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Ardila Extrasylvian
extrasylvian
43
Science
Graduate
03/03/2009

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Term
extrasylvian aphasias
Definition
-extrasylvian motor aphasia

-extrasylvian sensory aphasia

-mixed extrasylvian aphasia

-non-cortical dysarthria-aphasia
Term
pre-rolandic / perisylvian
Definition
-broca type I

-broca type II
Term
pre-rolandic / extrasylvian
Definition
-motor type I

-motor type II
Term
post-rolandic / perisylvian
Definition
-conduction

-wernicke type I

-wernicke type II
Term
post-rolandic / extrasylvian
Definition
-sensory type I

-sensory type II
Term
extrasylvian aphasias
Definition
-extrasylvian motor aphasia
*type I
*type II

-extrasylvian sensory aphasia
*type I
*type II

-mixed extrasylvian aphasia
Term
extrasylvian motor aphasia
Definition
-non-fluent language, good comprehension, and good repetition

-prosody, articulation, and grammar are preserved

-long latencies in language, poor expressive language, and occasional verbal paraphrasias

-open questions are slow and incomplete

-patient tends to repeat the words included in the question

-semi-mutism, echolalia, perseveration
Term
extrasylvian motor aphasia I

(left frontal lateral syndrome)
Definition
-dynamic aphasia

-loss of verbal iniciative

-transcortical motor aphasia
Term
extrasylvian motor aphasia I

(basic language characteristics)
Definition
*conversational language = sparse, echolalic

*language comprehension =relatively normal

*repetition =good to normal

*pointing =normal

*naming =mildly abnormal

reading aloud defective

reading comprehension good to normal

writing defective
Term
extrasylvian motor aphasia I

(associated neurological signs)
Definition
-motor system =Hemiparesis may exist
=pathological reflexes

-articulation =normal

-cortical sensory function =normal

-praxis =normal

-visual field =normal

-visual gnosis =normal
Term
extrasylvian motor aphasia II

(supplementary motor area aphasia)

basic language characteristics
Definition
*conversational language =sparse, effortful

*language comprehension =normal

*repetition =good to normal

*pointing =normal

*naming =mildly abnormal

*reading aloud =defective

*reading comprehension =good to normal

*writing =slow w/ paragraphias
Term
extrasylvian motor aphasia II

(supplementary motor area aphasia)

ASSOCIATED NEUROLOGICAL SIGNS
Definition
*motor system =hemiparesis right leg

*articulation =mild defects

*cortical sensory function =right leg sensory loss

*praxis =normal

*visual field =normal

*visual gnosis =normal
Term
exrasylvian sensory aphasia
Definition
-good repetition

-fluent conversational language

-significant amount of verbal paraphasias and neologisms

-empty speech

-patient repeats words and sentences presented by the examiner, regardless they are incorrect and even in a foreign language
Term
extrasylvian sensory aphasia

BASIC LANGUAGE CHARACTERISTICS
Definition
-conversational language =fluent, paraphasic, echolalic

-language comprehension =defective

-repetition =good to excellent

-pointing =defective

-naming =defective

-reading aloud =may be preserved

-reading comprehension =defective

-writing =defective
Term
extrasylvian sensory aphasia

ASSOCIATED NEUROLOGICAL SIGNS
Definition
-motor system =normal

-articulation =normal

-cortical sensory function =often disordered

-praxis =may be defective

-visual field =normal to defective

-visual gnosis =may be defective
Term
extrasylvian sensory aphasia I

(left temporal-occipital syndrome)
Definition
-amnesic aphasia

-anomic aphasia

-transcortical sensory aphasia first subtype
Term
extrasylcian sensory aphasia I
(left temporal-occipital syndrome)
Definition
-fluent spontaneous language, poor comprehension, good repetition

-verbal paraphasias and neologisms

-defective comprehension

-defective naming, but phonological cueing is effective
Term
extrasylvian sensory aphasia II

(angular and parietal-occipital syndrome)
Definition
-transcortical sensory aphasia second subtype
-partially corresponds to semantic aphasia
-semantic anomia
Term
extrasylvian sensory aphasia II

(angular and parietal-occipital syndrome)
Definition
-some verbal amnesia
-fluent language, few paraphasias
-comprehension relatively good
-good repetition
-significant word-finding difficulties
-Gerstmann;s Syndrome
Term
semantic aphasia
Definition
the inability to simultaneously recognize the elements included in a sentence
Term
semantic aphasia
Definition
LANGUAGE DEFICIENCIES WERE OBSERVED IN;

