Higher cortical function Flashcards

1
Q

What is an aphasia?

A

any acquired abnormality of language

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2
Q

A patient has a lesion of the posterior part of the inferior frontal gyrus. What defect do you expect?

A

broca’s aphasia

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3
Q

What are key differences between Wernicke’s and Broca’s aphasia?

A

broca’s - aware of deficit

wernicke’s - word salad

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4
Q

A patient has a lesion of the posterior part of the superior temporal gyrus. what defect do you expect?

A

wernicke’s

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5
Q

What is the definition of a transcortical motor aphasia?

A

unable to speak (broca’s), understand, repetition preserved

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6
Q

What is the definition of a transcortical sensory aphasia

A

unable to comprehend, able to speak, able to repeat

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7
Q

A patient has a lesion in the occiptal lobe that also involves the splenium of the corpus callosum. What finding might you expect?

A

alexia without agraphia (can write but cannot read) - fibers between occipital region and wernicke’s are affected

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8
Q

How do patients with apraxia often respond to commands like “comb your hair with a comb?”

A

use their fingers

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9
Q

What regions are most likely responsible for apraxias?

A

frontal or parietal lesions in dominant hemisphere

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10
Q

What regions typically cause agnosias?

A

lesions of the sensory association areas

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11
Q

What are the signs of Gerstmann’s syndrome?

A

agraphia, acalculia, finger agnosia, left right confusion

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12
Q

What region is affected in Gerstmann’s syndrome?

A

angular gyrus (inferior parietal lobe on dominant side)

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13
Q

What is the most sensitive sign of neglect?

A

extinction to simultaneous stimulation

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14
Q

What region of the brain is likely responsible for prosody?

A

non-dominant hemisphere

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15
Q

What region of the brain is likely responsible for neglect?

A

non-dominant hemisphere

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16
Q

What is Balint’s syndrome?

A
bilateral parieto-occipital lesions 
optic ataxia (clumsy visual guided movements), ocular apraxia (can't get eyes to look at right place) simultagnosia  (can't see forest between trees)