Language Disturbances

Question 1

What is the onset of Broac’s Aphasia?

Answer 1

• Acute–stroke
• Subacute–brain abscess
• Gradual–brain tumor
• Very gradual–degenerative brain dz

Question 2

Is comprehension intact in Broca’s Aphasia?

Answer 2

Mostly intact

Expressive aphasia

Question 3

What are the PE findings of Broac’s Aphasia?

Answer 3

• Can follow simple commands
• Little or no spon speech (non-fluent)
• Can read & comprehend written instructions

Question 4

Where is the lesion in 90% of Broca’s Aphasia cases?

Answer 4

Left hemisphere

Question 5

What other sx maybe assoc w/ Broca’s Aphasia?

Answer 5

• Hemiparesis or monoparesis of arm
• Lower facial weakness MC than arm

Question 6

What is the dx imaging for Broca’s aphasia?

Answer 6

Brain imaging MRI>CT

Question 7

Where is Broca’s speech area?

Answer 7

Inferior left frontal lobe close to the motor cortex for the mouth (next closest is arm & hand)

dominant hemisphere

Broadman area 44,45

Question 8

What is the arterial supply for Broac’s area?

Answer 8

Anterior branch of Middle cerebral artery

Question 9

What is the tx of Broca’s Aphasia?

Answer 9

Speech therapy

Question 10

Is comprehension impaired in Wernicke’s aphasia?

Answer 10

Yes, pt can’t follow commands

Receptive aphasia

Question 11

What are the PE findings of Wernicke’s aphasia?

Answer 11

• Abundant speech (fluent) but not make sense (gibberish)
• Does not repeat
• Cannot read
• No motor weakness
• Sensory exam difficult to perform

Question 12

What are the dx testing for Wernicke’s aphasia?

Answer 12

Brain imaging MRI>CT

Question 13

Where is Wernicke’s area?

Answer 13

Superior posterior temporal gyrus

Broadman’s area 22

Question 14

What artery supplies the Wernicke’s area?

Answer 14

Posterior branch of Middle cerebral artery

(doesn’t supply much of motor cortex)

Question 15

What is the management for Wernicke’s aphasia?

Answer 15

Speech therapy is often difficult & unproductive

Question 16

What are the PE findings of Conduction Aphasia?

Answer 16

• Comprehension impaired
• Spon speech (fluency) impaired
• Cannot repeat
• Can follow written commands but can’t read aloud

Question 17

What is the speech like in Conduction aphasia?

Answer 17

More fluent than Broca’s & less paraphasia (gibberish) than Wernicke’s

Question 18

What is the cause of Conduction aphasia?

Answer 18

Functional disconnection b/w Broca’s & Wernicke’s areas

Question 19

Is comprehension impaired in Global aphasia?

Answer 19

Severely impaired

Question 20

What are the PE findings of Global aphasia?

Answer 20

• Spon speech severely impaired (non-fluent)
• Cannot repeat
• Cannot read aloud or follow written instructions
• Right hemiparesis & hemianopsia

Question 21

What is the cause of Global Aphasia?

Answer 21

Destructive lesions involves the entire distribution of the Middle cerebral artery

Question 22

What is damaged in Global aphasia?

Answer 22

Both Broca’s & Wernicke’s areas

Question 23

What is Aphasia?

Answer 23

Can’t use language

Question 24

What is Apraxia?

Answer 24

Loss of the ability to execute or carry out learned purposeful movements despite having the desire & the physical ability

Question 25

What is Agnosia?

Answer 25

Loss of ability to recognize objects, persons, sounds, shapes, or smells

Question 26

What is Fluency?

Answer 26

How sounds flow & rate of speech

Question 27

What is Comprehension?

Answer 27

Understanding of both written & spoken language

Question 28

What is Broca’s aphasia?

Answer 28

Non-fluent, expressive, motor aphasia
Comprehension intact
No repetition
Commonly right weakness (face> arm> leg)

Question 29

What is Wernicke’s aphasia?

Answer 29

• Fluent, receptive aphasia
• Comprehension absent
• No repetition
• No weakness

Question 30

What is Conduction aphasia?

Answer 30

• Mostly Fluent
• Comprehension mostly intact
• Cannot repeat
• Lesion of Arcuate Fasiculus

Question 31

What are the sx of a Left hemisphere stroke?

Answer 31

Pt w/ RIGHT sided weakness & APHASIA