It's like trying to answer a question when you just woke up.
@charu9142
9 жыл бұрын
Fast & easy way to remember the difference: Broca=Broken (articulate but broken/slow/deliberate/simple speech)-control of speech Wernicke=Wacky (words make no sense)-comprehension of speech Both areas are located in the cerebrum (L hemisphere): Broca's in frontal lobe, Wernicke's in temporal. Alphabetically, front to back. Just some old tips from class-hope they help?!
@ScribStat
8 жыл бұрын
+Char U They help very much, actually. Thank you!
@Ano7herHero
8 жыл бұрын
+Char U You are a good man
@Ano7herHero
8 жыл бұрын
+Ano7herHero Person*
@canniloni
8 жыл бұрын
+Char U I have to learn this for an exam and your post was actually really helpful. thank you!
@JhullyAmillyMarangoni
8 жыл бұрын
+Char U thank you
@SandWolf_
12 жыл бұрын
man, i do hate when people make fun of patients like they do here. They're already suffering much but are generous enough to let others study them. So be kind..
@invis999
Ай бұрын
Feel like nb was getting made fun of but go off
@xxMrBaldyxx
14 жыл бұрын
She's doing better than other Wernicke's aphasia patients that I've seen. She seems to understand everything being said to her which is pretty amazing. I can only imagine the confusion and frustration that would result from this condition. I imagine they would find themselves thinking, "Why the hell can't people understand me?!" In that sense they are almost locked inside their own mind... with no way to express themselves. It's really sad. Maybe one day there will be a cure?
@shmike1984
13 жыл бұрын
this is adorable and sad at the same time
@luqi01
7 жыл бұрын
Helps while studying for USMLE step 1 ! thanks for the video! wernicke's aphasia: patient cant understand, can speak fluently but words dont make sense broca's: patient can understand really well, but cant speak fluently, however whatever little they can express does make sense conduction aphasia: patient can understand and speak but can't repeat the sentence
@Lane22325
7 жыл бұрын
I'm also here studying for Step 1! Helps to put a face to a disorder.
@pittypaws6633
10 жыл бұрын
When the lady says baseball player the woman almost seems to say babe roos. Which sounds like Babe Ruth.
@rachaelhayes1824
9 жыл бұрын
I noticed that too. Very interesting.
@VoidHalo
11 жыл бұрын
She was repeating the questions so she had time to think about what they meant and how to respond. It's called echolalia.
@chrismay4963
10 жыл бұрын
If anything, this seems to resemble what I would understand as transcortical sensory aphasia, rather than just wernicke's aphasia. She clearly does not understand many of the directions she is given, but in multiple instances she is able to repeat what the "tester" is saying; repetition is not something wernicke's aphasics can do, but in transcortical sensory aphasia (which has many of the same symptoms), repetition is intact. Clearly, there is a lot more going on than just a "classic aphasia", especially considering the way she acted when told to stick out her tongue. Interesting video, albeit slightly misleading.
@johnmathai99
8 жыл бұрын
+Chris May this sure seems like transcortical sensory aphasia as the repetition is intact..:)
@mattball7074
7 жыл бұрын
I thought the same as well, the deficits seem to be broader--good points
@sazirahjaafar8905
6 жыл бұрын
I agree !!
@HashemSmashem
6 жыл бұрын
Good point. Although her repetition wasn't exact and only repeated a word of the whole command given by the examiner. Would that still qualify as intact repetition?
@salazam
5 жыл бұрын
@Chris May Wrong.
@susannasullivan3426
10 жыл бұрын
this is so sad but kinda scary to hear/watch
@triphasboost
3 жыл бұрын
Imagine if witches were old women that had this disease
@S1M1528P
11 жыл бұрын
She does show comprehension issues though, when asked to sip on a straw, to smile, to chew gum and cough. Wernicke's aphasia causes difficulty in comprehending speech but not total inability.
@sodahernandez
5 жыл бұрын
love it or hate it. she spitting straight facts right now
@TheRosemontag
9 жыл бұрын
Its like the patient has developed her own language that only she can understand.
@girabbit
11 жыл бұрын
Yes, it's all relative. Someone might have *some* comprehension and even be able to repeat short words, but that's still a Wernicke's. Only the most severe have no comprehension whatsoever, and often only immediately post-stroke. The comprehension is severely impaired in this case and so is the repetition, so it fits. Good luck on the exam!
