Diagnostics
Mrs. Laura has fluent speech and good sentence length. When you ask her to share, she says, "I do okay with talking but sometimes have a hard time saying certain things." You ask her about her daily routines and she is able to generally describe and give you adequate answers. When you ask her to repeat the days of the week, she struggles. What type of aphasia does she have?
Most likely Conduction, since she has intact fluency and auditory comphrension but her main breakdown appears with repetition or copying.
A mild form of aphasia, with the most prominent difficulty being in word-finding. Comprehension and repetition of words and sentences is typically good; however, the patient may not always recognize that a word successfully retrieved is the correct word, indicating some difficulty with word recognition.
Anomic Aphasia
__________ paraphasia is when an entire word is substituted for the intended word. It is a word with a similar meaning, such as saying “son” instead of “daughter”.
Semantic Paraphasia
Damage to the posterior inferior frontal gyrus of the left hemisphere can cause what kind of aphasia?
Broca's Aphasia
Brocas, transcortical motor, and global are what kinds of aphasia
Non fluent aphasia
Mr. Jack says things like "The tool cup here at bottom down hammer up" and "So nice ipad tink on the top good show I'd say!" His sentence length is intact, and he appears to ramble on when talking. He makes little sense but is unaware of his issues. What type of aphasia does he have?
Wernicke's Aphasia
In this form of aphasia, speech output is severely reduced and is nonfluent. The person may understand speech relatively well and be able to read, but be limited in writing.
Broca’s Aphasia
__________ it is when a sound substitution or rearrangement is made, but the stated word still resembles the intended word. Examples include saying “dat” instead of “hat”.
Phonemic Paraphasia
Name the four lobes of the brain.
Frontal, Occipital, Parietal, and Temporal
Wernikes, anomic, conduction, transcortical sensory is what kind of aphasia
Fluent Aphasia
Mr. John has much difficulty producing words and saying things. He also struggles to understand what is said to him. He cannot read, write or repeat. Overall, he is significantly impacted in receptive-expressive language, and he has difficulty controlling his emotions. What kind of aphasia does he present with?
Global aphasia, as evidenced by a significant deficit in all receptive-expressive language abilities.
A type of fluent aphasia. Comprehension is poor and the person often produces jargon, or nonsensical words and phrases, when attempting to speak.
Wernicke’s Aphasia
A word that is repeated inappropriately instead of an intended word.
Also can mean when someone is "stuck" on one idea.
Perseveration
Regulates responsiveness of primary motor cortex, controls speech, hands, finger and hand-eye coordination, Brocas area
Premotor cortex
Caused by blockage of an artery (thrombosis, embolism)
Ischemic stroke
Mrs. Sally says "I...um...um...book...bills...uh...to give..." as she has a difficult time making a full sentence. She struggles to find the words to say. She shakes her head ashamed that she is having such a hard time. What type of aphasia does she have?
Broca's Aphasia, characterized by broken/choppy/nonfluent speech and intact auditory comprehension and awareness
A type of nonfluent aphasia with severe impairment of both expressive and receptive skills. Usually associated with a large left hemisphere lesion. People are often alert and may be able to express themselves through facial expressions, intonation, and gestures.
Global Aphasia
Often used with people of aphasia when trying to name a word. Pt will typically describe the word using long sentences but not name it.
Circumlocution
What lobe is language association? (Wernicke's area, analysis and elaboration of speech sounds, comprehension of spoken language, verbal memory, language in dominate hemisphere, etc)
Temporal Lobe
Clot that forms in other parts of the body and travels up to the brain
Embolism
Sara Beth has trouble getting her words out. She almost stutters or repeats some sounds as she is trying to say a word. As you ask her to go through tasks, she understands and complies. She also repeats a lists of words read aloud by you. What type of aphasia does she have?
Transcortical Motor Aphasia
- signs: stutter-like output, good repetition, good comprehension
A type of nonfluent aphasia similar to Broca's aphasia, but with strong repetition skills. The patient may have difficulty spontaneously answering a question but can repeat long utterances without difficulty.
Transcortical Motor Aphasia
____________ is the use of non-real words in place of the intended word. Examples include calling a toothbrush a “slunker”.
Neologism
Regulates motor function and muscle tone
Basal Ganglia
Bleeding in the brain
hemorrhagic stroke