A Diagnosis for Mr. Fix-it

The Broca speech area is rostral to the inferior edge of the premotor area on the inferior frontal gyrus. It is usually on the left hemisphere and is responsible for the motor aspects of speech. Damage to this area leads to expressive aphasia or dysphasia (p.452)

Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.

A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was

The patient is a 59-year-old right-handed white female who was admitted in June to Portsmouth Regional Hospital for what was determined to be either transient global amnesia or complicated migraine. I did review those notes. She was seen by Galina Simkin, MD. The symptomatology discussed in the H&P is consistent with transient global amnesia. She was having problems asking questions inappropriately, repeating sentences, repeating questions over and over again, and seeming somewhat confused. There were no other neurological symptoms at that time. No evidence for seizure activity. No evidence for stroke. She was brought to the emergency room, where she underwent a CAT scan, which was

Alice Palmer has a mild brain tissue damage associated with the ischemic stroke as evidenced by a Glasgow Coma Scale score of 15. On the other hand, she has a normal heart rate of 89 beats per minute (HR 89) and a blood pressure of 155/90 mmHg. A blood pressure of 155/90 mmHg is an indication of stage 1 hypertension. Mrs. Alice Palmer is hypertensive because she refused to take medication while she was at home (Grace Meissner, 2011; Fortrat & Gharib, 2016). Further, Mrs. Alice Palmer has a left-sided hemiparesis which indicates damage to the right side of the brain. Left-sided hemiparesis is a weak muscle tone of the left side of the body which leads to faded movement and carrying out self-care activities such as dressing, bathing, and grabbing objects (Fischer et al., 2016). Moreover, damage to the right side of the brain is associated with poor memory since the limbic system is located in that region (Usher & Marriott, 2011). Also, Mrs. Alice had a bilateral visual field deficit because of the mild brain tissue damage associated with the ischemic

In the story,” The right side of Tim’s body was paralyzed and he was having great difficulty trying to talk”. Thus, it suggests that the left hemisphere of Tim’s brain suffered during his stroke, because language processing occur more in the left side if the brain. In general, the left hemisphere concentrates more on tasks that require verbal competence, such as speaking, reading, thinking, and reasoning.

Patient 1 – Two individuals come to the emergency department with head injuries. One is a 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week.

Specifically, right-sided hemiparesis involves injury to the left side of the brain, which controls language and speaking (aphasia). People who have this type of hemiparesis may also have troubles in understanding what people say and/or problems talking. In some cases, excluding left and right sides in the body. (Weiss T.C.; 2010)

Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic

Jillian great post. I agree that it appears this patient has presented with a left hemisphere stroke. The evidence that supports this decision is that the patient was slumped to the right and unable to speak. Often times with a left hemisphere stroke a patient will experience numerical skills, written language, and reasoning (North Carolina Stroke Association, n.d.). Depression is also often noticed after stroke (Illumistream Health, n.d.). For left hemisphere stroke patients some of the depression may be coming from not being able to communicate as well as prior to the stroke.

During my reading this an article, I found some information in this an article pertains to Right Hemisphere Stroke: A Victim Reflects on Rehabilitative Medicine book. For example, Johnson could recognize, even understand isolated words but when they come together in a sentence, Johnson would have difficulty dealing. On the other hand, the article presented that the respondents only presented higher difficulties in sentence formulation. This supports the premise that this tool is highly sensitive to language production. It also reflects the hypothesis that the right brain performs a complementary role to the left brain, with the execution of more complex tasks, such as formulating words with two or more target words, readily influenced by reduced

The patient’s chief complaint was weakness and reduced sensations in the left leg and left arm since June 2005 when he suffered from stroke. Also, the patient complained of difficulty in performing activities of daily living like buttoning his shirt, eating, etc. since then. The patient also mentioned that he has difficulty in identifying the weight of an object e.g. light or heavy when he uses his right hand. The patient described his weakness as heaviness which starts from left elbow, which goes down till left fingers and from left knee till left toes. The weakness started when patient suffered from stroke back in 25th June 2005. His left side was totally paralyzed even though the patient could use his left side before stroke for activities like writing, throwing, balling, etc. The patient had several episodes of fall after that till date. Currently, he said he falls

Aphasia is a language disorder that can be the result of a brain injury. An individual that is suffering from aphasia may experience difficulty speaking, writing, reading, or comprehending. There are three different types of Aphasia that differ in various ways. First, Wernicke’s Aphasia is the inability to grasp the meaning of words and sentences that have been produced by another individual. This type of aphasia is also known as “fluent aphasia” or “receptive aphasia”. Wernicke patients’ speech may come across like a jumble of words or jargon, but it is very well articulated and they have no issue producing their own connected speech. If the patient is consecutively making errors, it is common for them to be unaware of their difficulties, and not realize that their sentences don’t make sense. The severity of the disorder varies depending on the patient, and the disorder results form damage in the left posterior temporal region of the brain, which is also known as Wernicke’s area.

Hemiplegia is defined as the complete loss of movement or sensation to an entire half of the body. Hemiparesis is a partial loss of sensation or movement throughout one side of the body. Both hemiplegia and hemiparesis are common after a person has had a severe stroke. According to the Center for Disease Control “Stroke is the fifth leading cause of death in the United States and is a major cause of adult disability. About 800,000 people in the United States have a stroke each year” (Stroke Statistics, 2015). A stroke occurs when a blood vessel bursts and oxygen is not being transported to the brain properly. The Stroke Center, a leading independent information provider on strokes, states, “Stroke is the leading cause of serious, long term

When the particular information processes in the brain fails and causes Broca’s aphasia, a chain reaction occurs consequently leading to various speech disorders. As for the individual’s comprehension, it has been long believed to remain unaffected although studies are beginning to prove otherwise.