THE CONVERSATION: What is aphasia? An expert explains the condition forcing Bruce Willis to retire from acting

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THE CONVERSATION: What is aphasia? An expert explains the condition forcing Bruce Willis to retire from acting
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Actor Bruce Willis, 67, is “stepping away” from his career in film and TV after being diagnosed with aphasia, his family announced on March 30, 2022.

Aphasia can occur at any age. It is usually people over the age of 65 simply because they have a higher risk of stroke. But young people and even babies can develop the condition.When people have aphasia after stroke or hemorrhage, the diagnosis is made by a neurologist. In these cases, patients will have displayed a sudden onset of the disorder – there will be a huge drop in their ability to speak or communicate.

With primary progressive aphasia, it is harder to diagnose. Unlike in cases of stroke, the onset will be very mild at first – people will slowly forget the names of people or of objects. Similarly, difficulty in understanding what people are saying will be gradual. But it is these changes that trigger diagnosis.People with aphasia resulting from stroke or hemorrhage will recover over time. How fast and how much depends on the extent of damage to the brain, and what therapy they receive.

Primary progressive aphasia is degenerative – the patient will deteriorate over time, although the rate of deterioration can be slowed.

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