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Published on: July 2, 2013
Aphasia during the acute phase in ischemic stroke
Y Inatomi1, T Yonehara, S Omiya
1Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan. y.inatomix@silk.ocn.ne.jp
Aphasia affects 15.2% of acute ischemic stroke patients. Early improvement in aphasia is difficult to predict but may be linked to hypercholesterolemia.
Area of Science:
- Neurology
- Stroke Medicine
- Speech and Language Pathology
Background:
- Aphasia is a common consequence of acute ischemic stroke.
- Understanding factors influencing aphasia development and recovery is crucial for patient management.
Purpose of the Study:
- To determine the incidence and clinical characteristics of aphasia in acute ischemic stroke.
- To identify factors associated with the presence of aphasia and its early improvement.
Main Methods:
- A consecutive series of 855 acute ischemic stroke patients were studied.
- Aphasia was assessed on admission and day 10.
- Statistical analysis identified independent factors associated with aphasia and early improvement.
Main Results:
- Aphasia was present in 15.2% of patients on admission.
- Higher National Institutes of Health Stroke Scale (NIHSS) scores were associated with aphasia.
- Hypercholesterolemia history was linked to early aphasia improvement.
Conclusions:
- Predicting aphasia outcomes in the early days post-stroke is challenging.
- Further research may elucidate more precise predictive markers for aphasia recovery.
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