Reel-Example: Broca's Aphasia 1

[@Pro0osh]

As a medical student, I’m really grateful for the fact that she is showing her condition to everyone, this will help future doctors... Thank you! Hope she gets better soon

[@ryancafferty4973]

my father was a doctor and passed this way. MCA infarct. he was able to say “it’s scary it’s okay” and then went. obviously he knew what was happening. this is ultra terror

[@veggielord5550]

Can't even imagine how frustrating this must be for her...

[@orangescout1967]

Very Brave Sarah. Thank you for sharing so publicly so the rest of us can understand this condition better.

[@flargarbason1740]

What is happening is she has the words in her head and is completely normal, but the words have a hard time getting put back together when she tries to talk.

[@anwaarmethfer2089]

Flarbargason yes unfortunately , she can understand speech but can not talk or make words because her speech processing center ( broca's area ) is damaged due to stroke

[@Raz.C]

"affect sing language" I assume you mean "sign language," but I can't be certain. The doctor (an actual, real doctor) who worked as an advisor for the TV show Scrubs- back in the 1st 8 seasons, when it was still good- would often have episodes written that explored actual cases he'd worked on or consulted on. One of them had a woman suffering from a brain tumour collapse at the start of the show. When she woke up in hospital, everyone appeared to be singing (until the tumour was removed). SO, when you wrote "affect sing language," it was within the realm of possibilities that you actually meant _Sing_ and not _Sign_

[@reelgangstazskip]

>normal not quite

[@josephcoon5809]

@@BurntPlaydoh Concepts are connected to “words.” How blue is represented in the brain is different that how the word “blue” is represented. There is a whole network of ideas associated to the concept of blue. What it sounds like when somebody says it is processed in the Wernicke’s Area. What it the world looks like when read is different than what it actually looks like. The motor functions involved in creating the word verbally is different from the motor functions needed to type it is different than the motor functions requires to write it is different than the motor functions required to point to an example of it. Then you have the added layer of everything that is remembered as blue: skies, eyes, and a card for your birthday surprise. All this to create the illusion that blue is even real when it merely exists as a pattern understood by the prefrontal cortex that initially resulted from light of a particular wavelength ending its existence in your retina.

[@josephcoon5809]

@@BurntPlaydoh Why does there have to be “contention”? I was merely adding some detail.

[@kshitij260794]

Glad to see her smiling, brave gal!

[@Yottabee]

Thank you so much for posting this. I have a relative in a distant town who seems to have Broca's aphasia. I was talking to him on the phone when suddenly, he was unable to find words. I had to call an ambulance for him; he was unable to articulate his address. It's so heartbreaking, and I cannot imagine what it must have been like for this young girl to have suddenly been affected by it.

[@marywallner4720]

I had a serious concussion; it is SURREAL to not be able to speak!

[@becharac]

i needed to see what i look and sound like during my everyday problems with aphasia due to my epilepsy (auras, petit mals and grand mals). thanks for posting this, Sarah, i hope you are doing fine now. When i feel like i can't speak (it usually lasts for few minutes, every day, 7 years now, im 24) i usually just go quiet or try to say as less as possible.

[@Basseloob]

Hope you are doing well

[@valival226]

I wonder why she had an ischemic stroke so young! Please let us know how she is doing today, we would all appreciate an update of this wonderful young lady.

[@redcoff]

A very healthy girl on my son's swim team had this type of stroke out of nowhere in the pool at 13 years old. The girl in the lane with her noticed her face didn't look right and asked her to smile, she had a lopsided smile and passed out in the pool. Thankfully the coaches were all trained and jumped in and backboarded her and got her out. It was a long process of recovery and she still has slight paresis on one side. She was able to return to swim a few years later and we see her on deck. Doctors have told her parents that she will not likely survive another one, but no cause was determined.

[@dr.jilljenkins4505]

Thank you so much for teaching me Sarah! I appreciate you posting this to show me very clearly about Broca's Aphasia! Dr. Jill

[@Liam-bj9pf]

thank you Sarah, we medical trainees appreciate your openness and bravery so much

[@vaishali2296]

Thank you Sarah! Speedy recovery to you

[@smilodont5013]

I am fascinated by the brain as a radiographer, so I am self-studying about it. When I reached the topic of Broca's and Wernicke's areas, I watched this video. We can indeed demonstrate these parts using functional MRI. Broca's Area (Speaker): Produces speech. Damage leads to broken, non-fluent speech, but understanding is intact. Wernicke's Area (Receiver): Understands speech. Damage leads to fluent but nonsensical speech and impaired understanding.

[@sunkcostfallacy2738]

This is just scaring me. I'm a 19 year old amphetamine addict with high cholesterol, and I didn't think I'd have to worry about the possibility of a stroke until my later years. Knowing this could happen to me at any moment creeps me out. The fact that I'm currently high on Adderall doesn't help my anxiety. Although it's a euphoric anxiety, so whatever.

[@jurassiccc17]

How have you been lately

[@fushia1126]

how are you doing now?

