Language System Flashcards
In 98% of people, language is lateralized to the
Left hemisphere
In ALL people, language is localized to the
Perisylvian language area
The perisylvian language area is called the
Language core
In neonates, speech preferentially activates the
Left hemisphere
Partial or total loss of the ability to articulate ideas and to comprehend spoken and written language, resulting from damage to the brain
Aphasia
An acquired disorder in which the language system is essentially broken
Aphasia
If a patient can;t understand spoken word but can read as well as before, does the patient have Aphasia?
No. Language system is in tact. The issue lies elsewhere
If a patient can’t articulate through speech, but can write as well as before. Does the patient have aphasia?
No. Language system is in tact. The issue lies elsewhere
Compromised from the onset of a stroke and is the last attribute to recover
The ability to name objects
What are the two types of aphasia where patients have a larger difficulty with output?
Broca’s aphasia, and transcortical motor aphasia
What are the 4 types of aphasia where the patient has a larger difficulty with input?
- ) Wernicke’s aphasia
- ) Transcortical sensory aphasia
- ) Conduction aphasia
- ) Anomic Aphasia
Most aphasics have damage to the area surrounding the
-In dominant hemisphere
Sylvian Fissure
Lesions to the frontal lobe/insula cause
Non-fluent aphasia
Lesions to the temporal/parietal lobe cause?
Fluent aphasia
Most aphasias are due to
Vascular accidents
Which blood vessel perfuses the Perisylvian area?
MCA
The MCA forms major branches. Which areas are supplied by the
- ) Superior branch
- ) Inferior branch
- ) Insula + Frontal Lobe
2. ) Temporal Lobe
We can test the language core by asking a patient to repeat a low frequency statement. If the core is damaged, alternate routes are available, but take to long. This means that the
Ability to repeat is compromised
The area of damage shared by LeBourgne and LeLong is now known as
Broca’s Area
Broca is the person that said that the faculty of articulated language resides in the
Frontal lobes of the brain
The general name for expressive (non-fluent) aphasia
Broca’s Aphasia
Patients with damage just to Broca’s area (called Little Broca’s) have an aphasia for
Less than 12 months
-show near 100% recovery
More extensive frontal lobe damage (Big Broca’s) results in
Life long Broca’s Aphasia
-More limited recovery
In person’s exhibiting long term Broca’s Aphasia, it is very common for them to have also suffered damage to the
Insula
Characterized by labored, halting speech, naming difficulties, and paraphasic errors
-Comprehension is relatively well preserved
Broca’s Aphasia
The primary auditory cortex is buried in the
Sylvian Fissure
The posterior 1/2 of the secondary auditory cortex is called
Wernicke’s area
Carl Wernicke was the first to describe
Fluent Aphasia
Patient is fluent and highly talkative but comprehension is very poor and has difficulty following commans
Wernicke’s Aphasia
Patient has speech that is unintelligible and is unaware of deficits
Wernicke’s Aphasia
Disrupts communication between Wernicke’s area and Broca’s area
-Repetition ability is compromised
Conduction aphasia
Wernicke’s area and Broca’s area are undamaged so comprehension is largely intact and patient is mostly fluent
Conduction aphasia
In conduction aphasia, language skills that rely on speed are
Impacted
Patient loses the ability to self correct sentences before uttered with
Conduction Aphasia
Patients make paraphasic error (substitute related wors) then go through multiple iterations until they correct the error with
Conduction Aphasia
Caused by damage outside of the Perisylvian Language Area
-Usually involves watershed areas of the cortex
Transcortical Aphasia
Transcortical motor aphasia presents like
Broca’s
Transcortical sensory aphasia presents like
Wernicke’s
The Perisylvian core and thus repetition is spared with
Transcortical aphasia
Patients do not recognize the emotional content of speech with lesions to the
Right Hemisphere
With damage to the right hemisphere, speech is like a
Text message
Patients with damage to the right hemisphere have difficulty determining
When they are being lied to
Damage to the inferior frontal gyrus of the right hemisphere (Broca’s equivalent) causes
Monotonic speech (Prosody deficits)