Artículos de revistas
A Topographic Study On The Evaluation Of Speech And Language In The Acute Phase Of A First [stroke Um Estudo Topográfico Da Avaliação De Fala E Linguagem Na Fase Aguda De Um Primeiro Infarto Cerebral]
Registro en:
Arquivos De Neuro-psiquiatria. , v. 69, n. 5, p. 790 - 798, 2011.
0004282X
10.1590/S0004-282X2011000600013
2-s2.0-80455127094
Autor
de Oliveira F.F.
Damasceno B.P.
Institución
Resumen
Evaluation of speech and language may help in localization of site and extension of brain lesions, particularly in the absence of other neurological signs or radiologically defined injuries. Objective: To verify what language tasks are best correlated to which brain regions, in order to develop a test for neurologists in emergency settings. Method: Thirty-seven adult first-stroke patients were submitted to cognitive and language tests, and then paired with thirty-seven healthy controls. Patients underwent CT and/or MRI for topographic correlation with test results (p<0.05). Results: All tests were able to distinguish patients from controls, but only word/sentence repetition, naming, ideomotor praxis and, non-significantly, comprehension and counting 1-20 predicted left hemisphere lesions. Repetition was related to perisylvian structures, comprehension to the posterior portion of the middle cerebral artery territory, and fluency to frontal lesions, while naming was accurate only for lesion side. Conclusion: Language and cognitive tasks can help in the localization of acute stroke lesions. 69 5 790 798 Kreisler, A., Godefroy, O., Delmaire, C., The anatomy of aphasia revisited (2000) Neurology, 54, pp. 1117-1123 Oliveira, F.F., Avelar, W.M., Bichuetti, D.B., Semantic aphasia as a sole manifestation of acute stroke (2010) Arq Neuropsiquiatr, 68, pp. 965-967 Hillis, A.E., Aphasia: Progress in the last quarter of a century (2007) Neurology, 69, pp. 200-213 Lezak, M.D., Howieson, D.B., Loring, D.W., (2004) Neuropsychological Assessment, , 4th edition. New York: Oxford University Press Hand, P.J., Haisma, J.A., Kwan, J., Interobserver agreement for the bedside clinical assessment of suspected stroke (2006) Stroke, 37, pp. 776-780 The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): A major international collaboration (1988) J Clin Epidemiol, 41, pp. 105-114. , Who Monica Project Principle Investigators Oliveira, F.F., Damasceno, B.P., Short-term prognosis for speech and language in first stroke patients (2009) Arq Neuropsiquiatr, 67, pp. 849-855 Strub, R.L., Black, F.W., (2000) The Mental Status Examination in Neurology, , 4th edition. Philadelphia: Davis Oldfield, R.C., The assessment and analysis of handedness. The Edinburgh Inventory (1971) Neuropsychologia, 9, pp. 97-113 Jones-Gotman, M., Zatorre, R.J., Olivier, A., Learning and retention of words and designs following excision from medial or lateral temporal- lobe structures (1997) Neuropsychologia, 35, pp. 963-973 Christensen, A.L., (1979) Luria's Neuropsychological Investigation, , 2nd edition. Copenhagen: Munksgaard Kertesz, A., Ferro, J.M., Shewan, C.M., Apraxia and aphasia: The functional-anatomical basis for their dissociation (1984) Neurology, 34, pp. 40-47 Benson, D.F., Aphasia Clinical Neuropsychology, p. 1993. , Heilman KM, Valenstein E (Org), 3rd edition. New York: Oxford University Press Ogar, J., Willock, S., Baldo, J., Wilkins, D., Ludy, C., Dronkers, N., Clinical and anatomical correlates of apraxia of speech (2006) Brain Lang, 97, pp. 343-350 Adams, H.P., Bendixen, B.H., Kappelle, L.J., Classification of subtype of acute ischemic stroke: Definitions for use in a multicenter clinical trial (1993) Stroke, 24, pp. 35-41 Radanovic, M., Scaff, M., Speech and language disturbances due to subcortical lesions (2003) Brain Lang, 84, pp. 337-352 Soares, E.C.S., Ortiz, K.Z., Influence of schooling on language abilities of adults without linguistic disorders (2009) Sao Paulo Med J, 127, pp. 134-139 Godefroy, O., Dubois, C., Debachy, B., Leclerc, M., Kreisler, A., Vascular aphasias: Main characteristics of patients hospitalized in acute stroke units (2002) Stroke, 33, pp. 702-705 Laska, A.C., Hellblom, A., Murray, V., Kahan, T., von Arbin, M., Aphasia in acute stroke and relation to outcome (2001) J Intern Med, 249, pp. 413-422 Pedersen, P.M., Vinter, K., Olsen, T.S., Aphasia after stroke: Type, severity and prognosis. The Copenhagen aphasia study (2004) Cerebrovasc Dis, 17, pp. 35-43 Wheaton, L.A., Hallett, M., Ideomotor apraxia: A review (2007) J Neurol Sci, 260, pp. 1-10 Basso, A., Lecours, A.R., Moraschini, S., Vanier, M., Anatomoclinical correlations of the aphasias as defined through computerized tomography: Exceptions (1985) Brain Lang, 26, pp. 201-229 Willmes, K., Poeck, K., To what extent can aphasic syndromes be localized? (1993) Brain, 116, pp. 1527-1540 Mohr, J.P., Pessin, M.S., Finkelstein, S., Funkenstein, H.H., Duncan, G.W., Davis, K.R., Broca aphasia: Pathologic and clinical (1978) Neurology, 28 (3), pp. 11-324 Fuster, J.M., (2008) The Prefrontal Cortex. 4 Th Edition, , London: Elsevier