Global aphasia as a predictor of mortality in the acute phase of a first stroke
OBJECTIVE: To establish whether vascular aphasic syndromes can predict stroke outcomes. METHOD: Thirty-seven adults were evaluated for speech and language within 72 hours after a single first-ever ischemic brain lesion, in blind association to CT and/or MR. RESULTS: Speech or language disabilities w...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2011-01-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000300002&lng=en&tlng=en |
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| author | F F Oliveira B P Damasceno |
| author_facet | F F Oliveira B P Damasceno |
| author_sort | F F Oliveira |
| collection | DOAJ |
| description | OBJECTIVE: To establish whether vascular aphasic syndromes can predict stroke outcomes. METHOD: Thirty-seven adults were evaluated for speech and language within 72 hours after a single first-ever ischemic brain lesion, in blind association to CT and/or MR. RESULTS: Speech or language disabilities were found in seven (87.5%) of the eight deceased patients and twenty-six (89.7%) of the twenty-nine survivors. Global aphasia was identified in eleven patients, all with left hemisphere lesions (nine mute; five deceased), consisting on a risk factor for death in the acute stroke phase (ρ=0.022). Age (z=1.65; ρ>0.09), thrombolysis (ρ=0.591), infarct size (ρ=0.076) and side (ρ=0.649) did not significantly influence survival. Absence of aphasia did not predict a better evolution, regardless of the affected hemisphere. Prevalence of cardiovascular risk factors was similar for all patient groups. CONCLUSION: Global aphasia in acute stroke can adversely affect prognosis, translated into impairment of dominant perisylvian vascular territories, with mutism as an important semiological element. |
| format | Article |
| id | doaj-art-2db737476bf24d36a7cc2c81a0d9be20 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-2db737476bf24d36a7cc2c81a0d9be202025-08-20T02:01:40ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-01-01692b27728210.1590/S0004-282X2011000300002S0004-282X2011000300002Global aphasia as a predictor of mortality in the acute phase of a first strokeF F Oliveira0B P Damasceno1Universidade Estadual de CampinasUniversidade Estadual de CampinasOBJECTIVE: To establish whether vascular aphasic syndromes can predict stroke outcomes. METHOD: Thirty-seven adults were evaluated for speech and language within 72 hours after a single first-ever ischemic brain lesion, in blind association to CT and/or MR. RESULTS: Speech or language disabilities were found in seven (87.5%) of the eight deceased patients and twenty-six (89.7%) of the twenty-nine survivors. Global aphasia was identified in eleven patients, all with left hemisphere lesions (nine mute; five deceased), consisting on a risk factor for death in the acute stroke phase (ρ=0.022). Age (z=1.65; ρ>0.09), thrombolysis (ρ=0.591), infarct size (ρ=0.076) and side (ρ=0.649) did not significantly influence survival. Absence of aphasia did not predict a better evolution, regardless of the affected hemisphere. Prevalence of cardiovascular risk factors was similar for all patient groups. CONCLUSION: Global aphasia in acute stroke can adversely affect prognosis, translated into impairment of dominant perisylvian vascular territories, with mutism as an important semiological element.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000300002&lng=en&tlng=enlinguísticaafasiaacidente cerebral vascularinfarto encefálicolinguagemfalaavaliação da deficiênciaprognóstico |
| spellingShingle | F F Oliveira B P Damasceno Global aphasia as a predictor of mortality in the acute phase of a first stroke Arquivos de Neuro-Psiquiatria linguística afasia acidente cerebral vascular infarto encefálico linguagem fala avaliação da deficiência prognóstico |
| title | Global aphasia as a predictor of mortality in the acute phase of a first stroke |
| title_full | Global aphasia as a predictor of mortality in the acute phase of a first stroke |
| title_fullStr | Global aphasia as a predictor of mortality in the acute phase of a first stroke |
| title_full_unstemmed | Global aphasia as a predictor of mortality in the acute phase of a first stroke |
| title_short | Global aphasia as a predictor of mortality in the acute phase of a first stroke |
| title_sort | global aphasia as a predictor of mortality in the acute phase of a first stroke |
| topic | linguística afasia acidente cerebral vascular infarto encefálico linguagem fala avaliação da deficiência prognóstico |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000300002&lng=en&tlng=en |
| work_keys_str_mv | AT ffoliveira globalaphasiaasapredictorofmortalityintheacutephaseofafirststroke AT bpdamasceno globalaphasiaasapredictorofmortalityintheacutephaseofafirststroke |