Classification of Aphasia Flashcards

1
Q

What is Anomia?

A

word finding difficulties

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2
Q

Define Paraphasias

A

substitution of word with alternatives

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3
Q

What are two subtypes of paraphasias

A

Lexical (word), sublexical (nonword)

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4
Q

Within Lexical paraphasias what are the 4 subtypes

A
If Target is Cat
Semantic: meaning related (e.g. dog) 
Phonemic: sound-related (e.g. car) 
Mixed: meaning and sound (e.g. rat) 
Unrelated (e.g. pink)
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5
Q

Within Sub-Lexical paraphasias what are the 2 subtypes

A

e.g. if target = ‘mother’
Phonemic: non-word related in sound (e.g. ‘mofster’
Neologistic: non-word

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6
Q

missing functional words and grammatical morphemes in speech; characterized by nouns and main verbs is termed?

A

agrammatism

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7
Q

What is Paragrammatism

A

errors made in use of some grammatical/functional words in speech

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8
Q

what is jargon

A

intact syntax but lack of content or meaningful sentences

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9
Q

What do we call it when a client is using one word to represent many concepts; more typical in severe aphasia in which client only has one word or phrase

A

Verbal Stereotypes

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10
Q

weakness of speech muscles resulting in underarticulation and difficulties with co-articulationis termed?

A

Dysarthria

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11
Q

Define apraxia

A

difficulty sequencing and programming speech; often comorbid with aphasia

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12
Q

Define Agnosia

A

difficulty recognizing stimuli – not a perceptual challenge as but a lack of interpretation of stimuli

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13
Q

What is the Classical school (syndrome) approach of classifying aphasias

A

basis in anatomy; classified by brain regions and its language correlates

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14
Q

What is the linguistic view of classifying aphasias

A

“boxes and arrows” approach

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15
Q

What is the social view of classifying aphasias

A

viewing person as whole and determining how disability affects their social function

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16
Q

What are 3 assumptions made by the Wernicke and Lichtheim model (classical subtypes)

A

1) syndrome of disproportionality - (Some abilities preserved, while others are impaired)
2) affected brain region associated with symptomatology
3) area of lesion will determine strengths/weaknesses

17
Q

What are typical symptoms associated with frontal lesions

A

speech production impaired, auditory comprehension relatively spared

18
Q

What are typical symptoms associated with Temporal lesions

A

auditory comprehension impaired: speech production relatively spared

19
Q

Which type of Aphasia is associated with this list of symptoms:
Fluency: Spared (Fluent syntax but high incidence of jargon, parapahsias and paragrammatism)
Naming: Impaired
Comp: POOR (oral and reading)
Repetition: Varies

A

Wernicke’s

20
Q

Where is site of lesion in Wernicke’s

A

Posterior temporal lobe lesions

21
Q

Which type of Aphasia is associated with this list of symptoms:
Fluency: Non-fluent (Agrammatic, single words)
Naming: Impaired
Comp: Auditory = Spared (better with simple than complex sentences)
Reading = mildly impaired
Repetition: POOR

A

Broca’s

22
Q

Where is site of lesion in Broca’s Aphasia

A

Inferior frontal lobe (Broca’s area)

23
Q
Which type of Aphasia is associated with this list of symptoms:
Fluency: Fluent
Naming: IMPAIRED
Comp: Mild impairment
Repetition: mild impairment
A

Anomia

24
Q

Where is site of lesion in Anomic aphaisa

A

Inferior parietal lobe /

Connection between parietal and temporal lobes

25
Q
Which type of Aphasia is associated with this list of symptoms:
Fluency: Non-Fluent
Naming: Impaired
Comp: Mild impairment
Repetition: Good
A

Transcortical Motor

26
Q

Where is site of lesion in Transcortical motor

A

White matter tracks deep to Broca’s area

27
Q
Which type of Aphasia is associated with this list of symptoms:
Fluency: Non-Fluent
Naming: SEVERE impairment
Comp: Poor
Repetition: Poor
A

Global

28
Q

Where is site of lesion in Global aphasia

A

perisylvian association cortex

29
Q
Which type of Aphasia is associated with this list of symptoms:
Fluency: Fluent
Naming: Impaired
Comp: Poor
Repetition: Good
A

Transcortical Sensory

30
Q

Where is site of lesion in Transcortical Sensory Aphasia

A

White matter tracts connecting parietal lobe to temporal lobe

31
Q
Which type of Aphasia is associated with this list of symptoms:
Fluency: Fluent
Naming: Impaired
Comp: Mildly impaired
Repetition: Poor
A

Conduction Aphasia

32
Q

Where is site of lesion in Conduction aphasia

A

Arcuate fasiculus (connection b/w Broca’s and Wernicke’s)

33
Q

Which type of Non-fluent Aphasia has severely impaired audio comprehension and is similar to Global Aphasia but less severe?

A

Mixed Non-fluent

aka isolation aphasia

34
Q

Where is site of lesion in Mixed non-fluent aphasia

A
  • result of damage that isolates the language areas (Broca’s, Wernicke’s, and the arcuate fasciculus) from other brain regions
  • These areas are left in tact, just isolated
35
Q
Which type of aphasia has fluent speech with semantic paraphasias and neologisms (made up words)
• good comprehension
• Spared of repetition
• word retrieval difficulties
 (category specific)
A

Thalamic

36
Q

Where is the lesion in Thalamic Aphasia

A

Thalamus

37
Q

Which type of Aphasia has slow + poorly articulated speech like Broca’s, but unlike Broca’s has in-tact grammatical form?

A

Anterior Subcortical

38
Q

Which type of subcortical Aphasia is considered similar to Wernicke’s?

A

Posterior Subcortical