[Loss of intelligence in aphasic disorders]

Certain level of aphasia is considered to be an integral component of dementia. More controversial is the question whether every--e.g. also strictly focal--aphasia must be accompanied with dementia.

41 persons hospitalized after the cerebral stroke (17 men, 24 women, average age 64.6, 47 to 89 years old) were tested to correlate the level of aphasia with mental and intelligence scores. 35 patients had an ischaemic stroke, 6 had a hemorrhagic one; according to CT/MRI there were 37 patients with left sided impairment, one patient with a right sided one and 3 patients with bilateral lesions. As an aphasiologic test the Western Aphasia Battery (WAB) was used, to determine the general mental performance as an equivalent of IQ test the non-verbal Raven's and verbal Euro-ADAS test were used. Correlation analysis using non-parametric Spearman's coefficient showed a significant relation between results in phatic functions and the score in intelligence tests. Phatic performance had in all elementary tests closer relation to verbal IQ in Euro-ADAS than with non-verbal IQ in Raven's test. The highest correlation was found in the relation between "apprehension vs. Euro-ADAS" (-0.842) and "apprehension vs. Raven" (0.782), while the lowest correlation was found for "repetition vs. Euro-ADAS" (-0.769), and "repetition vs. Raven" (0.646). The correlation was in all cases significant (p < 0.00001). Similar narrow relation occurred between the clinical forms of aphasia and intelligence tests. Sensory aphasia was associated most closely with both relations, with Euro-ADAS (-0.800), and Raven's test (0.800), while global aphasia had the lowest correlation with Euro-ADAS (-0.451) and with Raven's test (0.517).

Speech is not only a product of thinking but also represents a source and structural tool for thinking.