Question about aphasia after a stroke

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Discussion Overview

The discussion centers on the effects of strokes on speech and comprehension, particularly focusing on aphasia and the ability to communicate through writing. Participants explore the relationship between speech impairment and cognitive understanding, as well as the variability in stroke outcomes.

Discussion Character

  • Exploratory, Debate/contested, Conceptual clarification

Main Points Raised

  • Some participants propose that it is possible for a person to suffer a stroke that severely impairs speech while still maintaining comprehension of spoken language.
  • Others argue that the effects of a stroke can vary significantly among individuals, with some experiencing paralysis that affects both speech and the ability to write or type.
  • A later reply questions whether individuals who mix words or create unintelligible new words due to damage in the Broca area would still be able to write their correct thoughts, assuming their motor skills remain intact.
  • One participant shares a personal account of a family member who experienced a stroke, emphasizing the physical impairments while noting the absence of mental problems.
  • Another participant mentions that understanding the nuances of different types of aphasia may provide insights, although it is unclear how this relates to the ability to write correctly.

Areas of Agreement / Disagreement

Participants generally agree that strokes can lead to varying degrees of speech impairment and comprehension abilities, but multiple competing views remain regarding the specifics of how these impairments manifest and their implications for writing and communication.

Contextual Notes

Limitations include the individualized nature of stroke effects, the dependence on specific brain areas affected, and the lack of consensus on the relationship between speech and writing abilities in cases of aphasia.

fluidistic
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Hello people,
I'm wondering whether it's possible to suffer a stroke and be severly impaired in speech and still understand perfectly what people are saying.
I imagine such a person would be able to communicate perfectly and quickly by typing the words on a computer keyboard or writing on a sheet of paper, but talking would be utterly hard. Is this possible?
Or does the disability in speech also disables comprehension of speech and disables any way to "think with words" in the mind.
Thanks.
 
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fluidistic said:
Hello people,
I'm wondering whether it's possible to suffer a stroke and be severly impaired in speech and still understand perfectly what people are saying.
I imagine such a person would be able to communicate perfectly and quickly by typing the words on a computer keyboard or writing on a sheet of paper, but talking would be utterly hard. Is this possible?
Or does the disability in speech also disables comprehension of speech and disables any way to "think with words" in the mind.
Thanks.
A stroke can paralyze the vocal cords, impeding speech and have nothing to do with mental capabilities, also the stroke can paralyze body parts making typing or writing difficult or impossible. Strokes can disable a person in many ways, so the answer to your question would differ with every stroke victim.
 
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Evo said:
A stroke can paralyze the vocal cords, impeding speech and have nothing to do with mental capabilities, also the stroke can paralyze body parts making typing or writing difficult or impossible. Strokes can disable a person in many ways, so the answer to your question would differ with every stroke victim.
Ok thanks Evo so basically the answer to my question is "yes", one can suffer a stroke, not be able to speak well but still understand perfectly.
Now what if the stroke affects the Broca area in such way that the guy mixes words (example: says "dog" instead of "fire") or invent unintelligible new words (apparently this can happen). Are these guys able to write down the correct words/thoughts on a sheet of paper, assuming that their motor skills are unaffected.
 
My father suffered a massive stroke which left him completely paralyzed on one side of his body, it was like you just drew a line straight down the middle of his body, half of his face, his vocal cords, completely paralyzed on one side, but no mental problems. It was very sad, he lived in a rehab center for a year and had just been allowed to move back home when he suffered another massive stroke which killed him. I can not stress enough that people that are prone to stroke do what ever you need, and if you think you've had a stroke, get to the hospital immediately, there are now procedures that can be done shortly after a stroke that can reverse or greatly reduce the damage.
 
fluidistic said:
Ok thanks Evo so basically the answer to my question is "yes", one can suffer a stroke, not be able to speak well but still understand perfectly.
Now what if the stroke affects the Broca area in such way that the guy mixes words (example: says "dog" instead of "fire") or invent unintelligible new words (apparently this can happen). Are these guys able to write down the correct words/thoughts on a sheet of paper, assuming that their motor skills are unaffected.
That's hard to say, it is possible that areas of the brain could be affected, only a doctor with proper tests to evaluate could tell for sure. My guess is that if their brain is affected and they can't think of the right word to say, they would also write the wrong word. Again, this is one of those things that is so individualized.

My father survived WWII, he survived shrapnel to his face during bombing of his ship that blinded him. He went on to get his EE degree after the war while working full time and supporting a wife and two small children. He was very smart and nothing could keep him back. He had quite a bit of will power, but I'm going off topic, sorry.
 
No problem Evo with the off topic.
I've found something interesting about different types of aphasias but nothing is said about the ability to write correct sentences although in some types of aphasias there's no doubt that there's also an impairment at the writing level.

Oops the link is here: https://en.wikipedia.org/wiki/Aphasia#Presentation.
 

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