Thalamic aphasia

María Celenia Bayona Meza

María Camila Fernández Berdugo
Merlys Soto Perez
Thalamic aphasia is a language
dysfunction associated with
lesions thataffect only the
thalamus (usually the left side).
Thalamic aphasiamay develop
into isolated hemorrhages and
ischemic strokes. Less
frequently, it has also been
described in cases of
malignancies thatinvolve
thalamus and neurosurgical
interventions.
The clinical presentation of the
thalamic
phasia varies, and may occur
as global aphasia, expressive
aphasia, or aphasia
transcortical. The most
common presentations are
transcortical aphasia, motor
aphasia transcortical
(wavering and fragmented
speech) or transcortical
sensory aphasia
(poorunderstanding, semantic
paraphases and echolalia).
 basic characteristics of the language
Although cases of thalamic aphasia do not fit a specific
clinical picture, some authors have pointed out its
similarities with extrasylvian sensory aphasia. the
pattern of alteration could be summarized in the
following points: A) reduction in spontaneous speech. B)
some word finding difficulties. C) verbal paraphasias. D)
preserved repetition. E) partially deficient
comprehension.

Alexia and agraphia: not as severe

as in other aphasias.
Clinic There is usually an initial mutism (or near mutism) followed by
an improvementlater, appearing a fluent and paraphasic language.
There is intense anomia, understanding and repetition are best
preserved.
Repetition is much better than their spontaneous language. Reading
and writing are altered.
These symptoms tend to be transient, with clear improvement in days
orweeks.
The combination of fluent language, even logorreico, with abundant
parapfasias, good understanding and good repetition is the most
characteristic of thalamic aphasia
 Clinical criteria for diagnosis
 In 1984, Crosson suggested a set of clinical criteria to
help indiagnosis of thalamic aphasia.:
 1) Fluid expression with frequent paraphases (mainly
semantics)
 2) Slang (severe parafasia)
 3) Less severe deficits in hearing comprehension
 4) Intact or minimally deteriorated repetition.
References
 Pascual y Fernández, L. T. (s. f.). CAPÍTULO 4: AFASIAS: TIPOLOGÍA
CLÍNICO-TOPOGRÁFICA. Recuperado 9 de abril de 2021, de
http://www.sld.cu/galerias/pdf/sitios/rehabilitacion-logo/4_afasias.pdf
 Altable, M. (2020). Afasia Talámica. researchgate, 1–4.
https://www.researchgate.net/publication/340949548_Afasia_Talamica