A patient has had a cerebrovascular accident,or stroke.He is trying very hard to communicate.He seems driven to speak and says,"I buy obie get spirding and take my train." What is the best description of this patient's problem?

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This illustrates Wernicke's,or receptive aphasia.The person can hear sounds and words but cannot relate them to previous experiences.Speech is fluent,effortless,and well articulated,but it has many paraphasias (word substitutions that are malformed or wrong)and neologisms (made-up words)and often lacks substantive words.Speech can be totally incomprehensible.Often,there is a great urge to speak.Repetition,reading,and writing also are impaired.Echolalia is imitation or repetition of another person's words or phrases.See Table 5-4 for definitions of the other disorders.

A Patient Has Had a Cerebrovascular Accident,or Stroke