CHAPTER 12 – NEUROPHYSIOLOGY
provide a therapeutic environment that will hasten the return of comprehension and speech,
amount of alcohol as intoxicated. People in all cultures drink alcohol, and thus the negative
effects of alcohol on the brain are widespread throughout the world. Acute alcohol
intoxication disables the hippocampus, which can destroy the ability of an individual to
learn or memorize data, or learn from experience. Thus it is futile to try to discuss issues or
ideas with an intoxicated individual.
Chronic alcohol use is even more dangerous than acute alcohol intoxication. Individuals
who chronically abuse alcohol may experience the following adverse consequences:
The frontal lobes may deteriorate, which impairs the person’s ability
to process information and thus make informed decisions.
Liver damage (sclerosis of the liver) may destroy the body’s ability
to metabolize vitamin B (thiamine).
Vitamin B deficiency diminishes the function of neurons and glial
cells; damages the body’s ability to process iron; and reduces the
oxygen-carrying capacity of the blood.
Chronic anemia can cause permanent brain damage.
Alzheimer’s disease may develop in people who are genetically
predisposed to this condition at twice the rate of the population.
Wernicke-Korsakoff syndrome is the ultimate result of a thiamine
deficiency. This syndrome causes permanent dementia
characterized by confusion, confabulation, memory loss, an inability
to develop new memories, and various motor signs such as
nystagmus and ataxia.
89. What is the effect of aphasia on a person, and what important intervention can help this client eventually
lead a normal life?
Aphasia is an acquired language disorder characterized by the person’s inability to process
linguistic information, and to communicate through speech and writing. This problem
immediately arises due to a cerebrovascular accident (CVA). Aphasia results in many
adverse changes in the afflicted person‘s life, including the ability to interact with his or her
environment.
When a person suffers a left-hemisphere stroke of the frontal lobe, he or she faces serious
communication problems. When the lesion is in the posterior regions of the brain, speech
will require less effort, but may be “empty” of content, In addition, clients may have
problems with comprehension, because they fail to realize that their speech is not
communicating what they mean.
When a person first develops aphasia, it is extremely important to involve the client’s
spouse or close friend early in the treatment program. This significant other can help