@evanv449
12 жыл бұрын
For all those with questions pertaining to the extent of speech comprehension loss and the ability to express language, remember that brain lesions are rarely focal (one place alone). Rather, they are widely spanning, depending on the size of the stroke or head injury and the duration that the tissue was ischemic, and can affect each person differently. For example, some Wernicke's patients are great at lip-reading, while others cannot lip-read at all. This is due to stroke affecting the IPL.
@RadagonTheRed
Жыл бұрын
I can’t even comprehend what it must be like for someone with Wernicke’s Aphasia. To remember that you once understood and spoke perfectly but to suddenly be aware that you now can’t do either without fully knowing why. It must be torment.
@mariahzalera2123
8 жыл бұрын
Fascinating
@ingiburgerjohnsons4479
7 жыл бұрын
Thank you Mr. Spock
@luischalas
5 жыл бұрын
This is confusing me. Some of the comments say she clearly does not understand directions but they asked her to do things like kiss, stick your tongue out and chew gum she did it. I also dont understand what she says. In Wernickes aphasia you dont understand what they say to you but you can always speak fluently.
@jcs101194
12 жыл бұрын
What a sweet lady. Still, every time I see her speak it intrigues me. =)
@greensky01
Жыл бұрын
Here is an example how and why some healthy people may have an easier time understanding a foreign language wether written or spoken, yet have diffuculity speaking a foreign language. Understanding speach/language is done by the Wernicke region, while artigulating or speach control are controlled by the Broca area.
@gurpreetsahota600
10 жыл бұрын
thank you for the upload!
@daugaard4000
11 жыл бұрын
Hey Tommy. I have to say that you are right in your comment. However it's important to remember that this is just an oversimplification. Brocha's aphasia also cause trouble understanding - especially 'function words' (e.g. patient David Ford studied by Howard Gardner - 1974 pp. 60-61). While Wernicke's aphasia also affects expression - i.e. the speech is a mixture og clarity and gibberish (e.g. Philip Gorgan another patient by Gardner - 1974 pp. 67-68). I'm also 2nd year Med.
12 жыл бұрын
That condition is perfectly understood as well as a normal human brain using those functions correctly. A good neurologist can examine that patient and pinpoint which areas are affected, in which way and what are her main deficits. Now its true that we use a very small part of our brains, and we still dont know for sure how to use or why we have so much more. But im sure humans do understand their human brains, no irony in that.
@loljustice31
11 жыл бұрын
As a second year, you still know less clinical medicine than your parents. You will find that in clinical practice the manifestation of disease isn't as in your textbooks.
@TheCassandraSchoof
11 жыл бұрын
"Usually the patient has some degree of dysfunction in the areas of both expression and reception . . . Few patients have just expressive or receptive aphasia. In most cases, though, one type is dominant." Med-Surg Nursing, Ignatavicius & Workman
@liszt85
11 жыл бұрын
The point is, it isn't clear that this patient has Wernicke's aphasia. This video is not a good example of "classic symptoms" of Wernicke's as the description states.
@Dexterprog
14 жыл бұрын
@DaculDatDracu: it's probably not a pure Wernicke aphasias. Actually, I've been taught that aphasias don't tend to show up exaclty like books describe them, that is to say, they may present mixed symptoms of different types of aphasias. This one looks a lot like a Wernicke's but shows some ability to comprehend and she can repeat phrases (so that kind of leaves conduction aphasia out of the case)
@captainimij
14 жыл бұрын
My uncle had Wernicke-Korsakoff syndrome.He only had about a 4-5 minute memory.He was smart and he knew things.However he had an appetite that was insatiable.He could eat a massive breakfast and be starving about an hour later.Sometimes he would spend the whole day asking the same question over and over.It was hard to see him like that.I was his caregiver for 18 months and it nearly drove me insane.My mother took over and cared for him for about 4 years untill he passed away from mouth cancer.
@BeastV33
Жыл бұрын
that would be due to choric alcohol abuse. This form of aphasia is due to a stroke .
@08danjo
11 жыл бұрын
When our psychology teacher shown this video to us, most of my classmates are laughing out loud. But me, I'm not.
