Fluent Aphasia in Children: Definition and Natural History

Susan K. Klein, David Masur, Karen Farber, Shlomo Shinnar, Isabelle Rapin

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We compared the course of a preschool child we followed for 4 years with published reports of 24 children with fluent aphasia. Our patient spoke fluently within 3 weeks of the injury. She was severely anomic and made many semantic paraphasic errors. Unlike other children with fluent aphasia, her prosody of speech was impaired initially, and her spontaneous language was dominated by stock phrases. Residual deficits include chronic impairment of auditory comprehension, repetition, and word retrieval. She has more disfluencies in spontaneous speech 4 years after her head injury than acutely. School achievement in reading and mathematics remains below age level. Attention to the timing of recovery of fluent speech and to the characteristics of receptive and expressive language over time will permit more accurate description of fluent aphasia in childhood. (J Child Neurol 1992;7:50-59).

Original languageEnglish (US)
Pages (from-to)50-59
Number of pages10
JournalJournal of child neurology
Issue number1
StatePublished - Jan 1992

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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