[@sunkcostfallacy2738]

@@fushia1126 Better. Off the Adderall, but unfortunately got hooked on alcohol. However I'm making strides to becoming sober. Today's my first day I think I can safely not drink at all after about a week of weaning off at home, slowly drinking less and less to curb withdrawals. I actually slept last night for the first time in like 5 days, since the alcohol withdrawal just caused me to lay in bed in cold sweats with weird-ass closed-eye visual hallucinations. Creatures I couldn't explain popping up, paintings I've never seen, and even a puppy montage, and pretty much no sleep. But last night, I had pretty good sleep. I had VERY weird dreams, but at least they were dreams and not just me laying in bed semi-conscious in a cold sweat with weird hallucinations. I didn't even need to wake up periodically to drink a little to be able to avoid some of the more dangerous aspects of alcohol withdrawal, and so-far today, I'm feeling pretty good. Think my withdrawal period is almost complete, and I can finally put this addiction shit behind me.

[@fushia1126]

@@sunkcostfallacy2738 that's amazing! ! I'm so happy for you and proud of you. I wish you well in future 😊

[@sunkcostfallacy2738]

@@fushia1126 Thank you.

[@blessed3699]

My prayers are with her🙏🙏🙏

[@ahsanmalik6994]

Thankyou for this. May Allah Pak help her heal her broca's. Good wishes

[@1969kodiakbear]

Sarah Scott. By the way, I have difficulty communicating because I had a stroke in Broca’s area, the part of the brain that controls speech. 2/8/2021 but I lived again. (My wife helped me compose this.)

[@ky2226]

So young 😔 God bless you 🙏🏾

[@fulanichild3138]

I think this must be what my grandmother had. My dad said that after her stroke, she couldn't communicate well. She would want a cup of tea but would ask for a sock or something. Sometimes she would cry in frustration. It must have been tough for my 19 year old dad, as she was a single mother and he was her only child, and there was very little support in the 1930s.

[@shortycherubim8007]

Yes her comprehension is intact

[@RioBow]

My heart breaks it really does

[@MrGloryglorymanutd18]

God Almighty bless this beautiful young woman 🙏🙏🙏🙏

[@kevinsosa6502]

I feel like I have a very very mild version of this, where I get a couple words mixed up every once in a while but it might be due to my severe anxiety. I’m taking Lexapro soon to cure that.

[@j-ffilion1290]

I hope she will continue improve. Sending you my courage dear.❤️❤️❤️❤️❤️

[@fudgesauce]

Although this video is from 2016, it is older than that. There is a video of the same girl a few months later (she had just turned 20)... and that video was posted in 2010. If you watch it she was already doing much better, but there was still a noticeable deficit. kzbin.info/www/bejne/bKuxfK1tjtSIl9E

[@user-ws1ki3fb8b]

Thank you very much ❤❤

[@reubenleebrown]

Thank you Sooooo much for doing this Sarah and team. Because of this I k=now know what is wrong with my wife. this is exactly what my wife is going through right now and we didn't now what it was. We thought it was some kind of dementia.... just wondering what the next steps are????? We got an MRI but everything came back ok. I do not know how to help her.

[@redmustangredmustang]

You are going to need a speech therapist and it may take months or even years depending on the progress. You and your wife just have to keep at it and hopefully it will all pay off.

[@KhotaMaz]

Weird that it didn't show up on the MRI because there would be clear indication of damage to Brocas area, hopefully an fMRI should reveal the issue, could also be Wernickes aphasia but they should come up on the brain scan

[@Sebi076]

Quite unfortunate that such a young person had a stroke and now has to deal with its consequences.

[@21stcenturyoptimist]

coagulopathy??

[@kart554]

This is a sorry situation which shouldn't happen with anyone at such a young age. Hopefully, her speech will improve and science comes up with a cure soon!!

[@sirmelancholia]

How is she doing today?

[@LionKing-ew9rm]

You can check her channel.

[@bucketboydee4727]

Lion King what’s her channel name?

[@grovina]

@@bucketboydee4727 kzbin.info

[@Raz.C]

Poor girl. I'd be happy to work with people thusly afflicted and try to bring their communicative ability back up to- at least- the level of "discourse of average americans," possibly going beyond that to the level of "average youtube commenter," before finally reaching "normal person" again...

[@blackboibanta2890]

so is Broca's area just an auto fill functionality when talking?

[@alphamalee]

Anyone wondering this is due to ischemia of middle cereberal artery in brain which can be caused by multiple reasons

[@acsone3546]

Wow

[@josephcoon5809]

Can she write whole sentences or does the Broca’s area affect production of all language?

[@josephcoon5809]

@@stepdoc So which area produces written, signed, or typed language?

[@josephcoon5809]

@@stepdoc You’re not answering the question. Broca’s Area generates language and sends signals to your motor cortex to control your mouth, voice box, and lungs. Language is not generated in the motor cortex. Damage to the Broca’s area is not going to affect her ability to breathe or move her mouth. It will only prevent the control necessary to produce speech that represent words.