@SONJASAVEDBYGRACE
Жыл бұрын
Right. Smart man you are, and a compassionate one ☝🏽 at that, God bless you
@stacymonique
10 жыл бұрын
my granny has aphasia now....she cant remember me or anybody...only her parents which are dead now....she doesnt want to talk to me....and im overseas on duty and this is not healthy for me at all cause i havent gotten sleep in a week since they told me...and now i have to take leave to see my granny before i deploy this year
@sparkplugpeggy4910
10 ай бұрын
The flicking tongue movements and stuttering letter sounds..... I find those two things interesting.
@bun_nay
11 жыл бұрын
these are most likely patients who have provided consent for research, documentation, and study purposes. not so much as making fun of patients as long as you treat them with respect and no intention to make fun of them.
@EEGMan
14 жыл бұрын
I'm surprised Mike Gazzaniga hasn't gotten after you for posting copyrighted material (but I am happy to see this video available to all)
@BREEZEI
11 жыл бұрын
She understands some of what is said woulda been good to see the therapist to see if she gives gestures or shows her what a smile is etc.
@tangoseal1
9 жыл бұрын
Taking intro to Psychology at Montana State University now and we are studying anatomy of the CNS and PNS and this has been lectured on. Came here to see a real example. There is certainly a disconnect in her Wernicke's Area of her brain. Glad videos like this exist so that we can study what to look for. Its a shame this happens to people but at least she is alive and well and probably enjoying her life (at the time of the video that is).
@Liuhuayue
4 жыл бұрын
It seems like she does understand some things (sticking out her tongue, kissing, smiling, sipping, although the last one was not as accurate of a gesture and was more of onomatopoeia). That's not really what they say is characteristic of Wernicke's, although she definitely has affected speech in a word-salad sort of way, with neologisms and slurred words.
@TiffaniJane94
12 жыл бұрын
@IDrinkYourMilkshake8 Your completely right, except its not that they cannot completely understand. They have difficulty understanding both written and verbal language. she may just be responding to one or two key words she hears :)
@xyz7572
2 жыл бұрын
This does not seem like Wernicke’s aphasia though. Its definitely aphasia, but not Wernicke’s.
@fratdawgg23
10 жыл бұрын
Wonder if aphasia is a symptom of Alzheimer's/dementia. My grandmother had Alzheimer's/dementia and for a few months would respond similarly. After a few months, a couple small strokes left her unable to communicate or walk, then bedridden for about 5 yrs before dying. Horrible. I"d rather have a heart attack and be done with it, ughh.
@joanahenriques8863
10 жыл бұрын
No, Wernicke's aphasia results from a brain lesion in the temporal lobe (an area called Wernicke's area); however, if that part of her brain became deteriorated because of the Alzheimer's, it is a possible cause :/
@colinray171
10 жыл бұрын
also, if any of the "small strokes" affected Wernicke's area she could present similarly
@rareenoughtofind2270
10 жыл бұрын
If your grandmother had a few strokes, it is likely that one or more were in the Wernikie's area of the brain. it is also true that Alzheimer's affects the cerebral cortex (telencephalon), and this area degrades. so it is possible that this area suffered from Alzheimers. usually though, it usually affects memory (the Thalamus) more. What kind of Aphaisa it was depends on whether she was unable to speak to you, or had trouble understanding you. if she had trouble speaking at all, or only could say a few words, it might have been Broca's aphasia. problems understanding you would have been Wernickie's.
@rareenoughtofind2270
10 жыл бұрын
Joana Henriques He did mention her suffering a few small strokes, and that absolutely could have caused a lesion in the Wernikie's area. Coupled with Alzhemiers she may well have had lot's of problems.
@KaylaTheKindOne
10 жыл бұрын
Oh my gosh, that's awful. I give you my sympathy and understanding.
@robertsivonjic5080
10 жыл бұрын
The video looks edited with that gray stuff on which makes it creepier to watch in like 11pm ,_,
@JakeHreish
10 жыл бұрын
im watchin it at 3 am -_-
@videotrash
9 жыл бұрын
Jacoub Hreish you're hardcore
@JakeHreish
9 жыл бұрын
erraticbrain i know ^_^
@girabbit
11 жыл бұрын
She spends 2/3 of the video not doing what the interviewer is asking. She may pick up key words but clearly doesn't comprehend at sentence level.
