Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “APHASIA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 469 records · Page 26Linked to original sources
PubMed1980

Language gains in global aphasia over a three-year period: a case study.

A diagnosis of global aphasia generally suggests poor prognosis for recovery and indicates short-term therapeutic intervention. This case study illustrates language gains made by a patient with global asphasia over a three-year period of speech and language therapy. Prognostic factors against recovery include post middle age; right-handedness; extensive vascular damage; perceptual, sensory, and motor problems; and dysarthric and apraxic involvements associated with aphasia. Despite known patterns of recovery that indicate a six-month plateau in patients with global aphasia, the data on this patient indicates that long-term therapy, in certain cases, is appropriate and necessary.

Aphasia↗
PubMed1987

Aphasia following right thalamic hemorrhage in a dextral.

A 74-year-old, right-handed woman with a right thalamic hemorrhage and aphasia is described. Sequential neurologic examinations and aphasia testing were carried out during a 1-year period and the results are reported. The patient exhibited a language deficit resembling a transcortical aphasia in the acute stage. Reduced spontaneous speech, fading voice volume, fluent verbal output with paraphasia, anomia, and a mild comprehension difficulty were present. Repetition was good. At 1 year postonset, the primary language problem exhibited by the patient was in object naming, all other components of the original language deficit having shown good recovery. This is the first reported case of right thalamic involvement in speech/language in the absence of personal and familial sinistrality.

Aged↗
PubMed1988

Expressive language recovery in aphasia using the Shewan Spontaneous Language Analysis (SSLA) system.

The oral expressive language of a group of aphasic subjects was measured on two occasions approximately one year apart to determine what changes took place during this period and whether these changes were significant. The SSLA system was used to evaluate the aphasic language samples obtained from a picture description task. Positive changes toward normal language functioning occurred for several variables. Type of aphasia affected the outcome of several variables. The rank ordering of aphasia types from most to least impaired was similar across these variables, thereby suggesting similar outcome patterns. Initial severity of aphasia also influenced the outcome of several SSLA variables. However, the degree of concordance of the severity groups across variables was not statistically significant. Treatment had a positive effect on the outcome of only one SSLA variable. Possible explanations for these results are discussed.

Adult↗
PubMed1988

Nonspeech and speech processing skills in patients with aphasia and apraxia of speech.

Nonspeech and speech auditory processing skills as well as internal speech processing skills were assessed among four patients with acquired "pure" apraxia of speech, 10 with acquired aphasia, 10 with aphasia plus apraxia of speech, and 11 neurologically normal adults. Fourteen tasks were administered and performances on 68 variables were examined using both nonparametric and parametric analyses controlling for the effects of advancing age and associated hearing loss. In all cases, the "pure" apractic patients performed as normal subjects. Few differences were noted among the performances of the aphasic and aphasic-apractic subjects. Results led to three major conclusions: (1) apraxia of speech is a disorder distinct from aphasia; (2) aphasic individuals, despite locus of lesion, demonstrate disabilities for processing nonspeech and speech materials presented auditorily and for analytically evaluating speech evoked internally; and (3) aphasic individuals demonstrating similar severity levels of language impairment show similar performance patterns for these types of processing tasks, despite locus of lesion or coexistence of apraxia of speech.

Adult↗
PubMed1992

Recurrent fluent aphasia associated with a seizure focus.

The relationship between dominant hemisphere seizure activity and aphasia is unclear. Although speech arrest, expressive speech problems, and comprehension difficulties have often been associated with temporal lobe seizure activity, neologistic, paraphasic speech is rare. We report a patient with seizures following encephalitis who had recurrent episodes of fluent, severely aphasic speech with impaired comprehension which correlated with continuous, high voltage spike and slow wave activity in the left temporal region. During a several-day period of intermittent electrographic seizure activity, he had fluctuating receptive aphasia, and he developed transient paranoid psychosis following treatment. We discuss the behavioral manifestations of his left temporal seizures and correlate the changing nature of his behavior with therapeutic interventions. This case, as well as a review of others, suggests that paroxysmal fluent aphasia results from a partially treated electrographic seizure focus in the dominant temporal lobe.

Anomia↗
PubMed1985

Aphasia, family history, and the longitudinal course of senile dementia of the Alzheimer type.

Aphasia, was present in a majority of subjects in a longitudinal study of 43 subjects with senile dementia of the Alzheimer type. Aphasic subjects had a more rapidly progressive course but a lower prevalence of familial cases than the study group, other study groups, or the nonaphasic subjects. Conversely, the lack of aphasia was associated with a higher prevalence of familial cases and a slower rate of progression. It is concluded that senile dementia of the Alzheimer type is a heterogeneous disorder in which the presence of aphasia early in the course signifies a nonfamilial, rapidly progressive variety of illness.

Aged↗
PubMed1994

Acquired epileptic aphasia: neuropsychologic follow-up of 12 patients.

