Articles de revues : « Aphasia – rehabilitation – case reports »

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Moore, Anna B., et Tim Conway. « Speaking Clearly : Reviewing Aphasia From Assessment to Treatment : Assessment of Aphasia. O. Spreen and A. H. Risser. 2003. New York : Oxford University Press. 320 pp., $47.50. and Aphasia and its Therapy. A. Basso. 2003. New York : Oxford University Press. 317 pp., $47.50. » Journal of the International Neuropsychological Society 10, n^o 7 (novembre 2004) : 1022–24. http://dx.doi.org/10.1017/s1355617704217131.

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Paul Broca's famous case reports of language impairment following left hemisphere lesions were issued in the 1860s. Since that time, much has been written about the assessment, typology, and neural underpinnings of aphasia. The two books we had the pleasure of reading and reviewing, Assessment of Aphasia and Aphasia and its Therapy, present well thought out and thorough reviews of aphasia literature, the first focusing on assessment issues, the latter focusing more on issues of and theoretical approaches to treatment. The books are united in their insistence that the field of aphasia research, from assessment to rehabilitation, be grounded in theory and a defensible conceptual model. This overarching theme presents itself throughout the entire corpus of both texts. Just as the clinician conducts a thorough assessment before initiating treatment, so too will this review begin with the book focused predominantly on aphasia assessment, before moving on to aphasia therapy.

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Giardinelli, Silvia, Ilaria Bianchedi, Andrea Uva et Federico Marchetti. « Gli esiti dello stroke ischemico del bambino : afasia e talamo ». Medico e Bambino pagine elettroniche 25, n^o 3 (31 mars 2022) : 65–67. http://dx.doi.org/10.53126/mebxxvmr065.

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Left thalamic stroke in adults commonly results in thalamic aphasia, which is characterized by defects in lexical and semantic abilities associated with fluency and comprehension disabilities and intact word repetition. Although few cases have been reported, aphasia with similar features can also be present as a consequence of left-brain hemisphere stroke in children, which has usually a poorer prognosis if compared with that of the adult population. The paper reports the case of a 20-month-old female child that developed aphasia after an ischemic stroke that involved the left anteromedial thalamus. In these cases it is necessary to initiate an early rehabilitation treatment, possibly supported by augmentative and alternative communication techniques.

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Machado, Thais Helena, Aline Carvalho Campanha, Paulo Caramelli et Maria Teresa Carthery-Goulart. « Brief intervention for agrammatism in Primary Progressive Nonfluent Aphasia : A case report ». Dementia & ; Neuropsychologia 8, n^o 3 (septembre 2014) : 291–96. http://dx.doi.org/10.1590/s1980-57642014dn83000014.

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The non-fluent and agrammatic variant of Primary Progressive Aphasia (NFPPA) is characterized by reduced verbal production with deficits in building grammatically correct sentences, involving dysfunctions in syntactic and morphological levels of language. There are a growing number of studies about non-pharmacological alternatives focusing on the rehabilitation of functional aspects or specific cognitive impairments of each variant of PPA. This study reports a short-term treatment administered to a patient with NFPPA focusing on the production of sentences. The patient had significant reduction in verbal fluency, use of keywords, phrasal and grammatical simplifying as well as anomia. Using the method of errorless learning, six sessions were structured to stimulate the formation of sentences in the present and past with the cloze technique. The patient had improvement restricted to the strategy, with 100% accuracy on the trained phrases and generalization to untrained similar syntactic structure after training. These results persisted one month after the treatment.

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Anderlini, Deanna, Guy Wallis et Welber Marinovic. « Language as a Predictor of Motor Recovery : The Case for a More Global Approach to Stroke Rehabilitation ». Neurorehabilitation and Neural Repair 33, n^o 3 (13 février 2019) : 167–78. http://dx.doi.org/10.1177/1545968319829454.

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Stroke is the third leading cause of death in the developed world and the primary cause of adult disability. The most common site of stroke is the middle cerebral artery (MCA), an artery that supplies a range of areas involved in both language and motor function. As a consequence, many stroke patients experience a combination of language and motor deficits. Indeed, those suffering from Broca’s aphasia have an 80% chance of also suffering hemiplegia. Despite the prevalence of multifaceted disability in patients, the current trend in both clinical trials and clinical practice is toward compartmentalization of dysfunction. In this article, we review evidence that aphasia and hemiplegia do not just coexist, but that they interact. We review a number of clinical reports describing how therapies for one type of deficit can improve recovery in the other and vice versa. We go on to describe how language deficits should be seen as a warning to clinicians that the patient is likely to experience motor impairment and slower motor recovery, aiding clinicians to optimize their choice of therapy. We explore these findings and offer a tentative link between language and arm function through their shared need for sequential action, which we term fluency. We propose that area BA44 (part of Broca’s area) acts as a hub for fluency in both movement and language, both in terms of production and comprehension.

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Li, Boxuan, Shizhe Deng, Bomo Sang, Weiming Zhu, Bifang Zhuo, Menglong Zhang, Chenyang Qin, Yuanhao Lyu, Yuzheng Du et Zhihong Meng. « Revealing the Neuroimaging Mechanism of Acupuncture for Poststroke Aphasia : A Systematic Review ». Neural Plasticity 2022 (21 avril 2022) : 1–23. http://dx.doi.org/10.1155/2022/5635596.

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Background. Aphasia is a common symptom in stroke patients, presenting with the impairment of spontaneous speech, repetition, naming, auditory comprehension, reading, and writing function. Multiple rehabilitation methods have been suggested for the recovery of poststroke aphasia, including medication treatment, behavioral therapy, and stimulation approach. Acupuncture has been proven to have a beneficial effect on improving speech functions in repetition, oral speech, reading, comprehension, and writing ability. Neuroimaging technology provides a visualized way to explore cerebral neural activity, which helps reveal the therapeutic effect of acupuncture therapy. In this systematic review, we aim to reveal and summarize the neuroimaging mechanism of acupuncture therapy on poststroke aphasia to provide the foundation for further study. Methods. Seven electronic databases were searched including PubMed, Web of Science, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, the Wanfang databases, and the Chinese Scientific Journal Database. After screening the studies according to the inclusion and exclusion criteria, we summarized the neuroimaging mechanism of acupuncture on poststroke aphasia, as well as the utilization of acupuncture therapy and the methodological characteristics. Result. After searching, 885 articles were retrieved. After removing the literature studies, animal studies, and case reports, 16 studies were included in the final analysis. For the acupuncture type, 10 studies used manual acupuncture and 5 studies used electroacupuncture, while body acupuncture (10 studies), scalp acupuncture (7 studies), and tongue acupuncture (8 studies) were applied for poststroke aphasia patients. Based on blood oxygen level-dependent (BOLD) and diffusion tensor imaging (DTI) technologies, 4 neuroimaging analysis methods were used including amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), seed-based analysis, and independent component analysis (ICA). Two studies reported the instant acupuncture effect, and 14 studies reported the constant acupuncture’s effect on poststroke aphasia patients. 5 studies analyzed the correlation between the neuroimaging outcomes and the clinical language scales. Conclusion. In this systematic review, we found that the mechanism of acupuncture’s effect might be associated with the activation and functional connectivity of language-related brain areas, such as brain areas around Broca’s area and Wernicke’s area in the left inferior temporal gyrus, supramarginal gyrus, middle frontal gyrus, and inferior frontal gyrus. However, these studies were still in the preliminary stage. Multicenter randomized controlled trials (RCT) with large sample sizes were needed to verify current evidence, as well as to explore deeply the neuroimaging mechanisms of acupuncture’s effects.