1-sentences with a complex system of successive subordinate clauses

2-reversible constructions, particularly of the temporal and spatial type

3-constructions with double negative

4-comparative sentences
Term
semantic aphasia
Definition
5-passive constructions

6-constructions with transitive verbs

7- constructions with attributive relations.

also stated that these spatial disorders not only incidentally accompany semantic aphasia, but that semantic aphasia itself, was a defect in the perception of simultaneous structures transferred to a higher symbolic level
Term
mixed extrasylvian aphasia

BASIC LANGUAGE CHARACTERISTICS
Definition
-conversational language = nonfluent, echolalia
-language comprehension = defective
-repetition = relatively good
-pointing = defective
-naming = deective
-reading aloud = defective
-reading comprehension = defective
-writing = defective
Term
mixed extrasylvian aphasia
Definition
-spontaneous language is absent
-production is virtually limited to repetition
-echolalia
-articulation is good
-automatic language is good
-language understanding severely defective
Term
mixed extrasylvian aphasia

ASSOCIATED NEUROLOGICAL SIGNS
Definition
-motor system = paresis, pathological reflexes
-articulation = normal
-cortical sensory function = often disordered
-praxis = may be defective
-visual field = normal to defective
-visual gnosis = may be defective
Term
non-cortical dysarthria-aphasia
Definition
with the extended use of CT and MRI imaging appeared a great interest in study language (and other cognitive disturbance) resulting from subcortical pathology
Term
non-cortical dysarthria-aphasia
Definition
-subcortical aphasia

-subcortical dementia
Term
non-cortical dysarthria-aphasia
Definition
-marie's quadrilateral space
-striato-capsular aphasia
-thalamic aphasia
-white matter disease
-the insula
-cerebellar language disorders
Term
marie's quadrilateral space
Definition
-ventricle
-caudate
-putamen
-internal capsule
-thalamus
Term
non-cortical dysarthria-aphasia

MARIE'S QUADRILATERAL SPACE
Definition
-dysarthria
-hypophonic speech
-aphemia
Term
non-cortical dysarthria-aphasia

STRIATO-CAPSULAR APHASIA
Definition
in addition to the evident speech impairment, true language disorders can be observed in patients with striato-capsular damage; however, extension that involves the cortex is usually present. Extensive damage is required to produce a subcortical aphasia.
Term
non-cortical dysarthria-aphasia

THALAMIC APHASIA
Definition
-pulvinar (quasi-aphasia)
-mutism initially
-paraphasic hypophonic jargon
-anomia
-preserved repetition
-defective comprehension
Term
non-cortical dysarthria-aphasia

WHITE MATTER DISEASE
Definition
-very rare
-nasal voice
-weak phonation
-variability of pitch
-slow rate output
Term
non-cortical dysarthria-aphasia

THE INSULA

INSULAR APHASIA
Definition
the insula represents the crucial structure in the motor planning and organization of speech
Term
SUBCORTICAL APHASIA
Definition
-subcortical damage
-deep damage
Term
BROCA APHASIA
Definition
Alexander et al=1989
Ardila et al =1989
Kertesz= 1991
Kertesz et al =1979
Levine & Sweet =1983
Mazzochi & Vignolo = 1979
Mohr = 1976
Mohr et al = 1978
Term
CONDUCTION APHASIA
Definition
Ardilla et al =1989
Damasio & Damasio =1980, 1983
Goldstein =1911
Lichtheim = 1885
Mazzocchi & Vignolo = 1979
Murdoch et al = 1986
Term
WERNICKE APHASIA (PHONEMIC IMPERCEPTION)
Definition
Ardila et al = 1989
Benson = 1979
Gazzaniga, et al = 1979
Kertesz = 1981,1983
Liepmann & Storck = 1902
Mazzocchi & Vignolo = 1979
Yaqub, et al = 1988
Term
non-cortical dysarthria-aphasia

CEREBELLAR LANGUAGE DISORDERS
Definition
hypothesized that the cerebellum contributes to cognitive processing, particularly the processing of linguistic information. The cerebellum has anatomical connections to the cerebral cortex, through which it can affect language function.
Term
CEREBELLAR LANGUAGE DISORDERS
Definition
a neural cerebellar-frontal loop can affect cognitive, especially linguistic functions. Cerebellar damage has been associated with impaired grammar and decreased verbal fluency
Term
CEREBELLAR LANGUAGE DISORDERS
Definition
-slowing in cognitive processing, particularly linguistic processing associated with cerebellar pathology
Term
CEREBELLAR LANGUAGE DISORDERS
Definition
-cerebellar activation is contralateral to the activation of the frontal cortex
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