白质的纵向进展 超强度 严重性 在慢性中风 失言症中的严重性
Natalie Busby1, Roger Newman-Norlund2, Janina Wilmskoetter3
1Department of Communication Sciences and Disorders, University of South Carolina, Columbia, SC.
Archives of rehabilitation research and clinical translation
|January 1, 2024
概括
慢性中风幸存者的小血管疾病恶化与失言症严重程度的增加有关. 管理心血管风险因素可能有助于预防长期语言能力下降.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 脑卒中研究 脑卒中研究
背景情况:
- 慢性中风幸存者经常经历持续的失言症.
- 小血管疾病 (SVD) 是中风患者的常见发现,可以随着时间的推移而进展.
- 在SVD进展和恶化失言症严重程度之间的关系还没有完全理解.
研究的目的:
- 调查中风幸存者中SVD纵向进展和慢性失言症严重程度纵向恶化之间的关联.
主要方法:
- 一项纵向回顾性研究,涉及49名患有失言症的慢性中风幸存者.
- 白质超强度 (WMHs) 是SVD的标志物,在两个时间点的FLAIRMRI扫描上使用Fazekas尺度进行评估.
- 用西方阿法西亚电池修订 (WAB) 评估了阿法西亚的严重程度.
主要成果:
- 22.5%的参与者在大约1.87年内增加了WMH严重程度.
- 周周结膜WMH (PVH) 严重程度的增加与失言症严重程度的恶化显著相关 (16.8%的差异解释).
- 增加的体重指数 (BMI) 与PVH进展相关,糖尿病与增加的深度WMH (DWMH) 进展有关.
结论:
- 在中风幸存者中,SVD的进展,特别是PVH,与慢性失言症严重程度的恶化有关.
- 这些发现凸显了心血管风险因素管理在缓解长期无发症症状恶化的潜在重要性.
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