@malcolmdale
11 жыл бұрын
Very interesting. Thanks .
@BostonColorblind
Жыл бұрын
This was amazing
@gokulnaidu122
9 жыл бұрын
Pete doherty stole all his lyrics from a wernicke's sufferer.
@murrth
12 жыл бұрын
Broca's interferes with the motor aspects of speech production and results in the ability to understand speech but great difficulty generating it.
@FedericoRux
11 жыл бұрын
Comprehension and repetition are quite ok: @ 1:12 -> Examinator: "Can you smile?" - Patient: "Can you smile at me?" she *misunderstands* the command but she's able to repeat, then she also acts the smile. In transcortical aphasias repetition is OK. In Wernicke's Aphasia comprehension is damaged. I think this could be a particular case of Sensory Transcortical Aphasia, essentially because 1. Repetition is not so bad 2. Speech is fluent 3. Mistakes in speech. [I'm a Clinical Psychology Student]
@aishwaryachawla7334
6 жыл бұрын
repetition is present. it is impaired in wenicke's
@Alejandro-pm7mm
9 жыл бұрын
That's amazing i've never seen a illness like that @_@
@doomedfleur12974
Жыл бұрын
wernickes area is for speech comprehension, wernickes aphasia patients will have a hard time understandeing and an easy time speaking brocas area is for speech production, brocas aphasia patients will have a hard time producing speech but an easy time understanding
@flamingfigures
12 жыл бұрын
BROUGHT HERE BECAUSE OF C... ognitive sciences class in university while searching for samples of a cognitive disorder which will be referenced on the midterm.
@MrScooter971
12 жыл бұрын
she's actually speaking an advanced alien language that us mortals lack the mental capacity to process
@girabbit
11 жыл бұрын
"Lack of comprehension = semantic difficulties" - Wrong. They understand non-linguistic communication which relies on semantics. See pyramids & palm trees test. "Broca's aphasia doesn't cause syntactical difficulties" - Yes it does, severely so, with syntactic PRODUCTION. "I'm guessing that the connections..." - you're guessing wrong. Problems with 'vocal mechanisms' would be apraxia or dysarthria. Aphasia is language based, remember? I'm guessing you've never seen a real life aphasic patient.
@KeepDeltaMyDelta
11 жыл бұрын
No, Wernicke's Aphasia causes semantic difficulties, and Broca's causes syntactical difficulties.
@burfordpop
12 жыл бұрын
Also, the person giving her the instructions may be giving visual clues, such as smiling and indicating her mouth when she tells her to mile
@tigrisx23
13 жыл бұрын
in wernickes, they can sound more fluent than in broca's but they understand less. the association part pf the brain is heavily affected. thats why they also have problems identifying objects verbally although they know what it is
@sarahandjaz
10 жыл бұрын
Is this not broca's aphasia?
@Cybergriffey30
10 жыл бұрын
No, this woman has normal motor function. it's the sensory component (Wernicke's area in the temporal lobe) that is causing her to have these symptoms.
@29Jamorjelly
10 жыл бұрын
They way I remember the difference between the two is that BROca's aphasia has BROken speech. Wernike's aphasia is Wordy speech.
@rareenoughtofind2270
10 жыл бұрын
Broca's Aphasia affects the ability to use the body to speak. the person with this condition (in most cases) is able to understand language, and usually wants to respond, but physically cannot. some are able to say a few select words, but no others. this is from a stroke in the left hemisphere, in the Broca's area. Wernickie's aphasia is when the person can speak, but no longer comprehends speech. they are able to say all they want to, but generally make no sense. it depends in the indevidial, but most cannot understand what is said to them either. the difference from Broca's is that they are able to speak but not understand. this is caused by a stroke in the Wernikie's area in the left hemisphere. Both are caused by strokes in the left hemisphere - which is the language hemisphere.
@bturqueza2153
6 жыл бұрын
Broca présents with a slow fluency, difficulté avec liaison des syllabes, prolongation des phonèmes et voyelles. This is not the case. This is a Wernicke
@FedericoRux
11 жыл бұрын
Wow, now it's clear. This undoubtedly is a charming matter! :D Thank you! ^_^
@briza2022
4 жыл бұрын
That was clear Wernicke Aphasia, the person speaks well but is not understanding and just repeating. There are other channels where patients do understand well but do not pronounce nor use the words correctly.
