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Brain injuries can affect communication, but treatment is possible

Brain injuries can affect communication, but treatment is possible

When a person loses spoken and / or written oral language after an episode of brain injury, it is called aphasia. The degree of impairment is varied depending on the extent of the lesion, the patient's health conditions, the cognitive abilities of the patient, the location reaching, among others.

The alterations presented may be: difficulty in articulating words well, speech slowing , constant repetition of a random word in the middle of a statement, difficulty recalling words, total loss of oral language, and the ability to translate concepts into words and symbolization.

How the compromised patient loses ability to symbolize and translate the command of the brain into written language, it will often be hampered as well. We also find patients who can write a dictation or copy, but do not even read what they themselves have written. Cerebral tumors

  • Stroke (popular stroke)
  • Infectious diseases (such as meningitis)
  • Degenerative diseases (such as multiple sclerosis or dementias)
  • Accidents with brain injury (motor vehicle crashes, gunshot injury)
  • Metabolic stress (intoxications)
  • Epilepsy.
  • Generally one area of ​​the brain is harder hit than another, causing scholars to classify aphasia for better understanding and treatment. In this way, four types were observed:

Wernecke's aphasia

Speech is fluent, but it does not make sense to the listener, although the person believes he is speaking correctly and maintains the proper intonation. It is as if a faulty phone line distorts or truncates words by interfering with communication. In general, a patient with this pattern has difficulty understanding and expression, but is able to articulate the words and is irritated when not understood. It is very common, too, that Wernecke's aphasic articulate words that exist, but that together do not establish any logical meaning. When there is a lack of understanding, the prognosis of aphasia is always worse.

Broca's aphasia

Although the understanding of language is preserved, one has great difficulty speaking. This syndrome is also referred to as non-fluent, speech or motor aphasia: patients can normally perform silent reading, but writing is compromised. These patients also have weakness in the hemiface and right upper limb (due to the proximity of the regions affected by the circulatory disorder). Patients are aware of their deficit and are depressed easily (frustration). In this case the chance of recovery is greater than that of Wernecke.

Aphasia of Driving

Inability to repeat words correctly is presented, although understanding is preserved.

Global aphasia

Is the loss of all language skills: comprehension, speaking, reading and writing. Loss of strength on the right side of the body (hemiplegia) may occur in addition to associated dementia. The possibility of recovery is not very great.

Treatment

The treatment of aphasia is done by the stimulation of the language and is planned specifically for each case. Knowing the exact conditions in which the patient is, the therapist will help him connect the skills that have remained and those that have been lost, using the plasticity of the central nervous system. It is worth remembering the extreme importance of starting language rehabilitation as soon as possible after the accident because the chance of recovery is greatly increased in the first six months due to the possibility of an area of ​​the brain that has not been reached assume the functions of the other, committed. This plasticity, however, diminishes with the passage of time, since the brain becomes "habituated" to the new situation.


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