Central Language Mechanism and Its
Disorders
Central Language Mechanism
• - A brain network for language
• - In the left hemisphere
• - Handles speaking, understanding, reading,
writing
Broca’s Area
• - Located in the frontal lobe
• - Responsible for speech production
• - Controls grammar and sentence structure
Wernicke’s Area
• - Located in the temporal lobe
• - Responsible for language comprehension
• - Understanding spoken and written language
Arcuate Fasciculus
• - Connects Broca’s and Wernicke’s areas
• - Facilitates repetition and coordination
between comprehension and production
Angular Gyrus
• - Located in parietal lobe
• - Involved in reading, writing, and semantic
processing
Supramarginal Gyrus
• - Assists in phonological processing
• - Important for articulation and verbal working
memory
Language Lateralization
• - Language is left-dominant in 95% of right-
handed people
• - Right hemisphere plays a supportive role
Aphasias
• - Language disorders due to brain damage
• - Affect speaking, understanding, reading, or
writing
Causes of Aphasias
• - Stroke
• - Traumatic brain injury
• - Brain tumor or infection
Broca’s Aphasia
• - Non-fluent, effortful speech
• - Good comprehension
• - Poor grammar and repetition
Wernicke’s Aphasia
• - Fluent but nonsensical speech
• - Poor comprehension
• - Word salad and neologisms
Global Aphasia
• - Severe impairment in all language functions
• - Usually due to massive stroke
Conduction Aphasia
• - Fluent speech and good comprehension
• - Poor repetition
• - Caused by arcuate fasciculus damage
Anomic Aphasia
• - Difficulty finding words
• - Speech is fluent and grammatically correct
• - Comprehension intact
Transcortical Motor Aphasia
• - Similar to Broca’s but repetition is intact
• - Frontal lobe damage
Transcortical Sensory Aphasia
• - Similar to Wernicke’s but repetition is intact
• - Damage near Wernicke’s area
Mixed Transcortical Aphasia
• - Non-fluent speech, poor comprehension
• - Repetition preserved
Assessment of Aphasias
• - Clinical examination
• - Imaging (CT, MRI)
• - Standardized language tests
DYSARTHRIA
• Cerebellar dysarthria: Patient speaks slowly
and deliberately, syllable by syllable as if
scanning a line of poetry and the normal
prosodic rhythm is lost (scanning speech)
• Pseudo-bulbar (spastic) dysarthria: Individual
syllables are slurred and the precision of
consonant pronunciation is lost
Bulbar dysarthria: Lower motor neuron bulbar
palsy affect the muscles of articulation There is
non specific slurring of speech.Other feature like
dysphagia and nasal regurgitation are present
Cortical dysarthria: There is irregular hesitancy
in word production associated with difficulties in
abstract, volitional movements of the lips &
tongue (Orofacial apraxia)
THANK YOU

Central_Language_Mechanism_and_its_disorders_Ppt.pptx