Aphasia

Question 0

Wernickes aphasia

Answer 0

Fluent
Impaired comprehension, repetition, naming, reading, writing
Paraphasias are common, all types
Logorrhea
Sensory issues
Motor intact

Question 1

Location of wernickes area

Answer 1

Left temporal lobe

Superior posterior

Question 2

Conduction aphasia location

Answer 2

Left supra marginal gyrus or
Left auditory cortex and insula
Arcuate fasciculus

Question 3

Conduction aphasia

Answer 3

Fluent
Good comprehension and reading
@@@Poor repetition@@@
Impaired naming, writing
Literal Paraphasias common
Awareness of deficits
Maybe motor and sensory deficits

Question 4

Anomic aphasia

Answer 4

Fluent
Impaired naming
Good comprehension, repetition
Reading and writing variable
Paraphasias rare
Motor good
Maybe sensory deficits
More posterior -- more involved reading, writing skills

Question 5

Location anomic aphasia

Answer 5

Left angular gyrus
And, or
Posterior middle gyrus

Question 6

Location transcortical sensory aphasia

Answer 6

Left frontal areas sparing brocas and arcuate fasciculus

Question 7

Transcortical sensory aphasia

Answer 7

Fluent
Impaired comprehension, naming, reading, writing
Good repetition
Literal Paraphasias common
Known as watershed lesion
Sensory and motor likely intact

Question 8

Location Brocas aphasia

Answer 8

Left inferior posterior frontal lobe

Question 9

Brocas aphasia

Answer 9

Nonfluent
Agrammatic
Good comprehension
Impaired repetition, naming, reading, writing
Paraphasias rare
In tact sensory
Hemiplegic or hemiparetic due to motor strip proximity

Question 10

Location global aphasia

Answer 10

Large left perisylvian lesion

Question 11

Global aphasia

Answer 11

Nonfluent
Poor comprehension, repetition, naming, reading, writing
Paraphasias common
Hemiparesis … Decreased motor, one side
Hemisensory … Decreased sensory on one side
Hemianopsia… Decreased vision on one side

Question 12

Location transcortical motor

Answer 12

Anterior or superior to Brocas
Extrasylvian region
Upper frontal lobe

Question 13

Transcortical motor aphasia

Answer 13

Nonfluent
Impaired naming, writing
Good comprehension, repetition, reading
Paraphasias rare
Maybe impaired motor
Good sensory

Question 14

Fluent aphasias

Answer 14

Wernickes
Transcortical sensory
Anomic
Conduction

Question 15

Nonfluent aphasias

Answer 15

Brocas
Global
Transcortical motor
Mixed

Question 16

Good repetition seen with…

Answer 16

Anomic
Transcortical sensory
Transcortical motor

Question 17

No repetition

Answer 17

Global
Brocas
Wernickes
Conduction
Mixed

Question 18

Paraphasias common with…

Answer 18

Wernickes
Conduction
Transcortical sensory
Global

Question 19

Paraphasias rare with

Answer 19

Brocas
Transcortical motor
Anomic

Question 20

Impaired repetition is key to which type?

Answer 20

Conduction aphasia

Question 21

Impaired comprehension is key to…

Answer 21

Wernickes

Question 22

4 most relevant info for prognosis

Answer 22

Initial level of auditory comprehension
Initial level of motor speech impairment
Etiology … TBI is better than stroke
Ability to self correct

Question 23

Somewhat relevant to prognosis, secondary… 6

Answer 23

Gender
Age
Health
Time post onset for tx initiation
Motivation
Headaches... Worse if right handed

Question 24

Not relevant for prognosis...

Answer 24

``` Premorbid IQ SES Educational level, maybe Race Initial reading and writing skills after stroke ```

Question 25

Predictors of outcome ... 7

Answer 25

Type, distribution, severity of physical impairment Cognitive, language, communication ability Number type and severity of co-morbid conditions Level of motivation Coping ability, style Nature and degree of family supports Type and quality of adaptation program, training

Question 26

What tends to improve first?

Answer 26

Receptive and imitative functions

Question 27

What is spontaneous recovery?

Answer 27

Substitution of functions | Brain reorganization

Question 28

Natural recovery includes...

Answer 28

Edema, inflammation, reduction of blood flow to brain | Between 1-3 weeks post stroke onset

Question 29

Sudden inhibition of fx after insult to brain, at a distance from original injury is called....

Answer 29

Passing of disaschisis As a result of swelling, blood flow, etc

Question 30

Spontaneous recovery timeline

Answer 30

Biggest in 1-3 weeks | Still good gains from 0-3 months

Question 31

Verbal skills will still improve past --- months post onset

Answer 31

6

Question 32

Slp should not see/assess patient in first ----- to allow initial natural recovery

Answer 32

24-48 hours

Question 33

Occlusive stroke results in...

Answer 33

Death of brain cells

Question 34

Hemorrhagic stroke results in...

Answer 34

Displacement of fiber bundles without destroying them

Question 35

Recovery pattern for occlusive stroke

Answer 35

Greatest change in first 4-6 weeks

Question 36

Recovery for hemorrhagic stroke

Answer 36

Little change for several months, then rapid improvement

Question 37

Brocas outcomes...

Answer 37

Variable Very large regions may persist, little recovery Milder regions may have early progressive improvement, then form into milder aphasia with anomia

Question 38

Global outcomes...

Answer 38

Progress slowly Comprehension improves more than expression Improvements are slow and over a longer period, making gains up to 1 year post onset Large lesions... Little recovery

Question 39

Wernickes outcomes

Answer 39

Variable

Question 40

Good initial word comprehension associated with...

Answer 40

Better naming

Question 41

Auditory comprehension deficits...

Answer 41

Not a predictor of auditory comprehension gains | If less severe, better expressive recovery

Question 42

Do fluent or Nonfluent improve faster?

Answer 42

Nonfluent, expressive

Question 43

Poorest recovery...

Answer 43

Anomic Global Temperoparietal lesion

Question 44

Best recovery with increased....

Answer 44

Blood flow | tPA

Question 45

Faster recovery for cortical or sub cortical?

Answer 45

Cortical