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31 Cards in this Set

  • Front
  • Back
What is Aphasia?
What type of condition is it?
An acquired neuropsychological disorder consisting of the Loss or impairment of language caused by brain damage. Not the same as failure to develop normal language
What does language refer to?
semantic and syntactic functions
Where are, for most people, semantic and synaptic language functions performed?
semantic and synaptic language functions are generally performed by the left hemisphere.
Who is Paul Broca, and what did he do?
1861, presented clinical cases:
Focal brain damage associated is disordered speech/language
Aphasia as specific brain disorder born
Who is Car Wernicke, and what did he do?
mid 1870s and early 1880s.
Presents cases of language comprehension deficits due to brain damage
-Leads to model of brain-language mechanisms
Who is Norma Geschwin, and what did he do?
(mid 1960s)
-Refined descriptions of language localization
-Pinpointed likely circuits in brain accounting for aphasic symptoms
What are the syndromes of Aphasia based on?
1.Type of language manifestation
2.neuroanatomic locus
Name three types of Aphasia and describe them
Broca's
Wernicke's
Conduction aphasia
Describe Broca's Aphasia
Nonfluent aphasic output
Speech: labored and telegraphic, minimum number of words is used
Consists of entirely content words.
good language comprehension, but less so for complex sentences
What type of example of Aphasia is :
Q: What did you do Today?
A: Buy bread store
Broca's Aphasia
Sentences aredevoid of grammatical morphemes such as buy(ing)
and are generally 3 to 4 words.
What is the Broca's Area?
the language-dominant hemisphere's frontal opercular region in Left frontal lobe of brain.
What happens in the Broca's Area with more severe and persitent symptoms
Lesion can be deep lying and usually involve the basal ganglia
What is Wernicke's Aphasia?
Almost opposite Broca's aphasia
Verbal output fluent
full of paraphasias and neologisms.
'treen' instead of 'train'.
Key Features
Disturbance in comprehension
Disorder of repetition
Some cases, spoken comprehension worse than written comprehension
If somebody has problems with:
Comprehension as well as production
Understanding the meaning of content words and producing appropiate content words but is
Rich in Grammatical morphemes and superficially fluent, what type of Aphasia do they have?
Wernicke's Aphasia
What type of Aphasia would the speaker of this sentence have?
"Nothing the keesereez the, these are davereez and these and this one
and these are living. This one's right in and these are. . . uh . . . and that's
nothing, that's nothing . . ."
Wernicke's Aphasia
Where is the brain damage for the Wernicke's area located and what is often involved?
in the superior Temporal lobe in the Left Hemisphere.
Often involves temporal lobe of dominant hemisphere, particularly the auditory association cortex of the posterior-superior portion of the superior temporal gyrus
Describe Conduction Aphasia
rare form of aphasia
Fluent but paraphasic
normal comprehension of spoken language
Severe breakdown in repetition
Naming almost always abnormal, caused by paraphasic contamination
Explain the Neuropathology in Conduction Aphasia
Pathology most often involves white matter beneath the supramarginal gyrus (but can occur outside)
The lesion here disconnects intact language comprehension area from an equally intact motor speech area
Name another form of Aphasia besides Wernicke's Broca's and Conduction and describes their symptoms.
Anomic:
word-finding difficulties
Fluent, little paraphasia, good comprehension, repetition
Deficiency in naming.
Lengthy but empty verbal output
Substitute words
Results from pathology anywhere in the language in area and some form right-hemisphere lesions.
What is Foreign Accent Syndrom?
Aphemia
(pure word dumbness or anarthria)

Hypophonic, slow, but grammatically intact verbal output. Sounds like a different accent then the one they were born with.
What is Pure Word Deafness?
Problem with reception of spoken language
Cannot understand spoken and cannot repeat
Can identify sounds
Define
Non-fluent
sparse output
Define
dysprosody
abnormal rhythm, . melody, inflection, and timbre)
Define
agrammatism
use of substantive, meaningful words with a relative
dearth of syntactically significant function words
paraphasia
substitution of phonemes or words
anomia
difficulty in word finding
Understanding speech is done by
Wernicke's Area
producing speech is done by
Broca's Area
How is speech comprehended?
Sounds analyzed for their physical properties in the auditory sensory area of the temporal lobe
Neural Representations sent to Wernicke's for analysis
How is speech understood?
Wernicke's area: transforms basic meaning to be conveyed into a neural representation of a sequence of words
-Representation sent to Broca's area, converted to an utterable form
Sent to primary motor area of the forebrain which controls the muscles of speech
Why do Japanese speakers have a hard time differentiating between L and R sounds?
In Japanese, there is only one sound that falls in this frequency boundary. Cells become devoted to other representations that are more difficult, making different neural connections. The cells that would have been specialized to determine this boundary have made connections elsewhere and are not accessed easily. Japanese babies are able to recognize the difference between "r" and "l" until they are nine months old. It around that time that the auditory cells become specialized.