Semantic aphasia as a sole manifestation of acute stroke

A topographic study on the evaluation of speech and language in the acute phase of a first stroke

“…Four of the eight patients who did not survive had a cardioembolic stroke, while cardioembolism was the most frequent etiology for patients with global (5) Spontaneous speech* -5 5 14 2 0.0001 (6) Counting from 1 to 20* -4 2 11 1 0.0120 (6) Mentioning the 7 weekdays* -3 3 10 0 0.0046 (6) Singing* -3 4 12 0 0.0001 (6) Phono-articulatory function* -0 4 4 7 0.0043 (6) Constructional praxis (4 matches)* -3 2 14 4 0.0021 (6) Constructional praxis (9 matches)* -2 4 14 6 0.0105 (6) Ideomotor praxis (mean±SD) 5 2.8±1.6 2.4±1.5 1.6±2.0 4.7±0.5 0.0012 (7) SD: standard deviation; MCA: middle cerebral artery. *Number of subjects with difficulties and/or errors; (1) ANOVA; (2) ANOVA followed by Tukey's test (differences between the following groups: capsule-nuclear and whole middle cerebral artery territory; capsule-nuclear and temporal-parietal; capsulenuclear and frontal); (3) ANOVA followed by Tukey's test (differences between the following groups: frontal and temporal-parietal; frontal and whole middle cerebral artery territory; capsule-nuclear and temporal-parietal; capsule-nuclear and whole middle cerebral artery territory); (4) ANOVA followed by Tukey's test (differences between the capsule-nuclear group and the whole middle cerebral artery territory group); (5) ANOVA followed by Tukey's test (differences between the following groups: capsule-nuclear and whole middle cerebral artery territory; capsule-nuclear and frontal); (6) Fisher's exact test; (7) ANOVA followed by Tukey's test (differences between the following groups: capsule-nuclear and temporal-parietal; capsule-nuclear and whole middle cerebral artery territory).…”

“…Stroke: speech and language Oliveira and Damasceno of speech and language may help neurologists to localize brain injury site and extension even in the absence of other neurological signs, and still in the absence of radiologically defined lesions 1,2 . Classic aphasias have been correlated to specific brain regions and regarded as vascular syndromes 3 .…”