Document Detail

Aphemia: an isolated disorder of articulation.
MedLine Citation:
PMID:  11516558     Owner:  NLM     Status:  MEDLINE    
Aphemia is a disorder with prominent speech abnormality. Since its description by Broca, there has been debate regarding the neuropsychological disorganization underlying aphemia: is aphemia an articulatory disorder or a language disorder? We describe a patient with markedly impaired articulation, but preserved receptive and written language function and buccal-facial coordination. The location of his stroke was in the left precentral gyrus, undercutting a small area of motor and premotor cortex. This case suggests that aphemia can occur as an isolated articulation deficit without language involvement or more widespread bulbar apraxia, and may be a severe form of apraxia of speech.
R J Fox; S E Kasner; A Chatterjee; J A Chalela
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  103     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-22     Completed Date:  2001-10-04     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  123-6     Citation Subset:  IM    
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, PA, USA.
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MeSH Terms
Aphasia, Broca / diagnosis*,  physiopathology
Articulation Disorders / diagnosis*,  physiopathology
Cerebral Infarction / diagnosis*,  physiopathology
Dominance, Cerebral / physiology
Middle Aged
Motor Cortex / pathology,  physiopathology
Neurologic Examination
Neuropsychological Tests
Tomography, X-Ray Computed

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