Neuropsychology of Afferent Motor Aphasia
Keywords:
neuropsychology; speech therapy; afferent motor aphasia; traumatic brain injury.Abstract
Early detection of potential neuropsychological impairments resulting from traumatic brain injury allows for improved management of such cases. This paper reports the clinical case of a male patient who suffered a comminuted fracture of the cranial vault caused by a sharp object. The patient was referred to the Neuropsychology Department by the Neurosurgery Service of the Lucía Íñiguez Landín Clinical-Surgical Hospital in Holguín province. He presented with a hemorrhagic contusion, surrounded by a hypodense halo indicating perilesional edema, in the upper left parietal and right frontal regions. He was diagnosed with afferent motor aphasia. His language was non-fluent, characterized by difficulties in establishing articulatory positioning, phonemic deviations, and literal and phonemic paraphasias, as well as alterations in prosody, the production of paired consonants, and verbal fluency. Neuropsychological intervention focused on stimulating automatic language forms and using visual aids during the identification and naming phases. Techniques were employed to restore syntax, fluency, articulation, and phonemic function, alongside the rehabilitation of impaired cognitive processes. Neuropsychological assessment of this patient with a cranial vault fracture enabled the identification of his cognitive, affective, and behavioral status. Furthermore, it facilitated a neuropsychological rehabilitation program tailored to the specific characteristics associated with afferent motor aphasia.
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