@thepts
12 жыл бұрын
@ThePresident001 Broca patients will say the right words, but they won't have any sentence structure around the words, and generally slowly with bad rhythm. Wernicke's patients usually speak with normal structure, rhythm and tone, but use made-up or wrong words, like the lady in the clip.
@xAyako91x
13 жыл бұрын
@ponczomonczo From what I've learned, they both have repetitive speech and paraphasia. The main difference is that conduction aphasics are usually aware that they have a problem with language but have a really hard time correcting it (basically can't) while Weiricke's aphasics usually are unaware of their disorder. They are very similar though.
@Scully69
12 жыл бұрын
i feel strange to like this, so i comment... pretty interesting & somehow sad
@amarmirza08
11 жыл бұрын
I am not aware there is a treatment, though I do remember hearing brain plasticity allows for compensatory pathways to spontaneously generate.
@liszt85
11 жыл бұрын
Lack of comprehension = semantic difficulties more or less. Broca's aphasia doesn't cause syntactical difficulties. Patients with Broca's aphasia don't have problems UNDERSTANDING speech, so clearly they have no problems with comprehending syntax (which is part of speech). It is a PRODUCTION problem. In Broca's aphasia, I'm guessing that the connections between the PFC (specifically Broca's region) and the motor cortex (in particular the parts that control vocal mechanisms) are affected.
@DaculDatDracu
14 жыл бұрын
The question is: Why does she still kept comprehension signs? Is it a partial mild lesion or is it compensation cortical reparations process that allowed her to understand after a while?The anatomical support of these interesting cases like this one I would like to study
@TheChouse27
11 жыл бұрын
That was kinda my point. Someone was ragging on clinicians for not knowing the difference between Wernicke's aphasia and Mixed Transcortical Aphasia. The reason that they don't know is because the etiologies, and the treatments, are the same. Separating them is academic in nature.
@dlaESP
12 жыл бұрын
Am I the only one slightly disturbed by this and a little bit amused at the same time? D:
@ThePresident001
12 жыл бұрын
Is this not Broca's Aphasia? Broca's Aphasia is the loss of speech generation as opposed to Wernicke's Aphasia which is loss of speech comprehension. She seems to understand speech but not generate it. Am I wrong?
@FedericoRux
11 жыл бұрын
Speech pathologist? Cool! :D Yep, I was wondering the same thing (I mean, the examinator that acts the smile). So do you say that this actually IS a Wernicke's Aphasia? I mean, even if there is a [poor but still present] comprehension? (I've got a Neuropsychology exam tomorrow xD)
@TheChouse27
11 жыл бұрын
So what is the difference in treatment that a physician would have for these two types of lesions?
@celinelakra
13 жыл бұрын
this is a little bit unusual for a patient with true wernike's aphasia, as she seems to have some understanding of what the examiner is saying. Usually this is not the case. Classically understanding AND expression are impaired.
@smokingweapon
11 жыл бұрын
I didn't come here from Cracked, that disturbs me... which article in cracked covers Wernicke-Geschwind model of aphasia?! How the hell did I miss it?!
@michaeltao7860
9 жыл бұрын
Firecracker brought me here
@Houdini116
14 жыл бұрын
Can someone explain this to me? So in her mind does she think that she is speaking in a language/answering normally? And she waits for the woman to ask her questions and then she answers, so she can still comprehend somethings? And since her ability to sort of make sense of words is impaired when she speaks, does that also mean that she cannot write coherently? And last thing, do patients ever recover from this? Thanks
@xAyako91x
13 жыл бұрын
@IDrinkYourMilkshake8 I agree with portsy. Also I think it has to do with the fact that Aphasia varies so much with different patients. Some are more severe than others and usually never fit a classic definition 100%.
@yeehc0mon
13 жыл бұрын
In order to deal with the condition it is not uncommon for patients to preform in jazz bands as scat singers.
@freubelaar
13 жыл бұрын
@celinelakra I've just begun studying this subject so I'm not sure, but could it be that she does understand single words but just doesn't understand sentences, the links between words when putting them in a certain order?
