Broca's, Wernicke's, and Other Types of Aphasia

What is Aphasia?

Aphasia is an impairment of language which occurs when someone suffers from an injury to the language areas of the brain. Aphasia can affect language in many ways because there are several regions of the brain that control language. When one of the regions is injured, but the other regions remain healthy, some language function can be affected, while other language functions may remain intact. For example, people with aphasia may have difficulty producing words, may have difficulty understanding language, or may have trouble with reading or writing.

Over 20% of all people who experience a stroke develop some form of aphasia. Here are the three most common types of aphasia and their characteristics:

Broca’s Aphasia:

This form of aphasia is named after the person who discovered the area of the brain that is responsible for generating speech. Broca's aphasia is at times called “motor aphasia” to emphasize that it is the production of language which is impaired, (such as speaking) while other aspects of language are mostly preserved. In a stroke, damage to Broca’s area results from the interruption of blood flow through the blood vessels that supply Broca's area, which is located in the dominant frontal and temporal lobe of the brain. Typically, Broca's aphasia prevents a person from forming her own intelligible words or sentences but leaves her with an ability to understand others when they speak. Often, people with Broca's aphasia are frustrated because they can't transform their thoughts into words.

Some aphasics can say a few words which they use to communicate with a characteristic type of speech known as telegraphic speech.

Because some of the blood vessels that are affected in Broca’s aphasia also bring blood to the areas of the brain that control movement of one side of the body (usually the right side), Broca’s aphasia is commonly accompanied by other impairments including hemiparesis, or hemiplegia on the right side of the body, alexia and agraphia.

Wernicke’s Aphasia:

Wernicke’s aphasia is named after the person who discovered the areas of the brain that are responsible for language comprehension. People with Wernicke’s aphasia can’t understand others, or even themselves, when they speak. Their speech, however, is incomprehensible, as they create sentences whose words are arranged in an apparently random fashion. For instance, you might hear a Wernicke’s aphasic say: “My door sat through the lamp in the sky.” This type of language pattern is sometimes referred to as logorrhea. Nonetheless, when people with Wernicke's aphasia speak, they feel as though they are being understood. This is caused by their lack of awareness of their profound language impairment, (anosognosia). Over time, Wernicke’s aphasics might learn that others can’t understand them when they speak, so they might become angry, paranoid, and depressed.

Global Aphasia:

This is the type of aphasia that results when damage in the brain is extensive enough to involve both the Broca's and Wernicke’s language areas.

People with global aphasia are unable to understand spoken language, or to speak. In some cases, however, people with global aphasias can still communicate by using written language.

Sources:

Bradley G Walter, Daroff B Robert, Fenichel M Gerald, Jancovic, Joseph Neurology in clinical practice, principles of diagnosis and management. Fourth Edition, Philadelphia Elsevier, 2004.

Allan Ropper and Robert Brown, Adam's and Voctor's Principles of Neurology, 8th Edition McGraw-Hill Companies Inc, United States of America, 2005, pp 417-430.

Continue Reading