Mindmap

Mr. AR

Grace Doolin Speech and Language Therapy Englisch

Mind map: Mr. AR aphasia case assessment

Inhalt der Mindmap

Mr. AR

Retired 68 year old Photographic Dealer
- Wife and 2 grown children
  - Large friends group
- Very Sociable, many hobbies
Cerebrovascular accident while staying with friends.
- Admitted with expressive and receptive aphasia
- Right hemiplegia
  - Suspected visual deficits
    - Bewildered by Language difficulties
      - Frustrated when wife does not understand
- Output mainly jargon
  - Signs of AOS
- Extensive infarct in Middle cerebral artery
  - Further extension to the stroke
- Decreased auditory comprehension at SWL
  - Even with gesture
Assessment
- Signs of visual deficits
  - Language skills hindered assessments of vision
    - Visual difficulty = Harder to assess language
      - Assess visual and auditory processing
        Identify area of breakdown in process
Conclusions
- Aphasia Screening Test
  - Visual problems not affecting line drawings and shapes
  - Better written word comprehension
- PALPA 47: poor spoken word comp
  - PALPA 48: Central semantic impairment
    - PALPA 50: no impairment of phonological input lexicon or auditory phonological analysis