Term
| disorders of awareness - confusional state: |
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Definition
| the inability to maintain coherent line of thought. |
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Definition
| right unilateral inattention might be found |
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Definition
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Definition
| hemiparesis, dysarthria, extraocular motor paresis, pseudobulbar palsy, apraxia |
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Term
| hemiparesis - usually associated w/: |
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Definition
| broca's aphasia - defect in right motor body... sometimes it's severe soemtimes it's mild - affects the hand and face (less severe: leg), damage of UMN so it's spastic. (thus, usually spastic dysarthria) |
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Term
| hemiparesis in conduction: |
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Definition
| common to find initial hemiparesis but it tends to go away or at least decreases in severity |
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Term
| hemiparesis in extrasylvian motor type II (aphasia of supplementary motor area) |
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Definition
| right leg hemiparesis is found and unusual gait |
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Term
| wernicke's or extrasylvian motor defects |
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Definition
| none really noted... really depends on the extension of the pathology |
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Term
| extrasylvian motor aphasia I don't present with hemiparesis but may present with |
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Definition
| deficits in controlling the eye movements and defects in visual scanning |
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Term
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Definition
| a neurologic speech disorder that is charactcterized by slow, weak, imprecise and/or uncoordinated movements of speech musculature. |
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Term
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Definition
| pyramidal, basal ganglia, cerebellum |
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Term
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Definition
UMN - spasticity
LMN - flacidity |
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Definition
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Term
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Definition
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Term
| thus, there are # many types of dysarthria |
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Definition
| 5 - spastic, flaccid, hypo/hyperkinetic, ataxia |
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Term
| extraocular motor palsies |
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Definition
| brain damage involving frontal eye field (brodmann 8) will result in in impairments in eye movement, especially upon request. common in extrasylvian motor aphasia I |
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Term
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Definition
| is the paralysis that results from bilateral UMN lesions of the pyramidal tract (same kind of paralysis as in bulbar palsy) |
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Term
| what % of aphasics present ideomotor apraxia? |
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Definition
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Term
| conduction aphasia is assocaited with |
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Definition
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Term
| if you find ideomotor apraxia in wernicke's aphasia, this suggests... |
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Definition
| a lesion that extends to the parietal lobe |
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Term
| pt with broca's aphasia present with a __________ apraxia. |
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Definition
| sympathetic. this means that the apraxia is only in the left lobe... |
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Term
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Definition
| is an impairment in the planning and programming of sequences of movements required for speech production (that and agrammatismo underlie broca's) |
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Term
| in apraxia of speech, errors are: |
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Definition
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Term
| in apraxia, which type of lang is best? |
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Definition
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Term
| aprax of speech also coocurs with |
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Definition
| buccofacial or oral apraxia |
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Term
| 2 types of verbal apraxia. 1st type is PRE ROLANDIC this corresponds to |
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Definition
| "apraxia of speech" found in Broca's aphasia |
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Term
| the 2nd type of verbal apraxia is POST ROLANDIC is associated with |
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Definition
| conduction aphasia (it has been suggested that verbal apraxia and conduction aphasia are the same disorder.) |
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Term
| SENSORY DISORDERS - 2 types |
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Definition
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Term
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Definition
| are more evident in conduction aphasia bc of the parietal damage. can be found in a lesser degree in broca's and wernicke's depending on the extent of the lesion |
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Term
| in conduction aphasia it is common to find: |
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Definition
| hypoesthesia, difficulties in two point discrimination, and tactile extinction |
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Term
| right homonymous hemianopia is almost invariable in: |
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Definition
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Term
| in wernicke's aphasia, it is common to find (think visual) |
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Definition
| a right upper quadrantopsia |
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Term
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Definition
| occasionally some visual field defects |
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Term
| parietal aphasia sometimes has (visual) |
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Definition
| inferior quadrantanopsia if the damage extends deeply in the brain |
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Term
| DISORDERS OF COGNITIVE FUNCTION |
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Definition
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Term
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Definition
| difficulties in memorizing verbal info, a sub-type of wernicke's has been interpreted as specific verbal amnesia (anterograde and retrograde) |
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Term
| a broader amnesia can be found if aphasia damage extends to: |
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Definition
| prefrontal areas, hippocampus, etc. |
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Term
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Definition
| visual, auditory, somatic |
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Term
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Definition
| associated with aphasia - difficulties in revisualization of objects - a sort of temporal/occipital detatchment |
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Term
| visual agnosia can be assocaited with.. |
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Definition
| alexia. alexia without agraphia (agnosic agraphia)aka achromatopsia |
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Term
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Definition
| aka WORD DEAFNESS. also appears in acoustic-agnosic aphasia - wernicke's aphasia type 1 (the aphasia part also includes stuff such as paraphasias). |
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Term
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Definition
| finger agnosia, right-left disorientation, acalculia and agraphia. |
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Term
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Definition
| primary (anarithmetia) and secondary |
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Term
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Definition
| difficult to find, left posterior parietal damage. conduction aphasia is most frequently associated with anarithmetia |
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Term
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Definition
| calculation difficulties correlated with language defects |
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Term
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Definition
| can be correlated with reading difficulties. alexia for numbers |
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Term
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Definition
| calculation errors can appear as an inability to write quantities. specific difficulties will be correlated with the specific type of agraphia |
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Term
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Definition
| pts can count, compare quantities, and perform simple arithmetic operations if they can work with a pencil and paper. can't do things in their head.. can be found in extrasylvian motor I |
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Term
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Definition
| finger agnosia, acalculia, agraphia, right left disorientation - aka angular gyrus syndrome - no supposed aphasia - but there is debate of whether or not to replace agraphia with semantic aphasia or simply add it as a descriptor. |
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Term
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Definition
| progressive decline in cognition due to damage or disease in the brain- (degeneritive conition, multiple infarcts, etc.) beyond what is expected in normal aging. Areas affected: MEMORY, langauge, attention and executive function |
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Term
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Definition
| finger agnosia, acalculia, agraphia, right left disorientation - aka angular gyrus syndrome - no supposed aphasia - but there is debate of whether or not to replace agraphia with semantic aphasia or simply add it as a descriptor. |
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Term
| alzheimer's (progression) |
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Definition
| initially dementia, then extra sylvian sensory, and semi/mutism at the end - 2/3 of total # of dementia cases |
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Term
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Definition
| 2nd most common dementia - produces focal or diffuse effects, causes cognitive decline. |
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