Articles: aphasia-etiology.
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Several observations make it worthwhile to take a closer look at postictal events, which are defined as manifestations of seizure-induced reversible alterations in neuronal function. The postictal period may adversely affect the quality of life, considering the duration and severity of postictal events. ⋯ On a more positive side, the increased seizure threshold seen during the postictal period may offer clues for development of more effective seizure treatment. In this issue, experts in the field elucidate the postictal period from different viewpoints, including the mechanism of the postictal period, its diagnostic challenges, and its management.
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Multicenter Study Comparative Study Clinical Trial
Underestimation of cognitive impairment by Mini-Mental State Examination versus the Montreal Cognitive Assessment in patients with transient ischemic attack and stroke: a population-based study.
The Mini-Mental State Examination (MMSE) is insensitive to mild cognitive impairment and executive function. The more recently developed Montreal Cognitive Assessment (MoCA), an alternative, brief 30-point global cognitive screen, might pick up more cognitive abnormalities in patients with cerebrovascular disease. ⋯ The MoCA picked up substantially more cognitive abnormalities after transient ischemic attack and stroke than the MMSE, demonstrating deficits in executive function, attention, and delayed recall.
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Cochrane Db Syst Rev · May 2010
Review Meta AnalysisSpeech and language therapy for aphasia following stroke.
Aphasia is an acquired language impairment following brain damage which affects some or all language modalities: expression and understanding of speech, reading and writing. Approximately one-third of people who have a stroke experience aphasia. ⋯ This review shows some indication of the effectiveness of SLT for people with aphasia following stroke. We also observed a consistency in the direction of results which favoured intensive SLT over conventional SLT, though significantly more people withdrew from intensive SLT than conventional SLT. SLT facilitated by a therapist-trained and supervised volunteer appears to be as effective as the provision of SLT by a professional. There was insufficient evidence to draw any conclusions in relation to the effectiveness of one SLT approach over another.
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The aim of our study is to evaluate the frequency of aphasia and to describe the characteristics of aphasics among a large sample of acute stroke patients in Italy. ⋯ This is the first study considering the frequency of aphasia in a wide population of hospitalised acute stroke patients. The presence of aphasia is more common in patients with severe stroke and contributes to residual disability. Our findings should be considered for setting early specific rehabilitation programmes.