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Expressive Aphasia

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APHASIA

Overview

Aphasia is a condition that robs you of the ability to communicate. It can affect your
ability to speak, write and understand language, both verbal and written.

Aphasia typically occurs suddenly after a stroke or a head injury. But it can also
come on gradually from a slow-growing brain tumor or a disease that causes
progressive, permanent damage (degenerative). The severity of aphasia depends on
a number of conditions, including the cause and the extent of the brain damage.

Once the cause has been addressed, the main treatment for aphasia is speech and
language therapy. The person with aphasia relearns and practices language skills
and learns to use other ways to communicate. Family members often participate in
the process, helping the person communicate.

Symptoms

Aphasia is a sign of some other condition, such as a stroke or a brain tumor.

A person with aphasia may:

 Speak in short or incomplete sentences

 Speak in sentences that don't make sense


 Substitute one word for another or one sound for another
 Speak unrecognizable words
 Not understand other people's conversation
 Write sentences that don't make sense

Patterns of aphasia

People with aphasia may have different patterns of strengths and weaknesses.
 Expressive aphasia. This is also called Broca's or nonfluent aphasia. People
with this pattern of aphasia may understand what other people say better than
they can speak. People with this pattern of aphasia struggle to get words out,
speak in very short sentences and omit words. A person might say, "Want food"
or "Walk park today."

A listener can usually understand the meaning, but people with this aphasia
pattern are often aware of their difficulty communicating and may get frustrated.
They may also have right-sided paralysis or weakness.

 Comprehensive aphasia. People with this pattern of aphasia (also called


fluent or Wernicke's aphasia) may speak easily and fluently in long, complex
sentences that don't make sense or include unrecognizable, incorrect or
unnecessary words. They usually don't understand spoken language well and
often don't realize that others can't understand them.

 Global aphasia. This aphasia pattern is characterized by poor


comprehension and difficulty forming words and sentences. Global aphasia
results from extensive damage to the brain's language networks. People with
global aphasia have severe disabilities with expression and comprehension.

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