A clinical presentation of phonological anomia during recovery from Wernicke's aphasia Hiroki Tomita 1 , Kanae Maegawa 1 , Risa Yamauchi 1 , Mimpei Kawamura 2 , Yasutaka Kobayashi 3 1Department of Rehabilitation, Fukui General Clinic 2Department of Rehabilitation Speech-Language-Hearing Therapy, Fukui College of Health Sciences 3Department of Rehabilitation, Fukui General Hospital Keyword: 音韻性失名詞 , 呼称 , 誤反応分析 , 錯語 , 障害メカニズム , phonological anomia , oral naming , analysis of errors , paraphasia , underlying mechanism pp.78-86
Published Date 2015/6/15
DOI https://doi.org/10.11477/mf.6001200038
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 Phonological anomia is rarely seen in clinical practice, but it is an established disease concept occasionally encountered in various writings of recent years. We conducted a detailed analysis of the course from onset, particularly with regard to oral naming, in one patient with phonological anomia. At two months after onset the patient had decreased comprehension and verbal and phonological paraphasia appeared in oral naming;these findings corresponded to Wernicke's aphasia. The patient's comprehension had improved at eight months with word finding difficulty remaining as a core symptom. Repetition was good, but phonological paraphasia, phonological fragments, and other phonological errors often occurred only in oral naming and the condition came to closely approximate phonological anomia. A comparison with previous studies suggested the existence of a subtype in which there is a gradual transition to phonological anomia from other aphasia types. In this case, during the course after onset, comprehension improved but in oral naming, changes in the content of the paraphasia were observed without visible increase in the correct number of responses. Consideration of the course suggests that the mechanism of the disorder is not necessarily the same in all cases and that there is some diversity among phonological anomia.

Copyright © 2015, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


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