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[Vol.36 No.4 contents]
Japanese/English
Full Text of this Articlein Japanese PDF (503K) |
| ArticleTitle | An aphasic patient with two types of recurrent utterance |
| Language | J |
| AuthorList | Yuka Oishi1)～3), Tsutomu Sugai4), Toru Imamura2)3), Kyoko Suzuki1)5) |
| Affiliation |
1)Department of Clinical Neuroscience, Yamagata University Graduate School of Medicine 2)Department of Speech, Language, and Hearing Sciences, Niigata University of Health and Welfare 3)Department of Speech, Language, and Hearing Sciences, Graduate School, Niigata University of Health and Welfare 4)Department of Neurosurgery, Yamagata Prefectural Central Hospital 5)Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine |
| Publication | Japanese Journal of Neuropsychology: 36 (4), 208-216, 2020 |
| Received | Nov 22, 2018 |
| Accepted | Oct 20, 2020 |
| Abstract | There are two types of recurrent utterance (RU): real-word RU and non-meaningful RU. The mechanism involved in each type of RU appears different and the two types of RU rarely coexist. We investigated features of the two types of RU in a patient with severe aphasia due to multiple cerebral infarctions. An 81-year-old right-handed woman was admitted to our hospital because of right-sided hemiparesis. At the age of 78 in association with cerebral infarction, she had developed difficulties finding the right words; however, she recovered almost completely. Brain magnetic resonance imaging revealed new lesions in the left parietotemporal regions and insula in addition to the old infarction in the left frontal and parietal lobes. On hospital admission, she presented with global aphasia with a non-meaningful RU, "pan pan paan." Subsequently, her language functions gradually improved, and a real-word RU, "jincha bancha (grandpa, grandma)," appeared. Over the next two months, "pan pan paan" and "jincha bancha" coexisted, but in different situations. In spontaneous speech and naming tasks, "jincha bancha" was observed. In contrast, "pan pan paan" appeared mainly in intentional oral exercises and repetition tasks. Thus, real-word RU appeared to be used in situations where word recalling was required, whereas non-meaningful RU was associated with situations where precise oral movements were requested. Differences in the mechanism of each type of RU could affect the situation that trigger RU and the time course of recovery. |
| Keywords | recurrent utterances, buccofacial apraxia, verbal paraphasia, aphasia |
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