Saratov JOURNAL of Medical and Scientific Research

aphasia

Divergence of clinical features and neuroimaging results in stroke-provoked aphasia

Year: 2006, volume 2 Issue: №2 Pages: 552-556
Heading: Neurology Article type: Original article
Authors: Sholomov I.I., Ornatskaya N.A., Mescheryakova Y.B.
Organization: Saratov State Medical University, State Military Hospital (Saratov — 63)
Summary:

Aim of the study. Aim of the study. Materials and methods. Clinical and neuroimaging survey of 58 patients with acute stroke and aphasia is conducted. For identifcation aphasia type it agrees the classifcation of A. R. Lury accepted in our country, speech functions were investigated by E. D. Homsky’s technique. Results. By comparison of results of neuropsychological and neuroimaging researches it is revealed that in 40 % of cases localization of the lesion doesn’t correspond to the diagnosed type of aphasia. In group of clinical features and neuroimaging results divergences existence of average correlation communication between severity of aphasia and age of patients, and also severity of aphasia and the general weight of neurologic manifestations of a stroke is revealed. Indicators of expressiveness of neurologic defciency and speech violations in this group were authentically below, than in group of compliance. Conclusion. In 40 % of cases localization of the lesion doesn’t correspond to the diagnosed type of aphasia. Topic discrepancy appears in atypical cortical (21,74 %) and subcortical (47,83 %), location and also in tomographic lesion absence (30,43 %).

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