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Aphasia lesion Sites > Quick aphasia > Flashcards

Quick aphasia Flashcards

0
Q

General impairments for Broca’s

A 
Oral expression (severe)
Repetition
Naming
Oral reading
Reading comprehension
Graphemic expression
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1
Q

Lesion site for Broca’s

Blood supply

A

Posterior-inferior frontal gyrus left hemisphere
Anterior language cortex
Lower part of promotor cortex
MCA

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2
Q

Oral expression brocas

A 
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
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3
Q

Transcortical motor site of lesion and blood supply

A

Anterior superior frontal lobe
Watershed
Deep portions of the left frontal lobe
ACA

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4
Q

General impairments TCM

A

Oral expression
Naming (mild)
Oral reading
Grapheme expression

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5
Q

Oral expression TCM

A 
Initially mute
Paraphasia
Agrammatic
Telegraphic
Limited word fluency
Echolalia
Reduced spontaneous speech
INTACT automatics
No AOS
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6
Q

Quick Broca’s

A

Nonfluent
Comprehension is a relative strength
Repetition is not a relative strength

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7
Q

Quick TCM

A

Nonfluent
Comprehension is a relative strength
Repetition is a relative strength

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8
Q

Mixed Transcortical Aphasia/isolation

Site of lesion and blood supply

A

Watershed
Arterial boarder zone outside the Sylvian fissure
MCA/ACA/PCA

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9
Q

General impairments isolation

A 
Oral expression
Naming (marked difficulty, neologistic response)
Auditory comprehension severe
Oral reading severe
Reading comprehension severe
Grapheme expression severe
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10
Q

Oral expression isolation

A 
Severely impaired
Agrammatic with paraphasia
Automatic, unintentional, involuntary nature of communication
Limited spontaneous speech
Echolalia 
Severe fluency impairment
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11
Q

Quick mixed/isolation

A

Nonfluent
Comprehension is NOT a relative strength
Repetition is a relative strength, Broca’s Wernicke’s and Arcuate Fasciculus are spared.

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12
Q

Global site of lesion and blood supply

A

Widespread damage
Fronto-tempero-parietal region
Entire perisylvian region affecting Broca’s/WERNICKE’s
MCA

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13
Q

General impairments global

A 
All domains:
Oral expression severe
Repetition
Naming
Comprehension
Oral reading
Reading comprehension
Grapheme expression
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14
Q

Oral expression global

A 
Minimal vocalizations
Speech extremely limited
Restricted fluency
Limited to a few words, exclamations, And serial utterances
May repeat CV combinations
Perseveration
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15
Q

Quick global

A

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

16
Q

Wernicke’s site of lesion and blood supply

A

Posterior portion of superior temporal gyrus

Posterior branches L MCA

17
Q

General impairments Wernicke’s

A 
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
18
Q

Oral expression Wernicke’s

A 
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
19
Q

Quick Wernicke’s

A 
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
20
Q

Transcortical sensory site of lesion and blood supply

A

Temproparietal region
Damage to posterior portion of middle temporal gyrus
Cortical regions of dominant hemisphere
Watershed areas of MCA

21
Q

General impairments TSA

A 
Oral expression
Naming (mild to severe) , literal paraphasias
Auditory comprehension
Reading comprehension
Grapheme expression
22
Q

Oral expression TSA

A

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

23
Q

Quick TSA

A

Fluent
Comprehension is NOT a relative strength
Repetition is a relative strength
Oral reading is good

24
Q

Conduction Aphasia site of lesion

A

Controversial
Arcuate Fasciculus
Supramarginal gyrus
Left parietal lobe

25
Q

General impairments conduction

A 
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
26
Q

Oral expression conduction

A 
Variable
Less fluent then Wernicke's
Self corrections
Anomia
Empty speech
Semantic paraphasia
27
Q

Quick conduction

A

Fluent
Comprehension is a relative strength
Repetition is Not intact
Possible neurogenic stuttering

28
Q

Anomic aphasia site of lesion

A

Variable

Possible angular gyrus or second temporal gyrus

29
Q

General impairments Anomic

A

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

30
Q

Oral expression Anomic

A 
Normal syntax and artic
Pauses
Verbal paraphasia
Fluent
Empty speech
Circumlocutions
Subs "this, that, thing"
31
Q

Quick Anomic

A 
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

Aphasia lesion Sites (1 decks)

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