Can't understand what others say

Introduction Sensory aphasia is also known as Wernieke's aphasia. The lesion is located in the posterior part of the iliac crest, and the auditory speech memory traces stored therein are affected, which makes it difficult to understand spoken and spoken language. At this time, the patient's hearing was normal, but he couldn't understand what others said and what he said. When he was serious, he did not answer the question. The patient often kept talking about it all the time, but the words were confusing and made people unable to understand. The patient is unaware of his morbidity, similar to the ruptured symptoms of schizophrenic patients. When the obstacle is light, the patient's speech to others can be partially understood, but errors often occur. Often accompanied by dyslexia and aphasia, but not as serious as oral understanding and expression disorders.

Cause

Caused by damage to the auditory language center or the Wernicke area.

an examination

Related inspection

Neurological examination EEG examination

The characteristics are that the patient's hearing is normal, but he can't understand the meaning of other people's comments. Although he has the ability to speak, the vocabulary and grammatical errors are disordered, often answering questions, the content of the speech can't make people really understand, but often can correctly imitate other people's language.

"Speaking comprehension difficulties" is the most prominent symptom. In severe cases, it is even impossible to understand simple sentences such as tongue extension, mouth opening, and closed eyes, and the patient's ability to imitate is also reduced. The patient's own speech function also has major obstacles. Words are full of mistakes, disordered disorder, and the language is not a sentence. The grammatical relationship is confusing, and there is no awareness of their own verbal errors. Spontaneous language often increases. Mild patients can understand common words and phrases in daily life, but can't understand more complicated sentences.

Patients can preserve the ability to imitate speech, read, write, and dictate dictation.

Differential diagnosis

Cognitive function tests in aphasia have always been a problem.

It is currently believed that if there is aphasia, the non-lexical cognitive function check scale can be used to judge.

In addition, some imaging examinations such as MR, fMRI, PET, etc., through lesions or metabolism, to help with differential diagnosis, should also be valuable.

Similarly, the P300 can also be used to assist with cognitive function checks.

In addition, I think it should be noted that the way of examination, the patient's mood, culture, and handy are also to be noted.

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