speech aphasia Filly Flashcards
behavioral neurology
structural brain damage that alters behavior
neuropsychiatry
psychiatrists pretending to be neurologists.
Which professor looks like Hannibal Lecter?
Filley
hearing, seeing, speaking, and generating words originate in which brain regions?
Hearing: Wernikies
Speaking: Motor cortex - lateral precentral gyrus, bsal ganglia, cerebellum corticobulbar tracts
Generating: Brocca’s
Seeing: visual cortex, occipital lobe
arousal and attention
level of consciousness, digit span, serial sevens
Memory
orientation, 3 words at 5 min, remote events
language
fluency, comprehension
visuospatial function
clock drawing, hemineglect test
mood and affect
inquiries about feelings, observation of affect
complex cognition
executive function
acute confusion
a common and usually reversible disorder of attention known as delerium
amnesia
imapared recent memort, deficient new learning
aphasia
an acquired disorder of language
apraxia
disorder of motor skills, coordination.
visuospatial impairment
cant find car, cant dress them selves
hemineglect
failure to attend to one side of the body
personality change
a departure from normal temperament or character
dementia
multiple neurobehavioral syndromes - amnesia, aphasia, personality change
does Dr. Filley think psychiatry is a valid profession
no
Is Filley proud of his book?
yes
how is language organized in the brain?
as distinct neural networks and regions that tend to process specific components of language
if someone has a distorted thought process which leads to incoherent language, do they have aphasia?
Nope, they have a thought disorder (ie schizophrenia)
dysarthria
slurred speach (think motor disorder of speech)
dysphnia
disorder of voice related to laryngeal disease
mutism
severe aphasia, can be psychiatric or physical
cerebral dominance
one side of the brain tends to dominate one function, specifically language. Language- left math, reading - left attention - right emotion- right
handedness
dominant hand side, right handed people are left dominant for language.
sinistrals
left handed people, are also left brain dominant for language
spontaneous speech
nonfluency, characterized by labored, effortful speech
auditory comprehension
poor comprehension is defined by performing verbal commands
repetition
helpful for localization
naming
what is this? its a pen - correctly identifying common objects
broca’s aphasia
nonfluent speech, damage to left inferior frontal lobe
effortful, nonfluent speech.
werniche’s aphasia
fluent, paraphasic speech with poor comprehension. often rapid.
paraphsias
three types:
literal - pipe becomes hike
verbal -
neologism -
conduction aphasia
in the white matter between brocs and wernikes area
in the arcuate fasciulus
global aphasia
entire language center is effected
no language function remains
alexia
acquired reading disorder
dyslexia
reading disorder despite adequate opportunity and training
agraphis
acquired writing disorder
sign-language aphasia
its a real thing - deaf people with strokes
autonomic speech
expletives, angry outbursts
prosody
the inflection of speech with emotion
music
subserved by the right hemisphere
humor
right frontal lobe has been implicated
metaphor
subserved by the right hemisphere
localization of nouns and verbs
mediated in pert by right hemisphere
treatment of aphasia
First line is treat cause/ lesion. most improvement happens in the first year. no drugs currently available.
Speech/language therapy, psychiatric care is helpful, help adapting to disability.
recovery
look it up
