Aphasia is an inability to comprehend and formulate language because of damage to specific brain regions. This damage is typically caused by a cerebral vascular accident (stroke), or head trauma, however these are not the only possible causes. To be diagnosed with aphasia, a person's speech or language must be significantly impaired in one (or several) of the four communication modalities following acquired brain injury or have significant decline over a short time period (progressive aphasia). The four communication modalities are auditory comprehension, verbal expression, reading and writing, and functional communication.
The difficulties of people with aphasia can range from occasional trouble finding words to losing the ability to speak, read, or write; intelligence, however, is unaffected. Expressive language and receptive language can both be affected as well. Aphasia also affects visual language such as sign language. In contrast, the use of formulaic expressions in everyday communication is often preserved. One prevalent deficit in the aphasias is anomia, which is a deficit in word finding ability.
The term "aphasia" implies that one or more communication modalities have been damaged and are therefore functioning incorrectly. Aphasia does not refer to damage to the brain that results in motor or sensory deficits, as it is not related to speech (which is the verbal aspect of communicating) but rather the individual's language. An individual's "language" is the socially shared set of rules as well as the thought processes that go behind verbalized speech. It is not a result of a more peripheral motor or sensory difficulty, such as paralysis affecting the speech muscles or a general hearing impairment.
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https://www.hindawi.com/journals/crinm/2016/3406038/ arpita lakhotia, alok sachdeva, supriya mahajan, and nancy bass, “aphasic dystextia as presenting feature of ischemic stroke in a pediatric patient,” case reports in neurological medicine, vol. 2016, article id 3406038, 3 pages, 2016. doi:10.1155/2016/3406038
john aa, javali m, mahale r, mehta a, acharya p t, srinivasa r. clinical impression and western aphasia battery classification of aphasia in acute ischemic stroke: is there a discrepancy? j neurosci rural pract [serial online] 2017 [cited 2016 dec 18];8:74-8. available from: http://www.ruralneuropractice.com/text.asp?2017/8/1/74/193531