Why Is It Difficult to Predict Language Impairment and Outcome in Patients with Aphasia after Stroke?

Journal of Clinical Neurology 2014³â 10±Ç 2È£ p.75 ~ p.83

(Charidimou Andreas) - National Hospital for Neurology and Neurosurgery UCL Institute of Neurology Department of Brain Repair and Rehabilitation
(Kasselimis Dimitrios) - University of Crete Department of Psychology
(Varkanitsa Maria) - University College London Department of Linguistics
(Selai Caroline) - University College London National Hospital for Neurology and Neurosurgery Institute of Neurology
(Potagas Constantin) - National and Kapodistrian University of Athens Medical School Department of Neurology
(Evdokimidis Ioannis) - National and Kapodistrian University of Athens Medical School Department of Neurology

Abstract

One of the most devastating consequences of stroke is aphasia. Communication problems after stroke can severely impair the patient¡¯s quality of life and make even simple everyday tasks challenging. Despite intense research in the field of aphasiology, the type of language impairment has not yet been localized and correlated with brain damage, making it difficult to predict the language outcome for stroke patients with aphasia. Our primary objective is to present the available evidence that highlights the difficulties of predicting language impairment after stroke. The different levels of complexity involved in predicting the lesion site from language impairment and ultimately predicting the long-term outcome in stroke patients with aphasia were explored. Future directions and potential implications for research and clinical practice are highlighted.

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stroke, aphasia, language impairment
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