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Xaverina, Yunneke Renna, Anny Sulistiyowati et Lely Retno Wulandari. « Visual Rehabilitation of Bilateral Posterior Lens Luxation In Children : A Case Report ». Ophthalmologica Indonesiana 48, n^o 2 (5 octobre 2022) : 85–96. http://dx.doi.org/10.35749/journal.v48i2.100668.

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Introduction: Dislocated lens can be subluxated (partial) or luxated (complete), which can cause visual impairment in children. Conservative visual rehabilitation is an option for luxated lens treatment. Purpose: This study reports the possibility for visual rehabilitation of bilateral of bilateral luxated lens in children. Case Report: A 3-year-old boy came to the outpatient clinic of Dr. Saiful Anwar General Hospital with complaints of blurred vision on both eyes. The child would always bring objects close to his eyes since the past year. There was no history of ocular injury nor development disorder. Uncorrected visual acuities with LEA symbol on both right and left eyes were 6/114. The best-corrected visual acuity (BCVA) of the right eye was 6/45 and left eye was 6/9 with both S+11.00. Iridodonesis and aphakic lenses were found during slit-lamp examination of both eyes. The intraocular pressures were 14.2 mmHg on the right eye and 17.3 mmHg on the left eye. The lenses were seen in the vitreous cavities during funduscopy and ultrasonography examination. After 1 month of using spectacles, the BCVA of the right eye was 6/18 and that of the left eye was 6/18 with the binocular BCVA was 6/15. Lensectomy with pars plana vitrectomy was planned to prevent complication. Conclusion: Conservative visual rehabilitation is important to prevent amblyopia in children with luxated lenses and surgical treatment is needed to prevent complication. In this patient, aphakic spectacles were given for visual rehabilitation pending operative treatment.

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Eme, Okpo, Shanono Aisha Haruna, Nwakuche P. Ikechukwu, Ogbonna Bright Chiedozie et Onyeije Odinakachi Lucky. « Case reports on Low Vision Assessment & ; Management of Marfan Syndrome (MFS) Patients, in a Tertiary Hospital in Kano, Nigeria ». Journal of the Nigerian Optometric Association 26, n^o 2 (15 juillet 2024) : 58–65. http://dx.doi.org/10.4314/jnoa.v26i2.8.

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Marfan syndrome (MFS) is an inherited disorder that affects the heart, joints, skeleton, skin, and eyes. People living with MFS are described as tall, long, slender built in appearance, with arachnodactyly, chest wall deformities, and scoliosis. A long, narrow face with deep-set eyes, down-slanting palpebral fissures, flat cheekbones, and a small chin are the facial features often found in people with MFS. The onset varies from infancy to all ages with most cases being diagnosed in the first two decades of life. In children, ocular findings are microspherophakia, congenital/infantile glaucoma, high refractive error at a young age, uveitis, retinal detachments, and enophthalmos secondary to the absence of retrobulbar fat. The basic management procedures include topical dilating agents for chronic dilation of the eye to increase pupillary size for aphakic correction, thorough and careful refraction, the use of contact lenses and/or glasses, removal of the dislocated lens, cataract surgery and treatment of amblyopia. Low vision assessments were carried out on the patients. The approach to the management of the two patients, whose cases are being reported, was different for each case and differed from conventional low vision management. Spectacle corrections of OD -20.00DS (1.76LogMar 6/36 near: 0.80M@23cm) and OD +7.5.0DS (6/9 1M@12cm) were issued for Cases 1 & 2 respectively. 8X Telescope (6/9) and magnifiers (4X Handheld N5 and spectacle +16 DS 0.50m/ N5) were recommended for cases 1 and 2 respectively. Low vision and rehabilitation were found to maximize visual functioning and are reliable options for MFS.

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Cavus, Umut Yucel, Ertan Sonmez, Sema Avci, Sinan Yildirim et Metin Bircan. « Isolated Nominal Aphasia : Two Case Reports ». Journal of Academic Emergency Medicine Case Reports 4, n^o 3 (2013) : 98–99. http://dx.doi.org/10.5505/jaemcr.2013.21043.

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ABO, Masahiro. « Rehabilitation for Aphasia —from a view of our reports— ». Japanese Journal of Rehabilitation Medicine 44, n^o 9 (2007) : 522–27. http://dx.doi.org/10.2490/jjrmc.44.522.

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Laures-Gore, Jacqueline, Tiffany McCusker et Leila L. Hartley. « Aphasia rehabilitation during adolescence : a case report ». Disability and Rehabilitation 39, n^o 12 (18 août 2016) : 1235–42. http://dx.doi.org/10.1080/09638288.2016.1191550.

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Torres-Cruz, Carlos, et Liliana Cruz-Hernández. « Neuropsychological rehabilitation of Broca's and conduction aphasia Case report ». Journal of Neurology & ; Stroke 12, n^o 4 (9 août 2022) : 102–4. http://dx.doi.org/10.15406/jnsk.2022.12.00510.

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Vascular events represent the third cause of death and are also one of the main causes of disability in adulthood. Among the most frequent cognitive sequelae are the aphasia. There is a need to carry out clinical interventions that allow the person with aphasia to rehabilitate language, have quality of life and return to their usual activities. The functional reorganization approach of A. R. Luria proposes that after brain injury cognitive abilities are disorganized, but that through a neuropsychological intervention they can be recovered, at least partially. It is essential to restructure the lost ability and make a change in the psychophysiological structure. We present the case of a 44-year-old man who, after a cerebral infarction, was diagnosed with mixed aphasia: Broca and conduction aphasia. A rehabilitation program based on the functional reorganization approach was started. After 60 sessions, an improvement in automatic language, repetition, naming, and spontaneous language was observed. Likewise, independence for daily activities, family and social interaction increased.

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Solovieva, Yulia, et Luis Quintanar. « Neuropsychological Rehabilitation in a Case of Dynamic Aphasia ». International Neuropsychiatric Disease Journal 11, n^o 4 (11 août 2018) : 1–15. http://dx.doi.org/10.9734/indj/2018/42633.

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Drljić, Anja, et Goran Savić. « Monitoring recovery during sensorimotor aphasia rehabilitation : Case study ». Timocki medicinski glasnik 44, n^o 4 (2019) : 184–87. http://dx.doi.org/10.5937/tmg1904184d.

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Inatomi, Yuichiro, Makoto Nakajima et Toshiro Yonehara. « Aphasia Induced by Infratentorial Ischemic Stroke : Two Case Reports ». Cognitive and Behavioral Neurology 34, n^o 2 (juin 2021) : 129–39. http://dx.doi.org/10.1097/wnn.0000000000000266.

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Aichert, Ingrid, et Wolfram Ziegler. « Segmental and metrical encoding in aphasia : Two case reports ». Aphasiology 18, n^o 12 (décembre 2004) : 1201–11. http://dx.doi.org/10.1080/02687030444000516.

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Cunningham, Rosemary. « Counselling someone with severe aphasia : An explorative case study ». Disability and Rehabilitation 20, n^o 9 (janvier 1998) : 346–54. http://dx.doi.org/10.3109/09638289809166092.

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Mendonça, Lucia Iracema Zanotto de. « Transcranial brain stimulation (TMS and tDCS) for post-stroke aphasia rehabilitation : Controversies ». Dementia & ; Neuropsychologia 8, n^o 3 (septembre 2014) : 207–15. http://dx.doi.org/10.1590/s1980-57642014dn83000003.

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Transcranial brain stimulation (TS) techniques have been investigated for use in the rehabilitation of post-stroke aphasia. According to previous reports, functional recovery by the left hemisphere improves recovery from aphasia, when compared with right hemisphere participation. TS has been applied to stimulate the activity of the left hemisphere or to inhibit homotopic areas in the right hemisphere. Various factors can interfere with the brain's response to TS, including the size and location of the lesion, the time elapsed since the causal event, and individual differences in the hemispheric language dominance pattern. The following questions are discussed in the present article: [a] Is inhibition of the right hemisphere truly beneficial?; [b] Is the transference of the language network to the left hemisphere truly desirable in all patients?; [c] Is the use of TS during the post-stroke subacute phase truly appropriate? Different patterns of neuroplasticity must occur in post-stroke aphasia.

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Robey, Randall R. « A Meta-Analysis of Clinical Outcomes in the Treatment of Aphasia ». Journal of Speech, Language, and Hearing Research 41, n^o 1 (février 1998) : 172–87. http://dx.doi.org/10.1044/jslhr.4101.172.

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An extensive search of aphasia-treatment literature yielded 55 reports of clinical outcomes satisfying the essential criteria for inclusion in a meta-analysis. The results confirmed those of an earlier meta-analysis in demonstrating the utility of aphasia treatments, generally considered, for bringing about desirable clinical outcomes. Beyond the general case, the new findings address clinical utility in finer detail than was previously possible. Effects of treatment for aphasia are synthesized and assessed for each of four important dimensions: amount of treatment, type of treatment, severity of aphasia, and type of aphasia.

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Kavanagh, Dara Oliver, Conor Lynam, Thorsten Düerk, Mary Casey et Paul W. Eustace. « Variations in the Presentation of Aphasia in Patients with Closed Head Injuries ». Case Reports in Medicine 2010 (2010) : 1–5. http://dx.doi.org/10.1155/2010/678060.

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Impairments of speech and language are important consequences of head injury as they compromise interaction between the patient and others. A large spectrum of communication deficits can occur. There are few reports in the literature of aphasia following closed head injury despite the common presentation of closed head injury. Herein we report two cases of closed head injuries with differing forms of aphasia. We discuss their management and rehabilitation and present a detailed literature review on the topic. In a busy acute surgical unit one can dismiss aphasia following head injury as behaviour related to intoxication. Early recognition with prolonged and intensive speech and language rehabilitation therapy yields a favourable outcome as highlighted in our experience. These may serve as a reference for clinicians faced with this unusual outcome.

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Dorze, Guylaine Le, André Jacob et Louise Coderre. « Aphasia rehabilitation with a case of agrammatism : A partial replication ». Aphasiology 5, n^o 1 (janvier 1991) : 63–85. http://dx.doi.org/10.1080/02687039108248520.

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Piccolo, Adriana, Francesco Corallo, Davide Cardile, Michele Torrisi, Chiara Smorto, Simona Cammaroto et Viviana Lo Buono. « Music Therapy in Global Aphasia : A case Report ». Medicines 10, n^o 2 (23 janvier 2023) : 16. http://dx.doi.org/10.3390/medicines10020016.

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Patients affected by global aphasia are no longer able to understand, produce, name objects, write and read. It occurs as a result of functional damage of ischemic or hemorrhagic origin affecting the entire peri-silvan region and frontal operculum. Rehabilitation training aims to promote an early intervention in the acute phase. We described a case of a 57-year-old female patient with left intraparenchymal fronto-temporo-parietal cerebral hemorrhage and right hemiplegia. After admission to clinical rehabilitative center, the patient was not able to perform simple orders and she presented a severe impairment of auditory and written comprehension. Eloquence was characterized by stereotypical emission of monosyllabic sounds and showed compromised praxis-constructive abilities. Rehabilitation included a program of Neurologic Music Therapy (NMT), specifically Symbolic Communication Training Through Music (SYCOM) and Musical Speech Stimulation (MUSTIM). Rehabilitative treatment was measured by improved cognitive and language performance of the patient from T0 to T1. Music rehabilitative interventions and continuous speech therapy improve visual attention and communicative intentionality. In order to confirm the effectiveness of data presented, further extensive studies of the sample would be necessary, to assess the real role of music therapy in post-stroke global aphasia.

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Kendall, Diane L., Stephen E. Nadeau, Tim Conway, Renee H. Fuller, Alonso Riestra et Leslie J. Gonzalez Rothi. « Treatability of different components of aphasia--Insights from a case study ». Journal of Rehabilitation Research and Development 43, n^o 3 (2006) : 323. http://dx.doi.org/10.1682/jrrd.2005.01.0014.

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Beach, Paul A., Monica B. Dhakar et Carlos S. Kase. « Sudden Onset Fluent Aphasia : Stroke or Seizure ? » Neurohospitalist 10, n^o 2 (28 juillet 2019) : 121–26. http://dx.doi.org/10.1177/1941874419864757.

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Conventional understanding of acute onset language deficits indicates that fluent aphasias are due to perisylvian lesions in the dominant hemisphere, most often in the setting of acute stroke. Case studies and retrospective analyses, however, suggest the need to keep ictal phenomena as an alternative diagnostic possibility. The following case illustrates an epileptic mechanism of sudden onset fluent aphasia mimicking an acute stroke presentation. We utilize the case to illustrate means by which to differentiate stroke versus ictal etiology by way of electroencephalography/response to antiseizure drugs as well as perfusion/diffusion imaging. We review the literature case reports to demonstrate that isolated fluent aphasia typically localizes to left-hemispheric, temporal foci. Finally, we provide a brief synthesis of potential neurologic mechanisms by which left temporal lesions may cause fluent aphasia.

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Eliyas, Mohammed, et Sivaranjani Balasubramanian. « AAC Intervention for Stroke Survivors - An Anomic Aphasic Case Study ». International Journal of Health Sciences and Research 11, n^o 12 (14 décembre 2021) : 152–56. http://dx.doi.org/10.52403/ijhsr.20211220.

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Aphasia is an impairment of language that is a consequence of a cerebral insult or damage affecting the speech production and/or comprehension, as well as the ability to read or write. Etiology of Aphasia is multifactorial, most commonly in the form of a stroke (Cerebrovascular Accident), especially in older individuals. The type of aphasia is determined based on multiple factors such as the site of lesion, signs and symptoms and also through patient’s clinical presentation. Rehabilitation for stroke survivors plays a major role in communication effectiveness. Computerized Intervention method provides a prognostic factor in the treatment for adults with aphasia. AAC devices (high-tech) are used to enhance communicative effectiveness of aphasic individuals who are less likely to use strategies/techniques that the caregiver can use to foster interactions between themselves and the aphasic individual outside the treatment setting. Other factors that determine the success of the intervention are the intensiveness and the duration of intervention. This study focuses on one such intervention of an adult Anomic Aphasia patient using a high tech AAC computerized application known as Avaz. The results showed that the client was able to perform much better in terms of the word retrieving abilities and is now able to communicate well. Key words: Augmentative and Alternative Communications; Anomic Aphasia; Language intervention; Avaz; High tech.

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Duncan, E. Susan, et Steven L. Small. « Imitation-based aphasia therapy increases narrative content : a case series ». Clinical Rehabilitation 31, n^o 11 (10 avril 2017) : 1500–1507. http://dx.doi.org/10.1177/0269215517703765.

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Objective: To test the generalization of an intensive imitation-based aphasia therapy to an unrelated narrative production task. Design: ABA design study (A= no treatment; B= treatment) comparing imitation therapy to a baseline condition (pre-therapy). Participants produced narratives at two pre-therapy and two post-therapy time points. Narratives were analyzed for correct information units to determine the number and percent of communicative words produced. Setting: A rehabilitation clinic and participants’ homes. Participants: Nineteen people with chronic aphasia following left hemisphere stroke. Interventions: Six weeks of intensive imitation therapy (3 x 30 minutes/day; 6 days/week) of words and phrases delivered via dedicated laptop. Main measures: We performed t-tests to assess post-therapy changes in narrative production, as well as for intervals during which no intervention was provided. We used stepwise regression to examine the predictive value of demographic, behavioral, and neurological variables in determining treatment outcome. Results: Significant gains were made on the narrative production task in both the number (mean = 34.36; p = 0.009) and percent (mean = 3.99; p = 0.023) of correct information units produced. For percent of correct information units, the number of therapy sessions completed was the sole predictor of changes in production following therapy (r= +0.542; p = 0.020). No variables predicted change in number of correct information units produced. There were no significant differences between the two pre-therapy or the two post-therapy time points ( p > 0.294). Conclusions: Intensive imitation-based aphasia therapy may promote generalization to an unrelated narrative production task. Further investigation is indicated.

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Hunting Pompon, Rebecca, Dagmar Amtmann, Charles Bombardier et Diane Kendall. « Modifying and Validating a Measure of Chronic Stress for People With Aphasia ». Journal of Speech, Language, and Hearing Research 61, n^o 12 (10 décembre 2018) : 2934–49. http://dx.doi.org/10.1044/2018_jslhr-l-18-0173.

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Purpose Chronic stress is likely a common experience among people with the language impairment of aphasia. Importantly, chronic stress reportedly alters the neural networks central to learning and memory—essential ingredients of aphasia rehabilitation. Before we can explore the influence of chronic stress on rehabilitation outcomes, we must be able to measure chronic stress in this population. The purpose of this study was to (a) modify a widely used measure of chronic stress (Perceived Stress Scale [PSS]; Cohen & Janicki-Deverts, 2012) to fit the communication needs of people with aphasia (PWA) and (b) validate the modified PSS (mPSS) with PWA. Method Following systematic modification of the PSS (with permission), 72 PWA completed the validation portion of the study. Each participant completed the mPSS, measures of depression, anxiety, and resilience, and provided a sample of the stress hormone cortisol extracted from the hair. Pearson's product–moment correlations were used to examine associations between mPSS scores and these measures. Approximately 30% of participants completed the mPSS 1 week later to establish test–retest reliability, analyzed using an interclass correlation coefficient. Results Significant positive correlations were evident between the reports of chronic stress and depression and anxiety. In addition, a significant inverse correlation was found between reports of chronic stress and resilience. The mPSS also showed evidence of test–retest reliability. No association was found between mPSS score and cortisol level. Conclusion Although questions remain about the biological correlates of chronic stress in people with poststroke aphasia, significant associations between chronic stress and several psychosocial variables provide evidence of validity of this emerging measure of chronic stress.

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Ghosh, Biswajit, et David Carsten. « General Anesthesia for a Child With Landau-Kleffner Syndrome, a Case Report ». Anesthesia Progress 57, n^o 3 (1 septembre 2010) : 109–11. http://dx.doi.org/10.2344/0003-3006-57.3.109.

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Abstract Landau-Kleffner syndrome is a rare, epileptiform disorder with a pathognomonic sudden aphasia, epilepsy, and electroencephalographic abnormalities. It was first described in 1957. No case reports are included in the anesthesia literature. This case report describes a 9-year-old male who was treated for dental caries while under intubated general anesthesia. The case was successful and uneventful, with multiple precautions taken to prevent seizures or other complications. The authors hope that this report will provoke communication and additional case reports.

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Beber, Bárbara Costa, Renata Kochhann, Bruna Matias da Silva et Marcia L. F. Chaves. « Logopenic aphasia or Alzheimer's disease : Different phases of the same disease ? » Dementia & ; Neuropsychologia 8, n^o 3 (septembre 2014) : 302–7. http://dx.doi.org/10.1590/s1980-57642014dn83000016.

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The logopenic variant of Primary Progressive Aphasia, or logopenic aphasia, is a the most recently described variant of Primary Progressive Aphasia and also the least well defined. This variant can present clinical findings that are also common to Alzheimer's disease, given they both share the same cytopathologic findings. This article reports the clinical case of a patient for whom it proved difficult to define a clinical diagnosis, being split between the logopenic variant and Alzheimer's disease at different phases of the disease. Using this case as an example and drawing on the latest evidence from the literature on the logopenic variant, we postulate the hypothesis that this variant may present as an initial symptom of Alzheimer's disease in some atypical cases.

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Hellal, Paula, et Marjorie Perlman Lorch. « The Validity of Barlow's 1877 Case of Acquired Childhood Aphasia : Case Notes Versus Published Reports ». Journal of the History of the Neurosciences 16, n^o 4 (4 octobre 2007) : 378–94. http://dx.doi.org/10.1080/09647040600653931.

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Silagi, Marcela Lima, Fernanda Naito Hirata et Lúcia Iracema Zanotto de Mendonça. « Sentence production in rehabilitation of agrammatism : A case study ». Dementia & ; Neuropsychologia 8, n^o 3 (septembre 2014) : 297–301. http://dx.doi.org/10.1590/s1980-57642014dn83000015.

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Agrammatism is characterized by morphosyntactic deficits in production of sentences. Studies dealing with the treatment of these deficits are scarce and their results controversial. The present study describes the rehabilitation of a case diagnosed as chronic Broca's aphasia, with agrammatism, using a method directed to sentence structural deficits. The method aims to expand the grammatical repertoire by training production of sentences with support from contexts that stimulate actions and dialogues. The patient showed positive results on all types of sentences trained and generalized the gains to spontaneous speech. However, these benefits were not sustained in the long term.

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Šebková, Lucie, et Kateřina Vitásková. « Aphasia in the Cognitive Disorders Context – Preliminary Study ». SOCIETY, INTEGRATION, EDUCATION. Proceedings of the International Scientific Conference 3 (17 mai 2015) : 215. http://dx.doi.org/10.17770/sie2015vol3.385.

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Purpose: The aim of the article is to analyse cognitive disorder in persons with aphasia of various aetiology pursuant to brain damage, emphasizing the interdisciplinary cooperation between the professionals of speech therapy and psychology.Methodology: Seven persons with stroke related aphasia of different aetiology participated in the research. For data processing, psychological, neurological and speech therapeutic detailed reports were applied.Results: We observed higher incidence of ischaemic stroke than haemorrhagic stroke. Expressive aphasia occurred in 6 of the 7 clients. Attention disorder and thinking disorder occurred in almost all 6 of the clients. Executive functions were impaired in 5.Conclusion: Given our findings, we tend to aphasia therapy in terms of cognitive rehabilitation. We perceive the interdisciplinary cooperation with specialists from the field of psychology as absolutely necessary. The results of psychological examination of persons with aphasia can significantly influence the effectiveness of speech therapy intervention.

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Lakhotia, Arpita, Alok Sachdeva, Supriya Mahajan et Nancy Bass. « Aphasic Dystextia as Presenting Feature of Ischemic Stroke in a Pediatric Patient ». Case Reports in Neurological Medicine 2016 (2016) : 1–3. http://dx.doi.org/10.1155/2016/3406038.

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Aphasia is an important presenting symptom of acute stroke. With increasing reliance on electronic communication, incoherent texting or “dystextia,” which is a subset of aphasia that is reflected in text messages, can be a useful tool for symptom recognition and analysis. It can be a red flag for the family and therefore can help in early identification of an acute neurological deficit. It is also useful for providers to reliably analyze the deficit as well as establish a timeline of evolution of symptoms. There have been case reports where dystextia has been the presenting feature of stroke or complicated migraine and in one case of meningioma. We present the case of a teenage patient that in our knowledge is the youngest reported case of dystextia, whose aphasia recorded in a text message assisted with stroke localization. This also adds to the literature of dystextia which so far has only seven other cases reported.

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Sulyatytskyy, I., et Ya Kravets. « SOCIO-PSYCHOLOGICAL PRINCIPLES OF TREATMENT FOR APHASIA AS TYPICAL SPEECH DISORDER AFTER STROKE ». Pedagogical education : theory and practice. Psychology. Pedagogy, n^o 30 (2018) : 86–89. http://dx.doi.org/10.28925/2311-2409.2018.30.8689.

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The article deals with consolidated socio-psychological approach to conducting qualified rehabilitation process for people affected with a spectrum of speech disorders as a result of the stroke. It provides a brief overview on modern concepts of speech disorders in case of local and organic brain lesion, explores crucial issues of developing adapted procedures, techniques and exercises for giving special psychocorrective assistance for aphasia affected people as a result of brain lesion including people with post-stroke aphasia conditions. It considers neuropsychological classifications of aphasia disorders in case of organic brain lesion in home and foreign scientific works. It clarifies the grounds for classification of cognitive sphere symptoms in the process of identification the certain aphasia type. the applicative tasks of the article include showing the necessity of using modern intercultural (socio-psychological) experience of aphasia treatment methods as an approach of psychocorrective assistance for people in post-stroke condition, the efficacy of which were practically tested and presented in this research.

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Rej, Laleh, Sebastian Doeltgen, Amy Rodriguez et Willem van Steenbrugge. « Aphasia Rehabilitation Service Delivery in a Stroke Rehabilitation Unit in Australia : A Clinical Audit of Speech Pathology Practices ». Internet Journal of Allied Health Sciences and Practice, 2016. http://dx.doi.org/10.46743/1540-580x/2016.1592.

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Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted to inpatient rehabilitation at an average of 21 days post stroke, 2 days beyond the AROC benchmark for inpatient rehabilitation. The mean length of stay of patients with aphasia was 60 days, significantly longer than the average AROC benchmark of 32.8 days. Patients received an average of 4.25 hours of speech pathology therapy per week, more than twice the minimum amount of therapy time recommended by the NSF Guidelines. Conclusion: The current clinical audit is the first known speech pathology audit investigating adherence to stroke and aphasia rehabilitation guidelines set forth by the NSF clinical guidelines and AROC benchmarks in Australia. By comparing current care with advocated best practice, strengths were identified in service delivery, as well as priority areas for quality improvement.

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Natanzi, Naveed, Sogol Ashourpour, Pedram Goel et Patricia W. Nance. « Right thalamic lacunar infarction presenting with anomic aphasia ». International Journal on Disability and Human Development 14, n^o 2 (1 janvier 2015). http://dx.doi.org/10.1515/ijdhd-2014-0008.

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AbstractWe present two cases of thalamic infarction presentation with aphasia, which has rarely been documented in the literature. Of interest, the second case presented with a lesion in the non-dominant thalamus, which made the finding of speech impairment exceedingly rare. Anomic aphasia has been associated with lesions to the basal temporal lobe, anterior inferior temporal lobe, temporo-parieto-occipital junction and the inferior parietal lobe, but rarely in association with the thalamus. Thalamic strokes most often present with motor, sensory, and cognitive deficits; few reports in the medical literature associate aphasia with a thalamic infarction. Possible explanations include crossed aphasia, diaschisis, the hypometabolic theory, and the thalamus as a secondary language center. Our findings may hint to a relationship among language, higher cognitive function, subcortical structures, and interhemispheric connections that are yet to be understood completely. We postulate that an increasingly important role of subcortical neuronal structures in cognitive functions will be recognized as diagnostic imaging technology improves over time.

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Zhang, Xiaoying, Jianjun Li et Yi Du. « Melodic Intonation Therapy on Non-fluent Aphasia After Stroke : A Systematic Review and Analysis on Clinical Trials ». Frontiers in Neuroscience 15 (27 janvier 2022). http://dx.doi.org/10.3389/fnins.2021.753356.

