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Transcript

Rehabilitation of

Subcortical Aphasia

Nonlinguistic Behavioral Disorders to Consider

1. Arousal

2. Attention

3. Frontal systems dysfuction

4. Concept formation

Thalamic Aphasias

- Lesion on the Thalamus

Thalamus

- Relay Center for Information

- Medial Geniculate Nucleus= auditory

- Ventrolateral Nucleus= motor

Rehabilitation for Non-Thalamic Aphasias

- Characteristics based on the lesion

location and cortical perfusion

- Impairment in grammatical-

phonological function

- Impairment in lexical-semantic

function

Language Center Nuclei of Thalamus

- Dorso-medial nucleus

- To and from prefrontal cerebral cortex

- Pulvinar-lateroposterior complex

- To and from the frontal, temporal, and parietal cortices

Non-Thalmic

Aphasias

- Not fundamentally different than cortical aphasias

- Same characteristics or pathogenesis

- Treated same as cortical aphasias

Rehabilitation of Thalamic Aphasia

- Most Common= Anomia in spontaneous language

- More severe cases= comprehension impairments,

non-fluent speech

- Good grammar, articulation, and repetition skills

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