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Stroke—Most Common Cause of Aphasia  
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Copyright © Nucleus Medical Media, Inc.

Definition  

When you have this condition, it is difficult to name people and things. This is a type of aphasia , which is a language disorder. Aphasia-associated anomia can be treated.

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Causes  

Anomia is caused by injury to the language areas of the brain. Examples of injury to the brain are:

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Risk Factors  

These factors increase your chance of developing aphasia-associated anomia:

  • Being at risk for stroke or dementia
  • Having a history of transient ischemic attacks (TIA)
  • Being middle to older age (more common in older people)

Tell your doctor if you have any of these risk factors.

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Symptoms  

If you have any of these symptoms, do not assume it is due to anomia. These symptoms may be caused by other conditions. Tell your doctor if you have difficulty finding the right word when speaking and writing. For example, instead of using an exact word, you may use ambiguous or roundabout speech, such as:

  • Using general descriptions instead of specifics: “that place where you sleep” for “bedroom”
  • Saying what a thing does, but not what it is: “that thing you drive” for “car”

In most cases, you can understand speech and read.

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Diagnosis  

Your doctor will ask about your symptoms and medical history. He will do a physical exam and may do a neurological examination, tests to check brain function, and/or order the following:

  • Exam of muscles used in speech
  • Tests to assess language skills—for example, identifying objects, defining words, and writing
  • CT scan —a type of x-ray that uses a computer to make pictures of structures inside the head
  • MRI scan —a test that uses magnetic waves to make pictures of structures inside the head
  • Electroencephalogram (EEG) —a test that records the brain’s activity by measuring electrical currents through the brain (may be done in some situations)

You may be referred to a neurologist. This is a doctor who specializes in diseases of the nervous system.

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Treatment  

Talk with your doctor about the best treatment plan for you. Treatment options include the following:

Speech-Language Therapy  

The speech therapist will help you to:

  • Preserve the language skills you have
  • Try to restore those you have lost
  • Discover new ways of communicating

Therapy may occur one-on-one or in a group. Activities may include:

  • Using flash cards with pictures and words to help you name objects
  • Repeating words back to the therapist
  • Working with computer programs designed to improve speech, hearing, reading, and writing

Family Care and Counseling  

You will learn how to apply the lessons learned in speech therapy to your life. Counseling can help you to adjust to returning home. It can also help your family learn ways to better communicate with you.

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Prevention  

Since stroke is a common cause of aphasia, follow these guidelines to help prevent stroke: