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

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 te...

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Main Authors: Fabricio Ferreira de Oliveira, Benito Pereira Damasceno
Format: Article
Language:English
Published: Thieme Revinter Publicações 2011-10-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000600013&lng=en&tlng=en
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author Fabricio Ferreira de Oliveira
Benito Pereira Damasceno
author_facet Fabricio Ferreira de Oliveira
Benito Pereira Damasceno
author_sort Fabricio Ferreira de Oliveira
collection DOAJ
description 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.
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spelling doaj-art-d8a16fb82f384c28a7765ee52ac9a9a42025-08-20T02:04:15ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-10-0169579079810.1590/S0004-282X2011000600013S0004-282X2011000600013A topographic study on the evaluation of speech and language in the acute phase of a first strokeFabricio Ferreira de OliveiraBenito Pereira DamascenoEvaluation 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000600013&lng=en&tlng=enlinguísticaafasiaapraxiasacidente cerebral vascularinfarto encefálicolinguagemfalaavaliação da deficiência
spellingShingle Fabricio Ferreira de Oliveira
Benito Pereira Damasceno
A topographic study on the evaluation of speech and language in the acute phase of a first stroke
Arquivos de Neuro-Psiquiatria
linguística
afasia
apraxias
acidente cerebral vascular
infarto encefálico
linguagem
fala
avaliação da deficiência
title A topographic study on the evaluation of speech and language in the acute phase of a first stroke
title_full A topographic study on the evaluation of speech and language in the acute phase of a first stroke
title_fullStr A topographic study on the evaluation of speech and language in the acute phase of a first stroke
title_full_unstemmed A topographic study on the evaluation of speech and language in the acute phase of a first stroke
title_short A topographic study on the evaluation of speech and language in the acute phase of a first stroke
title_sort topographic study on the evaluation of speech and language in the acute phase of a first stroke
topic linguística
afasia
apraxias
acidente cerebral vascular
infarto encefálico
linguagem
fala
avaliação da deficiência
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000600013&lng=en&tlng=en
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