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Melodic intonation therapy (MIT) is a melodic musical training method that could be combined with language rehabilitation. However, some of the existing literature focuses on theoretical mechanism research, while others only focus on clinical behavioral evidence. Few clinical experimental studies can combine the two for behavioral and mechanism analysis. This review aimed at systematizing recent results from studies that have delved explicitly into the MIT effect on non-fluent aphasia by their study design properties, summarizing the findings, and identifying knowledge gaps for future work. MIT clinical trials and case studies were retrieved and teased out the results to explore the validity and relevance of these results. These studies focused on MIT intervention for patients with non-fluent aphasia in stroke recovery period. After retrieving 128 MIT-related articles, 39 valid RCT studies and case reports were provided for analysis. Our summary shows that behavioral measurements at MIT are excessive and provide insufficient evidence of MRI imaging structure. This proves that MIT still needs many MRI studies to determine its clinical evidence and intervention targets. The strengthening of large-scale clinical evidence of imaging observations will result in the clear neural circuit prompts and prediction models proposed for the MIT treatment and its prognosis.

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Python, Grégoire, Giulia Krethlow et Daphné Chételat. « A multiple-case study testing the implementation of a non-aphasia-specific app into evidence-based therapy ». Neuropsychologie clinique et appliquée 4, Spring 2021 (2021). http://dx.doi.org/10.46278/j.ncacn202104294.

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Digital treatments on tablet computers have become increasingly popular to deliver speech and language therapy. Practice guidelines have been proposed to successfully integrate non-aphasia-specific apps into rehabilitation, but few evidence-based reports are available yet. Three individuals with acquired language disorders trained at home with a mainstream app containing personalized material. The treatment plan was specific to each individual and supervised by a speech and language therapist. All three participants showed significant improvements in picture naming that were specific to the treated items and treatment gains were overall maintained after a couple of months. Treatments carefully designed and delivered in an app led to specific language improvements similar to those previously reported in the literature with or without technology. There is presently no proof that ready-to-go dedicated apps are more effective than this kind of mainstream app allowing the creation and adaptation of materials and tasks to evidence-based knowledge.

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Barrett, A. M., Janice Convoy-Hellmann, David Loring, Jessica Saurman, Karima Benameur, Felicia C. Goldstein, Shilpa Krishnan et Fadi B. Nahab. « Abstract WP66 : Acute Stroke Screening For Cognitive Disorders And Depression ». Stroke 53, Suppl_1 (février 2022). http://dx.doi.org/10.1161/str.53.suppl_1.wp66.

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Introduction: As stroke survivors transition from acute to post-acute care, and finally to community settings, the Centers for Disease Control reports ~65% receive NO rehabilitation. Even more receive rehabilitation too late, after critical brain changes for recovery are complete. Stroke survivors with invisible disabilities of cognition and depression are especially vulnerable to experience poor recovery. We launched a dedicated process to identify invisible disabilities. Our long-term objective is to make acute and post-acute, evidence-based intervention accessible. Hypothesis: >50% of acute stroke patients have cognitive deficits, or depression. Methods: Our comprehensive stroke center completes bedside psychometric assessment with standardized instruments for aphasia (Language Screening Test, LAST), spatial neglect (Catherine Bergego Scale, CBS), memory/global cognition (Montreal Cognitive Assessment, MoCA), delirium (3-Minute Diagnostic Interview for the Confusion Assessment Method, 3D-CAM) and depression (Patient health questionnaire, PHQ-8). Patients unable to respond to questions are assessed for spatial neglect and delirium (standardized observations). Results: 105 ischemic stroke survivors were assessed in the first quarter of program launch (April-July, 2021). Of that group, patients met screening criteria for spatial neglect (47%), aphasia (40%), delirium (19%) and depression (31%). Over 90% had memory / global cognitive impairment (MoCA<26/30). Conclusions: Our initiative, which includes systematic acute stroke unit spatial neglect screening, confirmed the previously reported high rate of cognitive disorders and depression (Champod, Eskes, Barrett, 2020). Our current step implements uniform recommendations for patients with deficits, and will examine post-acute outcomes, number receiving rehabilitation and medical follow-up, and treatment disparities (right/left stroke, under-represented groups).

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Mehta, Sonia, et Jason J. SICO. « Abstract P208 : Telehealth for Stroke Survivors With Aphasia - Preliminary Effectiveness Results From the High-Intensity Tele-Speech Therapy for Stroke Pilot ». Stroke 52, Suppl_1 (mars 2021). http://dx.doi.org/10.1161/str.52.suppl_1.p208.

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Introduction: Speech rehabilitation therapy (SRT) for stroke survivors with residual speech and cognitive impairment is standard of care. SRT is associated with high attrition rates when delivered in person in the clinic. SRT delivered via telehealth has the promise to address these concerns while improving both access to SRT and outcomes and promoting social distancing and reducing COVID exposure for high-risk stroke patients. Hypothesis: The High-Intensity Tele-speech Therapy for Stroke (HITTS) pilot program will result in measurable improvements in standardized performance and subjective reports in communication for participants compared to their baseline. Methods: We adapted evidence-based aphasia therapies implemented into a telehealth delivery model for four stroke survivor:care partner dyads over a six-week period. Following an initial face-to-face evaluation, skilled SRT was delivered via telehealth for five hours per week. Standardized pre- and post-therapy assessments were completed as well as analyses of meeting therapy goals identified by the dyad as meaningful. Results: Participants completing HITTS showed significant clinical improvements in standardized assessment scores with all participants who completed the program. Three of the four dyads completed the HITTS program and without missing any sessions and completing more than 90% of assigned work. On average 85% of self-identified therapy goals were met by the end of HITTS. Conclusions: The HITTS pilot of delivering SRT via telehealth shows promise as a viable and potentially effective means of improving attrition and outcomes while increasing engagement of care partners. Telehealth delivery models have become increasingly more important during the COVID era. A larger scale study with a usual care comparator group and longer follow-up period is needed to see if these results can be replicated and whether gains are sustained beyond the intervention period.

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Rodriguez Palero, Serafin, et Maria Hernandez Manada. « Bilingual Aphasia - Two Case Reports and Systematic Review ». International Journal of Physical Medicine & ; Rehabilitation 04, n^o 04 (2016). http://dx.doi.org/10.4172/2329-9096.1000305.

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Biel, Michael, Hillary Enclade, Amber Richardson, Anna Guerrero et Janet Patterson. « Motivation Theory and Practice in Aphasia Rehabilitation : A Scoping Review ». American Journal of Speech-Language Pathology, 20 octobre 2022, 1–23. http://dx.doi.org/10.1044/2022_ajslp-22-00064.

