Nonfluent aphasia due to left MCA stroke may present with right hemiparesis (arm and lower face), dysarthria, right homonymous hemianopsia, and buccofacial apraxia. This describes which language disorder?

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Multiple Choice

Nonfluent aphasia due to left MCA stroke may present with right hemiparesis (arm and lower face), dysarthria, right homonymous hemianopsia, and buccofacial apraxia. This describes which language disorder?

Nonfluent aphasia is characterized by slow, halting speech with limited output and often agrammatism, while comprehension remains relatively better. This pattern typically arises from a left MCA superior division stroke that injures Broca’s area and nearby motor pathways. The described signs fit that picture: right hemiparesis affecting the arm and lower face reflects involvement of the motor cortex adjacent to Broca’s area; dysarthria and buccofacial apraxia show motor planning and execution problems for speech and facial movements; and the presence of a right homonymous hemianopsia can occur with MCA territory involvement. In contrast, Wernicke’s aphasia would present with fluent but meaningless speech and poor comprehension, anomic aphasia with fluent speech but severe word-finding problems, and global aphasia with widespread language impairment. Therefore, the described syndrome best matches nonfluent aphasia.

Nonfluent aphasia is characterized by slow, halting speech with limited output and often agrammatism, while comprehension remains relatively better. This pattern typically arises from a left MCA superior division stroke that injures Broca’s area and nearby motor pathways. The described signs fit that picture: right hemiparesis affecting the arm and lower face reflects involvement of the motor cortex adjacent to Broca’s area; dysarthria and buccofacial apraxia show motor planning and execution problems for speech and facial movements; and the presence of a right homonymous hemianopsia can occur with MCA territory involvement. In contrast, Wernicke’s aphasia would present with fluent but meaningless speech and poor comprehension, anomic aphasia with fluent speech but severe word-finding problems, and global aphasia with widespread language impairment. Therefore, the described syndrome best matches nonfluent aphasia.

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