Syndrome Lesion Blood Naming Speech Sentence Compr Repetition Reading Writing

Supply Production
Diffuse Left Any or all Poor/ Non- Absent Impaired Impaired Poor Poor
Global Hemisphere Impaired Fluent
Aphasia

3rd Frontal MCA – Impaired Non- Impaired; Good Impaired, Good, or Impaired;
Broca’s Convolution Middle to Fluent Agrammati But better difficult Mirroring
Cerebral relatively c than with speech
Aphasia Artery good; Artic speech compr
nouns > Impaired
verbs.
Better
than
Speech
Arcuate MCA – Variable Fluent Well Good Impaired Good Impaired
fasciculus Middle But Paraphasic Structured compr
CONDUCTION
Cerebral paraphasic Paraphasic Difficulty
APHASIA
Artery reading
aloud
Posterior MCA – Impaired Fluent Structured Impaired Poor Poor Like
Wernicke’s Superior Middle Paraphasia but empty /Poor Speech
Aphasia Temporal Cerebral s may be
Lobe Artery excessive
Inferior Left Posterior Impaired Fluent Structured Impaired Preserved Impaired Impaired
Trans- Temporal Cerebral Paraphasia But empty Hallmark
cortical Lobe – Artery of TS
Arcuate Aphasia
Sensory
Fasciculus is
Aphasia spared, but
cuts of
Broca’s and
Wernicke’s
from the rest
of the brain
Anterior Anterior Variable Nonfluent Variable Good Preserved Good Mirrors
superior Cerebral (almost an Speech
Trans- absence of
Cortical frontal lobe. Artery
spontaneo
Sometimes
Motor us speech,
called “frontal associated problems
Aphasia isolation with right initiating
syndrome” hemi and
because the paresis maintainin
damage cuts g speech)
off Broca’s
area from rest
of language
zone.
Frontal Lobe MCA – Impaired Fluent but Structured Good Preserved Good Relatively
damage to Middle hesitant but impaired intact, but
angular gyrus. Cerebral due to by word word
Anomia & inferior
Artery poor word finding finding
temporal gyrus retrieval difficulty difficulties
will affect
it