If seizures left speechless: CA-P-S C-A-R-E, a proposal of a new ictal language evaluation protocol
| Autor: | Francesca Bisulli, Laura Licchetta, Martina Fabbri, Lara Alvisi, Paolo Tinuper, Corrado Zenesini, Silvia Boscarato, Lorenzo Muccioli, Luca Vignatelli, Lorenzo Ferri |
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| Přispěvatelé: | Ferri L., Vignatelli L., Alvisi L., Fabbri M., Boscarato S., Zenesini C., Licchetta L., Muccioli L., Tinuper P., Bisulli F. |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Video Recording Dermatology Audiology Electroencephalography Standardized language protocol 050105 experimental psychology Memorization 03 medical and health sciences Epilepsy 0302 clinical medicine Ictal testing Seizures Aphasia Reading (process) medicine Humans 0501 psychology and cognitive sciences Ictal Acronym media_common Protocol (science) medicine.diagnostic_test 05 social sciences Reproducibility of Results General Medicine medicine.disease Psychiatry and Mental health Ictal aphasia Original Article Neurology (clinical) medicine.symptom Psychology 030217 neurology & neurosurgery |
| Zdroj: | Neurological Sciences |
| ISSN: | 1590-3478 |
| Popis: | Introduction We aimed to create standardized protocol for language examination in patients who underwent video-EEG recording and assessed its efficacy in the characterization of ictal language impairment, its ability to differentiate this from impaired awareness, and interobserver reliability in clinical practice. Methods From our database of video-EEG recordings, we selected a representative sample of 63 focal seizures with presumed language impairment. A multidisciplinary team of epileptologists, EEG technicians, and speech therapists analyzed the selected videos to highlight the critical issues of ordinary ictal language evaluation. We subsequently followed a multi-step process to develop the protocol and assess its interobserver reliability. Results A protocol based on seven tests in hierarchical succession was created, summed up in the acronym CA-P-S C-A-R-E (Closed Answers, Pro-speak question, Simple orders, Common object denomination, Audio repetition, Reading, Evoke). Following its preliminary administration for 5 months, we assessed the inter-observer reliability of 16 healthcare professionals in distinguishing between language impairment and impaired awareness among a sample of 10 seizures, finding a substantial agreement (kappa 0.61). Conclusion The proposed protocol, made of simple and easy to memorize tests, is an effective tool that evaluates multiple domains beyond language. Its use could help to recognize ictal aphasia effectively and differentiate it from impaired awareness, minimizing inter-examiner variability. |
| Databáze: | OpenAIRE |
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