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Aphasia - Week 7
N/A
37
Other
Graduate
03/09/2009

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Term
agraphia is
Definition
a loss or impairment in the ability to produce written language due to brain pathology
Term
there can be ________ and ________ defects
Definition
linguistic (aphasic agraphias) and non-linguistic (motor or spacial)
Term
Ogle
Definition
introduced the term agraphia
Term
Exner
Definition
proposed a "writing area" of the brain; thought it had to do with damage affecting the motor area (hand)
Term
Dejerine
Definition
described alexia without agraphia; biggest contributer to reading and writing
Term
Gerstmann
Definition
Proposed that agraphia can appear with acalculia, right-left disorientation, and finger agnosia in a single syndrome
Term
agraphia in broca's aphasia
Definition
sparse output, effortful, clumsy calligraphy, literal paragraphias, agrammatisms (just like the speech - dysprosody, poor artic, short sentences, etc.)
Term
disorders in writing are correlated with
Definition
the fundamental linguistic defect; literal paragraphias due to anticipations, perseverations, and letter omissions; writing is slow, clumsy, painstaking, short, and agrammatic
Term
additionally in broca's.. the patient also presents with a
Definition
right hemiparesis; this means pt has to use the non-preferred hand
Term
agraphia in wernicke's:
Definition
impairment in writing ability characterized by fluent writing, well formed letters, combined in an inappropriate way; literal paragraphias ( omissions, substitutions, additions) verbal and neologistic paragraphias are also found; written language is parallel with spoken language abilities/characteristics; paragrammatisms, paragraphias
Term
in conduction aphasia, the severity of agraphia is:
Definition
variable; it's an aferent motor agraphia (Luria), literal paragraphias, self-corrections, apraxic agraphia
Term
in conduction aphasia agraphia:
Definition
spontaneous writing is better than writing on command; literal paragraphias in complex phonological sequences, low-freq. words, and pseudo words. pt knows word is misspelled but when attempting to correct it, they make other errors (many corrections)
Term
other characteristics of conduction agraphia
Definition
pt might know the word and say it to themselves but can't remember how to write it; writing is slow; sometimes ideomotor apraxia is found
Term
global aphasia leads to:
Definition
severe defects in writing
Term
mixed extrasylvian aphasia leads to:
Definition
severe writing defects but some ability to copy
Term
extrasylvian sensory aphasia leads to:
Definition
verbal paragraphias, writing defect is variable depending on the extension of the lesion on the parietal lobe
Term
extrasylvian motor aphasia:
Definition
inability to write, can read tho
Term
Motor agraphia: Paretic agraphia - due to damage
Definition
in upper or lower motor neurons... large poorly formed letters..
Term
Motor agraphia: Hypokinetic agraphia
Definition
Parkinson's disease; resting tremor; micrographia
Term
Motor: Hyperkinetic Agraphia
Definition
Huntington's disease; chorea; cerebellar ataxic agraphia
Term
writer's cramp
Definition
disturbance associated with people writing for a very long time for many years..
Term
apraxic agraphia
Definition
inability to form graphemes; apraxia for holding pencil, for writing texts, for writing letters...
Term
spatial agraphia
Definition
have been considered a non aphasic writing disorder resulting from visuospatial defects that impair orientation and correct sequencing in writing; results from a lesion in the non-language hemisphere
Term
spatial agraphia characteristics:
Definition
some graphemes are produced frequently with one or more extra strokes; the lines of writing are not horizontal but slant twd the corner of the page at different inclinations; writing is only on the right side of the paper; spaces are made in between the letters of the words
Term
spatial agraphia is a consequence of:
Definition
left hemi spatial neglect; constructional difficulties in writing; general spatial defects; some motor disautomatization and tendency to perseverate
Term
spatial agraphia is usually associated with:
Definition
spatial alexia, spatial acalculia, hemi-spatial neglect, and general spatial difficulties,
Term
hemiagraphia
Definition
split brain syndrome - cutting corpus callosum - inability to write using the left hand
Term
prefrontal writing disturbances
Definition
agraphia without alexia; dysexecutive agraphia
Term
agraphia in confusional states
Definition
difficulties in writing
Term
hyperagraphia
Definition
temporal lobe epilepsy
Term
psychogenic agraphia
Definition
hysterical agraphia
Term
central agraphias
Definition
affect one or more processes involved in writing are affected, spelling of familiar and unfamiliar words; affect spelling in all ways: handwriting, typing, and oral spelling; 3 types: phonological, lexical, deep
Term
Phonological agraphia
Definition
ability to spell words (familiar and unfamiliar) but unable to spell non-words; good performance in legit weird spelled words with low frequency; striking inability to write legitimate pseudowords in dictation; spelling errors observed in these pts are not usually phonologically correct but may present a high degree of visual similitude with target word
Term
lexical (surface) agraphia
Definition
disorder is characterized by difficulties with spelling irregular and ambiguous words with a preserved ability to spell regular words; the ability to write decreases as the orthographic complexity of the word increases; word frequency plays a decisive role; dysorthography in spanish (direct route impaired, indirect route intact)
Term
Deep agraphia
Definition
inability to spell non words and function words; better spelling of highly imagineable nouns than unimaginible nouns; semantic paragraphias. also associated with phonological agraphia; extensive lesions at supramarginal gyrus and insula
Term
peripheral agraphias (dysgraphias)
Definition
only affect one spelling modality; usually good oral spelling with difficulties in writing;
Term
apraxic agraphia
Definition
main defect is inability to implement the peripheral motor processes; spelling is good but letters are deformed
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