Cortex Agnosias

Question 1

What do you see in a Anterior genu Lesion?

Answer 1

Akinetic mutism (patient doesnt move or talk)

tactile agnosia (cant sense things with touch)

Question 2

What do you see with a Posterior Genu Lesion?

Answer 2

Alexia without agraphia: you can write but cant read)

Question 3

What is another name for Receptive Aphasia?

Answer 3

Wernicke’s Aphasia or Fluent aphasia or Sensory aphasia

Question 4

what is another name for Expressive Aphasia?

What is the problem in expressive aphasia?

what other symptom can be seen with expressive aphasia?

Why does it happen?

How do you know if the lesion is not a motor/nerve problem?

Answer 4

• Broca’s aphasia or Motor aphasia or Non-Fluent aphasia
• patient can’t transform thoughts into words = talking the words out is difficult
• contralateral weakness of lower face and arm
• because there is a left (usually) MCA occlusion
• because the patient can eat

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Question 5

how does conduction aphasia happen?

what will you see in conduction aphasia?

what can they do?

Answer 5

lesion of the arcuate fasciculus

difficulty with producing speech specially with repeating words or tasks

they can understand what is said to them

Question 6

what causes transcortical sensory aphasia?

what cant patients do?

what can patients do?

Answer 6

damage near wernickes

they can’t read, name or comprehend speech

are grammatically and speech fluent

Question 7

What causes transcortical motor aphasia?

Answer 7

damage near Broca’s (watershed area)

Question 8

Why does Global aphasia happen?

what will patient have trouble doing?

what is this considered?

Answer 8

damage to both wernicke’s and broca’s

patients can’t comprehend speech, can’t produce speech

the worst aphasia

Question 9

When is Broca’s and Wernicke’s aphasia transient?

when is it persistent with agraphia?

Answer 9

When the damage is only in those areas

when the damage includes adjacent areas as well as the underlying white matter

Question 10

what is Somatoparaphrenia?

Answer 10

patient shows‘delusional’ misidentification, or confabulation, with regards to the affected limb

(“thats not my arm, but shes wearing my ring”)

Question 11

what is Asomatognosia?

what may cause it?

Answer 11

• not perceiving one side of the body (or ignoring a part of the body)
• neglect or paralysis of limb

Question 12

for broca’s or wernecke’s aphasia, damage would have to occur on which hemisphere?

Answer 12

on the dominant hemisphere…usually left

Question 13

say yes** or **no in each part of the table

Answer 13

Question 14

1. what is visual agnosia?
2. what is color agnosia?
3. what is tactile agnosia?
4. what is movement agnosia?
5. what is anosognosia?
6. what is autotopagnosia agnosia?
7. what is statognosis?
8. what is astereognosis?
9. what is auditory agnosia?
10. what is prosopagnosia?

Answer 14

1. cant recognize an object visually
2. cant name or distinguish colors
3. cant recognize an object by touching it with either hand
4. can’t determine objects that are static or moving
5. can’t recognize that you have a disease
6. can’t recognize a part of your own body
7. can’t recognize spatial positioning of body parts
8. tactile agnosia but in both arms
9. cant recognize speech, animal sounds, mechanical sounds
10. can’t recognize faces

Question 15

what do you call wernicke’s in the non-dominant hemisphere?

what will we see in wernicke’s of the non-dominant hemisphere?

Answer 15

receptive dysprosody

loss of comprehension of emotion

(cant understand emotion from text)

Question 16

what is broca’s in a non-dominant hemisphere called?

what will you see in a patient with this?

Answer 16

expressive dysprosody

loss of use of emotion in speech

Question 17

what is this an example of?

Answer 17

neglect

Question 18

what is this an example of?

Answer 18

contructional apraxia

Question 19

what is this an example of?

Answer 19

contructional apraxia with neglect

Question 23

what is constructional apraxia?

Answer 23

cannot reproduce an image

Question 24

what is neglect?

Answer 24

not recognizing an area of space