thalamic aphasia patient report speech pathology

by Dr. Obie Kuhlman IV 7 min read

Teaching NeuroImages: Thalamic aphasia syndrome

15 hours ago Results: Of 52 patients, 23 (44%) fulfilled the ACL diagnostic criteria for aphasia, including nearly all lesion locations and both sides. The average ACL sum score was 132 ± 11 (range: 98-147). Aphasia was characterized by deficits within domains of complex understanding of … >> Go To The Portal


Left thalamic lesions can also produce aphasic disorders: word-emission difficulties; difficulties with comprehension, reading, writing, and arithmetic; and sometimes suppression of conversational propositional speech with preservation of nonpropositional repetitional or automatic speech.

Full Answer

What is the prevalence of thalamic aphasia in patients with ialt?

Thalamic aphasia is not confined to one predefined thalamic lesion location, but language deficits are particularly pronounced in patients with left anterior IALT presenting with a distinct pattern. Aphasia occurs in almost half of patients with focal thalamic lesions.

What are the language skills of a patient with aphasia?

Language Skills Patient demonstrates moderate receptive and severe expressive aphasia and concomitant moderate apraxia of speech as formally measured on the Western Aphasia Battery: Overall Aphasia Quotient: 18.8/100

How is severe aphasia measured on the Western Aphasia Battery?

Language Skills The patient demonstrates severe aphasia and concomitant severe apraxia of speech as formally measured on the Western Aphasia Battery: Overall Aphasia Quotient: 11/100 Spontaneous Speech Score: 1/20 Auditory Comprehension Score: 2.5/10 Naming Score: 0.8/10

How did the patient receive traditional speech language therapy?

The patient received traditional speech language therapy immediately following his injury when he was an inpatient in an acute rehabilitation hospital.

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How does the thalamus affect speech?

The lateralization of thalamic functions also affects the motoric aspects of speech production. Left (but not right) ventrolateral thalamic stimulation disrupted speech articulation and increased the expiratory phase of respiration.

What is thalamic aphasia?

Thalamic aphasia is thought to result from disconnection of cortical language centers from the thalamic nuclei. Strokes in these vascular territories may also cause significant neuropsychological deficits predominantly affecting arousal, memory, and personality changes.

Does the thalamus help with speech?

Penfield & Roberts (1959) hypothesized that the thalamus co-ordinated the functions of three cortical speech areas by projection fibres. Through these fibres speech production was achieved.

Which signs may be if the thalamus is impaired?

Depending on where the thalamus is damaged, you might experience any of these symptoms:Weakness on one side of the body.Issues with vision.Difficulty swallowing.Loss of memory.Burning.Confusion.Problems thinking or with judgment.Feelings of agitation.More items...•

What happens if there is damage to the thalamus?

Damage to a portion of the thalamus is associated with risk of coma. Damage in a portion of the thalamus can lead to sensory changes in a body part. Damage here can also cause movement disorders, lack of movement (motor disturbances).

What happens after a thalamic stroke?

After a thalamic stroke, it's common for survivors to experience sensory issues such as numbness, tingling, pins-and-needles sensations, or pain. Sometimes the brain can adapt and regain the ability to process sensory information through a therapy called sensory retraining.

How does the thalamus affect behavior?

Your thalamus plays a role in keeping you awake and alert. Role in thinking (cognition) and memory. Your thalamus is connected with structures of your limbic system, which is involved in processing and regulating emotions, formation and storage of memories, sexual arousal and learning.

What role does the thalamus play?

The thalamus is composed of different nuclei that each serve a unique role, ranging from relaying sensory and motor signals, as well as regulation of consciousness and alertness.

What disorders are associated with the thalamus?

Below are MeSH descriptors whose meaning is related to "Thalamic Diseases".Brain Diseases.Acute Febrile Encephalopathy.Akinetic Mutism.Amblyopia.Amnesia, Transient Global.Auditory Diseases, Central.Basal Ganglia Diseases.Brain Abscess.More items...

What type of stroke is a thalamic stroke?

Hemorrhagic Strokes The most common cause of a hemorrhagic stroke is uncontrolled hypertension (high blood pressure). 5 High pressure damages the small vessels, known as lacunae, in the brain over time. Eventually, these small vessels can break open leading to a hemorrhagic stroke known as a lacunar stroke.