A study of specific neuropsychologic, neurolinguistic, and behavioral features of acquired epileptic aphasia or Landau-Kleffner syndrome was conducted in a group of 12 patients followed-up for 2-15 years (mean: 8 yr). Seventy-five percent had exhibited some language disturbance prior to acquired epileptic aphasia. Even when 9 patients had normal electroencephalographic findings in the long-term course of the disease, only 3 achieved normal language. No patient with persisting electroencephalographic abnormalities recovered normal or near normal language. The need to perform detailed neurolinguistic and neuropsychologic evaluations in the work-up and follow-up of children with acquired epileptic aphasia is stressed. An adapted neuropsychologic profile battery proved to be practical and objective for the follow-up of these patients.

Agnosia↗
PubMed1995

Felbamate in the treatment of acquired epileptic aphasia.

A previously healthy six year old boy developed severe receptive and expressive aphasia, multifocal epileptiform discharges, and refractory clinical seizures consistent with acquired epileptic aphasia. The patient experienced complete seizure control and almost complete return of language skills following the addition of felbamate. This is the first case of successful treatment of acquired epileptic aphasia using felbamate.

Anticonvulsants↗
PubMed2005

Production of graphic symbol sentences by individuals with aphasia: efficacy of a computer-based augmentative and alternative communication intervention.

The study employed a single-subject multiple baseline design to examine the ability of 9 individuals with severe Broca's aphasia or global aphasia to produce graphic symbol sentences of varying syntactical complexity using a software program that turns a computer into a speech output communication device. The sentences ranged in complexity from simple two-word phrases to those with morphological inflections, transformations, and relative clauses. Overall, results indicated that individuals with aphasia are able to access, manipulate, and combine graphic symbols to produce phrases and sentences of varying degrees of syntactical complexity. The findings are discussed in terms of the clinical and public policy implications.

Adult↗
PubMed2005

Improved picture naming in chronic aphasia after TMS to part of right Broca's area: an open-protocol study.

Functional imaging studies with nonfluent aphasia patients have observed "over-activation" in right (R) language homologues. This may represent a maladaptive strategy; suppression may result in language improvement. We applied slow, 1 Hz repetitive transcranial magnetic stimulation (rTMS) to an anterior portion of R Broca's homologue daily, for 10 days in four aphasia patients who were 5-11 years poststroke. Significant improvement was observed in picture naming at 2 months post-rTMS, with lasting benefit at 8 months in three patients. This preliminary, open trial suggests that rTMS may provide a novel treatment approach for aphasia by possibly modulating the distributed, bi-hemispheric language network.

Aphasia↗
PubMed2006

Cross-language lexical connections in the mental lexicon: evidence from a case of trilingual aphasia.

Despite anecdotal data on lexical interference among the languages of multilingual speakers, little research evidence about the lexical connections among multilinguals' languages exists to date. In the present paper, two experiments with a multilingual speaker who had suffered aphasia are reported. The first experiment provides data about inter-language activation during natural conversations; the second experiment examines performance on a word-translation task. Asymmetric patterns of inter-language interference and translation are evident. These patterns are influenced by age of language learning, degree of language recovery and use, and prevalence of shared lexical items. We conclude that whereas age of language learning plays a role in language recovery following aphasia, the degrees of language use prior to the aphasia onset and of shared vocabulary determine the ease with which words are accessed. The findings emphasize the importance of patterns of language use and the relations between the language pair under investigation in understanding lexical connections among languages in bilinguals and multilinguals.

Aphasia↗
PubMed2006

Pharmacotherapy of aphasia: myth or reality?

Pharmacotherapy of aphasia had been discussed for the last twenty years with first bromocriptine and amphetamine and then serotoninergic, GABAergic and cholinergic agents. Here, we reviewed the MEDLINE available reports of drug therapy for aphasia. So far, proofs of efficiency were found indubitable for none of the studied molecules. However, some of them showed limited efficiency (piracetam and amphetamine). Moreover, drug therapies for aphasia were less efficient alone than when they were associated with speech therapy.

Amphetamine↗
PubMed2006

Mismatch negativity elicited by tones and speech sounds: changed topographical distribution in aphasia.

This study used the event-related brain potential mismatch negativity (MMN) to investigate preconscious discrimination of harmonically rich tones (differing in duration) and consonant-vowel syllables (differing in the initial consonant) in aphasia. Eighteen Norwegian aphasic patients, examined on average 3 months after brain injury, were compared to 11 healthy controls. The main finding was a difference in topographic distribution of the MMN: the aphasia group showed a less lateralized and centralized topographic pattern especially to CV syllables, which is consistent with a reduced temporal lobe processing contribution and an increased right hemisphere activation. No correlations between MMN amplitude and aphasia test results were found.

Acoustic Stimulation↗
PubMed2006

Single subject controlled experiments in aphasia: the science and the state of the science.

