Final answer:
Effortful fragmented, dysfluent, telegraphic speech is seen in a lesion affecting Broca's area in the brain. Broca's area is responsible for speech production and damage to this area can lead to expressive aphasia.
Step-by-step explanation:
Effortful fragmented, dysfluent, telegraphic speech is seen in a lesion affecting Broca's area in the brain. Broca's area, located in the left hemisphere, is responsible for speech production. When this area is damaged, it can result in expressive aphasia, characterized by difficulty in producing coherent and fluent speech.