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PubMedDate not supplied

Argumentation with restricted linguistic ability: performing a role play with aphasia or in a second language.

The main objective of this study is to illustrate how adaptation to linguistic limitations takes place in a specific activity and is affected by factors pertaining to the social activity or the individuals. A man with aphasia is compared to an adult immigrant L2 learner. An argumentative role play was video-recorded, transcribed and analysed. Both subjects have a very limited vocabulary and produce short utterances. The L2 learner often uses words that are semantically related to the target word, while the subject with aphasia uses more general and vague words, like pronouns, in combination with adverbs and set phrases. Both subjects use gesturing as strategy, and it is suggested that the semantic specificity of words as well as gestures is important in determining the role of gesture. Apart from gesture, he L2 learner uses mainly simplification and appeal strategies, while the subject with aphasia uses mainly fluency and sociolinguistic strategies.

Aptitude↗
PubMed1999

Pure anomic aphasia caused by a subcortical hemorrhage in the left temporo-parieto-occipital lobe.

There have been few case reports of pure anomic aphasia and the underlying mechanism remains to be clarified. We report a patient in whom pure anomic aphasia was caused by subcortical hemorrhage in the left temporo-parieto-occipital lobe. Based on magnetic resonance images and cerebral blood flow imaging, the structural lesion underlying the pure anomic aphasia was thought to be located at the left temporo-occipital junction.

Anomia↗
PubMed2000

Magnetoencephalography in children with Landau-Kleffner syndrome and acquired epileptic aphasia.

BACKGROUND AND PURPOSE: Landau-Kleffner syndrome (LKS) is epileptiform aphasia acquired during childhood and occurring in children with previously normal language development. The epileptiform activity in these children is thought to result in a functional ablation of eloquent speech areas. The purpose of this study was to investigate the usefulness of magnetoencephalography (MEG) for localizing the source of epileptiform activity in these patients. METHODS: Nineteen patients with acquired aphasia and a suspected diagnosis of LKS were referred for MEG evaluation. Patients ranged in age from 4 to 14 years. Fourteen MEG studies were performed on a 74-channel system, four on a 148-channel whole-head system, and one on a 37-channel system. RESULTS: Thirteen of the 19 patients had perisylvian MEG spikes. In 10 of the patients, the spikes were bilateral, and in three they were unilateral. Four other patients had non-sylvian spikes, and two patients had no spikes recorded. The results of MR imaging were normal or noncontributory for all 19 patients. CONCLUSIONS: MEG can play a useful role in evaluating children with LKS and acquired epileptiform aphasia, both in diagnosis and in aiding presurgical localization of epileptiform activity when surgery is being considered.

Adolescent↗
PubMedDate not supplied

[Acquired aphasia in a child with epilepsy (Landau-Kleffner syndrome). Comments apropos of a case with 1-year follow-up].

Authors report a case of Landau-Kleffner syndrome in a 6 year old boy. Landau-Kleffner syndrome is a rare disorder characterized by the combination of acquired aphasia and epileptic abnormalities like diffuse spikes-and-waves in sleep EEG. Seizures are associated in 50 to 80% of cases and generally disappear at puberty. Behavior disorder ranges from minor psychomotor disturbances to psychotic-like features. Onset appears at an age between 3 to 7 years. The relationship between aphasia and epilepsy remains unclear, even if language improvement frequently follows EEG improvement. The hypothesis of an underlying encephalitis could explain the whole syndrome but is not yet validated. Therapy should associate antiepileptic drugs, corticosteroid treatment and speech therapy, but no controlled study is available to confirm this protocol. Aphasia recovery is generally incomplete. The evolution of behavior disorder is not well documented. In the reported case, one year after onset, sleep EEG again became normal, behavior disturbances had disappeared, but spoken language was still absent.

Cerebral Cortex↗
PubMed1990

Late recovery of auditory comprehension in global aphasia. Improved recovery observed with subcortical temporal isthmus lesion vs Wernicke's cortical area lesion.

