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At least 19 recordsLinked to original sources
PubMed1978

Broca aphasia: pathologic and clinical.

The speech disturbance resulting from infarction limited to the Broca area has been delineated; it differs from the speech disorder called Broca aphasia, which results from damage extending far outside the Broca area. Nor does Broca area infarction cause Broca aphasia. The lesions in 20 cases observed since 1972 were documented by autopsy, computerized tomography, or arteriogram; the autopsy records from the Massachusetts General hospital for the past 20 years and the published cases since 1820 were also reviewed. The findings suggest that infarction affecting the Broca area and its immediate environs, even deep into the brain, causes a mutism that is replaced by rapidly improving dyspraxic and effortful articulation, but that no significant distrubance in language function persists. The more complex syndrome traditionally referred to as Broca aphasia, including Broca's original case, is characterized by protracted mutism, verbal stereotypes, and agrammatism. It is associated with a considerably larger infarct which encompasses the operculum, including the Broca area, insula, and adjacent cerebrum, in the territory supplied by the upper division of the left middle cerebral artery.

Adult↗
PubMed1977

The efficacy of cueing techniques in Broca's aphasia.

Twenty Broca's aphasia patients were stimulated with four cues in a picture-naming task. Among the severe aphasics in the group, presentation of a word to be imitated was the most effective cue and presentation of the initial syllable of the word ranked second. Sentence completion and printed word cues were equally effective and ranked third. Mild aphasic patients responded equally well to all four classes of cues. Reliability measures indicated that the order of potency of cues for the severe group was stable over time. Oral apraxia did not appear to contribute significantly to the severity of Broca's aphasia in any of these subjects. Possible explanations are presented for the effectiveness of cues studied.

Aphasia↗
PubMed1979

Language after bilateral cerebral infarctions: role of the minor hemisphere in speech.

Language was studied in four patients with bilateral cerebral infarctions. Bilateral destruction of the third frontal gyri did not necessarily produce the severely limited language output characteristic of global or severe Broca aphasia; for Broca aphasia to occur, there must be extensive frontoparietal damage in the dominant cerebral hemisphere. Thus, the marked recovery of language after lesions limited to the dominant third frontal gyrus is mediated by adjacent areas of the dominant hemisphere, and not by the nondominant third frontal gyrus. The nondominant hemisphere nevertheless has a limited capacity to produce oral speech after extensive damage to the dominant hemisphere and may play an appreciable, although still subsidiary, role in normal articulation. The central gyri and rolandic operculum may be more essential than the third frontal gyri for well-articulated speech.

Adult↗
PubMed1992

[Evaluation of central speech disorders using objective criteria: a psychophysiologic contribution to the discussion of the neural plasticity hypothesis].

Examinations of aphasic patients by using cognitive tasks were based on the hypothesis that semantically evoked potentials correlate to the processing of information in the different speech processing of information in the different speech processing areas. It was found that patients with Broca aphasia generated synchronization potentials in the Wernicke area in contrast to Wernicke patients. We suppose a correlation between the timing in sensorial speech processing areas and the generation of synchronization potentials.

Aphasia, Broca↗
PubMed1978

[Broca's aphasia. The clinical picture and a consideration of the neurolinguistic structure (author's transl)].

Broca's aphasia is characterized by disorders on the phonemic, syntactic and lexical level of linguistic description. It is not only the patient's speech which is impaired; abilities to comprehend, read and write are likewise impaired. Articulatory disorders (dysarthria) which are due to an impaired innervation of the phonatory and articulatory musculature may exist. However these disorders do not account for all the linguistic deficits found in cases of Broca's aphasia. The characteristic feature enabling a differential diagnosis of Broca's aphasia is agrammatism.

Adult↗
PubMed1977

Preservation of singing in Broca's aphasia.

Twenty-four right-handed, right hemiparetic patients with Broca's aphasia were examined for their singing capacity. Twenty-one (87.5%) produced good melogy. Twelve of these (57%) produced good text words while singing. It is speculated that the right hemisphere is dominant over the left for singing capacity. The relationship between melodic and text singing was also discussed.

Adult↗
PubMed1976

[Recovery processes in 2 cases of bilingual aphasia].

Recovery processes of two English-Japanese bilingual aphasics were investigated with special emphasia on the effect of language therapy. Although the two patients had different types of aphasia (one Broca's aphasia and the other Wernicke's aphasia), the degree of the language impairment initially manifested in English and Japanese was almost equivalent in each case with the pattern of impairment corresponding to the respective types of aphasia. In either case, language therapy was conducted in English, and the course of recovery during the first six months was analyzed. The results indicated that auditory comprehension improved almost simultaneously in both treated (English) and untreated (Japanese) languages regardless of the type of the patients' aphasia. In contrast, oral language production in Broca's aphasia improved only for the treated language while that in Wernicke's aphasia improved simultaneously for both languages. Writing ability seemed to improve as a function of language therapy in both cases. The implications for the relationship between spontaneous recovery and the effects of treatment were discussed.

Aged↗
PubMedDate not supplied

[Verbal comprehension in aphasic and in normal subjects with a shortened version of the token test (author's transl)].

A 36-item version of the token test is described together with its administration and scoring instructions. 215 normal subjects, 130 right brain-damaged patients, 50 non aphasic left brain-damaged patients and 106 aphasic patients were given the test. Years of schooling were found to affect significantly the performance of normal subjects; normal data were therefore examined with reference to individual educational background. Cutting scores differentiating normal from pathological performance were determined substracting 2 standard deviations from the means of normals subjects subdivided into four educational groups. Below these scores fell 4.2% of normal subjects, 14% of right brain-damaged patients, 18% of non-aphasic left brain-damaged patients and 90.48% of aphasic patients. Aphasic patients were classified as suffering from Global, Wernicke or Broca aphasia on the grounds of their performance on a Standard Aphasia Battery and the Token test scores of these three groups were compared. A score of 14 points was found to differentiate Broca from Global aphasics and severe from moderate and mild Wernicke aphasics. Broca aphasics were more impaired than Wernicke aphasics on the Token test. When compared to the Sentence Comprehension Test of the Standard Aphasia Battery, the Token test was found to be far more sensitive to detect impairment in aphasic subjects.

Adolescent↗
PubMed1977

The third alexia.

A variety of alexia has been demonstrated that can be distinguished from the two classically recognized types of alexia. This reading disorder is seen in patients with a dominant frontal lobe pathologic condition that has produced a motor language disturbance (Broca aphasia) and is sufficiently disabling to deserve consideration as a variety of alexia. Functionally, the frontal reading disturbance differs from the other two types in that the patient comprehends meaningful content words better than relational or syntactic structures. Four factors that may underly frontal alexia have been noted: (1) gaze paresis, (2) inability to maintain verbal sequences; (3) inability to comprehend syntactic structure, and (4) literal alexia.

Agraphia↗