Characteristics of Non-Fluent Aphasias

Presented By:Arooba Asmat DevBSSLP 02143004

Non-Fluent Aphasia• Difficulty communicating orally • Difficulty with written words Other names:• Motor aphasia• Anterior aphasia• Broca's aphasia

Types of Non-Fluent Aphasia• Broca’s Aphasia• Transcortical motor Aphasia• Mixed Transcortical Aphasia• Global Aphasia

Broca’s AphasiaSpeech Poor , Effortful , Paraphasias

Fluency Impaired

Auditory Comprehension Preserved

Visual Comprehension Preserved

Prosody Impaired

Physical Impairment Hemiparesis , apraxia of hand and mouth

Naming Impaired

Repetition Impaired, hesitant

Psychological Ability Mute, Grumpy, Frustrated, depressed

Broca’s Aphasia cont..Reading Impaired

Writing Impaired

Linguistic impairment Agrammatism

Conversational Language Non-Fluent

Pointing Relatively Abnormal

Visual Field Normal

Broadman’s Area 44, 45

CT scan of Broca’s Patient

Difference Between Broca’s and Wernike’s

Transcortical Motor AphasiaSpeech Poor, Echolalia, Preservation

Fluency Impaired

Auditory Comprehension Preserved

Visual Comprehension Preserved

Prosody Impaired

Physical Impairment Hemiparesis , Grasp Reflex

Naming Impaired

Repetition Preserved

Psychological Ability Cooperative

Transcortical Motor Aphasia cont..

Reading Impaired

Writing Impaired

Linguistic impairment Pragmatic function

Conversational Language Sparse, echolalic

Pointing Normal

Visual Field Normal

Broadman’s Area 6, 8, 9, 20,

Mixed Transcortical AphasiaSpeech Mutism

Fluency Impaired

Auditory Comprehension Impaired

Visual Comprehension Impaired

Prosody Impaired

Physical Impairment Present

Naming Impaired

Repetition Preserved

Psychological Ability Hemianopia, Visual agnosia, Hemiparesis

Mixed Transcortical Aphasia cont..

Reading Impaired

Writing Impaired

Linguistic impairment Pragmatic and semantic

Conversational Language NonFluent , echolalic

Pointing Impaired

Visual Field Normal to defective

Broadman’s Area

CT scan of Mixed Transcortical Aphasia

Global AphasiaSpeech Impaired

Fluency Impaired

Auditory Comprehension Impaired

Visual Comprehension Impaired

Prosody Impaired

Physical Impairment Present

Naming Impaired

Repetition Impaired

Psychological Ability Impaired

Global Aphasia Reading Impaired

Writing Impaired

Linguistic impairment Impaired

Conversational Language Impaired

Pointing Impaired

Visual Field Impaired

Broadman’s Area Impaired

References • Gliebus G (March 2010). "Primary progressive aphasia: clinical, imaging, and neuropathological findings". Am J Alzheimers

Dis Other Demen. 25• Rohrer JD, Knight WD, Warren JE, Fox NC, Rossor MN, Warren JD (January 2008). "Word-finding difficulty: a clinical analysis

of the progressive aphasias“• Schroeter ML, Raczka KK, Neumann J, von Cramon DY (2007). "Towards a nosology for frontotemporal lobar degenerations

– A meta-analysis involving 267 subjects.". NeuroImage. 36 (3): 497–510. Alajouanine T. Verbal realization in aphasia. Brain. 1956;79:1–28.

• Perecman E., Brown J.W. Ukeles, condessors, and fosetch. Lang Sci. 1985;7:177–214.• Cappa S.F., Cavallotti G., Vignolo L.A. Jargonagraphia: clinical and neuropsychological

correlates. Neuropsychologia. 1987;25(1B):281–286. • Schonauer K., Denes G. Graphemic jargon: a case report. Brain Lang. Aug 1994;47(2):279–299. • Marien P., Engelborghs S., Vignolo L.A., De Deyn P.P. The many faces of crossed aphasia in dextrals: report of nine cases and

review of the literature. Eur J Neurol. Nov 2001;8(6):643–658. • Marshall J. Jargon aphasia: what have we learned? Aphasiology. 2006;20(5):387–410.• Hillis A.E., Boatman D., Hart J., Gordon B. Making sense out of jargon: a neurolinguistic and computational account of jargon

aphasia. Neurology. Nov 10 1999;53(8):1813–1824. • Ostberg P., Bogdanovic N., Fernaeus S.E., Wahlund L.O. Jargonagraphia in a case of frontotemporal dementia. Brain

Lang. Nov 2001;79(2):333–339.

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