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Aphasia Table

This document describes different types of aphasia based on fluency, speech patterns, auditory comprehension, repetition, naming abilities, and lesion location. There are both fluent and nonfluent aphasias. Fluent aphasias include anomic, conduction, and Wernicke's aphasia which are characterized by fluent but empty speech with errors. Nonfluent aphasias include Broca's, transcortical motor, and global aphasia where speech is effortful with short phrases. Lesion locations associated with each type of aphasia include Broca's area, Wernicke's area, and surrounding perisylvian regions.

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Fajar Rudy Qimindra
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637 views

Aphasia Table

This document describes different types of aphasia based on fluency, speech patterns, auditory comprehension, repetition, naming abilities, and lesion location. There are both fluent and nonfluent aphasias. Fluent aphasias include anomic, conduction, and Wernicke's aphasia which are characterized by fluent but empty speech with errors. Nonfluent aphasias include Broca's, transcortical motor, and global aphasia where speech is effortful with short phrases. Lesion locations associated with each type of aphasia include Broca's area, Wernicke's area, and surrounding perisylvian regions.

Uploaded by

Fajar Rudy Qimindra
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Type of Aphasia

Fluent or
Nonfluent

Conversational Speech

Auditory
comprehension

Repetition

Naming

Lesion Location

Anomic Aphasia

fluent

Fluent, normal utterance


length and well-formed
sentences

Good for everyday


conversation, difficulty
with complex syntax

preserved

Impairment
is hallmark

Acute outside perisylvian zona


(angular gyrus or inferior temporal
region), chronic- perisylvian area,
posterior tempolateral region

Conduction
Aphasia

fluent

Fluent with normal


utterance length but has
paraphasias

Good for casual


conversation, difficult
with complex syntax

Always
impaired

Posterior perisylvian lesions


affecting supramarginal gyrus in
parietal lobe and arcuate fasciculus

Transcortical
sensory aphasia
(TcSA)

fluent

Significantly impaired

Severely
impaired

Wernickes
aphasia

Fluent

Significantly
defective, cannot
even repeat
single words

Paraphasic
and severe
anomia

Extrasylvian regions involving POT


junction region; posterior and deep
to Wernickes area; sensory info
doesnt reach language areas
Large posterior perisylvian lesions
encompassing Wernickes area and
extending superiorly into inferior
parietal region

Transcortical
motor aphasia
(TcMA)

Nonfluent

Fluent with normal


utterance length, but
semantic paraphasias,
anomia
Fluent, easily articulated
speech of normal
utterance length, semantic
and phonemic
paraphasias, verbal output
excessive and rapid but
empty
Little attempt to produce
spontaneous speech,
mute, speech is reduced
in length

Impairment is
hallmark, good
spontaneous
speech,
paraphasias
during repetition
Preserved

Preserved, but
absence of
spontaneous
speech

Relatively
preserved

Severely impaired at
single-word level,
difficulty with complex
syntax and multi-step
commands, unaware of
inability to produce
coherent speech
Good for most
conversational
interaction, difficulty
with complex syntax

Extrasylvian regions of left frontal


lobe; dorsolateral frontal lesions
located anterior or superior to
Brocas area, supplementary motor
areas, cingulate gyrus

Brocas aphasia

Nonfluent

Slow, halting speech


production, utterances are
of reduced length with
simple grammar

Good for
conversational speech,
difficulty with complex
syntax

Limited to single
words and short
phrases

Impaired to
some degree,
especially for
low
frequency
words
Naming

Brocas area causes transient


disruption of speech production and
fluency; persistent Brocas aphasia
from larger perisylvian lesions
encompassing more of the left
frontal lobe
Lesion Location

Type of Aphasia

Fluent or
Nonfluent

Conversational Speech

Auditory
comprehension

Repetition

Mixed
transcortical
aphasia (MTcA),
isolation syndrome
perisylvian
zone disconnected
from extrasylvian
regions
Global aphasia

nonfluent

Meaningful verbal
expression is severely
limited or absent,
inappropriate repetition
of what other say

Markedly impaired at
single-word level

Preserved,
although
repetition occurs
without
comprehension

Significantly
impaired

Diffuse/mulitfocal lesions resulting


in anatomic isolation of perisylvian
language from surrounding cortical
areas (periphery of middle cerebral
artery distribution)

Nonfluent

Slow, halting speech


production, single words

Reduced to the extent


that single-word
comprehension is
impaired

Defective and
single words may
not be repeated
accurately

Severely
impaired

Extensive and involve the entire left


perisylvian language zone; common
cause is embolic occlusion of the
main stem of the middle cerebral
artery

Other Aphasias
- subcortical regions include thalamic aphasia, basal ganglia aphasia, surrounding white matter aphasia
- associated with dementia; Alzheimers disease language deterioration follows progressive course beginning with anomic aphasia
transcortical sensory aphasia Wernickes aphasia global aphasia
- primary progressive aphasia (PPA) progressive language deterioration without significant dementia

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