The Primary Progressive Aphasias Flashcards
The vast majority of aphasias are caused by stroke, TRUE or FALSE?
TRUE
Primary Progressive Aphasia (PPA) or ‘language-led dementias’ were not always recognised as PPA in history, from as far back as the 19th century by professionals such as Pick, Head and Serieux. What else were PPA commonly appreciated as?
- Semantic dementia was described by Warrington (QJEP 1975) as transcortical sensory aphasia + visual agnosia
- Mesulam (Ann Neurol 1982) described them as ‘slowly progressive aphasia without generalised dementia’
These are two main scientific discoveries which have largely developed and led to the understanding of PPA.
PPA led a paradigm shift in understanding dementias as regionally specified brain diseases, and has helped to establish the network paradigm of neurodegenerative diseases. TRUE or FALSE?
TRUE
What are the two main points to assess when assessing PPA in a patient?
- History of the problem
- Analysis of spontaneous speech
FINISH THIS CARD LATER!
When assessing an individual for PPA, what areas relating to the history of the problem should you gather information on?
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- Previous level of verbal skill
- How, and when (how long ago) did the problem begin?
- Since onset has the problem changed (varied, deterioration, improvement) or has remained unchanged?
- Circumstances in which the problem arises
- Conversations (Does the patient initiate conversations less than they used to? do they generally produce less speech than they used to?
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When assessing an individual for PPA, what areas relating to the analysis of spontaneous speech should you gather information on?
NEED TO FINISH THE ANSWER
- Generating a message - verbal thought
- The sense of the message - conceptual consent and vocabulary
- The structure of the message - grammar and phonology
- Motor programming of speech - phonetics, articulation and prosody
