Quick aphasia Flashcards
General impairments for Broca’s
Oral expression (severe) Repetition Naming Oral reading Reading comprehension Graphemic expression
Lesion site for Broca’s
Blood supply
Posterior-inferior frontal gyrus left hemisphere
Anterior language cortex
Lower part of promotor cortex
MCA
Oral expression brocas
Effortful Limited word output Agrammatic Telegraphic Minimal paraphasia Content words Devoid of article, conjunctions, prepositions, auxiliary verbs, inflections, grammatical morphemes Pauses Prolongations Repetitions Possible AOS Monotone
Transcortical motor site of lesion and blood supply
Anterior superior frontal lobe
Watershed
Deep portions of the left frontal lobe
ACA
General impairments TCM
Oral expression
Naming (mild)
Oral reading
Grapheme expression
Oral expression TCM
Initially mute Paraphasia Agrammatic Telegraphic Limited word fluency Echolalia Reduced spontaneous speech INTACT automatics No AOS
Quick Broca’s
Nonfluent
Comprehension is a relative strength
Repetition is not a relative strength
Quick TCM
Nonfluent
Comprehension is a relative strength
Repetition is a relative strength
Mixed Transcortical Aphasia/isolation
Site of lesion and blood supply
Watershed
Arterial boarder zone outside the Sylvian fissure
MCA/ACA/PCA
General impairments isolation
Oral expression Naming (marked difficulty, neologistic response) Auditory comprehension severe Oral reading severe Reading comprehension severe Grapheme expression severe
Oral expression isolation
Severely impaired Agrammatic with paraphasia Automatic, unintentional, involuntary nature of communication Limited spontaneous speech Echolalia Severe fluency impairment
Quick mixed/isolation
Nonfluent
Comprehension is NOT a relative strength
Repetition is a relative strength, Broca’s Wernicke’s and Arcuate Fasciculus are spared.
Global site of lesion and blood supply
Widespread damage
Fronto-tempero-parietal region
Entire perisylvian region affecting Broca’s/WERNICKE’s
MCA
General impairments global
All domains: Oral expression severe Repetition Naming Comprehension Oral reading Reading comprehension Grapheme expression
Oral expression global
Minimal vocalizations Speech extremely limited Restricted fluency Limited to a few words, exclamations, And serial utterances May repeat CV combinations Perseveration
Quick global
Nonfluent
Comprehension is NOT a relative strength
Repetition is NOt a relative strength
Presence of strong neurological symptoms: paresis, paralysis, sensory loss
ORAL and VERBAL apraxia
Left neglect is common
Wernicke’s site of lesion and blood supply
Posterior portion of superior temporal gyrus
Posterior branches L MCA
General impairments Wernicke’s
All domains: Oral expression Naming severe ( semantic and neologistic responses) Repetition may correspond to degree of auditory comprehension Auditory comprehension severely impaired Oral reading Reading comprehension Grapheme expression
Oral expression Wernicke’s
Excessive with paraphasias (semantic and literal/phonemic) Empty speech Paragrammatic Cocktail party speech Echolalic Fluent Rapid Logorrhea Retain grammatical words and omit content words ( this, that, thing) Impaired conversational skills No self-monitoring, feedback loop broken
Quick Wernicke’s
Fluent Comprehension is NOT a relative strength Repetition is NOT a relative strength No deficit awareness or self monitoring Normal prosody, artic, phrase length and grammatical forms
Transcortical sensory site of lesion and blood supply
Temproparietal region
Damage to posterior portion of middle temporal gyrus
Cortical regions of dominant hemisphere
Watershed areas of MCA
General impairments TSA
Oral expression Naming (mild to severe) , literal paraphasias Auditory comprehension Reading comprehension Grapheme expression
Oral expression TSA
Good with paraphasias (semantic and neologistic)
Echolalic
Empty speech
Fluent
Good artic, phrase length, prosody, syntax
Normal automatics once initiated
NO a grammatical or logorrhea
Quick TSA
Fluent
Comprehension is NOT a relative strength
Repetition is a relative strength
Oral reading is good
Conduction Aphasia site of lesion
Controversial
Arcuate Fasciculus
Supramarginal gyrus
Left parietal lobe
General impairments conduction
Oral expression Repetition may use words in speech but cannot repeat them on command, disproportionately impaired compared to auditory comp Naming (mild to severe) Oral reading (paraphasias) Grapheme expression
Oral expression conduction
Variable Less fluent then Wernicke's Self corrections Anomia Empty speech Semantic paraphasia
Quick conduction
Fluent
Comprehension is a relative strength
Repetition is Not intact
Possible neurogenic stuttering
Anomic aphasia site of lesion
Variable
Possible angular gyrus or second temporal gyrus
General impairments Anomic
Naming- severely impaired
Circumlocutions
Pervasive and persistent word finding problems
Exceeds all other difficulties
More frontal lesions may be able to name with phonemic cue
Oral expression Anomic
Normal syntax and artic Pauses Verbal paraphasia Fluent Empty speech Circumlocutions Subs "this, that, thing"
Quick Anomic
Fluent Intact comprehension Intact repetition Anomic syndrome Greater success naming words that are: Nouns Short High frequency Personally meaningful Used more in. Conversation Sentence completion task
