Aphasia: Symptoms, Causes, Types, Treatment, and More (2024)

Aphasia is a communication disorder due to brain damage in one or more areas of the brain that control language. It can interfere with your verbal communication (getting words mixed up when speaking), written communication, or both.

Aphasia can cause problems with your ability to:

  • read
  • write
  • speak
  • understand speech
  • listen

There are a few different types of aphasia. The type depends on the part of the brain that has suffered damage.

According to the National Aphasia Association, aphasia affects about 2 million people in the United States, but many people have never heard of it.

Just because someone is living with aphasia does not mean they have a mental disorder or have lowered intelligence.

Symptoms of aphasia can vary from mild to severe. They depend on where the damage occurs in your brain and the severity of that damage.

Many of the symptoms of the different types of aphasia can overlap, which is why it’s essential to get a medical professional’s opinion if you believe you or someone you love is living with aphasia.

Aphasia can affect your:

  • speaking
  • comprehension
  • reading
  • writing
  • expressive communication, which involves using words and sentences
  • receptive communication, which involves understanding the words of others

Symptoms that affect expressive communication can include:

  • speaking in short, incomplete sentences or phrases
  • speaking in sentences that others can’t understand
  • using the wrong words or nonsense words
  • using words in the wrong order

Symptoms that affect receptive communication can include:

  • difficulty understanding other people’s speech
  • difficulty following fast-paced speech
  • misunderstanding figurative speech

Aphasia occurs most often as a result of damage to one or more areas of your brain that control language.

Aphasia can occur due to:

Strokes are the most common cause of aphasia. According to the National Aphasia Association, aphasia occurs in 25 to 40 percent of people who’ve had a stroke.

When to see a doctor

Because aphasia is often the result of a stroke, it’s essential to speak with a doctor if you suddenly have difficulty:

  • speaking
  • comprehending others
  • reading
  • writing

Or, if you suddenly develop:

  • a weak or numb feeling in your arm
  • walking difficulties
  • drooping on one side of your face
  • a severe headache

A stroke is not always painful. Knowing the signs may save your life.

Causes of temporary aphasia

Seizures or migraine can cause temporary aphasia.

Temporary aphasia can also occur due to a transient ischemic attack (TIA), which temporarily interrupts blood flow to your brain. A TIA is sometimes called a “ministroke.“

The effects of a TIA include:

  • weakness
  • numbness of certain body parts
  • difficulty speaking
  • difficulty understanding speech

A TIA is different from a stroke because its effects are temporary, but it can also be a precursor to an actual stroke. Anyone who believes they’ve just dealt with a TIA should talk with a doctor immediately.

Aphasia can affect people of all ages, including children.

Since strokes are the most common cause of aphasia, the majority of people with aphasia are middle-aged or older.

According to the National Aphasia Association, there are many types — or patterns — of aphasia. Out of these many types, there are a few that are quite prevalent.

Global aphasia

Global aphasia is the most severe type of aphasia, and it’s typically caused by major damage to the front and back of the left side of your brain. People with this type of aphasia usually have:

  • severe problems using words
  • severe problems understanding words
  • limited ability to use a few words together
  • an almost nonexistent ability to read or write

Broca‘s aphasia

Broca’s aphasia is called “non-fluent aphasia“ because of the difficulty a person has with speaking. Typically, Broca‘s aphasia involves damage to the left frontal area of the brain. People with this type of aphasia usually:

  • speak in short, incomplete sentences
  • are able to convey basic messages but may be missing some words
  • have a limited ability to understand what others say
  • experience frustration because others can’t understand them
  • have weakness or paralysis on the right side of the body

Mixed non-fluent aphasia

With some symptoms similar to Broca’s aphasia — meaning limited and difficult speech — people with mixed non-fluent aphasia also:

  • have a limited comprehension of speech
  • can only read and write at a very elementary level

Wernicke‘s aphasia

Also identified as fluent aphasia, Wernicke‘s aphasia typically involves damage to the middle left side of the brain. People with this type of aphasia can speak but have trouble understanding when others speak. Additional symptoms include:

