1/9. The selective impairment of phonological processing in speech production.We report the naming performance of a patient (DM) with a fluent progressive aphasia who made phonological errors in all language production tasks. The pattern of errors in naming was strikingly clear: DM made very many phonological errors that resulted almost always in nonword responses. The complete absence of semantic errors and the very low ratio of formal errors relative to nonword errors (1.6:30.3) in DM's performance are discussed in the context of recent claims about the nature of naming deficits in fluent aphasics. We argue that DM's performance makes highly improbable the claim that fluent aphasia results from global lesions affecting all levels of the lexical access system equally.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/9. Recurrent fluent aphasia associated with a seizure focus.The relationship between dominant hemisphere seizure activity and aphasia is unclear. Although speech arrest, expressive speech problems, and comprehension difficulties have often been associated with temporal lobe seizure activity, neologistic, paraphasic speech is rare. We report a patient with seizures following encephalitis who had recurrent episodes of fluent, severely aphasic speech with impaired comprehension which correlated with continuous, high voltage spike and slow wave activity in the left temporal region. During a several-day period of intermittent electrographic seizure activity, he had fluctuating receptive aphasia, and he developed transient paranoid psychosis following treatment. We discuss the behavioral manifestations of his left temporal seizures and correlate the changing nature of his behavior with therapeutic interventions. This case, as well as a review of others, suggests that paroxysmal fluent aphasia results from a partially treated electrographic seizure focus in the dominant temporal lobe.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/9. Contextual priming in semantic anomia: a case study.The present case continues the series of anomia treatment studies with contextual priming (CP), being the second in-depth treatment study conducted for an individual suffering from semantically based anomia. Our aim was to acquire further evidence of the facilitation and interference effects of the CP treatment on semantic anomia. Based on the results of the study of , our hypothesis before the treatment was that our participant would show short-term interference and at most modest and short-term benefit from treatment. To acquire such evidence would not only be important for the choice of anomia treatment methods in individual patients, but would also prompt further development of the CP method. The CP technique used for our participant included cycles of repeating and naming items in three contextual conditions (semantic, phonological, and unrelated). As predicted, the overall improvement of naming was modest and short-term. Interestingly, the contextual condition that corresponded with the nature of our patient's underlying naming deficit (semantic) elicited immediate interference in the form of contextual naming errors, as well as short-term improvement of naming. Based on this and a recent study by , it appears that despite short-term positive effects, in its current form the CP treatment is not sufficient for those aphasics who have a semantic deficit underlying their anomia. The possible mechanism and directions for future research are discussed.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/9. Selective impairment of thematic role assignment in sentence processing.We report the performance of a brain-damaged subject showing a particularly pure dissociation between impairment in processing thematic roles and spared ability to process the morphological structure of sentences. The thematic role processing impairment was observed in both comprehension and production of active and passive reversible sentences, although it was more severe for the latter sentence type. This pattern of performance poses interesting challenges for current conceptions of the nature of language breakdown in aphasia and for models of normal sentence processing.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
5/9. nature of spelling errors in transcortical sensory aphasia: a case study.The nature and extent of spelling errors in a patient with transcortical sensory aphasia were investigated. The two experimental conditions required the patient to spell monosyllabic and polysyllabic words both verbally and in written form. Analysis of the spelling errors revealed partially preserved knowledge of the visual image of a word as a whole, as well as preserved knowledge of temporal order. Our patient's error patterns in both conditions were more similar than dissimilar. These findings in conjunction with results reported in the literature indicate that patients exhibiting different aphasia syndromes use separate spelling strategies.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/9. Pure word deafness. Analysis of a case with bilateral lesions and a defect at the prephonemic level.We have demonstrated that the deficit in speech perception in our patient with pure word deafness is secondary to a prephonemic temporal auditory acuity disorder. We delineated the nature of the auditory processing deficit in our patient with bilateral lesions and then demonstrated the presence of a predicted deficit in phonemic discrimination. This pattern is comparable to previous cases with bilateral lesions and distinct from other cases with unilateral lesions. review of previous reports suggests that there are two distinct types of pure word deafness: type 1, in which the deficit is prephonemic and related to a temporal auditory acuity disorder, and type 2, a form that is independent of a temporal auditory acuity disorder, and has a deficit in linguistic discrimination that does not adhere to a prephonemic pattern (Denes and Semenza, 1975; Saffran et al., 1976). The former has been associated with bilateral temporal lobe lesions (Naeser, 1974; Chocholle et al., 1975), the latter with left unilateral lesions (Denes and Semenza, 1975; Saffran et al., 1976). The first form is an apperceptive disorder, whereas the second represents a higher disorder in phonemic discrimination and may be considered a fragment of Wernicke's aphasia.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
7/9. Alexia and agraphia in Wernicke's aphasia.Three patients with otherwise typical Wernicke's aphasia showed consistently greater impairment of reading than auditory comprehension. While this syndrome resembles alexia with agraphia, the paraphasia of speech, repetition, and naming underline the aphasic nature of the disorder. Together with previous reports of isolated word deafness in Wernicke's aphasia, these cases suggest a relative independence of auditory and visual language processing.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
8/9. Ideatory apraxia in a left-handed patient with right-sided brain lesion.A case is described of a left-handed patient with a circumscribed right-sided posterior brain lesion, who presented with a neuro-psychological syndrome of Wernicke's aphasia, ideomotor and ideatory apraxia. The aphasia and ideomotor apraxia cleared within 10 days, while ideatory apraxia persisted. Ideatory apraxia therefore was not dependent on the language disorder, nor was it related to ideomotor apraxia. On the basis of various neuropsychological examinations, the nature of the apraxic movement disorder in this case is discussed. To our knowledge, this is the first case of ideatory apraxia with right-sided brain damage described in the literature. A particular feature of this patient is that obviously language and the motor functions underlying performance in tests for ideomotor apraxia had a bilateral hemispheric representation whereas a unilateral lesion was sufficient to bring about persistent ideatory apraxia.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
9/9. Disconnected phonology: a linguistic analysis of phonemic jargon aphasia.This paper reports on indications of the nature of the neurolinguistic connection between phonological and lexical components of language, based on a case of phonemic jargon aphasia. Following bihemispheric embolic infarcts, the subject presented with severe fluent aphasia, characterized by fluent strings of phonemes, with virtually no intelligible utterances. Despite nearly total jargonized output, the fundamental phonological processes of speech were largely intact. Specifically she demonstrated: (1) English phonotactics and English stress-timed rhythmic principles, (2) aspirated stops word-initially and glottalized stops word-finally, (3) utterance final declination of pitch, and (4) stressed syllable vowel lengthening. Additionally, regional-specific (Southern American English) phonological processes, including monophthongization, in-gliding, and front vowel backing, were also preserved. overall, the investigation reveals an example of an intact phonological rule system operating on a grossly disturbed input (lexical representation).- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |