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Paragrammatism

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Paragrammatism is a speech problem where grammar is used incorrectly or incompletely. It is most often seen in fluent aphasia (like Wernicke’s aphasia). Sometimes it’s called extended paraphasia, but it is different from ordinary paraphasia. Some people describe it as “word salad” because the overall meaning can be hard to grasp, even if the words are present. The cause is thought to be trouble planning the structure of a sentence, leading to mixed-up word order and wrong or unfinished grammar.

In non-fluent aphasia, speech is often agrammatic (grammatically incomplete). In fluent aphasia, the grammar may look correct, but there can still be errors in sentence structure or word forms, usually through substitutions rather than omissions. Paragrammatism can occur together with agrammatism in the same person.


This page was last edited on 2 February 2026, at 17:14 (CET).