  • being unable to understand and use language correctly
  • tending to speak in long, complex sentences that are meaningless and include incorrect or nonsense words
  • not realizing that others can’t understand them
  • impaired reading and writing

Anomic aphasia

The main feature of this pattern of aphasia is difficulty finding words that you really want to use, particularly nouns and verbs. People with anomic aphasia can usually speak well, but their speech is usually full of expressions of frustration. Additionally:

  • they can understand others‘ speech well
  • they can read well
  • their difficulty in finding words is also evident in their writing

Primary progressive aphasia (PPA)

As the name suggests, this type of aphasia is progressive, which means it gets worse over time. Usually, PPA is a result of neurodegenerative diseases, such as Alzheimer‘s disease. Initially, symptoms start with a loss of language and speech but can progress to a loss of memory.

If your doctor suspects you or someone you care for has aphasia, they may order imaging tests to find the source of the problem. A CT or MRI scan can help them identify the location and severity of the brain damage.

Your doctor may also screen you for aphasia during treatment for a brain injury or stroke. For example, they may test your ability to:

  • follow commands
  • name objects
  • participate in a conversation
  • answer questions
  • write words
  • read

If you have aphasia, a speech-language pathologist can help identify specific communication disabilities. During the examination, they’ll test your ability to:

  • speak clearly
  • express ideas coherently
  • interact with others
  • read
  • write
  • understand verbal and written language
  • use alternative forms of communication
  • swallow

The specific treatment a doctor might recommend will depend on the type, or pattern, of aphasia. Overall, the goal of treatment is to help an individual gain the greatest independence possible.

Certain types of aphasia may improve with speech-language therapy. This therapy typically proceeds slowly and gradually, and it should be started as early as possible after a brain injury. Specific treatment plans may involve:

  • performing exercises to improve communication skills
  • working in groups to practice communication skills
  • testing communication skills in real-life situations
  • learning to use other forms of communication, such as gestures, drawings, and computer-mediated
    communication
  • using computers to relearn word sounds and verbs
  • encouraging family involvement to help with communication at home

Emotional support in the form of talk therapy and family involvement may also be recommended, especially if a person is struggling with their diagnosis and the symptoms.

Transcranial magnetic stimulation (TMS), which is a noninvasive form of brain stimulation, is one new method that has also shown some promise when it comes to improving certain symptoms of aphasia. However, most of the studies around this method are currently only used in research settings.

Many of the conditions that cause aphasia aren’t preventable, such as brain tumors or degenerative diseases. However, the most common cause of aphasia is stroke. If you can work on reducing your risk of stroke, you can lower your risk of aphasia.

You can take the following steps to lower your risk of stroke:

If you have temporary aphasia due to a TIA or migraine attack, you may not need treatment, and symptoms may fade with time.

If you or someone you love has a more permanent type of aphasia, which is usually caused by stroke, brain trauma, an infection, or a neurodegenerative disease, several factors determine the outlook:

  • the cause of the brain damage
  • the location of the brain damage
  • the severity of the brain damage
  • your age
  • your overall health

Treating aphasia usually comes down to helping a person become as independent as possible with their condition. Emotional support, therapy, and other methods of healing may also be recommended.

If a loved one is living with aphasia, you may want to consider thinking about how you communicate with them. Consider the following methods to increase communication on both sides:

  • Minimize or completely eliminate background noise when speaking with them.
  • Keep your words simple but appropriately “adult.“ There is no need to talk down to someone with aphasia.
  • Give the person time to speak. Resist the urge to finish their sentences.
  • Use gestures, drawings, or written notes to help your communication.
  • Downplay errors and encourage successes.
Aphasia: Symptoms, Causes, Types, Treatment, and More (2024)

FAQs

What are 4 causes of aphasia? ›

Causes of aphasia

stroke – the most common cause of aphasia. severe head injury. a brain tumour. progressive neurological conditions – conditions that cause the brain and nervous system to become damaged over time, such as dementia.

