Speech and Language Pathology after Stroke in Temporo Parieto Occipital Area
DOI:
https://doi.org/10.12970/2311-1917.2020.08.02Keywords:
Stroke, brain lesions, aphasia, speech pathology, auditory comprehension, BDAE.Abstract
Background: The stroke of the parietotemporooccipital lobe most often results in speech language pathology (SLP), expressed in misunderstanding speech and language.
Objective and Methods: We investigated the occurrence of SLP in relation to speech auditory (oral) comprehension (AC) at 81 patients with temporal parietal occipital lesions after stroke. We was estimated AC by subtests of Boston Diagnostic Aphasia Examination (BDAE) within the first 60 days after stroke.
Results: The average age of the sample was 65.91. Ischemic stroke was mostly present in the sample. All patients had left brain lesions with consequent aphasia. Patients were unsuccessful on subtests: Word Discrimination 27.16%, Body Part Identification (BPI) 25.92%, Commands 33.33%, and Complex Ideational Material (CIM) 45.67% of the sample. Successes of 80% and more in: Word Discrimination had 22.22%, BPI had 24.69 %, Commands 19.75 % and CIM had 7.40% patients. The poorest results were found in patients with temporal lesions or in combination temporal area with lesions of the parietal, occipital or frontal area of the left brain hemisphere. Patients with lesions located only on the parietal area have the best results.
Conclusion: Patients with temporal parietal occipital lesions after stroke had poor results in speech and language comprehension in BDAE subtests.
References
Slater DI, Curtin SA, Johns JS, Schmidt C, Newbury R. Middle cerebral artery stroke. eMedicine, October 6, 2009. WebMD. October 22, 2009. http://emedicine.medscape.com/ article/323120-overview
Kadojić D, Rostohar Bijelić B, Radanović R, Porobić M, Rimac J, Dikanović M. Aphasia in Patients with Ischemic Stroke. Acta Clinica Croatica 2012; 51(2): 221-224. https://hrcak.srce.hr/106191
Vuković M. Tretman afazija, Univerzitet u Beogradu, Fakultet za specijalnu edukaciju i rehabilitaciju, Beograd, 2008.
Vladetić M. Neuropsychological Evaluation of Cognitive Functions in Stroke Patients. Acta clinica Croatica
[Internet]. 2002; 41(3 Supplement 3): 48-49. Available from: https://hrcak.srce.hr/15334
Pranjić V. Neurološki uzroci zastoja u komunikaciji starijih osoba, Sestrinski edukacijski magazin 2005; 2(1): 73.
Geranmayeh F, Brownsett LES, Wise JSR. Task-induced brain activity in aphasic stroke patients: what is driving recovery? Brain 2014; 137(10): 2632-2648. https://doi.org/10.1093/brain/awu163
Knoflach M, Matosevic B, Rucker M, Furtner M, Mair A, Wille G, et al. Functional recovery after ischemic stroke—A matter of age: data from the Austrian Stroke Unit Registry. Neurology 2012; 78(4): 279-85. https://doi.org/10.1212/WNL.0b013e31824367ab
Badcock NA, Bishop DV, Hardiman MJ, Barry JG, Watkins KE. Co-localisation of abnormal brain structure and function in specific language impairment. Brain and Language 2012; 120(3): 310-20. https://doi.org/10.1016/j.bandl.2011.10.006
Cai J. The Neurobiology of Audiovisual Integration: A Voxel Based Lesion Symptom Mapping Study. Masters Thesis Communication Disorders. Graduate College / ASU Library. Arizona State University 2017. (Publisher) https://repository. asu.edu/items/43925
Goodglass H, Kaplan E, Barresi B. The Boston Diagnostic Aphasia Examination. Philadelphia, PA: Lippincott 2000.
Brkić E, Sinanović O, Vidović M, Smajlović Dž. Incidence and Clinical Phenomenology of Aphasic Disorders After Stroke. MED ARH 2009; 63(4): 197-199.
Jovanović D, Beslać-Bumbaširević LJ, Raičević R, Zidverc Trajković J, & Ercegovac M. Etiology of ischemic stroke among young adults of Serbia. Military-Medical and Pharmaceutical Review 2008; 65(11): 803-9. https://doi.org/10.2298/VSP0811803J
Savić G, Iriškić A. Afazija kao posljedica moždanih oštećenja. Zbornik radova 2. kongresa psihologa Bosne i Hercegovine sa međunarodnim učešćem, Banja Luka 24 – 26. 02. 2011. god. str. 295-307. Available from: https://www.dpfbih.ba/files/ zbornici/IIkongres.pdf
Zalihić A, Markotić V, Zalihić D, Mabić M. Gender and Quality of Life After Cerebral Stroke. Bosn J of Basic Med Sci
[Internet]. 2010May20
[cited 2019Dec.30]; 10(2): 94-9. https://doi.org/10.17305/bjbms.2010.2701
Boričić-Maras L, Hanzer N, Marjanović K, Soldo-Butković S, Kralj M. Neurorehabilitation in Stroke Patients. Acta clinica Croatica
[Internet]. 2002
[accessed 30.12.2019.]; 41(3 Supplement 3):95-95. https://hrcak.srce.hr/15382
Vargek-Solter V, Maček Trifunović Z, Sekulić Sović M. & Erdeljac V. Imenovanje semantičkih kategorija u terapiji bolesnika s afazijom. Liječnički vjesnik 2006; 128(sup.6) Treći kongres Hrvatskog društva za neurovaskularne poremećaje Hrvatskog liječničkog zbora i Hrvatskog društva za prevenciju moždanog udara s međunarodnim sudjelovanjem, Zagreb 18-21. listopada 2006. god.
Savić G, Iriškić A, Đurić D, Buzadžija V. Lesion location and speech understanding in stroke patients. Timočki medicinski glasnik 2013; 38(3): 112-118. Available from: http://www.tmg.org.rs/v380301.htm