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Purpose: In the aphasia literature, motivation has been described as potentially influencing rehabilitation outcomes, and there are reports that researchers and clinicians have acted to promote it. However, studies directly investigating the range of beliefs and practices surrounding motivation do not exist currently. The purpose of this scoping review is to develop themes related to the beliefs and practices appearing in the recent aphasia literature. Method: Four databases (CINAHL, PsycINFO, PubMed, and Google Scholar) were searched using keywords aphasia and motivation (including derivatives such as motiv*) for articles published between 2009 and 2020. Searches returned 19,731 articles; after deleting duplicates and applying inclusionary criteria, 365 articles remained. In each article, text surrounding the term motivation was highlighted and thematic analysis was applied to these quotations. Results: Sixteen themes were developed through thematic analysis and placed into two groups. The first group contained five themes suggesting that researchers believed that motivation should be studied and recognized the value of motivation in person(s) with aphasia when participating in research or clinical activities. The second group contained 11 themes reporting diverse beliefs and practices in how motivation is incorporated in research and clinical activities. Conclusions: Results from this scoping review suggest that aphasia researchers, clinicians, and persons with aphasia hold beliefs about motivation that can influence clinical and research decisions. In general, beliefs and decisions related to motivation appeared to be guided by intuition rather than theories of motivation. These themes are discussed within the context of three psychological needs proposed by self-determination theory: competency, autonomy, and relatedness. Applying theories of motivation to future study in aphasia rehabilitation will guide work that can provide empirical support for these beliefs.

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Kankam, Keren, et Laura Murray. « Rehabilitation of post‐stroke aphasia in Ghana ». International Journal of Language & ; Communication Disorders, 29 décembre 2023. http://dx.doi.org/10.1111/1460-6984.13000.

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AbstractBackgroundAphasia, a common consequence of stroke, which affects both communication and social functioning, and in turn, quality of life, is on the rise due to increases in stroke prevalence and survival rate. The rehabilitation of post‐stroke aphasia primarily falls within the purview of speech‐language pathology and research supports the effectiveness of such services. However, provision of aphasia rehabilitation services in sub‐Saharan Africa is associated with challenges.AimsThis study aimed to examine rehabilitation services for individuals with post‐stroke aphasia in Ghana by exploring the roles of the stakeholder groups involved in the assessment and treatment of post‐stroke aphasia in Ghana, as well as the challenges they encounter in providing or identifying services. The stakeholder groups included educational institutions, interdisciplinary healthcare professionals, and family caregivers of individuals with post‐stroke aphasia.Methods & ProceduresA qualitative case study approach was used to collect and integrate from multiple sources data such as demographic information, interview responses and program syllabi to develop a holistic image. Fifteen respondents from the stroke and speech therapy units at Komfo Anokye and Korle‐Bu Teaching Hospitals, University of Ghana, and University of Health and Allied Sciences, Ghana were purposively sampled. Interview questions were developed and centred on aphasia education and training, knowledge of speech‐language pathology services, speech‐language pathology service delivery, access to speech‐language pathology services, challenges in both delivery and access to speech‐language pathology services and suggestions for improving speech‐language pathology services. In‐person and virtual interviews were conducted after demographic information was collected. Interviews were analysed thematically, and demographic information and program syllabi were triangulated with the interview data collected.Outcomes & ResultsAll stakeholder groups identified concerns with current aphasia services in Ghana. Issues raised included the insufficient number of speech‐language pathologists, lack of awareness of speech‐language pathology services for post‐stroke aphasia (among healthcare professionals and the public), absence of aphasia management information and clinical training in educational programming, lack of interest in speech‐language pathology training programs, financial challenges, spiritual and traditional beliefs and geographic barriers (i.e., speech‐language pathology services are currently available in only a few cities).Conclusions & ImplicationsThese findings emphasised the need to improve post‐stroke aphasia rehabilitation in Ghana. The process of data collection itself educated respondents on the importance of post‐stroke aphasia rehabilitation, and by identifying barriers, strategies to improving services, such as designing standardised aphasia assessments for the Ghanaian context, can now be initiated.WHAT THIS PAPER ADDSWhat is already known on the subject To address post‐stroke aphasia, evidence‐based speech‐language pathology services are provided. However, there is a paucity of studies on post‐stroke aphasia services in Ghana, preventing an accurate report of services and practices in the country. What this study adds This study provides an overview of the existing rehabilitation services for post‐stroke aphasia in Ghana. It highlights challenges facing the existing services and suggested strategies to improve post‐stroke aphasia services. What are the clinical implications of this work? The study created awareness among healthcare professionals and general public (study participants) about the importance of rehabilitation services for post‐stroke aphasia. Based on the study findings, appropriate stakeholders such as policy makers, researchers, and healthcare professionals can further design assessments and interventions to improve rehabilitation, including speech‐language pathology services, for post‐stroke aphasia in Ghana.

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Ohara, Kensuke, Chiaki Kuriyama, Takuya Hada, Shin Suzuki, Yasuhide Nakayama et Masahiro Abo. « A pilot study verifying the effectiveness of high-frequency repetitive transcranial magnetic stimulation in combination with intensive speech-language-hearing therapy in patients with chronic aphasia ». NeuroRehabilitation, 13 août 2021, 1–9. http://dx.doi.org/10.3233/nre-210139.

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BACKGROUND: A lot of research on the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with aphasia in the chronic stage deals with low-frequency stimulation, and reports on high-frequency stimulation (HF-rTMS) are scarce. OBJECTIVE: The purpose of this study was to evaluate retrospectively the effectiveness of high-frequency rTMS in combination with intensive speech-language-hearing therapy (ST) following the identification of the stimulation site using functional magnetic resonance imaging (fMRI) before, after the procedure and at 3 months in patients with aphasia in the chronic stage. METHODS: 20 patients with aphasia in the chronic stage who met the eligibility criteria for rTMS therapy and who underwent HF-rTMS for the first time were included in the present study. All patients received fMRI before hospitalization, and the stimulation site was decided accordingly. RESULTS: There was a significant improvement in all patients, rTMS to the left hemisphere, fluent and non-fluent groups by the evaluation of pre- and post- treatment by hospitalization. All groups had a significant improvement in total Standard Language Test of Aphasia score at 3 months when compared with the time of hospitalization. CONCLUSIONS: The current study indicates that HF-rTMS in combination with intensive ST is an effective therapeutic approach for patients with aphasia in the chronic stage.

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Migliaccio, A., F. Ferretti, F. Palmisani, E. Barberis, T. Bolgeo, R. Di Matteo, M. Polverelli, F. Viazzi et A. Maconi. « Management of an aphasic-apraxic patient during the Covid-19 pandemic : a case report ». Working Paper of Public Health 9, n^o 1 (30 décembre 2021). http://dx.doi.org/10.4081/wpph.2021.9460.

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Anarthria represents a very rare form of aphasia that is not associated with major motor impairments; the guidelines for aphasia indicate speech therapists to intervene quickly and intensively together with physiotherapists both in the acute and sub-acute phase during hospitalization in a second-level rehabilitation facility. However, if the motor impairment is not present or minimal, the choice to keep an anarthric patient in a rehabilitation facility for at least 4 weeks, instead of following him only in the out-patients clinic, has proved to be effective in terms of time and results.

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Grzeszczuk, Paula, et Katarzyna Polanowska. « Anomia for numbers – a rare post-stroke language impairment. A case study of a patient with isolated naming impairment of numerals ». Rehabilitacja Medyczna 25, n^o 4 (2 avril 2022). http://dx.doi.org/10.5604/01.3001.0015.8182.

