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Anxiety in Patients With Acute Ischemic Stroke: Risk Factors and Effects on Functional Status
Conclusion: Depressive symptoms are the major correlates of PSA while more severe PSA is associated with poorer ADL and health-related QOL. Acute lesions involving CHWM may correlate with PSA in ischemic stroke patients with mild-to-moderate neurologic deficits, supporting a lesion-location hypothesis in PSA.IntroductionAnxiety is prevalent after stroke and occurs in about one-quarter of stroke survivors (1, 2). Poststroke anxiety (PSA) may have a negative impact on quality of life (QOL) of stroke survivors, affecting their rehabilitation (3). Furthermore, one prospective study found that severe anxiety symptoms were assoc...
Source: Frontiers in Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research

Outcome in Survivors of Middle Cerebral Artery Territory Ischemic Stroke: Can it be predicted?
Conclusions: Our findings show that disability assessment late in the first week after onset of stroke using NIHSS accurately forecast outcome at one month after onset of stroke. The MMSE too is not expected to change at 1 month. Those with aphasia are expected to have greater disability. Based on or study we recommend that stroke patients should be assessed with NIHSS and MMSE before discharge, to explain the prognosis of the patient. Also more intense counselling on controlling blood pressure and diabetes as well as abstinence from smoking should be undertaken routinely. PMID: 31309796 [PubMed - in process]
Source: Journal of the Association of Physicians of India - July 18, 2019 Category: General Medicine Tags: J Assoc Physicians India Source Type: research

Acute cholecystitis in patients with stroke
Conclusions: Acute cholecystitis and stroke are closely associated, and anti-thromboembolic drugs may cause hemorrhagic cholecystitis. Stroke patients tend to have atherosclerotic risk factors resulting in ischemic injury of the gallbladder. Furthermore, severe hemiparesis, a fasting state, dehydration, or bacteremia, which are occasionally exhibited by stroke patients, are known risk factors for acalculous cholecystitis. Stroke patients, especially patients with aphasia and consciousness disturbance, require immediate abdominal examination, if acute cholecystitis is suspected.
Source: Neurology India - May 12, 2019 Category: Neurology Authors: Yasuhiro Kuroi Daisuke Imazato Kei Yamazaki Hidetoshi Kasuya Source Type: research

A screening tool to detect stroke aphasia: Adaptation of frenchay aphasia screening test (FAST) to the Indian context
Conclusions: The Indian version of FAST was found to be a reliable and valid bedside screening tool for aphasia in stroke patients. We aim that this study will facilitate the use of the test across other Indian languages and a large clinical population in the future.
Source: Annals of Indian Academy of Neurology - September 24, 2020 Category: Neurology Authors: Avanthi Paplikar Gowri K Iyer Feba Varghese Suvarna Alladi Apoorva Pauranik Shailaja Mekala Subhash Kaul Meenakshi Sharma RS Dhaliwal Aralikatte Onkarappa Saroja Santosh Dharamkar Aparna Dutt Gollahalli Divyaraj Amitabha Ghosh Rajmohan Kandukuri Robert Ma Source Type: research

Development and validation of a comprehensive neuropsychological and language rehabilitation for stroke survivors: A home-based caregiver-delivered intervention program
Conclusions: This intervention can be feasible to administer as a home-based intervention and may help to alleviate language and neuropsychological complaints after stroke in low-literate or mixed-cultural populations. Further, large sample size studies are recommended.
Source: Annals of Indian Academy of Neurology - September 24, 2020 Category: Neurology Authors: Harsimarpreet Kaur Ashima Nehra Sakshi Chopra Hemchandra Sati Rohit Bhatia Senthil S Kumaran RM Pandey MV Padma Srivastava Source Type: research

Where are we now with aphasia after stroke ?
Pam Enderby, Laura SuttonAnnals of Indian Academy of Neurology 2020 23(8):57-62 Objective: To provide a brief review of research literature relating to the current state of knowledge regarding speech and language therapy for people with aphasia and place these research findings within the context of outcome data of non-selected patients receiving usual therapy in the UK. Methods: Part 1 presents a literature search aimed at exploring up-to-date information related to the nature and evolution of aphasia, the impact of therapy and the changing nature of therapy. This provides the context of what may be achieved in rehabilit...
Source: Annals of Indian Academy of Neurology - September 24, 2020 Category: Neurology Authors: Pam Enderby Laura Sutton Source Type: research

When Task is Huge but Time is Short! An Interesting Case of Stroke Thrombolysis
Debabrata Chakraborty, Suvadip Maiti, Sadanand Dey, Sanjay BhaumikNeurology India 2023 71(3):552-554 A 64-year-old gentleman, diabetic, and smoker attended the emergency room (ER) with acute stroke. He had expressive aphasia with right upper limb weakness. His blood pressure was extremely high, and he presented in the final half an hour of the permissible window period for thrombolysis. Bringing down his blood pressure to make him eligible for the procedure within the available time was a real challenge for us. Fortunately, we succeeded in our attempt and he gradually improved. Truly, the maximum blood pressure allowable ...
Source: Neurology India - June 15, 2023 Category: Neurology Authors: Debabrata Chakraborty Suvadip Maiti Sadanand Dey Sanjay Bhaumik Source Type: research

A review of biological interventions in chronic aphasia
E Susan Duncan, Aswathy Anakkathil Pradeep, Steven L SmallAnnals of Indian Academy of Neurology 2020 23(8):82-94 Aphasia is a common and debilitating condition following stroke. While the gold standard for aphasia treatment is behavioral speech-language therapy, benefits remain modest in chronic stages of recovery. This limitation motivates the pursuit of novel interventions for chronic aphasia. Here, we review biological approaches that have been used (or proposed for use, in the case of regenerative and genetic therapies) to treat chronic aphasia. These techniques aim to ameliorate the deficits of aphasia by directly ma...
Source: Annals of Indian Academy of Neurology - September 24, 2020 Category: Neurology Authors: E Susan Duncan Aswathy Anakkathil Pradeep Steven L Small Source Type: research

Identifying an Appropriate Picture Stimulus for a Bangla Picture Description Task
CONCLUSIONS: This study suggests that a culturally related high-context color photograph is the optimal choice for the Bangla PDT. This study also indicates reduced fluency, grammatical complexity, and syntactic complexity in healthy Bangla-speaking adults aged 65 years and above.SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.22233664.PMID:36947697 | DOI:10.1044/2022_JSLHR-22-00152
Source: Journal of speech, language, and hearing research : JSLHR - March 22, 2023 Category: Speech-Language Pathology Authors: Barnali Mazumdar Neila J Donovan E Susan Duncan Source Type: research

Incidence and Symptomatology of Vascular Crossed Aphasia in Bengali
Conclusions: The relatively high incidence of CA in our study suggests that bi-hemispheric language representation may be more prevalent in Bengali speakers than in speakers of other languages. The absence of crossed Wernicke aphasia in our study participants may represent a left-hemispheric advantage for receptive language abilities in Bengali speakers. Further studies are required to clarify whether idiosyncrasies in the Bengali language may be responsible for the differential brain representation of language seen in our study participants.
Source: Cognitive and Behavioral Neurology - December 1, 2019 Category: Neurology Tags: Original Studies Source Type: research

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