THE BRAIN DAMAGE
AND LANGUAGE
MODULE5LESSON3
GROUP10
TYPES OF
BRAIN
DAMAGE
TraumaticBrainInjury
NontraumaticBrainInjury
CongenitalBrainInjury
Traumatic
Brain Injury
Traumaticbraininjuryhappenswhenasudden,
external,physicalassaultdamagesthebrain.
Thedamagecanbefocalordiffuse.
Theseverityofabraininjurycanrangefroma
mildconcussiontoasevereinjurythatresultsin
comaorevendeath.
Traumatic Brain Injury
ClosedBrainInjury
Closedbraininjurieshappenwhenthereisa
nonpenetratinginjurytothebrainwithnobreak
intheskull.
PenetratingBrainInjury
Penetrating,oropenheadinjurieshappenwhen
thereisabreakintheskull.
Two Types of Traumatic Brain Injury
DiffuseAxonalInjury
istheshearing(tearing)ofthebrain’slong
connectingnervefibers(axons)that
happenswhenthebrainisinjuredasitshifts
androtatesinsidethebonyskull.
What is Diffuse Axonal Injury?
What is Primary and Secondary
Brain Injury?
Primarybraininjury
refers to the sudden and profound injury to
the brain that is considered to be more or
lesscompleteatthetimeofimpact.
What is Primary and Secondary
Brain Injury?
Secondarybraininjury
refers to the changes that evolve over a
period of hours to days after the primary
braininjury.
NonTraumatic
Brain Injury
Non-traumaticbraininjury(alsocommonlyreferred
toasanacquiredbraininjuryorABI)
causesdamagetothebrainbyinternalfactors.
In this instance, “traumatic” refers to the
cause of the injury, not in the psychological
sense.
Nontraumatic Brain damage
stroke
lackofoxygentothebrain
brainaneurysm
infectiousdiseasethataffectsthebrain
What Causes Nontraumatic Brain
Injury?
Congenital
Brain Injury
Congenital brain defects are abnormalities in the
brain that are present at birth. There are many
different types of these defects. They can vary
greatlyfrommildtosevereconditions.
Congenital Brain Injury
WHAT CAUSES
BRAIN
DAMAGE?
Caraccidents
Blowstothehead
Sportsinjuries
Fallsoraccidents
Physicalviolence
Causes of Traumatic
Brain Injury:
Exposuretotoxicsubstances
Infection
Stroke
Tumors
Aneurysms
Heartattack
Neurologicalillnesses
Abuseofillegaldrugs
Causes of Acquired
Brain Injury:
alsoknownas“NEOPLASM”.
Neoplasmmeans“NEWGROWTH”,amass
ofcellsthatgrowsintherestofthe
body.
About20%oftumorsfoundinhuman
brainaremeningiomas.
Brain Tumors
Types of Brain Tumors
1.Meningiomas
2.EncapsulatedTumors
3.InfiltratingTumors
4.BenignTumors
5.MalignantTumors
6.Gliomas
7.MetastaticTumors
8.AcousticNeuromas
Itisastrokethatisasudden-onset
cerebrovasculardisorderthatcauses
braindamage.
Infarctistheareaofdeadordying
tissuethatproducedbyastroke.
Penumbraisthereversiblyinjuredbrain
tissuearoundtheischemiccore.
Cerebrovascular Disorder
1.CerebralHemorrhage
Aneurysm
2.CerebralIschemia
Thrombosis
Embolism
Arteriosclerosis
2 Types of Stroke
Itisabraininjuryproducedbyblowsthatdonot
penetratetheskull.
Contusionsareclosed-headinjuriesinvolving
damagetothecerebralcirculatorysystem
whichresultshematoma.
Concussioncausedbyablowtotheheadthat
causestheheadandbraintomoverapidlyback
andforth.
Closed-Head Injuries
Braininfectionisaninvasionofthe
brainbymicroorganismsand
resultinginflammationto
encephalitis.
Infections of the Brain
1.BacterialInfections
-Syphilis
-GeneralParesis
2. ViralInfections
-Rabies
-Mumps&Herpes
2 Causes of Infections of
the Brain
Thenervoussystemcanbedamaged
byexposuretoanytoxicchemicals.
Sometimesthedrugsthatusedto
treatneurologicalorpsychiatric
disordercanbetoxic.
Neurotoxins
1.ToxicPsychosis
2.TardiveDyskinesia
3.Endogenous
3 Types of Neurotoxins
Geneticaccidentwascausedbya
neuropsychologicaldisorderof
geneticorigin.
Itisassociatedwithdownsyndrome.
Genetic Factors
PHYSICAL
PERCEPTUAL
BEHAVIORAL/
EMOTIONAL
COGNITIVE
1
3
2
4
Thereare FOUR MAJOR CATEGORIES
ofsymptomsofbraindamage
Difficulty processing information
Difficulty in expressing thoughts
Difficulty understanding others
Shortened attention span
Inability to understand abstract
concepts
Impaired decision-making ability
Memory loss
COGNITIVE SYMPTOMS
Change in vision, hearing, or
sense of touch
Spatial disorientation
Inability to sense time
Disorders of smell and taste
Balance issues
Heightened sensitivity to pain
PERCEPTUAL SYMPTOMS
PHYSICAL SYMPTOMS
Persistent headaches
Extreme mental fatigue
Extreme physical fatigue
Paralysis
Weakness
Tremors
PHYSICAL SYMPTOMS
Seizures
Sensitivity to light
Sleep disorders
Slurred speech
Loss of consciousness
BEHAVIORAL/EMOTIONAL
SYMPTOMS
Irritability and impatience
Reduced tolerance for stress
Sluggishness
Flattened or heightened emotions
or reactions
Denial of disability
Increased aggressiveness
What part of the
brain are
responsible for
speech and
language?
