Random Neuro Flashcards
What is the classic hallmark of primary progressive aphasia?
Progressive language disturbance, leading to functional impairment with relative preservation of episodic memory and other cognitive domains
What is the nonfluent variant of PPA? How does this present?
- motor speech deficit characterized by effortful production of the linguistic units of sound (phonemes)
- effortful, halting speech with inconsistent speech-sound errors and distortions and agrammatism in language production
How can the nonfluent variant of PPA be tested for? Why does this work?
- Have pt say caterpillar or artillery rapidly, and repeatedly
- These words are particularly hard to articulate
Is comprehension spared with nonfluent PPA?
For simple word sentences, yes. For more complex sentences, no
What is the semantic variant of PPA? How does this commonly present?
- impaired single-word comprehension and object naming in the setting of preserved fluency, repetition, and grammar.
- Word-finding difficulty and inability to single word objects
True or false: pts with semantic PPA have an inability to understand sentences, but can understand single words fine
False–opposite is true
How can the Semantic PPA be tested?
Draw a turtle, dog, bird etc. Pts will leave out specific details of drawing (shell of turtle)
What is the logopenic variant of PPA?
Single word retrieval and repetition with errors in speech and naming, but with spared single wrose comprehension and object knowledge, spared motor speech, and absences of agrammatism
How are logopenic PPA and nonfluent PPA similar and different?
- Similar in that slow speech, with word-finding pauses
- Slow rate is due primarily due to word findings pauses, rather than difficulties with word production, articulation, or apraxia of speech
A pt with PPA tells a story that lacks any sort of detail. What variant of PPA does she have?
Logopenic