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Conduction aphasia, also called associative aphasia, is an acquired language disorder, most commonly caused by left-hemisphere cerebrovascular injury. It is characterized by fluent, grammatically correct speech with frequent phonemic paraphasias and a disproportionately severe impairment of verbatim repetition despite relatively preserved auditory comprehension. Affected people are fully capable of understanding what they are hearing, but fail to encode phonological information for production. This deficit is load-sensitive as the person shows significant difficulty repeating phrases, particularly as the phrases increase in length and complexity and as they stumble over words they are attempting to pronounce. People have frequent errors during spontaneous speech, such as substituting or transposing sounds. They are also aware of their errors and will show significant difficulty correcting them. Conduction aphasia is associated with disruption of the dorsal auditory-motor/phonological system in the left temporo-parietal region. Modern lesion-mapping and functional imaging work emphasize cortical temporo-parietal contributions to the syndrome in addition to classical white-matter disconnection hypotheses.
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