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Broca's aphasia
Brocas and wernicke aphasia
Brocas and wernicke aphasia
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Recommended: Broca's aphasia
Teal Jenkins
NEUR/ZOO 5100
Dr. Prather
Spring 2014
Broca’s Aphasia
• Background
Aphasia is defined as the inability to communicate and is caused by damage to areas of the brain responsible for language processing [1]. Strokes are the main cause of aphasia, while tumors, blows to the head, and infections can also be the culprits. Aphasia affects the ability to comprehend and produce language, whether written or verbal. Approximately 80,000 people acquire aphasia each year, with men and women being equally affected. About 1 million people in the United States currently suffer from aphasia [9]. Recently, there have been new discoveries in the cognitive processes of language and the treatments for persons afflicted with aphasia.
The link between
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Upon examining the brains, Broca concluded that the damaged part of the left hemisphere was responsible for speech production. This is now known as Broca’s area. Broca’s aphasia, also known as expressive aphasia or non-fluent aphasia, is diagnosed as the inability to produce speech. Patients with Broca’s aphasia were first thought to have no problems understanding speech, but difficulties when trying to express their thoughts. Recent investigation however, has demonstrated that the physical separation in speech processing between Broca’s and Wernicke’s areas isn’t as concrete as once …show more content…
Researches assessed the ability of patients with lesions involving Broca’s area to discriminate speech sound [7]. Subjects were asked to determine if two syllables in a given stimulus were the same or different. While finding that damage to Broca’s area does not result in substantial speech perception deficits, (as originally thought), the discrimination performance was significantly worse in patients with Broca’s area lesions than controls with lesions in the mesial temporal-occipital
Wernicke's Aphasia occurs from damage to the superior temporal gyrus and affects language comprehension, while speech production is unaffected, which is why it is referred to as "fluent aphasia." Wernicke's patients produce speech fluently, but it is mostly nonsensical speech and have trouble understanding what is being told to them. Unlike Broca's Aphasia patients, they are not aware of their speech problems.
The brain has four major lobes. The frontal lobe, the parietal lobe, the occipital lobe, and temporal lobe are responsible for all of the activities of the body, from seeing, hearing, tasting, to touching, moving, and even memory. After many years of debating, scientist presents what they called the localization issue, Garret explains how Fritsch and Hitzig studied dog with conforming observations, but the cases of Phineas Gage’s accident in 1848 and Paul Broca’s autopsy of a man brain in 1861 really grabbed the attention of an enthusiastic scientific community (Garret 2015 p.6)
Wernicke’s Aphasia is a communication disorder that affects one’s comprehension, therefore affecting language of both written and spoken language. Wernicke’s Aphasia is also known as fluent aphasia because individuals that have this disorder usually, for the most part, can typically express themselves using syntax and grammar but have a hard time doing it meaningfully through speech. Physiologically, when they speak, they do not realize that their speech is usually grammatically incorrect and lacks meaning behind it. People with this disorder have a hard time with auditory processing, fluently speaking, and poor repetition of what was previously said to them. Anatomically speaking, when one has Wernicke’s Aphasia this typically means that there
Salonen, L. (2013). L. S. Vygotsky 's psychology and theory of learning applied to the rehabilitation of aphasia: A developmental and systemic view. Aphasiology, 27(5), 615-635. doi:10.
Aphasia can be defined as a disorder that is caused by damage to parts of the brain that are responsible for language (“Aphasia” n.p.). Wernicke’s aphasia is a type of fluent aphasia (with the other type being nonfluent). It is named after Carl Wernicke who described the disorder as “an amnesiac disorder characterized by fluent but disordered speech, with a similar disorder in writing, and impaired understanding of oral speech and reading” (“Wernicke’s” n.p.). Wernicke’s aphasia can also be known as sensory aphasia, fluent aphasia, or receptive aphasia. It is a type of aphasia that is caused by damage to Wernicke’s area in the brain, in the posterior part of the temporal lobe of the left hemisphere. This area of the brain contains motor neurons responsible for the understanding of spoken language and is believed to be the receptive language center (“Rogers” n.p.). Wernicke’s aphasia can be most efficiently defined as a fluent language disorder commonly caused by strokes and characterized by difficulty comprehending spoken language and producing meaningful speech and writing which is both assessable by an SLP and treatable by a variety of methods.
According to ASHA, more than 2 million people in the United States have a severe communication disorder that impairs their ability to talk. This problem may be short or long term, and may be congenital (present at birth), acquired (occurring later in late), or degenerative (worsening throughout life). Some disorders could be from lack of oxygen at during the birth process, premature birth, genetic disorders, Cerebral Palsy while others may be caused by aTraumatic Brain Injury, or degenerative diseases.
...tion. In true recognition, there was more activity in temporal lobe on left hemisphere, which store sounds of words.
"My most valuable tool is words, the words I can now use only with difficulty. My voice is debilitated - mute, a prisoner of a communication system damaged by a stroke that has robbed me of language," stated A. H. Raskins, one of approximately one million people in the United States who suffer from aphasia (1), a disorder which limits the comprehension and expression of language. It is an acquired impairment due to brain injury in the left cerebral hemisphere. The most common cause of aphasia is a stroke, but other causes are brain tumors, head injury, or other neuralgic illnesses. Of the estimated 400,000 strokes which occur a year, approximately 80,000 of those patients develop some form of aphasia (2). Another important observation is that within the United States, there are twice as many people with aphasia as there are individuals with Parkinson's disease (2). Yet, what is so astounding is the lack of public awareness about aphasia. Aphasia attacks an intricate part of a person's daily life - the simple act of communication and sharing. The disbursement of such a tool deprives an individual of education learned through their life, often leaving the ill fated feeling hopeless and alone. In considering the effects of aphasia, a deeper analysis of the two most common forms of aphasia will be examined: Broca's aphasia and Wernicke's aphasia. While both forms occur usually as a result of a stroke in the left hemisphere of the brain, their particular site of impairment produces different side effects in an individual's comprehension and speech. These regions have been further studied through experimental researches such as positron emission tomography (PET). Moreover, although there is currently no cure for the disorder, there are treatments and certain guidelines to follow when encountering an aphasic.