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Introduction: Word-finding impairments (anomia) are the most common specific symptom of aphasia, which in adults are caused most often by stroke. Although anomic difficulties usually manifest themselves in different forms of speech and involve different word classes, in very rare cases they may involve only one category of words. This type of disorder is called category-specific anomia. Objective: The purpose of the article is to describe the changes in verbal communication in a patient with post-stroke aphasia, including in particular the analysis of the category-specific anomia for number, recognized in him in the long period from the onset of the disease. Material and methods: The patient's language skills were assessed at 2nd week, 3rd month (period of spontaneous recovery and early neurorehabilitation), and 12 months post stroke (distant neurorehabilitation period) using the Boston Test for the Diagnosis of Aphasia and clinical trials to assess different cognitive dysfunctions that can affect ability to name numbers. Results: The results of the conducted studies allowed to find in the patient in sequence: profound mixed aphasia (2nd week after the stroke), mild and moderate language deficits (3rd month after the stroke) and an isolated anomy of numbers (12th month after the stroke). Thanks to the functional improvement, one year after the stroke, the patient performed the tasks of naming objects, activities and describing the features of objects almost without error. In addition, he efficiently recognized and differentiated the values of numbers, correctly wrote down the numbers under dictation and made good mathematical calculations. However, these data contrasted with very low results in trials to name numerals (digits and numbers, hours, dates), assessed as anomia for numbers. Conclusions: Anomia for numbers is a very rare post-stroke language deficit that can be diagnosed in people with aphasia after the withdrawal of coexisting language disorders and the exclusion of other, than the nominating ones, possible causes of incorrect verbal responses to the numerical material.

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Vandelli, Gabriele, Laura Giacobazzi, Ludovico Ciolli, Maria Luisa Dell'Acqua, Laura Vandelli, Livio Picchetto, Francesca Rosafio et al. « Intracranial Stenosis Treated with Stenting in Patients with Suspected Cerebral Vasculitis : Two Case Reports ». Case Reports in Neurology, 15 mai 2023, 100–107. http://dx.doi.org/10.1159/000529942.

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Central nervous system vasculitis (CNSV) is an uncommon and poorly understood form of vasculitis. Early recognition is important because medical treatment might improve the outcome. However, randomized clinical trials on CNSV treatment do not exist. Endovascular treatment has been reported in few cases, but no data exist for intracranial stenting. We report 2 cases of patients with suspected CNSV and recurrent clinical episodes, treated with intracranial stenting. A 48-year-old man had relapsing episodes of right hemiparesis. Neuroradiological exams showed severe left carotid terminus stenosis. Despite immunosuppressive therapy, neuroradiological follow-up exams showed a worsening of the aforementioned stenosis with many transient episodes of weakness in the right limbs and aphasia. A 64-year-old woman had a sudden onset of dysarthria and transient aphasia. Neuroradiological exams showed a severe arterial stenosis involving the origin of left anterior cerebral artery and middle cerebral artery (MCA). Despite dual antiplatelet therapy, she presented an acute onset of severe aphasia, due to an occlusion of the left carotid terminus and proximal MCA. In both cases, endovascular procedure and intracranial stenting was performed, with marked improvement of cerebral blood flow. No more clinical episodes were reported. Intracranial stenting may be a valid therapeutic option in selected patients with CNSV and involvement of medium or large size vessels with clinical worsening despite best medical treatment.

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O'Bryan, Erin L., et Katie A. Strong. « Person-Centered Stories on the Main Stage in Intervention : Case Examples From the My Story Project, Aphasia ! This Is Our World, and Aphasia-Friendly Reading ». Perspectives of the ASHA Special Interest Groups, 4 avril 2024, 1–14. http://dx.doi.org/10.1044/2024_persp-23-00272.

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Purpose: Researchers working in the Life Participation Approach to Aphasia (LPAA) framework are beginning to recognize the value of supportive co-constructed storytelling for people with aphasia. Supported storytelling facilitates identity reconstruction that is part of rehabilitation as defined in the LPAA and the Living with Aphasia: Framework for Outcome Measurement. This clinical focus article reviews the therapeutic value of using co-constructed storytelling in clinical practice and describes how this was done in the My Story Project, Aphasia! This Is Our World, and Aphasia-Friendly Reading. These projects used co-constructed storytelling in intervention with people with aphasia in university and support group settings. Three case examples are presented, including sample therapy goals and documentation. Co-constructed person-centered storytelling has been used in clinical projects and has been shown to have immense value in rehabilitation for improving quality of life for people with aphasia. Conclusions: Co-constructed stories can provide a powerful opportunity for targeting life participation, identity, and environmental factors, while simultaneously targeting language. Clinicians are encouraged to consider incorporating the use of co-constructed person-centered storytelling in clinical practice. Guidance is offered for preparing for storytelling intervention sessions and documenting these sessions as billable, skilled services.

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Sartor-Pfeiffer, Jennifer, Mirjam Lingel, Maria-Ioanna Stefanou, Tobias Lindig, Benjamin Bender, Sven Poli, Ulf Ziemann, Andreas Fritsche, Katharina Feil et Annerose Mengel. « Regional computed tomography perfusion deficits in patients with hypoglycemia : two case reports ». Neurological Research and Practice 4, n^o 1 (22 août 2022). http://dx.doi.org/10.1186/s42466-022-00201-z.

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Abstract Background Hypoglycemia in patients with diabetes mellitus, particularly type 1 can mimic acute ischemic stroke by causing focal neurological deficits. In acute ischemic stroke, the interpretation of emergency imaging including computed tomography with angiography and perfusion is crucial to guide revascularizing therapy including intravenous thrombolysis. However, different metabolic abnormalities and stroke mimics can cause focal hypoperfusion. Methods We describe two type 1 diabetes patients presenting with acute focal neurological deficits and hypoglycemia, who underwent multimodal computed tomography and follow-up imaging. Case presentation Patient 1, a 20-year-old man presented with aphasia and interstitial glucose level of 54 mg/dl. Patient 2, a 77-year-old man presented with aphasia, mild right-sided brachiofacial paresis and interstitial glucose level of 83 mg/dl. On brain imaging, no acute infarct signs were noted. Yet, both had focal left hemispheric cerebral hypoperfusion without large-vessel occlusion or stenosis. Due to persistent symptoms after normalization of blood glucose and despite a perfusion imaging pattern that was interpretated as non-typical for ischemia, both patients underwent thrombolysis without any complications. Conclusion Computed tomography perfusion might help to discriminate hypoglycemia with focal neurological signs from acute stroke, but further evidence is needed.

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« Case Reports ». Physiotherapy 87, n^o 9 (septembre 2001) : 498. http://dx.doi.org/10.1016/s0031-9406(05)60698-0.

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« Case Reports ». Physiotherapy 87, n^o 6 (juin 2001) : 325. http://dx.doi.org/10.1016/s0031-9406(05)60768-7.

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