Aphasia ( )

,
6


59 1 .
3.
1 ..



3 .

Gag reflex
Deep tendon reflex 2+

(MRI brain)
Middle cerebral artery left frontal
operculum left insular cortex (Brocas area) cortical area left middle frontal, left
superior frontal parietal lobes left pre- and post central gyrus

(Embolism)
(Complete blood count ; CBC) (blood chemistry)

1 ..
Brocas aphasia

(Stroke)
(Ischemic stroke) (Hemorrhagic stroke)
Ischemic stroke

(Embolism)
(Thrombosis)
(artery to artery embolism) Duplex ultrasound
Transcranial Doppler (TCD) Intracranial arteries

CT angiography , MR angiography

1 . intravenous rt-PA
ASA 325 . 220/130 .
80-180 .%

Aphasia ( )

Broca's area (Brodmann's area 44)

posterior inferior frontal gyrus

Wernicke's area (Brodmann's area 22)

posterior two-thirds of the superior
temporal gyrus

The angular gyrus inferior parietal lobule

(Cerebellum)

-

90-95% 31-70%

6
Temporal lobe
epilepsy

(Ischemic stroke)
(Hemorrhagic stroke) (Neoplasm) (Brain abscess)
(Encephalitis) (Traumatic brain injury)
(Transient ischemic attacks ; TIA) ,

(Fluency)


(Content)
(Repetition)
/

 (Naming)
(Comprehension)

, ,


(Reading)

(Writing)
Aphasia (Level of
consciousness) (Mental Status Examination)

(APHASIA SYNDROMES)
Broca's aphasia

1.

(Apraxia)
(Dysarthria)

2.

(Agrammatism)

3.

(Telegraphic) (
)

4.

(Word finding difficulty)



5.

6.

7.

(Serial Speech)

8.

(Literal Paraphasia) (Verbal Paraphasis)

9.

Wernicke's aphasia

(Neogistic Jargon)

1.

2.

3.

4.

5.

Conduction aphasia

arcuate fasciculus

Global aphasia

Brocas Wernickes areas

(Global aphasia without hemiparesis ; GAWH)

Transcortical motor aphasia

medial frontal anterior border zone Brocas

area supplementary motor area

Broca's aphasia
Transcortical sensory aphasia

medial frontal posterior border zone

Wernickes area posterior parietal temporal association area

Wernicke's aphasia

Transcortical mixed aphasia

anterior posterior border zone isolation of speech

areas Global aphasia

Anomic aphasia

basal temporal lobe, anterior inferior temporal lobe,

the temporo-parieto-occipital junction

the inferior parietal lobe

(Word finding difficulty)

(Magnetic Resonance Imaging) (Computed Tomography)

Aphasia
Aphasia
(TIA) (Electroencephalography ; EEG)

(Neurodegenerative disease)

(Spontaneous recovery)

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