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[Serial reactions in aphasic patients].

A Leischner1

  • 1Rheinischen Landesklinik für Sprachgestörte, Bonn.

Fortschritte Der Neurologie-Psychiatrie
|July 1, 1990
PubMed
Summary

Severe aphasia patients often insert automatic verbal series into speech and other expressive language. This "serial reaction" is a valuable neuropsychological sign indicating brain damage.

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Area of Science:

  • Neuropsychology
  • Neurolinguistics
  • Clinical Neurology

Background:

  • Aphasia, a language disorder resulting from brain damage, presents with diverse symptoms.
  • Automatized verbal series (e.g., days of the week) are typically preserved in aphasia.

Observation:

  • A novel symptom, termed "serial reaction," is observed in severe aphasia.
  • This involves the intrusion of automatized verbal series into spontaneous speech and other expressive modalities.
  • This automatism can sometimes substitute for a direct response.

Findings:

  • The serial reaction was present in 50% of 134 severe aphasia patients studied.
  • Incidence varied with aetiology, aphasia type, and observed language modalities.
  • Detailed case studies illustrate the phenomenon.

Implications:

  • Serial reaction is a clinically significant neuropsychological sign.
  • Its presence suggests an underlying organic brain lesion.
  • Further research can refine its diagnostic utility in aphasia.

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