What are the 4 types of aphasia? ›

The most common types of aphasia are: Broca's aphasia. Wernicke's aphasia. ​Anomic aphasia.
...
Primary progressive aphasia (PPA) is a condition where language capabilities become slowly and progressively worse, leading to a gradual loss of the ability to:
  • Read.
  • Write.
  • Speak.
  • Understand what other people are saying.

What is aphasia its causes and probable treatments? ›

Aphasia usually occurs suddenly, often following a stroke or head injury, but it may also develop slowly, as the result of a brain tumor or a progressive neurological disease. The disorder impairs the expression and understanding of language as well as reading and writing.

What is the best treatment for aphasia? ›

The recommended treatment for aphasia is usually speech and language therapy. Sometimes aphasia improves on its own without treatment. This treatment is carried out by a speech and language therapist (SLT). If you were admitted to hospital, there should be a speech and language therapy team there.

What nerve is damaged in aphasia? ›

Dysarthria and aphasia represent primary symptoms of cerebral nerve dysfunction, and may particularly involve the facial and the hypoglossal nerves.

What causes aphasia types? ›

There are also multiple types of aphasia. The location of the damage in your brain determines the type of aphasia you have. This condition is almost always a symptom of another problem, such as a stroke or traumatic brain injury. It can also happen as a temporary effect of conditions like migraines.

How do you test for aphasia? ›

Magnetic resonance imaging (MRI) scans can help diagnose primary progressive aphasia, detect shrinking of certain areas of the brain and show which area of the brain might be affected. MRI scans can also detect strokes, tumors or other conditions that affect brain function.

What causes aphasia symptoms? ›

The most common cause of aphasia is brain damage resulting from a stroke — the blockage or rupture of a blood vessel in the brain. Loss of blood to the brain leads to brain cell death or damage in areas that control language.

What is a Broca's aphasia? ›

Broca aphasia is a non-fluent aphasia in which the output of spontaneous speech is markedly diminished and there is a loss of normal grammatical structure. Specifically, small linking words, conjunctions, such as and, or, and but, and the use of prepositions are lost.

Is aphasia treatable or curable? ›

Some people with aphasia recover completely without treatment. But for most people, some amount of aphasia typically remains. Treatments such as speech therapy can often help recover some speech and language functions over time, but many people continue to have problems communicating.

Which drugs cause aphasia? ›

So far, several medications have been reported to cause aphasia, including: ipilimumab; immunomodulatory drugs (thalidomide, lenalidomide, pomalidomide); lamotrigine; vigabatrin; sulfasalazine; cyclosporine A; ifosfamide; phenylpropanolamine; naftidrofuryl oxalate; and some contrast mediums (Table 1).

What infection causes aphasia? ›

Expressive aphasia caused by Streptococcus intermedius brain abscess in an immunocompetent patient - PMC. The . gov means it's official.

How can I treat aphasia at home? ›

Tips to facilitate success
  1. Continue to treat the aphasic patient as the mature adult that he or she is.
  2. Reduce background noise (radio, other conversations, etc.).
  3. Reduce visual distractions (TV, movement).
  4. Be sure you have the person's attention prior to speaking.
  5. Keep messages short and simple.
26 Dec 2013

What is the recovery of aphasia? ›

A person with aphasia may never regain their full speech and language skills. However, they may learn new ways to communicate. By recovery, we mean rebuilding or learning new communication skills, battling the isolation that often comes with aphasia, and reclaiming a piece of independence for you or your loved one.

Can you recover after aphasia? ›

Patients can recover from aphasia spontaneously, on their own without treatment, in a mild case. There is no guaranteed cure. The purpose of speech therapy is help the patient fully utilize the remaining skills and to learn compensatory skills.

Is aphasia a stroke? ›

Aphasia is a language disorder that affects your ability to communicate. It's most often caused by strokes in the left side of the brain that control speech and language. People with aphasia may struggle with communicating in daily activities at home, socially or at work.

