NeuroPsychOnline - Brief Examination for Aphasia - Report



2005-09-20
Patient ID =

Personal Information:

Name:

John Doe

Education:

16 years
Sex:maleHighest Degree:Bachelors
Date of Birth:1974-5-5Age:31
Handedness:rightParesisright
  Sensory Lossright
  Visual Field Defectnone

Test Results:


John Doe made errors on 28 of 44 subtest areas measured by the BEA compared to an average of 3 of 44 for a normal, average individual (StDev = 2.0). This places him more than three standard deviations below average in terms of numbers of impaired subtest areas involved. Analysis of the individual subtest scores shows that 10 subtests revealed mild impairment, 5 subtests revealed moderate impairment and 13 revealed severe impairment.

John Doe's speech production was non-fluent but not agrammatic. He was not echolalic.

There were no signs of paraphasic or neologistic speech.

Formal testing showed severely impaired confrontational naming skills. Testing of ability to point to objects named showed mild impairment.

From general observation comprehension of verbal communication appeared mildly impaired. A formal test of ability to follow both orally presented and written instructions showed mild impairment.

The ability to repeat words was moderately impaired but repetition of phrases was severely impaired.

John Doe was able to match block printed words to their script written versions. He was able to match words to objects. John Doe was able to read alphabet characters but was severely impaired with his ability to read words or phrases. He was asked to read a paragraph that was in a story format. His prosody (rhythm) and pronunciation were moderately impaired. A reading comprehension test based upon the content of the story showed good comprehension.

John Doe was severely impaired in his ability to recognize words verbally spelled to him and severely impaired in his ability to spell words.

Copying text, writing text from dictation and composing/writing proper sentences were all severely impaired.

Drawing objects on verbal request and drawing objects from visual model (copying) were both good.

Reproducing (i.e. whistle, hum or sing) single tones was mildly impaired while reproducing simple melodies was moderately impaired.

Sequential counting forward and backward was mildly impaired. The ability to count objects was good. The ability to write numbers from dictation was good. Appreciating the value of numbers in a larger versus smaller number test was intact. The ability to work orally presented arithmetic problems on paper was moderately impaired. The ability to work written arithmetic problems on paper was moderately impaired. The ability to work orally presented arithmetic problems mentally was severely impaired. The ability to work written arithmetic problems mentally was severely impaired. The ability to express numbers in writing using words rather than digits was severely impaired. John Doe was not able to setup an addition problem involving five numbers properly and his addition was incorrect.

The patterns and extent of impairment seen on this examination indicate the presence of the following speech and language disorders:

dysgraphia
dysnomia
dyscalculia
dyslexia
dysnomia

The aphasia symptom cluster seen with this patient is most like that seen with the following type(s):

1. Global Aphasia
2. Transcortical Mixed Aphasia



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Examiner