The temporal lobe of the cerebral cortex is associated with the processing of language. During verbal learning tests on subjects who are fully rested functional magnetic resonance imaging scans show that this area of the brain is very active. However, in sleep deprived subjects there is no activity within this region (3), (4), (5). The effects of this inactivity can be observed by the slurred speech in subjects who have gone for prolonged periods with no sleep (6).
Auditory processing is the process of taking in sound through the ear and having it travel to the language portion of the brain to be interpreted. In simpler terms, “What the brain does with what the ear hears”(Katz and Wilde, 1994). Problems with auditory processing can affect a student’s ability to develop language skills and communicate effectively. “If the sounds of speech are not delivered to the language system accurately and quickly, then surely the language ability would be compromised” (Miller, 2011). There are many skills involved in auditory processing which are required for basic listening and communication processes. These include, sensation, discrimination, localization, auditory attention, auditory figure-ground, auditory discrimination, auditory closure, auditory synthesis, auditory analysis, auditory association, and auditory memory. (Florida Department of Education, 2001) A person can undergo a variety of problems if there is damage in auditory processing . An auditory decoding deficit is when the language dominant hemisphere does not function properly, which affects speech sound encoding. (ACENTA,2003) Some indicators of a person struggling with an auditory decoding deficit would be weakness in semantics, difficulty with reading and spelling, and frequently mishearing information. Another problem associated with auditory processing is binaural integration/separation deficit. This occurs in the corpus callosum and is a result of poor communication between the two hemispheres of the brain. (ACENTA,2003) A person with this will have difficulty performing tasks that require intersensory and/or multi-sensory communication. They may have trouble with reading, spelling, writi...
There comes a time in our life when we know what we want to say, but it does not come out the way we thought it would. Such as being worried about reading out loud in class, going up to an employee in a fast food restaurant to order a simple meal, or making a presentation in class can be terrifying for most individuals with an articulation disorder. An articulation disorder consist of having difficulties producing sounds, substituting sounds, leaving out letters in a word, or adding or changing letters in a word. In most cases when individuals have trouble articulating words he/she might have problems with the main articulators which include: the jaw, lips, teeth, tongue, velum, alveolar ridge, and hard/soft palate. These articulators play
Stuttering is a disorder of oral communication and it is characterized by disruptions in the production of speech sounds, also called "disfluencies" (American Speech-Language-Hearing Association, 2014). It usually emerges in childhood and affects around 5% of the population (Guitar, 2006), even though there is some variation in the incidence of stuttering in different studies. During infancy, it is common for children to present dysfluency because of the complex process of language acquisition and development. These disfluencies are normal and tend to disappear in 80% of the children, however for some it may evolve into a chronic state that is called developmental stuttering. Stuttering can also occur in two other circumstances, from injuries, which is called acquired or neurogenic stuttering and another one, involving psychological aspects (Oliveira et. al., 2012). Perkins, Kent and Curlee (1991) focused on the theories to explain the possible causes of disfluency and theorized that speech disruption and time pressure are the two important variables that may account for the stuttered dysfluency.
In this part, the writer will point out the importance of the biological and neural foundation of language learning by discussing the following :First, the brain anatomy. Second, l...
In this world, humans and animals alike have come to communicate by using various mechanisms. Humans have advanced themselves beyond other organisms by using language, or a set of codes and symbols, in order to express themselves to others. Language has brought about a means to create new thoughts, to explore, and to analyze our everyday surroundings. It has also enabled us to retain past memories and to look deep into the advances for the future. However, for some individuals, this tool for communication has been plagued by a language and speech disorders, such as aphasia. Aphasia is the loss of the ability to speak or understand speech or written language. It is often detected at an early age, and contributes to the general class of speech and language disorders affecting "5% of school aged children" (1) . Aphasia is classified into three categories. The main two are receptive or sensory aphasia and expressive or motor aphasia. Receptive aphasia affects the input side and "the ability to understand spoken or written language may be partially or totally lost" (1) . Those with expressive aphasia "can speak but not find certain words or names, or may be totally unable to communicate verbally or by writing" (1) . For a majority of affected individuals, there is a combination of the two. The third type is conduction aphasia. This "involves disruption of transmission between the sensory and motor ends of the circuit" (1) . Here, individuals are able to produce speech despite the lack of connections to the input side. It seems that the ability to speak has a lot to do with your surroundings and how much emphasis was placed on developing this skill during the first few years after birth. Afterall, it's known that the first few years are critical because this is the time when the brain is "plastic" and is rapidly changing and being molded. By the time that adolescence is reached, the brain has become "less plastic". In this paper, I would like to explore theories proposed to try to understand the origins of this impairment.
Persson, Inga-Britt. Connectionism, language production and adult aphasia: elaboration of a connectionist framework for lexical processing and a hypothesis of agrammatic aphasia. Helsinki, Finland: Societas Scientiarum Fennica, 1995.