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Aphasia - Week 5
N/A
28
Other
Graduate
02/12/2009

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Term
extrasylvian motor aphasia
Definition
non fluent language, good comprehension and good repetition. prosody, articulation, long latencies in lang. poor expressive lang. and occasional verbal paraphasias. semi-mutism, echolalia, perseveration. open questions are slow and incomplete patient tends to repeat the words included in the question.
impaired ability to make use of the language. (pragmatics)
Term
main symptom of transcortical (aka extrasylvian motor aphasia)
Definition
intact repetition
Term
pathological reflexes
Definition
may be present in this type of aphasia (and other frontal lobe damage)
Term
Extrasylvian motor aphasia II, aka supplementary motor area aphasia
Definition
conversational lang: sparse, effortful. comprehension: normal. repetion: good to normal. pointing: normal. naming: mildly abnormal. reading aloud defective. comprehension: good to normal. writing: slow with paragraphias.
Term
supplementary motor area
Definition
mesial aspect of the cerebral hemispheres
Term
damage to supplementary motor area
Definition
results in language difficulties/abnormalities
Term
Rubeus
Definition
boston group - discovered this kind of aphasia.. aphasia of the supplementary motor area.
Term
supplementary motor area aphasia: key
Definition
inability to START speaking.. often have tears :'(
Term
supp. motor area aphasia - associated neurological signs
Definition
hemiparesis right leg and right leg sensory loss. mild defects in articulation. normal praxis, vision.
Term
extrasylvian 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 if they are correct and even if they're in a foreign language (like wernicke's but intact repetition)
Term
basic lang. characteristics of extrasylvian sensory:
Definition
fluent, paraphasic echolalic conversational speech. lang. comprehension is severely impaired.
Term
associated neurological signs
Definition
visual field and gnosis may be defective. praxis may be defective. cortical sensory function may be impaired. artic and motor = fine.
Term
extrasylvian sensory aphasia I (left temporal-occipital syndrome)
Definition
fluent spontaneous language, poor comprehension, good repetition. verbal paraphasias and neologisms. defective naming but phonological cueing helps.
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. used to be called SEMANTIC APHASIA.
Term
gerstmann's syndrome
Definition
due to angr
1) agraphia
2) acalculia
3) finger agnosia
4) left-right disorientation
Term
semantic aphasia:
Definition
(Head - 1926). Inability to simultaneously recognize the elements included in a sentence.
(Luria - 1973). 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. 5) passive constructions. 6) constructions with transitive verbs; and 7) constructions with attributive relations.
Term
mixed extrasylvian aphasia (aka isolation syndrome)
Definition
(mentioned for academic purposes) spontaneous lang. is absent; production is virtually limited to repitition; echolalia; articulation is good; automatic lang. is good; language understanding is severely defective.
Term
mixed is almost like...
Definition
global aphasia but they can repeat
Term
non cortical dysarthria-aphasia
Definition
with the extended use of CD and MRI imaging a great interest appeared in the study of language (and other cognitive disturbances) resulting from subcortical pathology (sub cortical aphasia and dementia)
Term
subcortical aphasia
Definition
was already mentioned in wernicke's classification...
Term
the term subcortical dementia was coined by
Definition
martin albert
Term
Marie's quadrilateral space
Definition
(marie - referred to an area in the brain that would result in dysarthria) - aka basal ganglia ganglia damage results in dysarthria; in broca's, damage usually extends into basal ganglia; DYSARTHRIA and HYPOPHONIC SPEECH (phonation is difficult or absent but may recover) used to be called Aphemia (broca used to call broca's aphasia, Aphemia)
Term
striato-capsular aphasia
Definition
in addition to evident speech impairment, true lang. 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... is the lang dis order is bc of the extension to the cortex?? there is some deactivation of the cortex bc it's not receiving normal imput from the damaged subcortical areas
Term
thalamic aphasia (usually in the LEFT PULVINAR nucleus)
Definition
pulvinar (quasi-aphasia). mutism initially; paraphasic hypophonic gargon; anomia; preserved repetition; defective comprehension. pulvinar is connected with a parieto-temporal-occipital area) semi transcortical sensory aphasia.
Term
white matter disease (axons are impaired)
Definition
very rare; nasal voice; weak phonation; variability of pitch; slow rate output
Term
the insula (in the center of the lang. area)
Definition
subcortical damage; deep damage
Term
cerebellar language disorders
Definition
cerebellum contribuves to cognitive processing, particularly the processing of linguistic information. cerebellum has anatomical connections to the cerebral cortex, through which it can affect language function. impaired grammar and decreased verbal fluency (mild broca's aphasia). Slowing in cognitive processing (esp. linguistic processing). cerebellar activation is contralateral to the activation of the frontal cortex. cerebellum = ipsilateral.
Term
3 motor areas:
Definition
basal ganglia, frontal lobe, cerebellum (interconnected through the thalamus)
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