Is aphasia a disease? ›

Aphasia is not a disease, but a symptom of brain damage. Although it is primarily seen in individuals who have suffered a stroke, aphasia can also result from a brain tumor, infection, inflammation, head injury, or dementia that affect language-associated regions of the brain.

What are three types of brain damage that cause aphasia? ›

Aphasia after a stroke is common but a traumatic brain injury or brain infection can also cause aphasia. The three kinds of post-stroke aphasia are Broca's aphasia, Wernicke's aphasia, and global aphasia, which all affect your ability to speak and/or understand language.

Which part of the brain causes aphasia? ›

Damage to the temporal lobe (the side portion) of the brain may result in a fluent aphasia called Wernicke's aphasia (see figure). In most people, the damage occurs in the left temporal lobe, although it can result from damage to the right lobe as well.

What part of the brain controls aphasia? ›

Broca's (expressive or motor) Aphasia

Damage to a discrete part of the brain in the left frontal lobe (Broca's area) of the language-dominant hemisphere has been shown to significantly affect the use of spontaneous speech and motor speech control.

Can aphasia be caused by stress? ›

The answer is no. There are several common and possible causes of aphasia, however anxiety is not among them. At the same time, anxiety often occurs after strokes, and it is commonly seen in people with aphasia. It's not at all surprising that many people wonder about the connection between anxiety and aphasia.

What are the 6 types of aphasia? ›

Types of aphasia
  • Global aphasia. This is the most severe form of aphasia, and is applied to patients who can produce few recognizable words and understand little or no spoken language. ...
  • Broca's aphasia. ('non-fluent aphasia') ...
  • Mixed non-fluent aphasia. ...
  • Wernicke's aphasia. ...
  • Anomic aphasia. ...
  • Primary Progressive Aphasia.

How long can aphasia last? ›

The prognosis for aphasia recovery depends in large part upon the underlying etiology. This has been best studied in cerebrovascular disease. Most patients with poststroke aphasia improve to some extent [1-4,14,15]. Most improvement occurs within the first few months and plateaus after one year.

Is aphasia always serious? ›

Aphasia may be mild or severe. With mild aphasia, the person may be able to converse, yet have trouble finding the right word or understanding complex conversations. Serious aphasia makes the person less able to communicate. The person may say little and may not take part in or understand any conversation.

How does a person with aphasia feel? ›

People with aphasia are often frustrated and confused because they can't speak as well or understand things the way they did before their stroke. They may act differently because of changes in their brain. Imagine looking at the headlines of the morning newspaper and not being able to recognize the words.

When does aphasia get worse? ›

Symptoms begin gradually, often before age 65, and worsen over time.

What problem does the aphasia cause? ›

About Aphasia

Language skills are in the left half of the brain in most people. Damage on that side of your brain may lead to language problems. Damage on the right side of your brain may cause other problems, like poor attention or memory. Aphasia may make it hard for you to understand, speak, read, or write.

What is Broca's aphasia and Wernicke's aphasia? ›

Wernicke's aphasia causes you to speak in a jumbled “word salad” that others can't understand. Broca's aphasia leaves you with limited language. You might only be able to say single words or very short sentences. But others can usually understand what you mean.

What causes Broca's aphasia? ›

Broca's aphasia causes

stroke. brain tumor. injury to the brain, such as from a severe blow to the head or gunshot wound. infection in the brain.

What is Wernicke's aphasia? ›

Wernicke aphasia is characterized by impaired language comprehension. Despite this impaired comprehension, speech may have a normal rate, rhythm, and grammar. The most common cause of Wernicke's aphasia is an ischemic stroke affecting the posterior temporal lobe of the dominant hemisphere.

What type of tumor causes aphasia? ›

Brain tumors can either be benign (non-cancerous) or malignant (cancerous). A tumor can cause aphasia if it impacts the brain's language centers. Aphasia due to cancer is called neoplastic aphasia. Although brain tumors are not as common as strokes, about 30-50% of people with brain tumors experience aphasia.

What is the most common reason for aphasia? ›

The most common cause of aphasia is brain damage resulting from a stroke — the blockage or rupture of a blood vessel in the brain.

