Broca’s (expressive, motor or anterior) aphasia is a nonfluent type of aphasia due to a lesion involving the anterior perisylvian speech areas in the posterior inferior frontal region. Patients have labored, uninflected, nonfluent spontaneous speech with a decreased amount of linguistic output: few words, short sentences and poor grammar. In severe Broca’s aphasia, the speech consists of nouns and substantive verbs produced with great effort. There is a tendency to leave out nonessential words such as adjectives, adverbs, and functor words (telegraphic speech). Speech comprehension is relatively unimpaired.
The patient in the video suffered a large hemorrhagic stroke involving the left hemisphere and has been left with a right spastic hemiplegia and Broca's aphasia. He is severely nonfluent with very sparse, effortful and largely unintelligible verbal output. Comprehension is well preserved; he follows simple commands and clearly understands what is said to him. He can recite overlearned material, the days of the week, but can't spontaneously give the correct day. He has a repetitive utterance, or monophasia, something to the effect of "I bad." He is very aware of and frustrated by his speech limitations.
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