Fluent aphasias

Question 1

fluent speech

Answer 1

• relatively well-preserved fluency
• speech is abundant (are talking and using long sentences)
• verbal output in the range of 100-200 words per minute
• normal phrase length of 5 to 8 words
• no trouble with grammar
• precise articulation
• normal prosody
• normal auditory comprehension
• meaningless words

Question 2

What are the fluent aphasias?

Answer 2

• Wernicke’s
• conduction
• anomic
• transcortical sensory

Question 3

a lesion to where causes wernicke’s aphasia?

Answer 3

usually left posterior, temporal - often extending up into parietal lobe

Question 4

Wernicke’s aphasia auditory comprehension:

Answer 4

impaired/poor

Question 5

Wernicke’s aphasia

Answer 5

• impaired repetition skills
• naming and repetition impaired
• poor word finding/word retrieval (“empty speech)
• speech may be filled up with general words

Question 6

Wernicke’s aphasia

Answer 6

• fluent speech (little meaning conveyed)
• paraphasias (verbal/non-semantic, semantic, phonemic/literal)
• neologistic jargon
• relative lack of awareness of errors
  logorrhea or press of speech
• normal prosodic and generally intact grammatical forms
• impaired reading comprehension and writing skills
• perseverations

Question 7

Wernicke’s aphasia

Answer 7

• normal articulation (no AOS present)
• turn taking problems
• difficulty maintaining topic
• lack of insight into their disability (not fully aware)
• lack of frustration in failed to communicate
• not hemiplegic

Question 8

a lesion to where causes conduction aphasia?

Answer 8

lesion to lower parietal lobe, involves arcuate fasciculus, supramarginal gyrus, or small part of wernicke’s area

Question 9

what is the hallmark of conduction aphasia?

Answer 9

the inability to repeat or imitate speech

Question 10

conduction aphasia auditory comprehension

Answer 10

impaired, but often only mildly

Question 11

Conduction aphasia characteristics

Answer 11

• better recognition of errors/better self-monitoring (self-corrections)
• word finding/naming problems
• paraphasias (phonemic, semantic and verbal), neologisms (less frequent/rare)
• good phrase length, syntax and prosody of language
• variable reading and writing problems

Question 12

a lesion to where causes anomic aphasia?

Answer 12

lesion to angular gyrus area or lower temporal lobe

Question 13

characteristics of anomic aphasia

Answer 13

• word retrieval problems during spontaneous speech
• difficulty naming when asked to name pictures or objects

Question 14

anomic aphasia auditory comprehension

Answer 14

better auditory comprehension, good

Question 15

anomic aphasia characteristics

Answer 15

• thought formulation difficulties
• repetition is usually intact or just mildly impaired
• syntax is OK and normal articulation
• normal or near normal oral reading and writing
• paraphasias (verbal)

Question 16

lesion to where causes transcortical sensory aphasia?

Answer 16

lesion to regions more posterior to Wernicke’s area, involving the angular gyrus

Question 17

transcortical sensory aphasia characteristics

Answer 17

• good repetition
• all characteristics of Wernicke’s aphasia