Aphasia - neurologic difficulty processing language, either given or received.
can occur as a result of central nervous system involvement in
autoimmunity, as well as in Migraine - usually as part of aura.
are three basic types and of aphasia. If it comes and goes, it is
called Transient Aphasia. If it does not go away, it is called Aphasia. A
person who is suffering aphasia is called Aphasic.
Different areas of the brain are responsible for different parts of
language, which includes reading, writing, speaking, understanding, and
Aphasia in Migraine
is not a common type of aura, but it does happen and should be taken
very seriously. Unfortunately, these auras can imitate stroke and TIA's
so perfectly that it can be very difficult to tell which it is, even by
physicians. Although the symptoms may feel the same, the two start out
Stroke and TIA usually are the result of either a blockage of blood flow
to the brain resulting in damage and death of neurons, or a bleed which
deprives surrounding neurons of needed oxygen.
In Migraine aura, the symptoms occur as a result of spreading cortical
depression. A wave of neurologic activity flows across the brain
resulting in disruption. The location of the wave determines what type
of aura you experience. If the wave involves the area responsible for
eyesight, you will see visual oddities. If it flows thru the part of the
brain that is responsible for smell, you might smell something odd that
isn't there. In the case of transient aphasia, the wave involves the
areas of your brain that help you recognize and create communication.
Aphasia in Autoimmunity
there is CNS involvement in autoimmunity - almost any kind of
autoimmunity - aphasia is a possibility. In the case of autoimmunity,
aphasia is often more long-lasting than in a temporary Migraine aura.
It's possible that the damage can sometimes be permanent. It is
difficult to overlook this type of aphasia when it occurs as a verbal or
comprehension issue. However, care should be taken that aphasia
affecting reading, writing and mathematical calculations are not
dismissed. Many patients suffering this type of aphasia will need
evaluation and therapy to regain some of their abilities. The process is
long and frustrating, but verbal communication is a vital part of being
a human being, and as such - well worth the effort.
Aphasia as a side-effect
This is a good place to also mention that there are some Migraine
preventives and chronic pain medications that can have aphasia as a side
effect. It's wise for Migraineurs and autoimmunies not to assume their
aphasia is a part of their attack and seek help as soon as possible -
even if it's transient. Check your medications and be sure a change
there isn't in order to prevent further attacks. Talk to your doctor and
explain it to family and friends so they can help you during an attack.
Someone with aphasia has not lost intellect. They may be able to
understand you, but not answer you. They may be able to answer but only a
word or two. They may not be able to add or subtract, read or write.
They may have trouble finding the correct names for things, even the
subjects they may be talking about. They may have strange reactions,
such as laughing inappropriately. Describing something may not be
possible for them. For more information on the different types of
aphasia, please visit The National Aphasia Association.
Aphasia of any type is frightening - I've been there. When you are
suffering from its severe forms, you are cut off from the world. I've
been to many other countries, but aphasia is much worse than simply not
speaking the language of the land. To me, it's more like sitting in an
empty house, watching television that is in another language. You can't
talk to them, and you may have trouble understanding them if they try to
speak to you. You can't interact with them. It's embarrassing when
people assume your intellect is impaired. They don't understand your
frustration (which can become profound) and isolation, but often
continue on as if you aren't there. Depression may easily follow. People
may laugh and not understand that when you tell them you are
mathematically challenged, you really are. Their perspective is different. Aphasia is very difficult to understand and appreciate by someone who has not experienced it.
The NAA has an excellent page that helps family members to communicate and can be found HERE. Aphasia Hope
has a forum for those dealing with the condition. Those who have
suffered a non-transient form of aphasia may find special speech therapy
software helpful in rehabilitation. One version is found HERE.
For an amazing description of aphasia, you can see the incredibly
popular TED tv video posted here on WEGO Health about a neuro-anatomist
who suffered a stroke called "Jill Bolte Taylor: My stroke of insight"
Do you suffer transient aphasia as part of Migraine aura or autoimmunity?
What is your experience like?
Do you know someone who suffers some type of aphasia?
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