Mr. AR

Mr. AR

1. Retired 68 year old Photographic Dealer

   • Wife and 2 grown children
     • Large friends group
   • Very Sociable, many hobbies

2. 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

3. 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

4. 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