to these areas

-fails to consider roles of subcortial structures,like the cerebellum

-incomplete anatomy problems

26
Q

general finding

A

large anterior lesions: are more likekly to produce speech/expressive symptoms

larg posterior leasion: are more likely to produce receptive symptoms

27
Q

current statues

A

Broca’s and wernicke’s area are importantn languague

expressive aphasia generally results from anterior demage

receprive aphasia generally results from posterior demage

little support for other aspects of the model

28
Q

Cognitive Neuroscience Approach

A

1.constituet cognitive process

2.languague areas are not excluided

3.areas are small and widely distributed

29
Q

when reading

A

some activity in the right hemisphere mostly left hemisphere though

30
Q

A Contemporary Network-Based Model
Dual Stream Model: What vs

A

dorsal streem for sensorimotor intergration (mostly dominant)

ventral streem for speech cpmprehension(bilateral0

happening at the same time=ventral bottom

31
Q

*impairments of languague:Aphasis

A

aphasia ussually occurs suddenly,often following a stroke or head injury,but it may also develop slowly,as the result of a brain tumor or neurodegenerative disease

the disorder can impair the expression and/or understandong of languague,as well as reading and writting

aphasia may con-occur with other speech disorders,such as apraxia of speech

32
Q

severe aphasia

A

global aphasia -the worst isnt fluent,dosnt cromprehend,cant repeats

33
Q

aphasias fluent

A

-Wernick’s aphasia:not comprehend,but can speak fluently(unaware of spoken mistakes)

34
Q

anomic aphasia

A

kinda fluent but cant find/retrive words or express words they want to say(not well defined area of the problem in the LH)

35
Q

non-fluent aphasia

A

broca’s aphaisa:most common type of nonfluent aphasia,they understand speech and know what they want to say,but they speak in short phrases with a lot of effort

global aphasia

36
Q

global aphasia

A

demage to the extensive portions of the languague networks

severe communication difficulties and may be extremely limited in their ability to speak or comprehend languague

37
Q

Primary progressive aphasia(PPA)

A

PPA is a syndrome languague capabilities become slowly and progressively impaired

-unlike other forms of aphasia,PPA is usually caused by neurodegenarate dissease

38
Q

treatments

A

-speech-languague pathologists(SLP) support patients in regaing their ability to communicatiom

-therapy aims to improve communication by:activating remaining languague abilities,restoring languague abilities as much as possible,and learning to comunication skills

languague can improve for manyb years

factors that influence recovery:cause of injusry,age,extent of demage,genaral health

39
Q
A