A 65 year old male patient known to have longstanding diabetes & hypertension, was admitted to the medical department with right sided weakness & he is unable to talk.on physical examination: he is conscious, localising painful stimuli, not talking but responds to verbal commands by moving left arm, leg & head. Power: 1/5 in right upper limb, 3/5 in right lower limb. Brain CT scan: showed an area of ischemia (infarction) in the left temporo- parietal region. The patient has which one of the following types of aphasia:
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: C. Expressive
- إجابة ثانية: A. Receptive
The type of aphasia is decided clinically: he cannot talk but follows verbal commands, so comprehension is intact and output is lost = expressive (Broca's) aphasia.
- Receptive (Wernicke's) aphasia means fluent speech with poor comprehension; global aphasia means he could neither speak nor follow commands.
- The temporo-parietal CT location would suggest a receptive aphasia, but the clinical findings do not fit it.
The stem contradicts itself: the CT site (left temporo-parietal) is where a receptive (Wernicke) lesion would be, while the bedside findings describe an expressive aphasia. Exams usually go by the clinical findings (C), but a key of A is possible.
- المصدر
- Basics of Neurology-Ali Rawas.pdf · p. 136
Basics of Neurology-Ali Rawas.pdf · p. 137 - المحاضرة
- Weakness: TIA & Stroke · Neurology · Module C
- ظهر في
- Neuro bank