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21 Cards in this Set

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  • Back
Define Aphasia
global language disturbance (writing, reading, speech)
What are the different types of aphasia?
Alexia
Agraphia
Anomia
What is anomia?
loss of ability to recall the names of familiar objects which are clearly recognized/function is known
What is alexia?
loss of the ability to read
What is agraphia?
loss of the ability to write
Define dysarthria
deficient motor control of muscles involved in speech production
Right handed persons are referred to as...?
Dextrals
Lefthanded persons are referred to as...?
Sinistrals
Who tends to recover more from a left-hemisphere stroke & why: right handers or left handers?
Left handers b/c may have right hemisphere may contribute slighly to language production
Which area in the temporal is thought to be important in language performance?
Planum temporale

Lies between Heschl's gyrus and parietal lobe
Describe non-fluent, or Broca's, aphasia
Slow labored speech
Small grammar
Absent endings
Telegraphic speech
Musical tasks intact
Comprehension relatively intact
Difficulty repeating back a spoken word
Pt aware of & distressed by language deficit
Reading intact, but laborious
Writing can be abnormal like speech
Where is Broca's area?
Posterior end of the inferior frontal gyrus
What symptoms may accompany a Broca's aphasia and why?
Right hemiplegia b/c Broca's area lies near cortical motor representation of face & arm
Where is Wernicke's area?
Posterior superior temporal gyrus
What symptoms may accompany Wernicke's aphasia and why?
Quadrantanopia due to damage to Meyer's loop (temporal lobe)
What is conduction aphasia?
Rare

Inability to repeat words spoken to him/her, despite comprehension and fluent speech

Speech is paraphasic (jumbled)
What is paraphasic speech?
Jumbled words, meaningless sentences
What is a Disconnection syndrome?
Language disturbance from disconnection between sensory receiving area & language processing areas

e.g. pure word deafness, alexia without agraphia
A lesion in the angular gyrus causes what type of aphasia?
Alexia with agraphia
What is the clinical presentation of pts with alexia without agraphia?
Alexia - cannot read
Right homonymous hemianopia
Deficit in color naming

Intact:
Writing
Object naming
What causes alexia without agraphia?
Lesion in the left occipital lobe (causes the right homonymous hemianopia)

Lesion involves splenium of corpus callosum (interrupt projection to left hemisphere language areas)