Abstract
Aphasia is an acquired disorder of language resulting from brain damage. The classical aphasia syndromes are usually associated with ischemic strokes of the left (language-dominant) hemisphere. Classification of aphasia is accomplished by assessing fluency, comprehension, and repetition. In general, nonfluent aphasias are associated with anterior lesions and fluent aphasias with posterior lesions. Repetition is impaired with perisylvian lesions. The most common acute-onset aphasia syndromes are Broca aphasia, Wernicke aphasia, global aphasia, transcortical motor aphasia, and conduction aphasia. Mimics of aphasia include dysarthria, the acute confusional state, and aphemia. Both formal and informal methods of rehabilitation are important to maximize language recovery in aphasic patients.
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References
Alexander MP. Aphasia: clinical and anatomical aspects. In: Feinberg TE, Farah MJ, editors. Behavioral neurology and neuropsychology. New York: McGraw Hill; 1997. p. 133–50.
Hillis AE. Aphasia: progress in the last quarter of a century. Neurology. 2007;69:200–13.
Benson DF, Ardila A. Aphasia. A clinical perspective. Oxford: Oxford University Press; 1996.
Mohr J, Pessin M, Finkelstein S, et al. Broca aphasia: pathological and clinical. Neurology. 1978;28:311–24.
Freedman M, Alexander MP, Naeser MA. Anatomic basis of transcortical motor aphasia. Neurology. 1984;34:409–17.
Nadeau SE, Crosson B. Subcortical aphasia. Brain Lang. 1997;58:355–402.
Kim JS. Pure dysarthria, isolated facial paresis, or dysarthria-facial paresis syndrome. Stroke. 1999;25:1994–8.
Ottomeyer C, Reuter B, Jager T, et al. Aphemia: an isolated disorder of speech associated with an ischemic lesion of the left precentral gyrus. J Neurol. 2009;256:1166–8.
Kertesz A, McCabe P. Recovery patterns and prognosis in aphasia. Brain. 1977;100:1–18.
Moss A, Nicholas M. Language rehabilitation in chronic aphasia and time postonset: a review of single-subject data. Stroke. 2006;37:3043–51.
Saur D, Lange R, Baumgaertner A, et al. Dynamics of language reorganization after stroke. Brain. 2006;129:1371–84.
Robey RR. The efficacy of treatment for aphasic persons: a meta-analysis. Brain Lang. 1994;47:582–608.
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Tarulli, A. (2021). Aphasia. In: Neurology. Springer, Cham. https://doi.org/10.1007/978-3-030-55598-6_3
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DOI: https://doi.org/10.1007/978-3-030-55598-6_3
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