DETECTION OF CEREBROVASCULAR DISEASE/flue// et al. 455may be used to detect and quantify intracranial flow abnormalities. RGA is then employed if there are still unanswered questions or when a patient's clinical presentation, DS or RNA findings indicate need for surgery. SUMMARY The extent of recovery from aphasia following ischemic stroke has been evaluated by a quantitative method. The greatest improvement was observed during the first 3 months following onset. The rate of recovery was similar for expression and for comprehension, but comprehension was usually less disturbed than expression. Final prognosis depends on the type of aphasia (the poorest prognosis was found for total or global aphasia) and on the severity of the initial insult. Stroke, Vol 11, No 5, 1980 ASSESSMENT of the rate of recovery is important in the study and management of aphasia. The rate of recovery in a population of patients with stroke was studied with particular attention to the correct patient classification and to a precise quantification of the disorders. Patients and MethodsSeventy-five patients with aphasia following stroke were studied (mean age 67 years). There were 34 males aged 53 to 85 years (mean 66) and 41 females aged 27 to 88 years (mean 68).All patients had a cerebral infarction (none had hemorrhage); all were right-handed (handedness determined according to Bryden 1 ); all had an infarction in the left hemisphere as determined by EEG, Mm Tc pertechnetate scan and, in some, by angiography and CT scan. Nine patients were classified as having total or global aphasia, 46 Broca's aphasia and 20 Wernicke's aphasia. Patients with anomic aphasia, conduction aphasia or agrammatism were infrequently found and were not included in the study.Classification of aphasia was based on verbal expression. In the patients classified as having Broca's aphasia, verbal expression was initially characterized by mutism or speech limited to one or more syllables, one or more words always the same, or by sentences involving the following abnormalities: omission of words, dysarthria, perseveration, paraphasia, iteration (repetition of a phoneme, a syllable, or a word, without completion of the message), palilalia (repetition of words, phrases or sentences, with completion of the message), echolalia, agrammatism, dyssyntaxia. In the patients believed to have Wernicke's aphasia, neologisms were present as well as phonemic deformations, indeterminate, semantic and morphological paraphasias, dyssyntaxia, leading to a dysphonemic (predominance of phonemic errors), dysseman- tic (predominance of paraphasias) or mixed jargon. Total or global aphasia was diagnosed when language was initially characterized by the absence of comprehension and by mutism or when verbal expression was limited to a few sterotyped sounds. Disorders of verbal comprehension and expression were analyzed separately. Both were studied during spontaneous speech and during a set of special tests. 1For spontaneous speech, the severity of comprehension impairment was assessed on ...
In a right handed patient with crossed aphasia, two atraumatic techniques (regional cerebral blood flow measurements during the performance of a linguistic task and dichotic listening test) were used to assess language lateralization. The prominence of rCBF activation patterns in the right hemisphere and the presence of a clear-cut right ear extinction on the dichotic listening test provide evidence that, is this case, the right hemisphere was dominant for language.
100 aphasic patients were examined with a scorable aphasia battery looking at the frequency of various aphasia types and the possible specificity of clinical pictures in deep-seated lesions. One month after onset, "atypical" aphasiological syndromes proved to be rare and to have the same frequency in patients with cortico-subcortical or capsulostriatal deep-seated lesions. In the latter condition, no specific clinical syndrome was brought out, although verbal comprehension disorders were usually less severe than in cortico-subcortical lesions.
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