@Kateaclysmic
14 жыл бұрын
@DaculDatDracu Isn't Wernicke's aphasia generally due to brain damage? If so then I would guess it's likely that nearby areas of the brain would also have been affected by whatever caused the damage, and thus most people presenting with Wernicke's aphasia would also have other cognitive disabilities, which would explain why many would have a lower respose to simple orders. Perhaps this is a better example of the condition itself rather than general brain damage in which it is a result?
@wefkr
11 жыл бұрын
Thank youuuuuuu!
@portsy101
13 жыл бұрын
@IDrinkYourMilkshake8 Probably through other contextual cues, like facial expressions or vocal intonations. Speech can still convey a lot even if the words are nonsense to the listener.
@xAyako91x
13 жыл бұрын
@RapidEyesCream They're usually unaware that they have a speech disorder or don't make sense.
@iDerek4Real
11 жыл бұрын
If she had a throwed beat and a microphone she would be my hero!! She a beast with them lyrics!!!
@drugchicken
14 жыл бұрын
@kaufmann85 Maybe there's an additional diagnosis of echolalia going on here? Seems unlikely, but I've seen some bizarre combinations manifest in my line of work.
@Dexterprog
14 жыл бұрын
@DaculDatDracu: That's why I am really interested in aphasias. It's really amusing how the present on the patients.
@liszt85
11 жыл бұрын
The reason I deleted my comment was because I said this looked more like Broca's than Wernicke's. I now don't think that is the case. I think it is very inconclusive. She understands a lot of what is being said (which is not typical of a classic case of Wernicke's). She repeats a lot of stuff (in Wernicke's, the typical symptom is fluent speech that makes no sense, not extreme repetition). So I don't think this video is a good example of the classic symptoms at all (the description says it is).
@DaculDatDracu
14 жыл бұрын
This woman must be a lucky case.There could be a few connections left functional,as she has a tiny comprehension.Never seen a Wernicke aphasia patient to execute so good simple orders.The ones I've seen were having zero response.
@griccioppo
14 жыл бұрын
I see here signs of palilalia and echolalia. Besides, there is such a level of comprehension that I am not used to see in patients with Wernick's aphasia. I do would like to see her frontal lobes.
@DesireeAleece
12 жыл бұрын
@IDrinkYourMilkshake8 Not all brain damage is the same. She CAN comprehend simple things, but other things are harder to comprehend.
@Cerebralcinema
11 жыл бұрын
Yes, double-talking is a prerequisite.
@aheartwork
14 жыл бұрын
Her comprehension is fair, but her delivery of words is not very fluent. I have seen cases in which the words flow very fluently but the comprehension is terrible. I would love to see her temporal lobe and find out where exactly she has damage. I an puzzled to see different footage of the same disorder, and yet, every patient shows slight variations in their comprehensive aspect and their delivery.
@girabbit
11 жыл бұрын
It is almost a perfect example, it's just not a profound Wernicke's. To not understand simple instructions is still severe - she's probably picking up key words.
@raulduke3237
7 жыл бұрын
Thankee Sai
@samfreeman1506
11 жыл бұрын
A couple of times the experimenter says 'look' e.g. with the smile, so I thought as I watched it the first time the patient was only successful when the experimenter showed her what to do.
@kaufmann85
14 жыл бұрын
@DaculDatDracu That's what I would have thought. If it was complete Wernicke's aphasia she wouldn't be able to understand the directions...even if they were written?! My guess is she understands the idea of a request to copy the speech, but doesn't actually understand the words being spoken...maybe?
@TheSchallaman
12 жыл бұрын
It's funny to see people who aren't in the medical profession try to argue about the different kinds of aphasia and both parties involved are wrong...
@MrAkGful
7 жыл бұрын
isn't this a broca type aphasia since she can understand what the other speaker says but cannot repeat?
@invinciblegrammie1
12 жыл бұрын
At Baseball player it almost sound like she is saying Base Roos. Maybe she was trying to say Babe Ruth.
@gracii92
12 жыл бұрын
What's the difference between this and Broca's aphasia?
@sapicklez
12 жыл бұрын
I think she's just coming onto her.
@1969MARKETING
2 жыл бұрын
she sounds like she's speaking some other legit foreign language
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