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Comparing the efficiency of speech and language therapy and transcranial magnetic stimulation for treating Broca's aphasia
This study aimed to show interactive benefits of combining classical intervention strategies with new technological approaches and demonstrating their effectiveness.
Source: Journal of Stroke and Cerebrovascular Diseases - April 15, 2023 Category: Neurology Authors: İbrahim Can YAŞA, İlknur MAVİŞ, Celal ŞALÇİNİ, İpek MİDİ Source Type: research

Association between aphasia and risk of dementia after stroke
Stroke is an established risk factor for dementia and is associated with an acute and accelerated decline in cognition. With the aging population and improvements in stroke survival, the number of patients with post-stroke dementia is expected to increase,1 which entails substantial healthcare and economic burdens for patients and caregivers.
Source: Journal of Stroke and Cerebrovascular Diseases - October 22, 2022 Category: Neurology Authors: Hui-Lin Lin, Chung-Fen Tsai, Shih-Ping Liu, Chih-Hsin Muo, Pei-Chun Chen Source Type: research

Carotid Micromesh Stent for the Cervical Carotid Artery Dissecting Aneurysm in a Patient with Vascular Eagle Syndrome
A 38-year-old man was brought to the emergency room with sudden onset of aphasia and right hemiplegia. Magnetic resonance imaging (MRI) (Fig. 1A, B) showed an occlusion in the left middle cerebral artery (MCA) and left frontal and parietal lobes infarction. Cerebral angiography (Fig. 1C) showed a cervical carotid artery (CCA) dissecting aneurysm and stenosis. The superior trunk of the left MCA was occluded. The patient underwent emergent thrombectomy. The occluded artery was partially recanalized.
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2022 Category: Neurology Authors: So Matsukawa, Ryota Ishibashi, Kazushi Kitamura, Jyunpei Sugiyama, Wataru Yoshizaki, Ryota Motoie, Noriyoshi Takebe, Hirokuni Hashikata, Hideki Hayashi, Namiko Nishida, Hiroki Toda Tags: Case Report Source Type: research

Late-Onset Vaccine-Induced Immune Thombotic Thrombocytopenia (VITT) with Cerebral Venous Sinus Thrombosis
A previously healthy 42-year-old woman presented to the emergency department with acute onset fluent aphasia. Further clinical examination was unremarkable. Emergency computed tomography (CT) of the head showed two small intracranial hemorrhages of the left temporal lobe and a hyperdense cerebral sinus. CT venogram confirmed cerebral venous sinus thrombosis (CVST) of the left vein of Labb é and sigmoid and transversal sinus (Fig. 1). As the paramedic reported ChAdOx1 nCOV-19 (AZD1222) vaccination 2 weeks before, vaccine-induced thrombotic thrombocytopenia (VITT) was suspected and the patient was treated with intravenous ...
Source: Journal of Stroke and Cerebrovascular Diseases - January 27, 2022 Category: Neurology Authors: Maruan Saleh, Julian Zimmermann, Nils C. Lehnen, Bernd P ötzsch, Johannes M. Weller Tags: Case Report Source Type: research

Recurrent Transient Neurological Deficit Due to Intracerebral Steal Phenomenon in Association with a Developmental Venous Anomaly
We report a symptomatic developmental venous anomaly (DVA) not causing parenchymal abnormality to provide a pathophysiologic clue in patients with recurrent transient neurologic deficit. A 32-year-old male presented with recurrent transient motor aphasia and headache in the left fronto-temporal region for three years. The symptoms usually lasted for one hour. Brain computed tomography (CT) angiography and magnetic resonance imaging using gradient recalled echo showed a prominent penetrating vein at the left frontal periventricular region.
Source: Journal of Stroke and Cerebrovascular Diseases - August 24, 2021 Category: Neurology Authors: Jean Hee Kim, Hyeyoung Jung, Woojun Kim, Jae Young An Tags: Case Report Source Type: research

Venous Cerebral Infarction Due to Thrombosis of an Isolated Intraventricular Cerebral Varix: A Case Report
Isolated cerebral varix is described as a focal dilatation of a single vein.1 It is a rare clinical entity and typically found incidentally, but symptomatic cases with seizure, hemorrhage due to rupture, thrombosis with acute clinical deterioration, and mass effect on neighboring structures have been reported.2-5 It is generally located in the parenchyma or leptomeninges,4 and symptomatic intraventricular cerebral varix is extremely rare. We herein report a case of right hemiplegia and aphasia due to venous infarction caused by thrombosis of the intraventricular varix.
Source: Journal of Stroke and Cerebrovascular Diseases - June 30, 2021 Category: Neurology Authors: Masaki Fujino, Shuko Fujiki, Hitomi Michizaki, Takeshi Bo, Jun Oyama, Akira Machida Tags: Case Report Source Type: research

COVID-19 encephalitis with SARS-CoV-2 detected in cerebrospinal fluid presenting as a stroke mimic
We report the case of a 35-year-old male with COVID-19 encephalitis presenting as a stroke mimic with sudden-onset expressive and receptive dysphasia, mild confusion and right arm incoordination. The patient received thrombolysis for a suspected ischaemic stroke, but later became febrile and SARS-CoV-2 was detected in cerebrospinal fluid. Electroencephalography demonstrated excess in slow waves, but neuroimaging was reported as normal. Respiratory symptoms were absent throughout and nasopharyngeal swab was negative for SARS-CoV-2.
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2021 Category: Neurology Authors: Diarmuid Glavin, Denise Kelly, Greta Karen Wood, Beth MS McCausland, Mark Alexander Ellul, Aravinthan Varatharaj, Ian Galea, Rhys Huw Thomas, Benedict Daniel Michael, Brian Gallen, CoroNerve Study Management Group Tags: Case Report Source Type: research

