What is aphasia?

What is aphasia?

Aphasia is a language disorder caused by damage in a specific area of the brain that controls language expression and comprehension. Aphasia leaves a person unable to communicate effectively with others. Many people have aphasia as a result of stroke.

Aphasia is a condition that affects your ability to communicate. It can affect your speech, as well as the way you write and understand both spoken and written language.

Aphasia typically occurs suddenly after a stroke or a head injury. But it can also come on gradually from a slow-growing brain tumor or a disease that causes progressive, permanent damage (degenerative). The severity of aphasia depends on a number of conditions, including the cause and the extent of the brain damage.

Once the cause has been addressed, the main treatment for aphasia is speech and language therapy. The person with aphasia relearns and practices language skills and learns to use other ways to communicate. Family members often participate in the process, helping the person communicate.

Symptoms of Aphasia

Aphasia is a sign of some other condition, such as a stroke or a brain tumor.

A person with aphasia may:

  • Speak in short or incomplete sentences
  • Speak in sentences that don't make sense
  • Substitute one word for another or one sound for another
  • Speak unrecognizable words
  • Not understand other people's conversation
  • Write sentences that don't make sense

Patterns of aphasia

People with aphasia may have different patterns of strengths and weaknesses.

Expressive aphasia: This is also called Broca's or non fluent aphasia. People with this pattern of aphasia may understand what other people say better than they can speak. People with this pattern of aphasia struggle to get words out, speak in very short sentences and omit words. A person might say, "Want food" or "Walk park today."

A listener can usually understand the meaning, but people with this aphasia pattern are often aware of their difficulty communicating and may get frustrated. They may also have right-sided paralysis or weakness.

Comprehensive aphasia: People with this pattern of aphasia (also called fluent or Wernicke's aphasia) may speak easily and fluently in long, complex sentences that don't make sense or include unrecognizable, incorrect or unnecessary words. They usually don't understand spoken language well and often don't realize that others can't understand them.

Global aphasia: This aphasia pattern is characterized by poor comprehension and difficulty forming words and sentences. Global aphasia results from extensive damage to the brain's language networks. People with global aphasia have severe disabilities with expression and comprehension.

When to see a doctor

Because aphasia is often a sign of a serious problem, such as a stroke, seek emergency medical care if you suddenly develop:

  • Difficulty speaking
  • rouble understanding speech
  • Difficulty with word recall
  • Problems with reading or writing

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