Aphasia is the inability to communicate verbally or by written words. Aphasia can be usually due to brain injury or a stroke. It can also be the result of a brain tumor, Alzheimer or Encephalitis. Aphasia can be permanent or temporary (usually known as transient aphasia). Aphasia is sometimes confused with Apraxia which is a condition that affects the muscles used in speech rather than the language function.
Aphasia can be grouped as below based on the cause and the area of the brain affected:
As Aphasia develops following a head trauma, tumor, disease (Alzheimer's) or infection (encephalitis), the pathways for language comprehension or production are disrupted. This occurs in the left hemisphere of the brain. MRI (magnetic resonance imaging) and CT (Computed tomography) scans can show the extent of the damage and the area affected. Coupled with standardized tests like Boston Diagnostic Aphasia Examination, the Western Aphasia Battery and Porch Index of Speech Ability, can indicate the severity of Aphasia and probable course of speech therapy.
Alzheimer's disease is a progressive mental disorder that brings about changes in the brain slowly leading to dementia. Named after the German physician Alois Alzheimer, Alzheimer's disease has 2 characteristic neuronal changes : Loss of cholinergic cells in the basal forebrain and the development of neuritic plaques in the cerebral cortex. Neurofibrillary tangles can also occur due to Neuritic plaques.
Here the brain cells degenerate and die thus causing a decline in the mental functioning and memory of a person. Alzheimer's disease (AD) or Presenile dementia as it was earlier known as, is one of the primary causes of dementia. The levels of the brain neurotransmitters serotonin, norepinephrine and acetylcholine are found to be low in AD. This kind of brain disorder causes loss of social and intellectual skills of a person. In severe cases it interferes with the day-to-day activities of a person.
Alzheimer's disease causes
There are 4 major cognitive deficits arising out of AD :
1. Amnesia : Memory loss is probably the most common symptoms of Alzheimer' disease.
2. Aphasia : Loss of Language - Failure to recollect names of objects
3. Apraxia : Inability to perform voluntary movements
4. Agnosia : Inability to recognize people and places
Alzheimer's disease diagnosis
1. A physical examination and a neurological examination to check:
Treating Alzheimer's disease
As this disease is of degenerative nature, there is no permanent cure. Early diagnosis and changes in lifestyle can slow down its progression or improve the quality of life for the afflicted.
Broca's area or convolution of Broca is that region of the brain that is linked to speech. The motor neurons that deal with speech control are located in this area of the brain and this was identified by French surgeon Paul Broca. The Broca's area plays a vital role in the development and articulation of speech, language comprehension and processing. Since this area lies in the frontal convolution, any damage to the frontal lobe can cause language disorder known as Broca aphasia.
Broca's Aphasia (also known as motor aphasia) can be complete as the affected person may become mute or may speak simple statements with a great deal of effort.
Bibliography / Reference
Collection of Pages - Last revised Date: February 17, 2019