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what is the literal meaning of aphasia?
without speech
What modalities does aphasia affect?
ORGA (oral expression, reading comprehension, graphic expression, auditory comprehension
Aphasia is a _______ disorder
language-specific
What Broadmann’s area number is Broca’s area?
44
What does Broca’s area do?
speech production
In which hemisphere is Broca’s area located?
left (inferior frontal)
Where is the supplementary motor area located?
frontal lobe
medial surface
between primary motor and premotor
What does the supplementary motor area have to do with language?
It might affect language because of its role in motor initiation
why is occipital lobe relevant?
contains the visual association areas, so it’s important for reading
what are the two main arterial systems that deliver blood to the brain?
Internal carotid
Vertebral/basilar system
(both arise from aortic arch)
What does the anterior cerebral artery supply?
middle portion of frontal and parietal lobes
basal ganglia
corpus callosum
Why is the middle cerebral artery important?
it supplies motor speech areas, Wernicke’s area, and perisylvian language zone
symptoms of stroke
headaches, dizziness, drowsiness, mental clouding, vomiting
prevalence of stroke
5th most common cause of death among US adults
how many people in US have aphasia
over 2 million
What kind of stroke patients are you most likely to see with Aphasia?
ischemic stroke (more common, better survival rate)
What kind of strokes have the best survival rates
ischemic stroke / strokes caused by occlusion
Risk factors for stroke (3 most common, at least 2 additional)
hypertension (!!!)
diabetes
Heart disease
age
obesity/inactivity
birth control
cigarette smoking
blood fat levels (cholesterol)
4 basic pathophysiological events leading to a stroke
ischemic
hemorrhagic
transient ischemic attacks (TIAs)
Arteriovenous malformations
Ischemic strokes
most common (85% of all strokes)
caused by lack of blood supply to brain (usually by occlusion)
with