What is named aphasia

  The patient, True (privacy protected, not real name), 70 years old, female, intellectual, was initially seen because of unfavorable joint movement, and after her joint movement improved, something felt off during the next outpatient conversation. Her family also reported that something was not right with her recently.  True was given a test of intelligence and was found to have a recent decline in memory, problems with calculation and execution, and an inability to draw clocks, all signs pointing to a decline in intelligence. Cranial MRI: hippocampal atrophy. Other tests for blood pressure, lipids, blood sugar, thyroid function, etc. were not abnormal.  Both husband and wife are intellectuals and quickly accepted the reality and took a positive approach to face it.  1, Chinese herbal medicine to invigorate blood circulation and remove blood stasis, and tonify the liver and kidneys; 2, Western medicine Donepezil and Shuangyiping; 3, strengthening functional exercise and memory, calculation, etc. After several months of comprehensive treatment, the patient had good relief of the above problems. Really intelligent recovery is still very satisfactory.  Today, asked true: 1, 103-7, then subtract 7, she answered, very correct. (Usually the patient is asked 100-7 minus 5 times in a row to check the calculation power, in order to avoid the patient is sometimes reciting the answer, it will change the topic to test the calculation power) 2, what did you eat in the morning? (Checking recent memory) It’s a bit stuck, a feeling of not being able to say anything.  What did you eat yesterday? Can answer.  Then I picked up a stamp or medical record card and asked what it was. I can tell you the purpose, but I can’t tell you the name.  Family members also reported that this really happens sometimes.  Diagnosis: Named aphasia.  Nomenclature explanation: Naming aphasia, also called amnesic aphasia, is caused by lesions in the left middle temporal gyrus and the posterior part of the inferior temporal gyrus, in which the patient loses the ability to call objects and people by their names, but can describe how something is used. When someone tells him the name of the object, he can distinguish whether the other person is right or wrong.  Treatment: Rehabilitation training for such patients should focus on getting the patient to name objects. For objects that the patient cannot name, the patient should be told the correct name, and so on repeatedly to gradually awaken the patient’s forgotten language function. In addition to medication, patients should also pay attention to the combination of work and rest, regular work and rest, and avoid mental stress or excessive tension.  It is important to note that the earlier a person receives professional training from a speech therapist, the faster and better their language skills will recover! However, there are very few speech rehabilitation therapists nowadays that tell patients the methods and perform rehabilitation exercises at home.  Really good compliance with medical treatment, can accept and perform well each time I set up the task; her lover is patient with her, has good family support function, usually actively cooperate with doing exercise and rehabilitation together, I believe that the next visit will be like her other functional improvement, recovery.