Types of aphasia Flashcards

1
Q

What are the 4 broad areas used to describe the language abilities of PWA?

A
  1. Auditory comprehension
    Words sounding meaningless
  2. Verbal expression
    Translating thoughts into words
  3. Reading (written comprehension)
    Words look meaningless
  4. Writing (written expression)
    Dyslexia, dysgraphia, agraphia
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2
Q

What is non-fluent aphasia? (3)

A
  • Lesions anterior to central sulcus in dominant hemisphere
  • Motor problems, close to motor strip
  • Need to untangle what is speech and what is language
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3
Q

What is fluent aphasia? (2)

A
  • Lesions posterior to central sulcus in dominant hemisphere
  • Typically no motor problems
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4
Q

What are the 4 fluent aphasias?

A
  1. Wernicke’s
  2. Conduction
  3. Anomic
  4. Transcortical sensory
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5
Q

Wernicke’s aphasia: fluency/comprehension/repetition

A

Fluency +
Comprehension -
Repetition -

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6
Q

What are the features of Wernicke’s aphasia?

A

AC: severely impaired
VE: fluent, good artic/prosody, rapid, semantic/phonemic paraphasias, neologisms, paragrammatic
WC: impaired
WE: impaired, may write similar to speech, may use dominant hand because usually no hemiplegia/hemiparesis

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7
Q

Conduction aphasia: fluency/comprehension/repetition

A

Fluency +
Comprehension +
Repetition -

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8
Q

What are the features of conduction aphasia?

A

AC: relatively good
VE: anomia, phonemic paraphasias, Conduite d’approache
WC: often impaired reading aloud, relatively good comprehension but still impaired
WE: often impaired

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9
Q

Anomic aphasia: fluency/comprehension/repetition

A

Fluency +
Comprehension +
Repetition +

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10
Q

What are the features of anomic aphasia?

A

AC: good/mildly impaired
VE: WFD, empty speech (non-specific words, eg. thing), circumlocutions
WC: good/mildly impaired
WE: good/mildly impaired

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11
Q

Transcortical sensory aphasia: fluency/comprehension/repetition

A

Fluency +
Comprehension -
Repetition +

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12
Q

What are the features of transcortical sensory aphasia?

A

AC: impaired
VE: similar to Wernicke’s, empty speech
WC: impaired
WE: similar to VE difficulties

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13
Q

What are the 4 non-fluent aphasias?

A
  1. Broca’s
  2. Global
  3. Transcortical motor
  4. Mixed transcortical
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14
Q

Broca’s aphasia: fluency/comprehension/repetition

A

Fluency -
Comprehension +
Repetition -

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15
Q

What are the features of Broca’s aphasia?

A

AC: usually mildly impaired comprehension
VE: nonfluent, effortful (many pauses, interjections), agrammatic, aware of difficulties
WC: may be mildly impaired, poor effortful oral reading
WE: impaired, content like VE, often write with non-dominant hand

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16
Q

What are some associated neurological impairements with Broca’s aphasia? (4)

A
  1. Apraxia of speech, dysarthria
  2. Right hemiparesis/hemiplegia, more arms that legs
  3. Ideomotor dyspraxia, eg. limb apraxia
  4. Visual field impairments, eg. hemianopia
17
Q

Global aphasia: fluency/comprehension/repetition

A

Fluency -
Comprehension -
Repetition -

18
Q

What are the features of global aphasia?

A

AC: severely impaired
VE: severely impaired, may consist of a few single words, stereotypical utterances eg. ‘do do do’, swear words, overlearned phrases
WC: impaired
WE: impaired

19
Q

What are some associated neurological impairments with global aphasia? (4)

A
  1. Right hemiparesis/hemiplegia
  2. Ideomotor apraxia
  3. Sensory loss
  4. Hemineglect
20
Q

Transcortical motor aphasia: fluency/comprehension/repetition

A

Fluency -
Comprehension +
Repetition +

21
Q

What are the features of transcortical motor aphasia?

A

AC: good, may have difficulty with complex material
VE: may be mute initially, later may present like Broca’s
WC: good, may have difficulty with complex syntax
WE: impaired

22
Q

What are some associated neurological impairments with transcortical motor aphasia? (3)

A
  1. Right hemiparesis, more legs than arms
  2. Visual field impairments
  3. Apraxia of speech
23
Q

Mixed transcortical aphasia/isolation aphasia: fluency/comprehension/repetition

A

Fluency -
Comprehension -
Repetition +

24
Q

What are the features of mixed transcortical aphasia/isolation aphasia?

A

AC: impaired
VE: impaired
WC: impaired
WE: impaired

25
Q

What are some associated neurological impairments with mixed transcortical aphasia/isolation aphasia? (3)

A
  1. Hemiplegia/quadriplegia
  2. Sensory loss
  3. Visual field impairments