This study examined the relationship between recovery of auditory comprehension in global aphasia patients after 1 year post onset, and temporal lobe lesion in Wernicke's cortical area vs temporal lobe lesion in the subcortical temporal isthmus area. Computed tomographic scans and language behavior were examined in 14 right-handed globally aphasic stroke patients with lesion in the left hemisphere. Nine patients had large cortical/subcortical frontal, parietal, and temporal lobe lesion that included more than half of Wernicke's cortical area (FPT cases). Five patients had large cortical/subcortical frontal and parietal lobe lesion, but only subcortical temporal lobe lesion, including the temporal isthmus (FPTi cases). All patients were tested acutely at 1 to 4 months post onset and again at 1 to 2 years post onset. There was a significantly greater increase in the amount of recovery that had taken place after 1 to 2 years post onset for the FPTi group vs the FPT group in the overall Boston Diagnostic Aphasia Examination (BDAE) Auditory Comprehension Z score. In four of the five FPTi cases, the late BDAE Auditory Comprehension Z scores were above -0.5 (mild-to-moderate comprehension deficits). Most recovery was in single-word comprehension. In eight of the nine FPT cases, the late BDAE Auditory Comprehension Z-scores were below -0.5 (moderate-to-severe comprehension deficits). There was no significant difference between the two groups in recovery of spontaneous speech, repetition, or naming, where severe deficits remained in most cases.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1995

Syntactic processing in aphasia.

In this report we comment upon subject selection and methodology, and we describe some recent studies of syntactic processing in aphasia. Our data show that, like neurologically intact subjects, Wernicke's patients reactivate moved constituents (instantiate coreference) at the site of their extraction (even for sentences that they do not understand). Broca's patients, by constrast, are shown not to create such syntactically governed links (even for sentences that they do understand). These data isolate the processing bottleneck in Broca's aphasia and more generally suggest that syntactic comprehension limitations can be traced to changes in cortically localizable resources that sustain lexical processing.

Aphasia, Broca↗
PubMed1997

Subcortical aphasia(s): a controversial and promising topic.

Many aspects of subcortical aphasias are not accounted for by a unique pathophysiological mechanism; rather the diversity of the observed symptoms suggests that many functional ensembles, more or less related, to language functions may be disturbed by subcortical lesions. However, such disorders are only moderate in intensity and subcortical aphasias certainly constitute an interesting model for studying the dynamics of recovery of language functions and related neural systems, combining neurolinguistic concepts with advanced functional imaging techniques.

Aphasia, Broca↗
PubMed1997

Subcortical aphasia and the problem of attributing functional responsibility to parts of distributed brain processes.

N&C's discussion is, in places, an exemplar of the sort of rigor and attention to detail that will bring us closer to an understanding of the functional organization of the brain. Indeed, it is this level of work that pushes us to reflect on the assumptions that undergird our research efforts. Our criticisms have developed four main points. First, the level of rigor applied to the consideration of basal ganglionic aphasia should extend to each application of the CPC method (thalamic aphasia included). Second, in our haste to identify specific brain systems with distinct cognitive functions we should not neglect the more basic question of the causal mechanisms by which the brain organizes behavior. Questions of "direct" versus "indirect" involvement of a particular organ in a cognitive function are only likely to distract our attention from this more basic and less inferentially perilous issue. Third, pure cases should no longer be considered touchstones against which all behavioral disturbances are measured. Reifying such ideals is more likely to shroud than reveal the brain's true complexity. Finally, the functions that we enshrine in particular brain regions should explain the particular character of the symptoms observed when they are damaged and should admit of independent verification.

Aphasia, Broca↗
PubMed1983

Nature of spelling errors in transcortical sensory aphasia: a case study.

