Early prediction of aphasia outcome in left basal ganglia hemorrhage

Abstract

A particularly high likelihood of poor aphasia outcomes of patients with left basal ganglia hemorrhage are predicted in those who have poor initial aphasia score and whose brain computed tomography shows the hematoma involves the posterior limb of the internal capsule.

Long-term prognosis of aphasia after stroke

“…Over the past years, an increasing number of studies have reported potential prognostic factors for aphasia after stroke,1–3 including age and sex,3 aphasia severity1 3 and subtype,3 lesion location,4 vascular risk factors such as smoking, and previous cardiovascular disease 5. Initial aphasia severity is the strongest of these factors 6.…”

Language recovery and evidence of residual deficits after nonthalamic subcortical stroke: A 1 year follow-up study

“…This pattern of recovery was clearly evidenced by the interaction Time  Hemisphere observed in the evolution of spontaneous speech as measured by the Conversational narrative speech, verbal comprehension as measured by the Commands test, and naming ability as measured by the BNT, the language domains subserved by the perisylvian language cortex (Hillis, 2007) traditionally considered in the diagnosis of aphasia (Goodglass & Kaplan, 1983). Previous studies have reported cases of language disturbance with similar characteristics resolving within the first 3 months post stroke (Fromm et al, 1985;Kumral et al, 1999;Vallar et al, 1988) while only a few patients achieved a significant improvement after this period (Liang et al, 2001). Indeed, mild deficits in these language domains can be detected beyond this time point, specially when using measures of higher complexity as evidenced by the Picture description test.…”

A New Choice of Minimally Invasive Surgery for Intracerebral Hemorrhage in the Striatocapsular Regions Based on Computed Tomography Scans

“…11,12,15,16 Surgical evacuation by MIS may prevent expansion, decrease mass effects, block the release of neuropathic products from hematomas, and thus, prevent initiation of pathologic processes. 17 Then, the different locations of the hematoma in the striatocapsular region raise the question of how to 19 recorded the locations of hematoma by using 10 areas to evaluate the independent predictor of aphasia outcome for patients with acute predominant basal ganglia hemorrhages. Some other scholars designed their classifications based on GCS score, intraventricular pressure, and hydrocephalus.…”