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Collection of blood material that blocks the flow of blood |
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Caused by blocked or interrupted blood supply to the brain. Blockages/interruptions may be caused by 2 kinds of arterial diseases: 1. Thrombosis 2. Embolism |
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a travelling mass of arterial debris or a clump of tissue from a tumor that gets lodged in a smaller artry and blocks the flow of blood |
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Caused by bleeing in the brain due to ruptured blood vessels Ruptures may be due to: - Intracerebral - w/in the brain - Extracerebral - w/in the meninges resulting in subarachnoid, subdural, & epidural varieties |
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- Neurologically based Language disorder (vs. neurological speech disoders such as: apraxia & dysarthria) - caused by strokes (ischemic or hemorrhagic), brain trauma, intracranial tumors, & infections - loss or impairment of language caused by a recent brain injury - comprehension and expression of language, along with reading & writing, may be impaired |
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Types of Non-Fluent Aphasias |
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Characterized by: limited, agrammatic, effortful, halting, & slow speech with impaired prosody - Broca's aphasia - Transcortical motor aphasia (TMA) - Mixed transcortical aphasia - Global aphasia |
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Characterized by: relatively intact fluency, generally less meaningful, or even meaningless speech Speech is generally: flowing, abundant, easily initiated, & well articulated w/ good prosody & phrase length - Wernicke's aphasia - Transcortical sensory aphasia (TSA) - Conduction aphasia - Anomic aphasia |
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Brodmann's areas 44 & 45 in the posterior inferior gyrus of the L-hemi - supplied by: upper division of the Middle Cerebral Artery (MCA) |
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Posterior portion of the superior temporal gyrus in the L-hemi - supplied by: posterior branch of the Left MCA (middle cerebral artery) |
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(Note: typically aphasi is produced by cortical damage) - in recent yrs aphasia, due to sub-cortical damage, has been reported - extensive subcortical damage, w/ possible involvement of L cortical areas, may underlie Subcortical Aphasia - lesons in areas surrounding the Basal Ganglia & the Thalamus have been linked to Subcortical Aphasia |
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a LOSS of previously Acquired reading skills dueto recent brain damage (Note: some patients with Aphasia manifest alexia) |
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the loss OR impairment of the normally acquired writing skills due to lesions in the foot of the second frontal gyrus (aka: Exener's Writing Area) (Note: various kinds of writing problems are seen in patients w/ aphasia) |
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Impaired understanding of the meaning of certain stimuli even though there is no peripheral sensory impairment Patients can see, fee, & hear stimuli but cannot understand their meaning Note: impairment is often limited to one sensory modality There are several forms: - Auditory Agnosia - Auditory Verbal Agnosia - Visual Agnosia - Tactile Agnosia |
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