Characteristics of aphasias in Malignant Ischemic Stroke
DOI:
https://doi.org/10.34024/rnc.2023.v31.15216Keywords:
Ischemic stroke, Aphasia, Decompressive Craniectomy, speech therapy, Neurology, DysphagiaAbstract
Objectives. To investigate clinical-neurological factors and aphasia in patients with malignant ischemic stroke in the left cerebral hemisphere, submitted or not to decompressive craniectomy during hospitalization. Method. Descriptive, retrospective study, based on the analysis of medical records, of a series of cases, of patients admitted to the Cerebrovascular Accident Unit (U-AVC), of Hospital Risoleta Tolentino Neves (HRTN), from January 2019 to December 2021. The inclusion criteria were patients over 18 years of age, of both sexes, who received the diagnosis of malignant ischemic stroke by Neurology, and who underwent the Speech-Language Pathology evaluation, where the description of the characteristics of the patients' aphasia was verified, focusing on the presented linguistic symptoms, followed by speech-terapy intervention in the unit. Results. Five patients were selected and classified with non-fluent aphasic conditions, but with different severities and characteristics. Three of the participants underwent decompressive craniectomy and all five participants had dysphagia. The average time to start addressing language aspects was 10 days, and the five patients showed improvement in language at hospital discharge. Conclusions. The patients presented non-fluent aphasic conditions with linguistic improvement after Speech-Language Pathology intervention, the comprehension and the presence of oral expressions, the main evolutionary characteristics observed among the participants.
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Copyright (c) 2023 Raíssa Caroline Sales Costa , Yoná Silva Rabelo, Naiany Nascimento da Silva Figueiredo, Romeu Vale Sant ́Anna, Aline Mansueto Mourão
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