Clinicoanatomical correlation in stroke related aphasia

Bohra, Vikram; Khwaja, Geeta Anjum; Jain, Sneh L.; Duggal, Ashish; Ghuge, Vijay Vishwanath; Srivastava, Abhilekh

doi:10.4103/0972-2327.165469

Cited by 21 publications

(11 citation statements)

References 16 publications

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“…Both conductive and nominal aphasia were uncommon and were found in only 8.3% and 2.8% respectively. Our results are similar to many other studies which found that both global and motor aphasia are the major subtypes [30,[37][38][39].…”

Section: Discussionsupporting

confidence: 92%

A hospital-based study of post-stroke aphasia: frequency, risk factors, and topographic representation

Khedr

Abbass

Soliman

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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Background and objective: The crude prevalence rate of stroke in Qena, Egypt, is high (922/100,000). For the first time, we estimate the frequency of aphasia following the first-ever ischemic stroke and its relationship to the site of lesion in Arabic-speaking countries. Methods: The study was conducted on 180 acute or subacute ischemic stroke patients. Aphasia was diagnosed with the short form of the Boston Diagnostic Aphasia Examination after establishment of the cases (at least 10 days of stroke onset). Computed tomography and/or magnetic resonance imaging were performed for topographic localization of stroke, and routine laboratory investigations were done to evaluate the possible stroke risk factors. Results: The frequency of post-stroke aphasia was recorded in 20%, and atrial fibrillation (AF) represents a high-risk factor for ischemic stroke with aphasia. The following categories were observed: global aphasia in 50%, motor aphasia in 27.7%, sensory aphasia in 11.1%, nominal aphasia in 2.8%, and conductive aphasia in 8.3%. Global aphasia was mainly associated with complete middle cerebral artery (MCA) territories infarction. Motor aphasia was associated mainly with frontal or frontoparietal operculum lesions as well as basal ganglionic lesions. Sensory aphasia was associated with temporal lobe lesions, inferior parietal lobe, and basal ganglia. Conductive aphasia showed lesions in the deep white matter of the frontal and parietal lobes. Anomic aphasia was associated with inferior parietal lobe lesion. Conclusion: Our data are consistent with other reports as regards the frequency and risk factors of post-stroke aphasia. Atrial fibrillation represents a high-risk factor for ischemic strokes with aphasia. Global and motor aphasia are the major subtypes. The lesion locations are predictive of aphasia subtypes.

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Section: Discussionsupporting

confidence: 92%

A hospital-based study of post-stroke aphasia: frequency, risk factors, and topographic representation

Khedr

Abbass

Soliman

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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“…5 Penelitian menunjukkan angka kejadian afasia pada stroke yang cukup tinggi, yaitu 13-40%. [6][7][8] Pemulihan afasia dapat terjadi secara bertahap dalam beberapa bulan pertama pascastroke. Menurut Watilla dkk pemulihan afasia sulit diprediksi karena banyak faktor yang memengaruhi proses pemulihan tersebut.…”

Section: Pendahuluanunclassified

“…Beberapa penelitian afasia menunjukkan tidak terdapat perbedaan insidens afasia antara jenis kelamin. 6,13 Kardioemboli merupakan penyebab terbanyak afasia pada stroke iskemik dalam penelitian ini. Hal ini terjadi karena emboli otak yang bersumber dari jantung sering kali berukuran besar, sehingga dapat menyebabkan gejala stroke lebih berat.…”

Section: Pembahasanunclassified

“…Hal ini sesuai dengan data dalam penelitian lain yang menunjukkan angka kejadian afasia pada stroke 13-40%. [6][7][8] Sindrom afasia terbanyak pada stroke fase akut penelitian ini adalah afasia global diikuti afasia Broca. Bohra dkk pada tahun 2015 juga mendapatkan sindrom afasia terbanyak yaitu afasia global diikuti afasia Broca.…”

Section: Pembahasanunclassified

“…Bohra dkk pada tahun 2015 juga mendapatkan sindrom afasia terbanyak yaitu afasia global diikuti afasia Broca. 6 Penelitian ini menunjukkan 40% subjek afasia mengalami perubahan sindrom dalam 1 bulan pascaawitan. Lebih dari setengah subjek dengan afasia global berubah menjadi afasia Broca dan transkortikal motorik.…”

Section: Pembahasanunclassified

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Kejadian Afasia Pada Stroke Fase Akut Dan Perubahan Sindrom Afasia Pascastroke

Bachtiar

Ong

Sobaryati

et al. 2020

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THE OCCURRENCE AND EVOLUTION OF APHASIA SYNDROME WITHIN ONE MONTH AFTER STROKEABSTRACTIntroduction: Aphasia is a barrier for the rehabilitation of patients with stroke. The examination of aphasia is not only for diagnostic purpose, but also for the patient remaining language proficiency information and for comprehensive stroke treatment.Aims: To study the incidence rate of aphasia in acute ischemic stroke and the change of the aphasia syndrome one month after stroke.Methods: A descriptive observational with cohort study on ischemic stroke patients in Neurology ward, Dr. Hasan Sadikin Hospital and other hospitals in Bandung between November 2017 and February 2018. Tes Afasia, Diagnosis, Informasi dan Rehabilitasi(TADIR, a tools for diagnostic and rehabilitation of aphasia for Indonesian) was used to diagnose aphasia initially and repeated one month after diagnosis.Results: Aphasia was found in 24 out of 102 patients with acute ischemic stroke (23.5%). Majority was male (58.3%), the average age of the patients was 55.6±11,4 years and 8.8 years of education. The most common type of stroke causing aphasia was cardioembolic (62.5%). Based on the types, the most aphasia syndrome found in this study were global aphasia (58.3%), followed by Broca aphasia (25%). Twenty patients with aphasia were re-examined after one month and 40% patients experienced transformation into other type of aphasia syndrome. Between patients with global aphasia, 45.5% transformed into Broca aphasia and 9% into transcortical motor aphasia. Patients with Broca aphasia did not experience transformation, 50.0% of Wernicke aphasia transformed into conductive aphasia, and one conductive aphasia patient transformed into anomic aphasia.Discussion: The occurrence of aphasia in acute ischemic stroke is 23.5%. Within one month after stroke, 40% patients with aphasia have shown transformation from one type into other type of aphasia syndrome.Keyword: Aphasia, language proficiency, stroke, TADIRABSTRAKPendahuluan: Afasia dapat menghambat rehabilitasi pasien stroke. Pemeriksaan afasia, tidak hanya untuk keperluan diagnosis, namun juga sebagai informasi kemampuan berbahasa pasien yang tersisa dan akan bermanfaat untuk tata laksana stroke yang komprehensif.Tujuan: Mengetahui kejadian afasia pada stroke iskemik fase akut dan perubahannya pada satu bulan kemudian.Metode: Penelitian deskriptif observasional dengan rancangan kohort terhadap pasien stroke iskemik yang dirawat di ruang rawat inap Neurologi RSUP Dr. Hasan Sadikin dan beberapa RS di Bandung dan sekitarnya pada bulan November 2017 sampai Februari 2018. Penilaian afasia menggunakan Tes Afasia, Diagnosis, Informasi, dan Rehabilitasi (TADIR) yang diulang pada satu bulan kemudian.Hasil: Afasia ditemukan pada 24 dari 102 pasien stroke iskemik fase akut (23,5%). Mayoritas subjek adalah laki-laki (58,3%) dengan rerata usia 55,6±11,4 tahun dan rerata lama pendidikan 8,8 tahun. Penyebab afasia terbanyak adalah stroke kardioemboli (62,5%). Sindrom afasia yang terbanyak ditemukan adalah afasia global (58,3%) diikuti afasia Broca (25%). Pemeriksaan ulang pada satu bulan pascastroke dilakukan terhadap 20 pasien afasia, dan didapatkan 40% mengalami perubahan sindrom. Sebanyak 45,5% pasien afasia global berubah sindrom menjadi afasia Broca dan 9,0% menjadi afasia transkortikal motorik. Afasia Broca tidak mengalami perubahan sindrom. Seorang pasien dengan sindrom afasia Wernike berubah menjadi afasia konduksi; dan satu pasien dengan sindrom afasia konduksi berubah menjadi afasia anomik.Diskusi: Kejadian afasia pada stroke iskemik fase akut adalah 23,5%. Satu bulan pascastroke, 40% pasien afasia mengalami perubahan sindrom.Kata kunci: Afasia, kemampuan berbahasa, stroke, TADIR

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