DiscoveredbyFrench
physicianandanatomist,
PierrePaulBrocain1861
Locatedatthefrontalcortex
inthelefthemisphereofthe
brain.
Itisassociatedwithspeech
productionandarticulation.
Broca’s Area
DiscoveredbyKarlWernickein1874.
Locatedposteriortothetemporal
loveatthelefthemisphere,andis
connectedtotheBroca’sAreaviaa
neuralpathway(Arcuate
Fasciculus)
Primarilyinvolvedincomprehension
andlanguageprocessing,whether
writtenorspoken
Wernicke’s Area
The Broca’s and Wernicke’s Area
APHASIA,
PARAPHASIA, AND
DYSLEXIA
APHASIA
APHASIA
is the term used to describe an acquired
loss of language that causes problems
with any or all of the following:
speaking, listening, reading and writing.
APHASIA
Three most common types of Aphasia:
Expressive Aphasia
Receptive Aphasia
Global Aphasia
BROCA’S APHASIA
BROCA’S APHASIA
Also known as Nonfluent Aphasia or Expressive
Aphasia.
Related to language and not the vocal muscles;
Slow and awkward with all forms of language
communication.
Speech is meaningful but sparse.
BROCA’S APHASIA
Omits pronouns, prepositions, conjunctions,
auxiliary verbs, quantifiers, and tense and number
endings.
Closed Class: Prepositions, conjunctions,
helping verbs.
Open Class: New nouns and verbs.
BROCA’S APHASIA:
Problems in Comprehending Grammatical Words and Devices
People with Broca’s Aphasia understand most
speech, except when the meaning depends
on prepositions, word endings, or complex
grammar.
BROCA’S APHASIA:
Problems in Comprehending Grammatical Words and Devices
WERNICKE’S APHASIA
WERNICKE’S APHASIA
Also known as Fluent Aphasia or
Receptive Aphasia.
Poor language comprehension.
Impaired ability to remember the names
of objects.
Omits most nouns and verbs.
WERNICKE’S APHASIA
Typical characteristics of Wernicke’s Aphasia:
WERNICKE’S APHASIA
Typical characteristics of Wernicke’s Aphasia:
1. Articulate speech
WERNICKE’S APHASIA
ARTICULATE SPEECH
Speaks fluently.
Pausing when trying to think of the name of
something.
Have no trouble with prepositions,
conjunctions, or grammar.
WERNICKE’S APHASIA
Typical characteristics of Wernicke’s Aphasia:
1. Articulate speech
2. Difficulty finding the right word
WERNICKE’S APHASIA
DIFFICULTY FINDING THE RIGHT WORD:
Anomia.
Make up names; substitute one name
for another.
Arrange words improperly.
WERNICKE’S APHASIA
Typical characteristics of Wernicke’s Aphasia:
1. Articulate speech
2. Difficulty finding the right word
3. Poor language comprehension
WERNICKE’S APHASIA
POOR LANGUAGE COMPREHENSION
Have trouble understanding speech,
writing, and sign language.
GLOBAL APHASIA
GLOBAL APHASIA
Most severe form of Aphasia;
Impairment of both Broca’s Aphasia and
Wernicke’s Aphasia.
Speech and language are affected.
Significantly impaired comprehension.
Can perform normally on Nonverbal tasks.
ADDITIONAL TYPE OF APHASIA
PRIMARY PROGRESSIVE APHASIA
ADDITIONAL TYPE OF APHASIA
PRIMARY PROGRESSIVE APHASIA
Neurological disorder that causes a person to gradually lose
language skills.
Neurodegenerative disease (Alzheimer’s disease or/and
frontotemporal Dementia).
Some types of PPA:
Logopenic Primary Progressive Aphasia (IvPPA)
Nonfluent Primary Progressive Aphasia (nfvPPA)
Semantic Variant Primary Progressive Aphasia (svPPA)
PARAPHASIA
PARAPHASIA
is a speech disorder with
neurological origins.
The production of speech is not
correct.
THREE TYPES OF
PARAPHASIA
Phonemic paraphasia
Verbal paraphasia
Neologistic paraphasia
PHONEMIC PARAPHASIA
incorrect phonemes are substituted.
VERBAL PARAPHASIA
saying a completely different word than the one
intended.
NEOLOGISTIC PARAPHASIA
Also referred to as Neologism.
Use of non-real words in place of the intended word.
Invented words do not sound similar to the intended word.
more than half of a word is incorrect.
DYSLEXIA
DYSLEXIA
Learning disability that disrupts how your brain
processes written language.
A reading disorder, one that does not result from
general visual, motor, or intelllectual deficits.
There are two fundamentally different types of
dyslexia
DEVELOPMENTAL DYSLEXIA
This becomes apparent when a child is learning to
read
This is more common and its causes are less obvious
This disorder has a heritability estimate of about 50
percent
Developlmental dyslexia has been attributed to
attentional, auditory, visual, and sensimotor deficits
DEVELOPMENTAL DYSLEXIA
However, these deficits are not present in every
patient
Therefore this resulted to the widespread agreement
that dyslexia results most commonly from a specific
disturbance of phonological processing (the
representation and comprehension of speech
sounds)
ACQUIRED DYSLEXIA
Caused by brain damage in individuals who were
already capable of reading
Thank you!

THE BRAIN DAMAGE AND LANGUAGE physiology