Receptive aphasia patient and finding
This patient with receptive aphasia has fluent, but nonsensical speech and difficulty naming objects with abnormal comprehension.
[Doctor] Can you tell me how to get from your house to the hospital?
[Patient] Oh, that’s very interesting. My friends tell me bladis upon the house, and that’s why I frop it.
[Doctor] Okay. Can you tell me what this is here?
[Patient] Oh, that’s, that’s a clock piece.
[Doctor] Right, and how about this part right here?
[Patient] That’s the bland.
[Doctor] Okay, how about this hard part here on the cover?
[Patient] Oh, that’s, that’s a… mirror glass piece.
[Doctor] Okay, can you touch your nose and then point to the ceiling?
[Patient] Touch the ceiling! (laughs)?
About receptive aphasia
Like all patients with aphasia, patients with receptive aphasia have difficulty naming. Patients with receptive aphasia are unable to comprehend and follow commands. Their speech production is fluent, meaning they can produce many consecutive words of grammatically correct speech, but the content is often nonsensical, filled with meaningless words called neologisms. Patients with a type of receptive aphasia called Wernicke’s aphasia also have difficulty repeating phrases.
Localization
Aphasias result from dysfunction of the dominant hemisphere, which is the left hemisphere in most people. Receptive aphasias most often occur due to lesions in the posterior aspect of the left hemisphere, for example, lesions in Wernicke’s area in the posterior temporal lobe result in Wernicke’s aphasia.