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Aphasia Following Left Putaminal Hemorrhage at a Rehabilitation Hospital
- Source :
- European Neurology. 79:33-37
- Publication Year :
- 2017
- Publisher :
- S. Karger AG, 2017.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 14219913 and 00143022
- Volume :
- 79
- Database :
- OpenAIRE
- Journal :
- European Neurology
- Accession number :
- edsair.doi.dedup.....106b6ac09d9cd7f1f97cb8cc4d223d75
- Full Text :
- https://doi.org/10.1159/000471921