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neuro1 aphasia

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Aphasia:   acquired neurological impairment of processing for receptive and/or expressive language. Result of brain injury, head trauma, CVA, tumor or infection.  
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Diagnosis of aphasia   based on the site of lesion in the brain and the blood vessels involved. Patients with aphasia are classified based on observation of fluent or non-fluent aphasia.  
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Prognosis of aphasia   dependent on the individual patient, location, and extent of the lesion.  
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characteristics associated with aphasia with a poor prognosis:   perseveration of speech, severe auditory comprehension impairments, unreliable yes/no answers, and the use of empty speech without recognition of impairments.  
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Fluent Aphasia Common lesions:   temporal and parietal lobes of the dominant hemisphere  
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fluent aphasia Word output and speech production:   are functional  
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fluent aphasia Prosody   is acceptable, but empty speech/jargon  
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fluent aphasia Speech:   lacks any substance, use of paraphasias  
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Types of Fluent Aphasia:   Conduction Aphasia, Wernicke's Aphasia  
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Wernicke's Aphasia Lesion:   posterior region of superior temporal gyrus, Also known as “receptive aphasia”  
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Wernicke's Aphasia Comprehension (reading/auditory) is :   impaired  
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Wernicke's Aphasia   Good articulation, use of paraphasias  
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Wernicke's Aphasia   Impaired writing  
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Wernicke's Aphasia   Poor naming ability  
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Conduction Aphasia Lesion:   supramarginal gyrus, arcuate fasciculus, Severe impairment with repetition  
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Conduction Aphasia ,   Intact fluency  
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Conduction Aphasia   good comprehension  
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Conduction Aphasia Speech:   interrupted by word-finding difficulties  
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Conduction Aphasia reading/ writing:   Reading intact, writing impaired  
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Non-Fluent Aphasia Common lesions:   frontal lobe of the dominant hemisphere. Poor word output and dysprosodic speech  
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Non-Fluent Aphasia   dysprosodic speech  
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Non-Fluent Aphasia   Poor articulation and increased effort for speech  
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Non-Fluent Aphasia Content:   is present, but impaired syntactical words  
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Types of Non-Fluent Aphasia   Broca's Aphasia Global Aphasia  
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Broca's Aphasia Lesion:   3rd convolution of frontal lobe  
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Broca's Aphasia   Also known as “expressive aphasia”  
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Broca's Aphasia   Most common form of aphasia  
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Broca's Aphasia   Intact auditory and reading comprehension  
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Broca's Aphasia   Impaired repetition and naming skills  
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Broca's Aphasia   Frustration with language skill errors  
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Global Aphasia Lesion:   frontal, temporal, parietal lobes  
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Global Aphasia Comprehension (reading/auditory)   is severely impaired  
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Global Aphasia   Impaired naming, writing, repetition skills  
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Global Aphasia   May involuntarily verbalize; usually without correct context  
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Global Aphasia   May use nonverbal skills for communication  
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