The nature and extent of spelling errors in a patient with transcortical sensory aphasia were investigated. The two experimental conditions required the patient to spell monosyllabic and polysyllabic words both verbally and in written form. Analysis of the spelling errors revealed partially preserved knowledge of the visual image of a word as a whole, as well as preserved knowledge of temporal order. Our patient's error patterns in both conditions were more similar than dissimilar. These findings in conjunction with results reported in the literature indicate that patients exhibiting different aphasia syndromes use separate spelling strategies.

Aged↗
PubMed1983

Fundamental frequency, language processing, and linguistic structure in Wernicke's aphasia.

Five Wernicke's aphasics and five normal control subjects were tested in order to assess several aspects of fundamental frequency (F0) in speech production. The clinical impression of normal prosody in Wernicke's aphasia is correct inasmuch as these patients generally exhibited F0 declination. However, F0 declination ranged over shorter domains than in normal speech. Moreover, the increased use of F0 continuation rises by the Wernicke's aphasics indicated their inability to maintain a single F0 contour over constituents which are normally integral. The hypermelodic quality of F0 in the speech of Wernicke's aphasics further supported the notion that speech prosody was not strictly normal. F0 attributes tended to be normal when they corresponded to the global linguistic variable of sentence length, while they were abnormal when they corresponded to the processing of syntactic structure. No evidence was found that paraphasias and neologisms directly affected the programming of F0. The results are discussed in terms of speech processing abilities and limitations in Wernicke's aphasia.

Aphasia↗
PubMed1986

Wernicke's aphasia in a 10-year-old boy.

We report the case of a ten-year-old boy, who, after herpes simplex encephalitis, presented a sensory aphasia having much in common with Wernicke's aphasia in adults. The genesis of neologisms appeared very similar to the mechanisms described by Buckingham and Kertesz (1974, Brain and Language, 1, 43-61). The findings are discussed in the light of theories of hemispheric specialization and of age-related semiologies.

Aphasia↗
PubMed1986

A case of thalamic aphasia with postmortem verification.

This study discusses a case of aphasia after dominant thalamic lesion, a hemorrhagic infarction. Unlike other such cases, both repeated standardized assessment and postmortem verification were available. The patient was assessed at 3 weeks and again at 9 weeks postonset. The aphasia demonstrated the syndrome common to dominant thalamic hemorrhage: fluent but paraphasic output sometimes deteriorating to jargon, comprehension less impaired than this type of output usually indicates, and the least impairment in repetition. As sometimes reported in previous cases, semantic paraphasias were more common than phonemic paraphasias. The lesion was located in the dorsal aspect of the lateral nucleus, but it extended into the pulvinar, including the anterior superior lateral aspect which has been implicated in language by previous studies. Thus, data from this case are consistent with an involvement of the dominant pulvinar in language and suggest that this role involves the semantic aspects of language.

Aged↗
PubMed1987

The relationship of the acquisition of manual signs to severity of aphasia: a training study.

To investigate the relationship between success in the acquisition of signs and the degree of severity of aphasic impairment 12 chronic severely aphasic subjects participated in a training program for the acquisition of a vocabulary of manual signs. The results demonstrate a clear and significant relationship between severity of aphasia and success in the acquisition and generalization of manual signs. The results also indicate that there may be a threshold of severity of aphasia below which acquisition is negligible. Discussion is presented relative to the theoretical, clinical, and methodological implications of these findings.

Aphasia↗
PubMed1991

The noun-verb problem in Chinese aphasia.

