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Neurogenic Comm Dis

Test 1

TermDefinition
Aphasia - an acquired language disorder - a loss of a degree of language ability Nue
Four Elements of Aphasia 1. it is acquired 2. it has a neurological cause 3. it affects reception and expressive language across modalities 4. it is not a sensory, psychiatric, or intellectual disorder
Cognitive-Linguistic Disorders Cases in which a language problem is secondary to a cognitive problem
Language of Confusion transient confusional states
Language of Generalized Intellectual Impairment language problems resulting from dementia
Specific Language Impairment a condition characterized by language deficits in the face of relatively age-appropriate cognitive abilities in children
Aphasiology specialists in research and/or clinical practice in aphasia and are also experts in related neurogenic cognitive-linguistic, speech, and swallowing disorders in adults
Incidence the likely number of newly diagnosed cases per specified unit of time
Prevalence the proportion of specified populations that had or have the disorder at a particular time
Neurological Causes of Aphasia stroke, TBI, neoplasm, infections, metabolic problems, and surgical ablation of brain tissue
Four Modalities of Language auditory expression, written expression, verbal expression, reading comprehension
Unidimensional Framework - all language is seen as one inseparable whole - production and comprehension are not seen as separable components of language but rather interwoven
Multidimensional Frameworks - thee view that there are varied forms or syndromes of aphasia, each syndrome corresponding to the site of the lesion - any syndrome of aphasia may be characterized by a set of hallmark features - fluent vs. non-fluent aphasia
Medical Framework - multidimensional subcategory - the level of specific linguistic deficits - focus on analyzing the cause in terms of disease state or change in body structure
Cognitive-Neuropsychological Framework - based on models of mental representation and types and stages of information processing
Psycholinguistic Frameworks - focused on the processing of linguistic information
Neurolinguistic Frameworks - how processing may go awry when a person's brain is injured - incorporate connectionist models, models of neuroanatomical structures and functions
WHO ICF WHO International Classification of Functioning, Disability, and Health
Biopsychosocial Framework - highlights attention to complex interaction of multiple factors that constitute "disabilities" and affect health - WHO ICF
Social Framework - focused on interpersonal contexts of communication - social condition - highlights importance of SLP
(2) Classifications of any Health Condition - activity limitations - participation restrictions
Functioning - body structure - body function - activity and participation
WHO ICF & People with Neurogenic Language Disorders - represents a departure from traditional classification based on impairments of body structure and function
Stroke temporary or permanent disruption in blood supply to the brain
Cerebrovascular Accident (CVA) synonymous with stroke
Occlusive Stroke a blockage of all or a portion of an artery
Hemorrhagic Stroke leakage of blood from the arteries
Ischemic Strokes - type of occlusive - restriction in the blood supply
Thrombotic Stroke arterial blockage has accumulated in the same area of an artery where the blockage eventually occurs
Embolic Stroke a blockage caused by matter that travels from elsewhere in the bloodstream to the point where it eventually blocks an artery
Thrombus thee clot that blocks the artery in a thrombotic stroke
Embolism the arterial blockage in an embolic stroke
Aneurysm blood vessel ruptures or an arteriovenous malformation bursts
Arteriovenous Malformation (AVM) atypically developed artery or vein, usually arising during embryonic or fetal development
Hematoma the accumulation of blood due to a hemorrhage
Intracerebral Hemorrhage leakage occurs within the brain tissue
Erosclerosis/Arteriosclereosis - primary cause of ischemic strokes - buildup of lipids and cellular debris within the arteries
Edema swelling in the surrounding area of the brain
Diaschisis functions associated with brain structures that are remote from the area of damage become impaired
Necrosis neural tissue death
Infarct/Infarction area of dead tissue
Ischemic Penumbra margin neural tissue surrounding an infarct
tPA tissue plasminogen activator
Hypoperfusion an insufficiency in blood supply to the brain
Transient Ischemic Attack (TIA) - a temporary blockage of the blood supply to the brain - mini-stroke - most last under 30 m but can last up to 24 h
Stroke Triggers - excessive alchohol intake - infection - excessive eating - intense positive or negative emotions - sudden posture change - drug use - anesthesia - surgery - physical exertion - birthday
BEFAST balance problems, eye/vision problems, face drooping, arm weakness, speech difficulty, time to call 9-1-1
Closed-head Injury (CHI) - the head suddenly hits an object or an object hits the skull - skull remains intact - aka accel-decel injuries - can be transitional or rotational
Transitional Injury/Direct Injury the object-head contact is at a relatively perpendicular angle to one of the main axes of the head, causing the brain to rebound against the side of the skull opposite to the side of contact
Coup Injuries injuries to the brain at the point of contact
Contrecoup Injuries injuries to the opposite side of the brain from the point of contact
Rotational Injuries the contact of an object with the head creates more of a spinning motion of the head, causing the brain to rotate in relation to the skull and often hits many different areas
Open-head Injury (OHI) breakage or penetration of the skull
Focul confined to one area
Diffuse involving more than one areas of the brain
Blast Injuries result from rapid phases of over-and-under pressurization of air compared to normal atmospheric pressure
Bacterial Infections and Viruses microscopic organisms that may cause inflammation in the brain
Encephalopathies infections that affect the cortex
Meningitis inflammation of the meninges surrounding the brain
Opportunist Infections/Secondary Infections bacteria/viruses selectively take advantage of a compromised immune system
Neoplasm tumour in the brain
Primary Tumours result from uncontrolled growth of glial or meningeal cells
Gliomas glial cell tumours
Astrocytoma - common type of glial tumour - a benign, slow-growing tumour
Glioblastoma Multiforme - type of glial tumour - rapid growing and malignant
Meningioma - benign tumour that arises from the meninges
Secondary/Metastatic Tumours - spreading tumours that typically arise from elsewhere in the body and travel to the brain via the blood supply or lymphatic system
Toxemia the poisoning, irritation, or inflammation of nervous system tissue through exposure to harmful substances
Toxic Encephalopathy brain dysfunction related to metabolism at the cellular level
Diabetes Mellitus (DM) a chronic disorder of carbohydrate metabolism caused by abnormal insulin function or deficiency, resulting in poorly controlled blood sugar (glucose) levels
Diabetic Encephalopathy any type of brain disorder caused by diabetes
Metabolic Syndrome represents thee clustering of obesity, hypertension, dyslipidemia, hyperlipidemia, & elevated blood sugar
Neurodegenerative Disease neurogenic condition that progressively gets worse over time
Mild Cognitive Impairment (MCI) - a condition of cognitive decline that is not typical normal aging - often results from neurodegenerative disease and head injury
Primary Progressive Aphasia (PPA) - a neurogenerative dementia syndrome unlike other types of aphasia - onset is sudden and insidious; symptoms worsen over time - first symptoms are linguistic
Created by: KarleeAJones
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