In 1994, Osmar Santos suffered a serious car accident traveling from Mar�lia to right hemiplegia and Expressive aphasia, which rendered him unable to utter more than a limited selection of words.
32.
Although expressive aphasia may be caused by brain damage to many regions, it is most commonly associated with the inferior frontal gyrus, a region that overlaps with motor cortex controlling the mouth and tongue, extending into the periventricular white matter.
33.
Although individuals with expressive aphasia tend to have a good ability to self-monitor their language output ( they " hear what they say " and make corrections ), other types of aphasics can seem entirely unaware of their language deficits.
34.
The ability to name common objects, maintain casual conversation, proper word use, answering questions concerning a subject the patient read or heard, word and sentence repetition skills and general reading and writing proficiency are all determiners of possible expressive aphasia.
35.
Although those who have expressive aphasia tend to retain good spoken language comprehension, other types of aphasia can render patients completely unable to understand any language at all, unable to understand any spoken language ( auditory verbal agnosia ), whereas still other types preserve language comprehension, but with deficits.
36.
Both expressive and receptive aphasia also affect the use of sign language, in analogous ways to how they affect speech, with expressive aphasia causing signers to sign slowly and with incorrect grammar, whereas a signer with receptive aphasia will sign fluently, but make little sense to others and have difficulties comprehending others'signs.