[@josephcoon5809]

@@stepdoc I found similar articles, and I just wanted to very much understanding of what I read. Sometimes it is difficult to find an answer to a very specific question because of vaguely written explanations. Generally, I view the brain as a computer network in which each cortex acts as a subnet. Take the primary somatosensory cortex, for example. Each neuronal cluster in that cortex is connected to a particular sensory nerve in the peripheral nervous system and to a particular “port” in the prefrontal cortex. So, let’s say that the sensory neurons in your right hand send signals to the “computer” in the primary somatosensory cortex dedicated to your right hand. That “computer” processes the information, then sends a summary to a particular “port” dedicated to that “computer:right-hand.” Repeat the same process for the “computer:right-cheek.” Computer:right-hand and Computer:right-cheek are right next to each other in the primary somatosensory cortex. Now, let’s suppose you lose your right arm which includes the sensory neurons in your right hand. Computer:right-hand is not aware of the loss, but it is aware that no signals are being received. A neuron that receives no signal has nothing to process and no summary to send. If a neuron does not complete a task, it will not receive resources. While the outbound connections to the prefrontal cortex is still intact, it needs to find new signals to process and summarize. Since Computer:right-cheek is still receiving signals from its sensory neurons, Computer:right-hand migrates and learns to code the signals sent from the right cheek. Now, when the right cheek senses a change in pressure or temperature, the signals those neurons send are received by both Computer:right-cheek AND Computer:right-hand. When those two computers summarize and transmit their respective signals, they are sent to their original poets in the prefrontal cortex resulting in the patient feeling a water drop on their right cheek AND their missing right hand. That’s one explanation of phantom limb syndrome based on a patient studied by Dr. Ramachandran in California. Not only did the patient feel the water drop roll down in his cheek and “roll down” his “hand,” when the patient was asked to “raise his hand,” that water drop was felt rolling down his cheek and “rolling UP his hand.” So on top of his sensory circuits being crossed, his internal perception of body orientation was also kept intact. Since the motor neurons controlling his right arm have no way of knowing that the right arm is missing, they will still send the signal to “raise” which is tied to another cortex that tracks the orientation of “his arm.”

[@josephcoon5809]

@@stepdoc I apply the same understanding to language. One “Computer” processes “sound.” (Auditory Cortex) One “Computer” processes visual information such as written/typed letters or hand signals. (Visual Cortex) One “Computer” processes those auditory and/or visual information into “words.” (Wernicke’s Area) Various “Computers” process what those words mean depending on what the word is such as the perception of “blue” is processed in the Visual Cortex even though the word “blue” is processed in the Wernicke’s Area. One “Computer” converts ideas (from various “Computers” in the cerebrum) back into words. (Broca’s Area) One “Computer” converts those words into reality either audibly through the voice box or visually through writing, typing, or gesticulating. (Motor Cortices). Ultimately, the brain isn’t a “computer.” It’s a vast computer network with multiple layers of connectivity. Even each neuron can be considered a computer all its own considering how they can receive signals from anywhere between 1-10,000 other neurons.

[@Kimpo55ible]

@)>,--,---- Thing is by now, i know my speech is.. Thank God i can write better than i can speak- but that's not saying much. I forget words ALL the time. It really sucks Smh

[@oliveyaestes9569]

I was like this once

[@delilahcharles985]

Is this a simulation or is this a real patient?

[@zerir.3726]

it’s real, she’s made multiple follow up videos showing recovery progress

[@zulqarnains704]

🥺

[@edisjd]

Interestingly "um" is used like normal

[@jandaletto]

If you understand a word but can not find it when you need to say it: Does that mean that "understanding language" is in a different place of the brain than "speaking language"? PS: It's obviously a lot more complicated than that, I was just trying to simplify my question.

[@maks3093]

I know I'm like a week late to answering. It's not much more complicated than you said. But yes, in the frontal lobe of the brain there is a thing called Broca's area and this is where speech production takes place. And in the temporal lobe, there's something called Wernicke's area which is responsible for understanding language. So the person in the video is, as stated in the title, suffering from Broca's aphasia which is damage to the Broca area so she can understand what's being said to her perfectly well, she just can't produce a sentence very well to respond.

[@jandaletto]

@@maks3093 Very interesting. Thanks!

[@katerinacerna8555]

​@@jandaletto and if you were wondering, Wernicke´s area can be injured just as well, leading to Wernicke´s aphasia. With that diagnose, you can speak fluently and in sentences, but you can´t understand others and the words you say don´t make any sense. With Broca´s aphasia, you are aware of the fact that you can´t talk, but with Wernicke´s aphasia you have no idea there´s something wrong. (I know you were not asking and sorry for shoving facts your way, I just thought you might find it interesting.)

[@au33987]

Is it curable

[@redmustangredmustang]

not really when it comes to a stroke in older people. Speech therapy can help out a lot if you do the exercises, but depending on the damage, some may be irreversible.

[@attiqueamjad9676]

Stroke in such a young age? 😳 DDs people??? Anyone!!!

[@hk2336]

Hypercoagulability due to Factor V Lieden syndrome or oral contaceptive use Hypercholesterolemia due to genetics

[@maggiewang200]

0:28 0:30

[@luisangeloartatesabergas4332]

Aphasia Depression anxiety

[@xDMrGarrison]

She's cute o: and fascinating

[@fbh470]

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