MRCEM Notes

Aphasia

The table below lists the major types of aphasia. Remember that dysarthria is different and refers to a motor speech disorder.

Type of aphasiaNotes
Wernicke's (receptive) aphasiaDue to a lesion of the superior temporal gyrus

This area 'forms' the speech before 'sending it' to Broca's area. Lesions result in sentences that make no sense, word substitution and neologisms but speech remains fluent

Comprehension is impaired
Broca's (expressive) aphasiaDue to a lesion of the inferior frontal gyrus

Speech is non-fluent, laboured, and halting

Comprehension is normal
Conduction aphasiaClassically due to a stroke affecting the arcuate fasiculus - the connection between Wernicke's and Broca's area

Speech is fluent but repetition is poor. Aware of the errors they are making

Comprehension is normal
Global aphasiaLarge lesion affecting all 3 of the above areas resulting in severe expressive and receptive aphasia
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