Syndrome Lesion Blood Naming Speech Sentence Compr Repetition Reading Writing Supply Production Diffuse Left Any or all Poor/ Non- Absent Impaired Impaired Poor Poor Hemisphere Impaired Fluent Global Aphasia 3rd Frontal MCA Impaired Non- Impaired; Good Impaired, Good, or Impaired; – Convolution Middle to Fluent But better difficult Mirroring Broca’s Cerebral relatively than with speech Aphasia Artery good; Artic speech compr nouns > Impaired verbs. Better than Speech MCA Fluent Well Good Impaired Good Impaired Arcuate Variable – But fasciculus Middle Paraphasic Structured paraphasic Cerebral Paraphasic Difficulty reading Artery Aphasia aloud Posterior MCA Impaired Fluent Structured Poor Poor Like – Middle but empty Speech Superior Paraphasia Wernicke’s may be Temporal Cerebral Aphasia excessive Lobe Artery Inferior Left Posterior Impaired Fluent Structured Impaired Preserved Impaired Impaired Temporal Cerebral But empty Hallmark Trans- Lobe Artery of TS – Arcuate Aphasia Sensory Fasciculus is Aphasia spared, but cuts of Broca’s and Wernicke’s from the rest of the brain Anterior Anterior Variable Nonfluent Variable Good Preserved Good Mirrors (almost an superior Cerebral Speech absence of frontal Artery Cortical lobe. Motor speech, called associated Aphasia problems with right “frontal initiating isolation hemi and syndrome” paresis because the speech) damage cuts off Broca’s area from rest of language zone. Frontal Lobe MCA Impaired Fluent but Structured Good Preserved Good Relatively – damage to hesitant but impaired intact, but Middle angular gyrus. due to by word word Cerebral Anomia & inferior poor word finding finding Artery temporal gyrus retrieval difficulty difficulties will affect it
Syndrome Lesion Blood Supply Naming Speech Sentence Production Compr Repetition Reading Writing Global Aphasia Diffuse Left Hemisphere Any or all Poor/ Impaired Non- Fluent Absent Impaired Impaired Poor Poor Broca’s Aphasia 3rd Frontal Convolution MCA – Middle Cerebral Artery Impaired to relatively good; nouns > verbs. Better than Speech Non- Fluent Artic Impaired Impaired; Good Impaired, But better than speech Good, or difficult with compr Impaired; Mirroring speech Aphasia Arcuate fasciculus MCA – Middle Cerebral Artery Variable But paraphasic Fluent Paraphasic Well Structured Paraphasic Good Impaired Good Difficulty reading aloud Impaired Wernicke’s Aphasia Posterior Superior Temporal Lobe MCA – Middle Cerebral Artery Impaired Fluent may be excessive Structured but empty Poor Poor Like Speech Sensory Aphasia Inferior Left Temporal Lobe – Arcuate Fasciculus is spared, but cuts of Broca’s and Wernicke’s from the rest of the brain Posterior Cerebral Artery Impaired Fluent Paraphasia Structured But empty Impaired Preserved Hallmark of TS Aphasia Impaired Impaired Trans- Cortical Motor Aphasia Anterior superior frontal lobe. called “frontal isolation syndrome” because the damage cuts off Broca’s area from rest of language zone. Anterior Cerebral Artery associated with right hemi paresis Variable Nonfluent (almost an absence of speech, problems initiating and speech) Variable Good Preserved Good Mirrors Speech Anomia Frontal Lobe damage to angular gyrus. & inferior temporal gyrus MCA – Middle Cerebral Artery Impaired Fluent but hesitant due to poor word retrieval Structured but impaired by word finding difficulty Good Preserved Good Relatively intact, but word finding difficulties will affect it
aphasia_chart.docx