subcortical and mixed aphasias

Question 1

striato-capsular aphasias (affecting basal ganglia)

Answer 1

-anterior damage to internal capsule and putamen
-posterior capsular-putamen damage
-anterior and posterior damage to basal ganglia

Question 2

anterior damage to internal capsule and putamen

Answer 2

• may cause symptoms similar to Broca’s aphasia
• severe form of dysarthric articulation
• mild repetition
• severe writing and moderate reading problems

Question 3

posterior capsular-putamen damage

Answer 3

• may cause symptoms similar to Wernicke’s aphasia
• severe auditory comprehension deficits
• fluent speech
• significant naming and word-finding problems
• moderate reading and writing problems

Question 4

similarities of first 2

Answer 4

both have naming, reading, and writing problems

Question 5

anterior and posterior damage of basal ganglia

Answer 5

• may cause symptoms similar to global
  -nonfluent and extremely limited spontaneous speech
  -severely impaired auditory comprehension
  -significant reading, writing, repetition, and naming problems

Question 6

thalamic aphasias

Answer 6

usually occurs with damage to certain thalamic nuclei on the dominant side of the brain

Question 7

symptoms associated with thalamic aphasias

Answer 7

May start out mute but language is intact most of the time when the patient is alert. So the symptoms fluctuate based on their consciousness and alertness.

Question 8

symptoms associated with thalamic CVA included

Answer 8

-symptoms fluctuate based on their alertness and consciousness

Question 9

symptoms of acute thalamic aphasias

Answer 9

-limited spon. speech although once speech in initiated syntax is intact
-neologisms
-circumlocutions
-relatively intact repetition skills
- some level of auditory comprehension deficits
-impaired reading and writing skills
-hypophonia
-fluctuating

Question 10

symptoms of chronic thalamic aphasia

Answer 10

-relatively fluent expressive lang. along with naming deficits
-writing and spelling errors
-mild auditory comprehension deficits

Question 11

mixed transcortical aphasias

Answer 11

• extremely rare
• presence of both sensory and motor aphasias
• unable to speak spontaneously
• lang. comprehension deficits
• reading skills intact
• intact confrontation naming

Question 12

mixed non fluent aphasia

Answer 12

-presence of broca’s and global
-considerate comprehension impairment for content words
-agrammatism
-occur with one or more CVAs
-associated with right sided hemiparesis and right sided facial paresis

Question 13

treatment for subcortical aphasias

Answer 13

CILT, PACE, SFA`

Question 14

treatment for mixed aphasias

Answer 14

• visual action therapy
• voluntary control of involuntary utterances
• AAC
• group therapy
• teletherapy

Question 15

visual action therapy

Answer 15

goal: improve the use of communicative gestures, facilitate improved verbal expression
-useful for indviduals with nonfluent aphasia and minimal output

Question 16

voluntary control of involuntary utterances

Answer 16

goal: stimulate the use of propositional speech for functional communication among individuals with nonfluent aphasias
-useful for individuals with relatively spared abilities to read printed words