Aphasia after stroke: natural history and associated deficits.

Wade, Derick T; Hewer, R L; David, Rachel; Enderby, Pam

doi:10.1136/jnnp.49.1.11

Cited by 371 publications

(232 citation statements)

References 12 publications

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“…Aphasia is diagnosed in 21-38 % [1][2][3][4] of admitted stroke patients at the acute stage. Patients with aphasia often remain disabled despite low baseline NIHSS scores [5].…”

Section: Introductionmentioning

confidence: 99%

Prognosis of aphasia in stroke patients early after iv thrombolysis

Kremer

Perren

Kappelin

et al. 2013

Clinical Neurology and Neurosurgery

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Prognosis of aphasia in stroke patients early after iv thrombolysis.Kremer, Christine; Perren, Fabienne; Kappelin, Johan; Selariu, Eufrozina; Abul-Kasim, Kasim Link to publication Citation for published version (APA): Kremer, C., Perren, F., Kappelin, J., Selariu, E., & Abul-Kasim, K. (2013). Prognosis of aphasia in stroke patients early after iv thrombolysis. Clinical Neurology and Neurosurgery, 115(3), 289-292. DOI: 10.1016289-292. DOI: 10. /j.clineuro.2012 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Prognosis of Aphasia in Stroke Patients early after iv Thrombolysis ABSTRACTObjective -Intravenous rt-PA (iv) thrombolysis is given more deliberately to stroke patients presenting with aphasia. Early outcome data is lacking. Aim of this study was to determine early benefit from rt-PA in patients with aphasia. Methods -Data of stroke patients treated by iv thrombolysis 2002-2008 was scrutinized for the presence of aphasia defined as ≥1 point for aphasia on the National Institute of Health Stroke Scale (NIHSS). Improvement was defined as a gain of ≥1 point within 24 hours. Cranial computed tomography (CT) scans were evaluated regarding early ischemic changes (EICs), infarct volume and localization Results -50 patients with aphasia were included. 16 (32%) of patients improved (4 (36%) minor, 7 (41%) moderate, 5 (23%) major stroke patients), while 44 (62 %) remained unchanged. Of 28 patients with EICs, 10 (36 %) improved compared to 7 out of 22 (32%) patients without (p=0.773). Aphasia outcome was significantly associated with infarct volume at admission and at 24 hours (Kruskal Wallis, p=0.033, p=<0,001, respectively). Conclusion -EICs are not predictive of aphasia outcome and patients with improvement showed smaller infarct volumes. 32% improved in their aphasia within 24 hours, probably due to early reperfusion, while 62% remained unchanged. This might justify a closer follow-up of aphasia in stroke patients at the acute stage.

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“…Aphasia is diagnosed in 21-38 % [1][2][3][4] of admitted stroke patients at the acute stage. Patients with aphasia often remain disabled despite low baseline NIHSS scores [5].…”

Section: Introductionmentioning

confidence: 99%

Prognosis of aphasia in stroke patients early after iv thrombolysis

Kremer

Perren

Kappelin

et al. 2013

Clinical Neurology and Neurosurgery

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“…It has been reported that 21%-38% of patients with stroke have aphasia in the acute stage. [1][2][3] Recovery from aphasia occurs mainly during the first 3 months after stroke; finally, 10%-18% of patients with stroke have aphasia in the chronic stage. 2,4,5 Therefore, it is important to predict the prognosis of aphasia at an early stage in patients with stroke because it could provide useful information for planning specific rehabilitation strategies and for estimating the duration of rehabilitation.…”

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confidence: 99%

Prediction of Aphasia Outcome Using Diffusion Tensor Tractography for Arcuate Fasciculus in Stroke

Kim

Jang

2012

AJNR Am J Neuroradiol

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“…1 Various studies have investigated the prevalence of aphasia resulting from stroke, estimating between 10% to 18% of stroke survivors will have aphasia long term. [2][3][4] Given the language diffi culties encountered by people with aphasia, there is a growing recognition of the need to produce aphasia-friendly written health information. [5][6][7][8][9] Aphasia-friendly information incorporates many of the recommendations for how best to format written information for stroke patients 10,11 but to an exaggerated degree.…”

mentioning

confidence: 99%

Do People With Aphasia Want Written Stroke and Aphasia Information? A Verbal Survey Exploring Preferences for When and How to Provide Stroke and Aphasia Information

Rose

Worrall

Hickson

et al. 2010

Topics in Stroke Rehabilitation

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A phasia can be defined as "the loss or impairment of language function." 1(p49) It is a multimodality disorder that manifests in difficulties with speaking, reading, and writing.1 Various studies have investigated the prevalence of aphasia resulting from stroke, estimating between 10% to 18% of stroke survivors will have aphasia long term.2-4 Given the language diffi culties encountered by people with aphasia, there is a growing recognition of the need to produce aphasia-friendly written health information.5-9 Aphasia-friendly information incorporates many of the recommendations for how best to format written information for stroke patients 10,11 but to an exaggerated degree. 12Preliminary research found that people with aphasia comprehended more health information when standard health information brochures and booklets were reformatted to contain simple words and short sentences, larger font, white space, and pictures. 6 Before further pursuing research in the area of aphasia-friendly text formatting, it is fundamental to determine whether people with aphasia wish to receive health information in written formats. "Virtually every variety of aphasia entails some diffi culty in oral reading or reading comprehension." 13(p60) Given this, and the wide variety of media available for patient education (eg, DVDs, Websites, verbal information), it should not be assumed that people with aphasia desire to receive health information in a written Purpose: Written health information can be better comprehended by people with aphasia if it is provided in an aphasiafriendly format. However, before pursuing research in the area of text-formatting for people with aphasia, it must be determined whether people with aphasia consider it helpful to receive health information in the written media. This study, therefore, aimed to determine the following: whether people with aphasia consider it important to receive written stroke and aphasia information; when people with aphasia prefer to receive this information; and what their preferences are for health information media. Method: Surveys were administered in a face-to-face interview with 40 adults with aphasia. Participants were purposefully selected using maximum variation sampling for a variety of variables including aphasia severity, reading ability, and time post stroke. Results: Participants thought it important to receive written information about both stroke and aphasia. They considered it helpful to receive written information at several stages post stroke, particularly from 1 month onwards. The largest proportion (97%) of participants identifi ed 6 months post stroke as the most helpful time to receive this information. Written information was the most preferred media at participants' present time post stroke (M = 39 months; range, 2-178 months). Videos/DVDs were the most preferred media during the 6 months immediately following the stroke. Conclusion: Despite reading and language diffi culties, participants considered written information to be important, hence people wi...

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Aphasia after stroke: natural history and associated deficits.

Cited by 371 publications

References 12 publications

Prognosis of aphasia in stroke patients early after iv thrombolysis

Prognosis of aphasia in stroke patients early after iv thrombolysis

Prediction of Aphasia Outcome Using Diffusion Tensor Tractography for Arcuate Fasciculus in Stroke

Do People With Aphasia Want Written Stroke and Aphasia Information? A Verbal Survey Exploring Preferences for When and How to Provide Stroke and Aphasia Information

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