What neurological diseases cause aphasia? ›

Although it is primarily seen in individuals who have suffered a stroke, aphasia can also result from a brain tumor, infection, inflammation, head injury, or dementia that affect language-associated regions of the brain. It is estimated that about 1 million people in the United States today suffer from aphasia.

Can you fully recover from aphasia? ›

A person with aphasia may never regain their full speech and language skills. However, they may learn new ways to communicate. By recovery, we mean rebuilding or learning new communication skills, battling the isolation that often comes with aphasia, and reclaiming a piece of independence for you or your loved one.

What part of the brain is damaged in aphasia? ›

Damage to the temporal lobe (the side portion) of the brain may result in a fluent aphasia called Wernicke's aphasia (see figure). In most people, the damage occurs in the left temporal lobe, although it can result from damage to the right lobe as well.

Is aphasia a serious problem? ›

Aphasia is a sign of damage or serious disruptions in your brain. Most conditions that cause aphasia are severe, and some are life-threatening medical emergencies.

How long does aphasia take to heal? ›

The prognosis for aphasia recovery depends in large part upon the underlying etiology. This has been best studied in cerebrovascular disease. Most patients with poststroke aphasia improve to some extent [1-4,14,15]. Most improvement occurs within the first few months and plateaus after one year.

Can you live a long life with aphasia? ›

Outlook / Prognosis

Primary progressive aphasia worsens over time. Many people with PPA eventually lose their language skills over many years, limiting their ability to communicate. Most people who have the condition live up to 12 years after their initial diagnosis.

Does aphasia cause memory loss? ›

Some people develop substantial difficulty forming sounds to speak (a problem called apraxia of speech), even when their ability to write and comprehend are not significantly impaired. As the disease progresses, other mental skills, such as memory, can become impaired.

What drugs can cause aphasia? ›

So far, several medications have been reported to cause aphasia, including: ipilimumab; immunomodulatory drugs (thalidomide, lenalidomide, pomalidomide); lamotrigine; vigabatrin; sulfasalazine; cyclosporine A; ifosfamide; phenylpropanolamine; naftidrofuryl oxalate; and some contrast mediums (Table 1).

Does aphasia affect eating? ›

Results: Patients with PPA-S had diverse swallowing problems such as drooling of saliva or food, multiple swallows, delayed swallow and choking, all of which correlated with anxiety, apathy and aberrant motor behavior.

Is aphasia a mental illness? ›

The diagnosis of aphasia does NOT imply a person has a mental illness or impairment in intelligence. What Causes Aphasia? The most common cause of aphasia is stroke (about 25-40% of stroke survivors acquire aphasia). It can also result from head injury, brain tumor or other neurological causes.

Can you still talk with aphasia? ›

People with aphasia have a clear idea of what they want to articulate, but damage to the brain does not allow for effective communication. Symptoms vary depending on where in the brain the injury occurs, but aphasia can affect spoken language, comprehension of language, written expression, or reading comprehension.

What are the final stages of aphasia? ›

Late-Stage Primary Progressive Aphasia

In late-stage PPA, the gradual loss of speech and language will typically result in severely pronounced symptoms. Eventually, almost all patients with PPA lose their ability to speak, read, and write. Spoken language becomes incomprehensible.

Top Articles
Latest Posts
Article information

Author: Sen. Ignacio Ratke

Last Updated:

Views: 6014

Rating: 4.6 / 5 (56 voted)

Reviews: 95% of readers found this page helpful

Author information

Name: Sen. Ignacio Ratke

Birthday: 1999-05-27

Address: Apt. 171 8116 Bailey Via, Roberthaven, GA 58289

Phone: +2585395768220

Job: Lead Liaison

Hobby: Lockpicking, LARPing, Lego building, Lapidary, Macrame, Book restoration, Bodybuilding

Introduction: My name is Sen. Ignacio Ratke, I am a adventurous, zealous, outstanding, agreeable, precious, excited, gifted person who loves writing and wants to share my knowledge and understanding with you.