The Japanese journal of neuropsychology

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ArticleTitle	Distinctive stereotypic paraphasias representing places and general nouns in a patient with jargon aphasia
Language	J
AuthorList	Norio Suzuki¹⁾, Minoru Matsuda²⁾, Yasuhiro Nagahama²⁾, Tomoko Okina³⁾, Keiko Hirakawa⁴⁾
Affiliation	¹⁾Division of Speech Pathology and Neuropsychology, Department of Geriatric Neurology, Shiga Prefectural Medical Center ²⁾Department of Geriatric Neurology, Shiga Prefectural Medical Center ³⁾Division of Clinical Psychology, Department of Geriatric Neurology, Shiga Prefectural Medical Center ⁴⁾Division of Speech Therapy, Department of Rehabilitation, Shiga Prefectural Medical Center
Publication	Japanese Journal of Neuropsychology: 28 (2), 160-168, 2012
Received	Aug 11, 2010
Accepted	Jul 25, 2011
Abstract	We report a patient with severe Wernicke's aphasia presenting a characteristic semantic jargon following the left temporoparietal infarction. He showed severe impairment in comprehension, and presented a typical neologistic jargon at initial stage. He also showed marked neologistic responses in naming and repetition tasks. The variety of neologism gradually decreased, and 2 years and the 7 months later, he began to use three specific parephasic words of "GOHAN" (a meal), "MIE-KEN" (name of a prefecture), and "YOKKAICHI" (name of a city). Characteristically, place names were replaced with the word "MIE-KEN" or "YOKKAICHI", and general nouns were replaced with the word "GOHAN" in his conversation. The naming task revealed that he used the word "MIE-KEN" and "YOKKAICHI" as substitutes for geometrical places, and the word "GOHAN" as a substitute for names of objects, locations in the house, buildings and people, respectively. We speculated that his neologisic jargon has evolved into semantic jargon, and he preserved ability to use the limited words distinctively as representatives of wide variety of words based on their semantic categories.
Keywords	jargon aphasia, semantic jargon, neologistic jargon, word finding