Aphasia Following Left Putaminal Hemorrhage at a Rehabilitation Hospital
| Autor: | Shinichiro Maeshima, Hideto Okazaki, Reisuke Funahashi, Kei Yagihashi, Ikuko Fuse, Shinichiro Tanaka, Hirokazu Hori, Shigenori Hiraoka, Shigeru Sonoda, Sayaka Okamoto, Naoki Asano |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Putaminal Hemorrhage Rehabilitation hospital medicine.medical_specialty Internal capsule medicine.medical_treatment Hospitals Rehabilitation 030204 cardiovascular system & hematology behavioral disciplines and activities Stroke onset 03 medical and health sciences 0302 clinical medicine Hematoma Aphasia Humans Medicine In patient cardiovascular diseases Aged Aged 80 and over Rehabilitation business.industry Middle Aged Prognosis medicine.disease nervous system diseases Surgery body regions surgical procedures operative Neurology Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | European Neurology. 79:33-37 |
| ISSN: | 1421-9913 0014-3022 |
| DOI: | 10.1159/000471921 |
| Popis: | Objective: We aimed to clarify the relationship between aphasia and hematoma type/volume in patients with left putaminal hemorrhage admitted to a rehabilitation facility. Methods: We evaluated the relationship between the presence, type, and severity of aphasia and hematoma type/volume in 92 patients with putaminal hemorrhage aged 29-83 years. Hematoma type and volume were evaluated on the basis of CT images obtained at stroke onset. The Standard Language Test for Aphasia was conducted as part of the initial assessment. Results: Aphasia was observed in 79 of 92 patients. A total of 31 patients had fluent aphasia, while 48 had non-fluent aphasia. Non-fluent aphasia often involved hematoma on the anterior limb of the internal capsule, while fluent aphasia often involved hematoma on the posterior limb of internal capsule. When the hematoma volume exceeded 20 mL, patients experienced difficulty in repeating spoken words. When hematoma volume exceeded 40 mL, non-fluent aphasia was observed in all patients. Conclusion: Our findings suggest that hematoma type and volume not only influence the development of aphasia following putaminal hemorrhage but also play a major role in determining the patient's fluency and repetition ability. |
| Databáze: | OpenAIRE |
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