UNLABELLED: This paper discusses the use of single subject controlled experimental designs for investigating the effects of treatment for aphasia. A brief historical perspective is presented, followed by discussions of the advantages and disadvantages of single subject and group approaches, the basic requirements of single subject experimental research, and crucial considerations in design selection. In the final sections, results of reviews of published single subject controlled experiments are discussed, with emphasis on internal validity issues, the number of participants enrolled in published studies, operational specification of the dependent and independent variables, and reliability of measurement. LEARNING OUTCOMES: As a result of reading this paper, the participant will: (1) understand the mechanisms required for demonstration of internal and external validity using single subject controlled experimental designs, (2) become familiar with the basic requirements of single subject controlled experimental research, (3) understand the types of single subject controlled experimental designs that are the most appropriate for studying the effects of treatment for aphasia, and (4) become familiar with trends in the published aphasia treatment literature in which single subject controlled experimental designs have been used.

Aphasia↗
PubMed2004

Sensory aphasia after closed head injury.

A 51-year-old, right-handed male injured his head when drunk. After an initial mute state lasting for several hours, he exhibited fluent aphasia, impaired word finding, some verbal paraphasia and impaired verbal comprehension. A CT scan revealed a contusion in the left anterior temporal lobe. He was treated conservatively, and at the follow-up 6 months later, his sensory aphasia had recovered well. The relationship between closed head trauma and aphasia is reviewed with special attention to its nature and clinical course.

Aphasia, Wernicke↗
PubMed2005

Periodic episodes of aphasia as an unusual manifestation of partial status epilepticus.

Recurrent episodes of aphasia due to partial status epilepticus is an uncommon clinical entity. We report here a 78-year-old-woman with episodic aphasia which occurred periodically. During the ictal period, she was conscious, but had difficulty in speech and could not comprehend verbal commands. The ictal EEG showed continuous spike and sharp waves over the left frontotemporal area. After the administration of antiepileptic drugs, her language activity returned to near the baseline level and the epileptic discharges were significantly reduced. Nonconvulsive partial status epilepticus should be considered in the differential diagnosis of recurrent aphasia, even if the symptoms occur periodically.

Aged↗
PubMed2005

Therapy-related reorganization of language in both hemispheres of patients with chronic aphasia.

The brain processes of language recovery after stroke are poorly understood, partly because past research did not allow to differentiate the effects of spontaneous restitution processes from those of learning-related cortical reorganization. Here, we use a new approach offered by recently developed intense neuropsychological therapy methods, which allow for improving language functions within a short time period. Stroke patients with chronic aphasia received intense language therapy for 2 weeks and, over this period, improved their language performance as assessed using clinical tests. Neurophysiological activity elicited by words and pseudowords was measured before and after treatment. Over the therapy interval, early word evoked potentials (latency 250-300 ms) became significantly stronger whereas pseudoword responses did not change. Word-specific changes were documented by analyses of ERP amplitudes and root mean square values, which revealed interactions of the factors Assessment time (before vs. after therapy) and Wordness (word vs. pseudoword). Source localization using Minimum Norm Current Estimates showed that bilateral cortical sources activated by word stimuli contributed to the change, suggesting that neuronal networks distributed over both hemispheres are the substrate of cortical reorganization of language processing in intense aphasia therapy. Word-evoked differences in source strengths were significantly correlated with performance on a clinical language test, demonstrating a link between behavioral and neurophysiological changes. We suggest that the early word-evoked negativity might represent an index of reorganization of language after stroke and thus an aphasia recovery potential.

Adult↗
PubMed2006

Dynamic aphasia in progressive supranuclear palsy: a deficit in generating a fluent sequence of novel thought.

We report a patient (KAS) who presented with pure dynamic aphasia in the context of progressive supranuclear palsy (PSP). KAS had the hallmark propositional language impairment in the context of preserved naming, reading, repetition and comprehension skills. The severity of KAS's propositional language deficit was demonstrated to be comparable to other dynamic aphasic patients. Remarkably, despite virtually abolished propositional speech, KAS was unimpaired on word and sentence level generation tasks that required a single response. This dissociation was further investigated on two discourse level generation tasks that required the generation of multiple connected sentences. Quantitative production analysis and novelty measures demonstrated that her performance was extremely reduced and characterised by a lack of novel words and sentences and a tendency to perseverate. This pattern of performance suggests that there may be two subtypes of dynamic aphasia. Patients with the more documented first subtype have language-specific deficits, fail word and sentence level generation tests and have left inferior frontal gyrus lesions. Patients with the second subtype, like KAS, pass word and sentence level generation tests and fail discourse level generation tests. They have a verbal and non-verbal generation deficit and bilateral frontal and subcortical damage. Our findings are discussed with reference to executive functioning accounts of dynamic aphasia and models of speech production. We interpret our patients' impairment as being underpinned by a deficit in one set of mechanisms involved in discourse generation; namely the generation of a fluent sequence of novel thought.

Aphasia↗