Short-term prognosis for speech and language in first stroke patients

Arquivos de Neuro-Psiquiatria

Fabricio F. Oliveira²  Benito P. Damasceno¹ 

[1] ,State University of Campinas Department of Neurology Campinas SP ,Brazil

关键词: linguistics;    stroke;    brain infarction;    language;    speech;    disability evaluation;    prognosis;    linguística;    acidente cerebral vascular;    infarto encefálico;    linguagem;    fala;    avaliação da deficiência;    prognóstico;   

DOI  :  10.1590/S0004-282X2009000500013

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the factors that can influence evolution of communication after a first stroke. METHOD: Thirty-seven adult patients were evaluated for speech and language within 72 hours after a single first-ever ischemic brain injury and later on. Patients who were comatose, with decompensated systemic diseases, or history of chronic alcoholism or illicit drug use were not included. Brain CT and/or 2T-MR exams were solicited for topographic correlation. Size of infarct was classified as large or small according to the TOAST classification. RESULTS: Patients who survived had lesser chances of presenting with aphasia or dysarthria 3 months after the stroke if the infarct size was small (p=0.017). Gender, age, schooling, aphasia subtype, infarct side and topography were non-significant in our sample. Subjects with global aphasia or lone cortical dysarthria had a slower evolution. CONCLUSION: Brain injury size was the most influential factor for neurological outcome at 3 months post-stroke.

【 授权许可】

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