OVERVIEW
Overview of Sensory Aphasia
Sensory aphasia, also known as Wernicke’s aphasia, is characterized by impaired comprehension of spoken language, inability to comprehend the speech of others and oneself, fluent spontaneous speech without phonological or rhythmic abnormalities, appropriate grammatical structure of oral expression but lack of substantive words, and an aphasia that is characterized by a high volume of speech, effortless speech, and varying degrees of impairment in naming, reading aloud, and comprehension of words. The lesion site is in the posterior region of the superior temporal gyrus of the dominant hemisphere.
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Department
Neurology, General Surgery, Medical Oncology, Surgical Oncology
Synonyms
Wernicke’s aphasia, Wernicke’s aphasia
Clinical Symptoms
Impaired comprehension of spoken language, etc.
Hazards
Cognitive impairment can exacerbate communication disorders.
Examination
Physical examination, brain CT, brain MRI, aphasia examination.
Diagnosis
Diagnosis is based on manifestations such as oral language comprehension disorder, combined with cranial brain imaging, aphasia examination.
Treatment principle
Maximize the improvement of the patient’s verbal communication ability.
Curability
Symptoms can be improved with active treatment.
Dietary recommendations
Normal diet.
Etiology
Etiology
The disease is associated with cerebrovascular disease, craniocerebral trauma, brain tumor and other diseases.
Symptoms and Diagnosis
Typical Symptoms
Understanding spoken language disorder. At this time, the patient’s hearing is normal, but he/she does not understand what others and himself/herself are saying; in severe cases, the answer is not what he/she is asking, and the patient often talks incessantly alone, but his/her use of words is confusing, with disorganized vocabulary and grammatical errors, making it impossible for others to understand him/her. The patient is unaware of his or her own pathology, similar to the symptoms of a schizophrenic’s ruptured mind. When the disorder is mild, the patient can partially understand what others say, but errors often occur. It is often accompanied by dyslexia and dysgraphia, but not as severe as the disorder of oral comprehension and expression.
Diagnostic basis
1. Clinical manifestations
Oral language comprehension disorder, the patient’s hearing is normal, but can not understand what others say or what he/she says; in severe cases, the patient often talks endlessly, but the words are confusing and incomprehensible.
2.Auxiliary examination
Diagnosis is based on cranial imaging and aphasia examination.
Treatment
Treatment
Comprehensive treatment, including etiological treatment, medication, speech therapy, physical therapy, exercise, and psychotherapy, is used to maximize the patient’s ability to communicate.
Medication
Drugs that increase central norepinephrine (NE) can increase the patient’s alertness; bromocriptine, can improve speech output; cerebrofacial can improve learning and memory function.
Other treatments
1. Etiologic treatment.
2. Exercise therapy.
3. Physical therapy.
4. Speech and language rehabilitation therapy, formulate targeted training program.
5. Psychotherapy.
Prognosis
Symptoms can be improved with active treatment, but less so when compared with motor aphasia.
Nursing care
Daily care
1. Give patients encouragement and support to enhance their self-confidence.
2. Keep the environment quiet and avoid noise pollution.
Diet
Normal diet.