Previous studies have shown that Broca's aphasics experience a selective difficulty with action naming inside or outside of a sentence context. Conversely, it has been suggested that Wernicke's aphasics are particularly impaired in object naming. A number of explanations have been offered to account for this double dissociation, including grammatical accounts according to which the main verb problem in agrammatic Broca's aphasics is viewed as a by-product of their syntactic and/or morphological impairment, due perhaps to the greater morphological load carried by verbs (compared with nouns). In the Chinese language, there are no verb conjugations and no declensions. Hence there is no reason to expect a relationship between morphological impairment and deficits in action naming. We examined comprehension and production of object and action names, outside of a sentence context, in a sample of Chinese-speaking Broca's and Wernicke's aphasics. There was an interaction between patient group and object/action naming, but no corresponding interaction on the comprehension task. We conclude that action-naming deficits in Broca's aphasia (and/or the corresponding sparing of action names in Wernicke's aphasia) cannot be attributed to morphological differences between nouns and verbs. We also found a sublexical variant of the noun/verb dissociation applied to the internal structure of compound words made up of a verbal and a nominal element: Broca's aphasics tended to lexicalize the verbal portion of these words more often than the nominal compound, while Wernicke's showed the opposite pattern. These sublexical effects are difficult to explain in syntactic terms nor do they fit the standard lexical view. A modified lexical account is proposed, emphasizing semantic/conceptual effects in a distributed lexicon.

Adult↗
PubMed2005

Semantic weight and verb retrieval in aphasia.

Individuals with agrammatic aphasia may have difficulty with verb production in comparison to nouns. Additionally, they may have greater difficulty producing verbs that have fewer semantic components (i.e., are semantically "light") compared to verbs that have greater semantic weight. A connectionist verb-production model proposed by Gordon and Dell (2003) learns through error correction to "divide the labor" between syntax and semantics. Verbs that are semantically heavier come to depend less on syntax and more on semantics. For lighter verbs, the reverse is true. We performed this study to clarify the role of semantic weight in aphasic verb production and to test the prediction from Gordon and Dell that a brain lesion that impairs the syntactic input to verb retrieval will impair lighter verbs more than heavier ones. Consistent with this prediction, we found that the decrement for lighter verbs was present in a group with agrammatic aphasia but not in a matched group without agrammatism.

Adult↗
PubMed1993

Slowly progressive aphasia associated with surface dyslexia.

We report an Italian patient affected by slowly progressive aphasia (SPA) lasting since four years when he first came to our observation. During the successive four years, we documented a progressive language decline resembling transcortical sensory aphasia, associated with a reading disorder corresponding to surface dyslexia, a form extremely rare in patients with native transparent language. His performance at standard intelligence tasks remained in the normal range, without any variation. CT scan showed left temporal atrophy. We emphasize the heterogeneity of the syndrome of SPA and suggest that it can represent one of the pictures of focal cortical degenerative disease, with variable onset, progression, and evolution.

Activities of Daily Living↗
PubMed1986

CT scan correlates of sound recognition defect in aphasia.

This study was concerned with the relationship between defects in sound recognition and intrahemispheric locus of lesion. Previous studies have shown that defects in sound recognition are common in association with left hemisphere lesions resulting in aphasias with comprehension deficits and are uncommon in association with other unilateral lesions. Current findings indicate that defects in sound recognition, occurring within the first month post onset of aphasia, may be associated with lesions of basal ganglia, the auditory cortex (both primary and association cortices), supramarginal gyrus, angular gyrus, and area 37. At the same time, however, a number of patients with lesions in these areas failed to show sound recognition defects.

Adult↗
PubMed2003

Effect of lexical cues on the production of active and passive sentences in Broca's and Wernicke's aphasia.

This study compared the sentence production abilities of individuals with Broca's and Wernicke's aphasia in an attempt to explore the extent to which impaired lexical retrieval impedes sentence production. The ability to produce active and passive reversible and non-reversible sentences was examined when varying amounts of lexical information was provided. The results showed that both Wernicke's and Broca's aphasic individuals were impaired in passive sentence production and that these difficulties were not overcome when lexical cues (the relevant nouns and uninflected verb) were provided. However when auxiliary and past tense morphemes were provided along with the verb stem, production of passive sentences improved drastically for both groups. Analysis of error patterns, however, revealed differences between the two groups, suggesting that Broca's aphasic subjects may find passive sentences difficult due to problems with retrieving the relevant grammatical morphemes. Subjects with Wernicke's aphasia may have been unable to automatically access the passive sentence structure.

Aged↗