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Neurogenic Comm Dis
Test 1
Term | Definition |
---|---|
Aphasia | - an acquired language disorder - a loss of a degree of language ability Nue |
Four Elements of Aphasia | 1. it is acquired 2. it has a neurological cause 3. it affects reception and expressive language across modalities 4. it is not a sensory, psychiatric, or intellectual disorder |
Cognitive-Linguistic Disorders | Cases in which a language problem is secondary to a cognitive problem |
Language of Confusion | transient confusional states |
Language of Generalized Intellectual Impairment | language problems resulting from dementia |
Specific Language Impairment | a condition characterized by language deficits in the face of relatively age-appropriate cognitive abilities in children |
Aphasiology | specialists in research and/or clinical practice in aphasia and are also experts in related neurogenic cognitive-linguistic, speech, and swallowing disorders in adults |
Incidence | the likely number of newly diagnosed cases per specified unit of time |
Prevalence | the proportion of specified populations that had or have the disorder at a particular time |
Neurological Causes of Aphasia | stroke, TBI, neoplasm, infections, metabolic problems, and surgical ablation of brain tissue |
Four Modalities of Language | auditory expression, written expression, verbal expression, reading comprehension |
Unidimensional Framework | - all language is seen as one inseparable whole - production and comprehension are not seen as separable components of language but rather interwoven |
Multidimensional Frameworks | - thee view that there are varied forms or syndromes of aphasia, each syndrome corresponding to the site of the lesion - any syndrome of aphasia may be characterized by a set of hallmark features - fluent vs. non-fluent aphasia |
Medical Framework | - multidimensional subcategory - the level of specific linguistic deficits - focus on analyzing the cause in terms of disease state or change in body structure |
Cognitive-Neuropsychological Framework | - based on models of mental representation and types and stages of information processing |
Psycholinguistic Frameworks | - focused on the processing of linguistic information |
Neurolinguistic Frameworks | - how processing may go awry when a person's brain is injured - incorporate connectionist models, models of neuroanatomical structures and functions |
WHO ICF | WHO International Classification of Functioning, Disability, and Health |
Biopsychosocial Framework | - highlights attention to complex interaction of multiple factors that constitute "disabilities" and affect health - WHO ICF |
Social Framework | - focused on interpersonal contexts of communication - social condition - highlights importance of SLP |
(2) Classifications of any Health Condition | - activity limitations - participation restrictions |
Functioning | - body structure - body function - activity and participation |
WHO ICF & People with Neurogenic Language Disorders | - represents a departure from traditional classification based on impairments of body structure and function |
Stroke | temporary or permanent disruption in blood supply to the brain |
Cerebrovascular Accident (CVA) | synonymous with stroke |
Occlusive Stroke | a blockage of all or a portion of an artery |
Hemorrhagic Stroke | leakage of blood from the arteries |
Ischemic Strokes | - type of occlusive - restriction in the blood supply |
Thrombotic Stroke | arterial blockage has accumulated in the same area of an artery where the blockage eventually occurs |
Embolic Stroke | a blockage caused by matter that travels from elsewhere in the bloodstream to the point where it eventually blocks an artery |
Thrombus | thee clot that blocks the artery in a thrombotic stroke |
Embolism | the arterial blockage in an embolic stroke |
Aneurysm | blood vessel ruptures or an arteriovenous malformation bursts |
Arteriovenous Malformation (AVM) | atypically developed artery or vein, usually arising during embryonic or fetal development |
Hematoma | the accumulation of blood due to a hemorrhage |
Intracerebral Hemorrhage | leakage occurs within the brain tissue |
Erosclerosis/Arteriosclereosis | - primary cause of ischemic strokes - buildup of lipids and cellular debris within the arteries |
Edema | swelling in the surrounding area of the brain |
Diaschisis | functions associated with brain structures that are remote from the area of damage become impaired |
Necrosis | neural tissue death |
Infarct/Infarction | area of dead tissue |
Ischemic Penumbra | margin neural tissue surrounding an infarct |
tPA | tissue plasminogen activator |
Hypoperfusion | an insufficiency in blood supply to the brain |
Transient Ischemic Attack (TIA) | - a temporary blockage of the blood supply to the brain - mini-stroke - most last under 30 m but can last up to 24 h |
Stroke Triggers | - excessive alchohol intake - infection - excessive eating - intense positive or negative emotions - sudden posture change - drug use - anesthesia - surgery - physical exertion - birthday |
BEFAST | balance problems, eye/vision problems, face drooping, arm weakness, speech difficulty, time to call 9-1-1 |
Closed-head Injury (CHI) | - the head suddenly hits an object or an object hits the skull - skull remains intact - aka accel-decel injuries - can be transitional or rotational |
Transitional Injury/Direct Injury | the object-head contact is at a relatively perpendicular angle to one of the main axes of the head, causing the brain to rebound against the side of the skull opposite to the side of contact |
Coup Injuries | injuries to the brain at the point of contact |
Contrecoup Injuries | injuries to the opposite side of the brain from the point of contact |
Rotational Injuries | the contact of an object with the head creates more of a spinning motion of the head, causing the brain to rotate in relation to the skull and often hits many different areas |
Open-head Injury (OHI) | breakage or penetration of the skull |
Focul | confined to one area |
Diffuse | involving more than one areas of the brain |
Blast Injuries | result from rapid phases of over-and-under pressurization of air compared to normal atmospheric pressure |
Bacterial Infections and Viruses | microscopic organisms that may cause inflammation in the brain |
Encephalopathies | infections that affect the cortex |
Meningitis | inflammation of the meninges surrounding the brain |
Opportunist Infections/Secondary Infections | bacteria/viruses selectively take advantage of a compromised immune system |
Neoplasm | tumour in the brain |
Primary Tumours | result from uncontrolled growth of glial or meningeal cells |
Gliomas | glial cell tumours |
Astrocytoma | - common type of glial tumour - a benign, slow-growing tumour |
Glioblastoma Multiforme | - type of glial tumour - rapid growing and malignant |
Meningioma | - benign tumour that arises from the meninges |
Secondary/Metastatic Tumours | - spreading tumours that typically arise from elsewhere in the body and travel to the brain via the blood supply or lymphatic system |
Toxemia | the poisoning, irritation, or inflammation of nervous system tissue through exposure to harmful substances |
Toxic Encephalopathy | brain dysfunction related to metabolism at the cellular level |
Diabetes Mellitus (DM) | a chronic disorder of carbohydrate metabolism caused by abnormal insulin function or deficiency, resulting in poorly controlled blood sugar (glucose) levels |
Diabetic Encephalopathy | any type of brain disorder caused by diabetes |
Metabolic Syndrome | represents thee clustering of obesity, hypertension, dyslipidemia, hyperlipidemia, & elevated blood sugar |
Neurodegenerative Disease | neurogenic condition that progressively gets worse over time |
Mild Cognitive Impairment (MCI) | - a condition of cognitive decline that is not typical normal aging - often results from neurodegenerative disease and head injury |
Primary Progressive Aphasia (PPA) | - a neurogenerative dementia syndrome unlike other types of aphasia - onset is sudden and insidious; symptoms worsen over time - first symptoms are linguistic |