CVA Flashcards
which type of aphasia has
impaired fluency
impaired repetition
good comprehension
impaired naming?
Broca’s
which type of aphasia has
good fluency
impaired repetition
impaired comprehension
impaired naming?
wernicke’s
which type of aphasia has
good fluency
impaired repetition
good comprehension
impaired naming?
conduction
which type of aphasia has
good fluency
good repetition
impaired comprehension
impaired naming?
transcortical sensory
which type of aphasia has
impaired fluency
good repetition
good comprehension
impaired naming?
transcortical motor
which type of aphasia has
impaired fluency
good repetition
impaired comprehension
impaired naming?
transcortical mixed
which type of aphasia has
impaired fluency
impaired repetition
impaired comprehension
impaired naming?
global
which type of aphasia has
good fluency
good repetition
good comprehension
impaired naming?
anomic
lesions in area 45 (inferior frontal gyrus, pars triangularis) often leads to what kind of aphasia
Broca’s
lesions in superior temporal gyrus often leads to what kind of aphasia
wernicke’s
perisylvian lesions often lead to what kind of aphasia (centered around supramarginal gyrus and insula)
conduction
lesions encompassing whole left perisylvian region often lead to what kind of aphasia
global
lesions in angular gyrus, watershed region between MCA and PCA, upper area 37, often lead to what kind of aphasia?
transcortical sensory
left dorsolateral prefrontal, mesial frontal cortex lesions often lead to what kind of aphasia
transcortical motor
lesions in bilateral watershed areas often lead to what kind of aphasia?
transcortical mixed
This type of aphasia is often accompanied by motor problems like apraxia and hemiparesis. Comprehension is intact, but the patient may have trouble understanding more complex syntax. Speech is often characterized as slow, effortful, telegraphic, agrammatic, and lacking in prosody. The patient has difficulty naming words, especially verbs, and repeating sentences.
Broca’s
What are the most common lesion sites that result in Broca’s aphasia?
-Angular gyrus
-Perisylvian lesion
-Superior temporal gyrus (22)
-Inferior frontal gyrus (44) and frontal operculum (45)
Inferior frontal gyrus (44) and frontal operculum (45)
Give an example of a restorative aphasia treatment.
-response elaboration training
-constraint induced language therapy
-sentence production training
-naming therapies
Intersystemic gestural reorganization, an aphasia treatment that pairs verbal responses with gestures, is best classified as which type of treatment?
vicarative
Which of the following aphasia treatments would be considered compensatory?
-Melodic intonation therapy
-Constraint induced language therapy
-Communication boards
-Semantic feature analysis
communication boards
This type of aphasia is often accompanied by acalculia, agraphia, and left/right confusion. It is marked by a patient having difficulty understanding or producing meaningful words. They may repeat phrases well, but do not comprehend the meaning of words. Speech is fluent but marked by semantic paraphasias and neologisms.
Transcortical sensory Aphasia
A lesion in which area is most likely to result in conduction aphasia?
-Angular gyrus and area 37
-Perisylvian lesion
-Superior temporal gyrus (22)
-Inferior frontal gyrus (44) and frontal operculum (45)
Perisylvian
what would be most likely to affect swallowing in a patient following a cva?
apraxia/dysarthria
Your patient is has lingual weakness following a stroke leading to oral phase dysphagia. You perform an MBS after seeing him at the bedside exam even though he has no overt signs or symptoms of aspiration. What might you expect to see on the study? Select all that apply.
-Lingual residue
-Velopharyngeal insufficiency
-Silent aspiration
-Premature spillage into the pharynx
-Buccal pocketing
-Insufficient UES opening
-Full epiglottic inversion
-lingual residue
-silent aspiration
-premature spillage into the pharynx
-buccal pocketing
This type of aphasia may be responsive to treatments like Voluntary Control of Involuntary Utterances. If any speech remains, it is most likely stereotypies and automatisms. Prosody and emotional phrases may be preserved. This aphasia is characterized by impaired fluency, comprehension, repetition, and naming.
global
Name the most likely aphasias in the case of a left hemisphere MCA ischemia
Transcortical Sensory
Name the most likely aphasias in the case of a bilateral stroke with lesions in multiple areas.
Mixed Transcortical
