Communication Profiling in Client with Crossed Aphasia: A Case Report
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Abstract
Background Crossed Aphasia (CA) which is secondary to single neurological event localized in the right hemisphere of right dextrals results in a variety of communication disorders (Murdoch, 1990). However owing to the diversity of the disorder, it has always been a controversial issue in research. Kirshner et al (2009) reported that syndromes from the left hemisphere injury in a left dextrals may be milder or more selective than those of right.
Objective In view of the existing knowledge, the profiling of communication behavior secondary to right middle cerebral artery infarct would be of interest and so the present study focuses on the same.
Method This study followed a single case study design. A 50 years old male with a complaint of communication problem following traumatic brain injury 3 months ago was considered for the study. A detailed communication assessment of receptive and expressive language; speech production: deglutition and secondary language skills was carried out using clinical observation and standardized tests.
Results and Discussion The client communication profile revealed preserved receptive language as compared to expressive language. Bakaret et al (1996) also reported severe global aphasia and Broca's aphasia following CA. As for the expressive difficulties, Zangwiil (1979) hypothesied that the right hemisphere can take over some aspects of language in bilinguals and multilinguals because the left hemisphere is overloaded. In our client, naming and repetitions skills were both affected in contrast with Geraldine et al's (2009) observation of less errors in repetition in CA. Moreover automatized speech and right hemispheric skills were well preserved. Totlidede et al's (2011) findings differed from that of ours with fluctuating speech rate and intermittent word-finding pauses along with rare phonological errors in CA. In line with their observation, We also observed adequate secondary language skills. Voice and deglutition function: were normal. Laeknabladid (2009) observed prosodic difficulties and phonological problems in his clients. These observations tempt us to consider CA as a syndrome rather than a unified disorder.
Conclusion It is concluded from our study that the communication errors in crossed aphasia cannot be generalized, and that individual differences are generally expected. So, it is mandatory to profile the communication errors after administering detailed language, speech and swallowing patterns which would intern direct appropriate intervention plan.
Objective In view of the existing knowledge, the profiling of communication behavior secondary to right middle cerebral artery infarct would be of interest and so the present study focuses on the same.
Method This study followed a single case study design. A 50 years old male with a complaint of communication problem following traumatic brain injury 3 months ago was considered for the study. A detailed communication assessment of receptive and expressive language; speech production: deglutition and secondary language skills was carried out using clinical observation and standardized tests.
Results and Discussion The client communication profile revealed preserved receptive language as compared to expressive language. Bakaret et al (1996) also reported severe global aphasia and Broca's aphasia following CA. As for the expressive difficulties, Zangwiil (1979) hypothesied that the right hemisphere can take over some aspects of language in bilinguals and multilinguals because the left hemisphere is overloaded. In our client, naming and repetitions skills were both affected in contrast with Geraldine et al's (2009) observation of less errors in repetition in CA. Moreover automatized speech and right hemispheric skills were well preserved. Totlidede et al's (2011) findings differed from that of ours with fluctuating speech rate and intermittent word-finding pauses along with rare phonological errors in CA. In line with their observation, We also observed adequate secondary language skills. Voice and deglutition function: were normal. Laeknabladid (2009) observed prosodic difficulties and phonological problems in his clients. These observations tempt us to consider CA as a syndrome rather than a unified disorder.
Conclusion It is concluded from our study that the communication errors in crossed aphasia cannot be generalized, and that individual differences are generally expected. So, it is mandatory to profile the communication errors after administering detailed language, speech and swallowing patterns which would intern direct appropriate intervention plan.