Why are patients with progressive nonfluent aphasia nonfluent?

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چکیده

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Why are patients with progressive nonfluent aphasia nonfluent?

OBJECTIVE To investigate the cognitive and neural basis for nonfluent speech in progressive nonfluent aphasia (PNFA). BACKGROUND Nonfluent speech is the hallmark feature of PNFA, and this has been attributed to impairments in syntactic processing, motor-speech planning, and executive functioning that also occur in these patients. Patients with PNFA have left inferior frontal atrophy. METHOD...

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Teaching NeuroImages: Nonfluent variant primary progressive aphasia

A 66-year-old woman presented with 4 years of progressive speech difficulty. She had nonfluent speech with phonemic errors but intact single-word comprehension and object knowledge. Her grammar was impaired in both speech and writing, and she exhibited orofacial apraxia. A clinico-radiologic (see figure) diagnosis of nonfluent variant primary progressive aphasia was made. Nonfluent variant prim...

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Anatomical correlates of early mutism in progressive nonfluent aphasia.

Patients with progressive nonfluent aphasia (PNFA) can become mute early in the course of the disease. Voxel-based morphometry showed that PNFA is associated with left anterior insula and inferior frontal atrophy. In PNFA with early mutism, volume loss was more prominent in the pars opercularis and extended into the left basal ganglia. Damage to the network of brain regions involved in both coo...

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Semantic dementia versus nonfluent progressive aphasia: neuropsychological characterization and differentiation.

BACKGROUND Early progressive nonfluent aphasia (PNFA) may be difficult to differentiate from semantic dementia (SD) in a nonspecialist setting. There are descriptions of the clinical and neuropsychological profiles of patients with PNFA and SD but few systematic comparisons. METHOD We compared the performance of groups with SD (n=27) and PNFA (n=16) with comparable ages, education, disease du...

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Multimodal predictors for Alzheimer disease in nonfluent primary progressive aphasia.

OBJECTIVE Alzheimer disease (AD) and frontotemporal lobar degeneration (FTLD) are hypothesized to cause clinically distinct forms of primary progressive aphasia (PPA) that predominantly affect expressive speech. AD is thought to cause logopenic progressive aphasia (LPA), and FTLD may cause progressive nonfluent aphasia (PNFA). We sought to determine the value of clinical characterization, neuro...

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ژورنال

عنوان ژورنال: Neurology

سال: 2010

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e3181ed9c7d