Wk 7 - Language/Memory Flashcards
Communication is…(x1)
And can involve… (x5)
Behaviours used by one member of a species that convey information to another… Turn-taking Intonation Gesture (body language) Eye gaze control Touch
Language is… (x2)
Communication system that has symbols (e.g. words) and rules for ways to assemble the symbols (e.g. grammar)
Uniquely human
Aphasia is…(x1)
Loss of language processing ability after brain damage
Aphasia is not…(x4)
Impairment of intellectual functioning
Psychiatric disturbance
Primary motor or sensory deficit
Developmental disorder
A method for testing for aphasia (x2)
Measuring spontaneous speech
Having Ps describe scene out loud (ours is beach, sandcastle etc)
Three underlying principles of classic aphasic syndromes
Localization of language processors (in left)
Language processors localized because of relationship to primary sensory/motor functions
Damage to single processor can produce multiple deficits
Broca’s aphasia is… (x2)
Due to lesion in… (x1)
Expressive aphasia
Impaired speech planning and production
Posterior portion of inferior frontal cortex
Wernicke’s aphasia is… (x2)
Due to lesion in… (x1)
Fluent, receptive aphasia
Impaired representation of sound structure of words
Posterior portion of superior temporal gyrus
Conduction aphasia is a.. (x3)
Due to lesion in…(x1)
Production aphasia
Disconnection syndrome
Separation of sound patterns and speech production mechansims
Arcuate fasciculus (white matter tract between Broca’s and Wernicke’s)
Transcortical sensory aphasia is… (x3)
Due to lesion in… (x1)
Like Wernicke’s, but slightly different
Disconnection syndrome
Disturbed activation of word meanings, despite normal recognition of auditorily presented words
White matter tracts connecting parietal and temporal lobe (WA)
Transcortical motor aphasia is…(x2)
Due to lesion in… (x2)
Disconnection syndrome
Separation of concept centre from motor/auditory language centres
Deep white matter tracts connecting Broca’s to parietal lobe
Adynamic aphasia is a type of… (x1)
Characterised by.. (x2)
Transcortical motor aphasia
More motor issue,
Disturbed response initiation
Frontal dynamic aphasia is a type of… (x1)
Characterised by… (x7)
Transcortical motor aphasia Normal language, Can name objects, Repeat terms, Read words, Use items appropriately; but Cannot use normal language at will to communicate - Too many options in mind, issue is selection
Symptoms of Broca’s aphasia… (x4)
Reduced speech production
May retain some use of nouns & verbs
Telegraphic speech: loss of pronouns, articles, conjunctions - function/joining words
Comprehension intact
Symptoms of Wernicke’s aphasia…(x5)
Reduced auditory comprehension
Fluent speech: normal rate, rhythm, intonation
Disturbances of sounds, structures of words
Semantic paraphasias - wrong word, but from similar category
Poor repetition, naming
Symptoms of conduction aphasia… (x3)
Failure to repeat
Disrupted spontaneous speech
Paraphasias (phonemic) - errors sound like target word
Symptoms of transcortical motor aphasia…(x3)
Intact auditory comprehension
Good repetition
Severe disturbance in initiating responses
Symptoms of transcortical sensory aphasia… (x3)
Disturbed single word comprehension
Fluent grammatical speech
Good repetition
Describe Lichtheim’s 1885 House model of language comprehension/production
Primary sensory area links up to
Auditory area - auditory word forms, which has two-way links to
Concept centre at apex (also flows down to), and
Motor area - articulating speech, which links down to
Primary motor area
The five aphasias, described as per Lichtheim’s 1885 House Model
Broca’s is dysfunction in Motor area/speech articulation
Wernicke’s is dysfunction in Auditory area/word forms
Conduction aphasia is broken M-A connection
Transcortical sensory aphasia is broken A-Concept connection
Transcortical motor aphasia is broken C-M connection
Four limitations of classic view of aphasic syndrmes
Poor classification of patients - no patients are 100% one classic type
Lesion overlap/variability – eg those with Broca’s lesions don’t always have Broca’s aphasia, as in frontal dynamic
Little assistance for treatment planning - starting point for communicating among care providers, but not much treatment direction
Deficits etc don’t map nicely onto the model