Effect of High Frequency Transcranial Magnetic Stimulation on Recovery of Chronic Post-Stroke Aphasia
Language is a complex function that includes the participation of different brain regions from both hemispheres. For this reason, language is particularly susceptible to brain injury. Language exhibits lateralization, and the left hemisphere shows dominance in linguistic skills for 96% of healthy, right-handed individuals.1 Human communication is based on a set of phonological, semantic, and pragmatic features, which depend on the incorporation between left and right hemispheres and interaction with other cognitive functions.
Source: Journal of Stroke and Cerebrovascular Diseases - May 25, 2021 Category: Neurology Authors: Ebtesam Mohamed Fahmy, Haidy Mohamed Elshebawy Source Type: research

Dystypia Associated with Diaschisis of the Middle Frontal Gyri after Left Angular Infarction
Dystypia without aphasia, agraphia, or apraxia is a rare symptom and has been suggested to result from a lesion in the left middle frontal cortex. We herein describe a man with dystypia with agraphia due to infarction of the left angular gyrus. His dystypia seemed to result from the convergence failure of the kana into the alphabetical spellings. During dystypia, hypoperfusion of the bilateral middle frontal cortices was discovered. However, after his symptoms improved, blood flow in the middle frontal cortices returned to normal.
Source: Journal of Stroke and Cerebrovascular Diseases - April 20, 2021 Category: Neurology Authors: Kengo Maeda, Yutaka Yamamoto, Tomoyuki Shiraishi, Eriko Fujioka Tags: Case Report Source Type: research

Assessing Self-Reported Mood in Aphasia Following Stroke: Challenges, Innovations and Future Directions
Assessment of mood is critical in determining rehabilitation outcomes for stroke and other acquired brain injury, yet a common consequence of such injuries is aphasia, where language is impaired. Consequently, the use of language-based measures in this population is often not possible. Following a critical review of the neuropsychological aspects of self-reported mood, this paper evaluates the problems in reporting mood after stroke due to aphasia, and discusses implications for the design of adapted instruments.
Source: Journal of Stroke and Cerebrovascular Diseases - November 5, 2020 Category: Neurology Authors: Paul D. Barrows, Shirley A. Thomas, William Van Gordon Source Type: research

Tumor Embolism Through Right-to-Left Shunt Due to Venous Invasion of Esophageal Carcinoma
A 69-year-old man was admitted to the hospital with right hemiparesis and global aphasia. Perfusion computed tomography imaging revealed ischemic penumbra in the middle cerebral artery territory. Angiography showed left middle cerebral artery occlusion. Mechanical thrombectomy with one pass was performed, and successful recanalization was obtained. Embolic material was retrieved; it contained tumor fragments with atypical keratinizing squamous cell carcinoma. Contrast computed tomography imaging indicated tumor invasion into the superior vena cava, and contrast transcranial Doppler indicated the presence of a right-to-left...
Source: Journal of Stroke and Cerebrovascular Diseases - October 1, 2020 Category: Neurology Authors: Suguru Araki, Kota Maekawa, Kazuto Kobayashi, Takanori Sano, Tadashi Yabana, Masunari Shibata, Fumitaka Miya Tags: Case Report Source Type: research

Influence of hematoma volume and age on cognitive functions and ADL after putaminal hemorrhage
Cerebral hemorrhage accounts for 18.5 % of cerebral strokes, of which putaminal hemorrhage is the most common type, constituting 30 % of cases.1 Sequelae after putaminal hemorrhage can include not only motor paralysis and sensory disturbance but also cognitive dysfunction, the severity of which varies depending on the size of the hematoma and the age of the patient.2-4 Cognitive dysfunction is known to affect activities of daily living (ADL).5-8 Previous studies have used the Mini-Mental State Examination (MMSE);9 however, as this almost entirely comprises verbal tasks, it is heavily influenced by aphasia.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Makoto Watanabe, Kotaro Takeda, Shinichiro Maeshima, Takaji Suzuki, Shigeru Sonoda Source Type: research

The role of microstructural integrity of major language pathways in narrative speech in the first year after stroke
Stroke is one of the most common acquired neurological disorders and the leading cause of disability, and one-third of stroke survivors suffer from varying degrees of aphasia.1-2 Post-stroke aphasia is a complex disorder that arises from heterogeneous pathologies in large convoluted networks in the brain;3-5 thus, revealing its natural progression and recovery patterns remains difficult.6 However, understanding post-stroke aphasia recovery patterns is equally crucial to individualize treatment intensity and strategies, as many diverse language deficits may persist.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Zafer Keser, Erin L. Meier, Melissa D. Stockbridge, Argye E. Hillis Source Type: research

A Rare Clinical Antity; Pure Gerstmann Syndrome
Gerstmann syndrome is defined as a tetrad including agraphia, acalculia, finger agnosia, and right-left disorientation. In the case studies presented in the literature, it has been reported that Gerstmann syndrome usually appears as an incomplete tetrad of symptoms or accompanied by cognitive deficits including aphasia, alexia, apraxia and some perceptual disorders. Here, we present of the patient with left angular and supramarginal gyrus infarction affecting the parietal lobe. In addition to the symptoms mentioned above, the patient had alexia and anomic aphasia as well.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Gulnur Tekgol Uzuner, Ahmet Ubur, Murat Erten, Nevzat Uzuner Tags: Case Report Source Type: research

Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia
Aphasia is one of the most common complications after stroke and occurs in 21 –38% of the patients during acute period. The present study aimed to investigate the response to speech and language therapy according to artery involvement and lesion location in patients with post-stroke aphasia.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Berke Aras, Özgü İnal, Serdar Kesikburun, Evren Yaşar Source Type: research

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