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[PMID]:29304167
[Au] Autor:Caine D; Nihat A; Crabb P; Rudge P; Cipolotti L; Collinge J; Mead S
[Ad] Endereço:NHS National Prion Clinic, National Hospital for Neurology and Neurosurgery (NHNN), University College London Hospitals NHS Foundation Trust, London, United Kingdom.
[Ti] Título:The language disorder of prion disease is characteristic of a dynamic aphasia and is rarely an isolated clinical feature.
[So] Source:PLoS One;13(1):e0190818, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Akinetic mutism is a key diagnostic feature of prion diseases, however, their rapidly progressive nature makes detailed investigation of the language disorder in a large cohort extremely challenging. This study aims to position prion diseases in the nosology of language disorders and improve early clinical recognition. METHODS: A systematic, prospective investigation of language disorders in a large cohort of patients diagnosed with prion diseases. 568 patients were included as a sub-study of the National Prion Monitoring Cohort. All patients had at least one assessment with the MRC Scale, a milestone-based functional scale with language and non-language components. Forty patients, with early symptoms and able to travel to the study site, were also administered a comprehensive battery of language tests (spontaneous speech, semantics, syntax, repetition, naming, comprehension and lexical retrieval under different conditions). RESULTS: 5/568 (0.9%) patients presented with leading language symptoms. Those with repeated measurements deteriorated at a slower rate in language compared to non-language milestones. Amongst the subgroup of 40 patients who underwent detailed language testing, only three tasks-semantic and phonemic fluency and sentence comprehension-were particularly vulnerable early in the disease. These tasks were highly correlated with performance on non-verbal executive tests. Patients were also impaired on a test of dynamic aphasia. CONCLUSION: These results provide evidence that the language disorder in prion disease is rarely an isolated clinical or cognitive feature. The language abnormality is indicative of a dynamic aphasia in the context of a prominent dysexecutive syndrome, similar to that seen in patients with the degenerative movement disorder progressive supranuclear palsy (PSP).
[Mh] Termos MeSH primário: Afasia/complicações
Doenças Priônicas/complicações
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Feminino
Seres Humanos
Testes de Linguagem
Masculino
Meia-Idade
Testes Neuropsicológicos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190818


  2 / 8229 MEDLINE  
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[PMID]:29369194
[Au] Autor:Zhang L; Nan G; Mao Y; Chi L
[Ad] Endereço:Department of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
[Ti] Título:Rapid improvement of angiostenosis due to isolated middle cerebral artery dissection: A case report.
[So] Source:Medicine (Baltimore);97(4):e9695, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Intracranial arterial dissection is a rare cause of ischemic stroke, and isolated middle cerebral artery dissection (MCAD) is extremely rare, having been described only in sparse case reports. The etiology, clinicoradiological features, and treatment strategies are not yet well understood. PATIENT CONCERNS: A 49-year-old man presented with rapidly progressive aphasia and motor disturbance of the right limbs. DIAGNOSES: Neuroimaging evaluation confirmed a diagnosis of MCAD and cerebral infarction. INTERVENTIONS: The patient underwent oral anti-platelet therapy (100 mg aspirin daily). OUTCOMES: The patient recovered to normal status within 2 weeks following antiplatelet treatment. During a follow-up period of 2 years, he remained neurologically asymptomatic and led a virtually normal life. LESSONS: It is crucial for clinicians to be aware of this entity, as the diagnosis of MCAD is quite challenging. Antiplatelet therapy is effective for treating this condition, and the prognosis can be favorable.
[Mh] Termos MeSH primário: Aneurisma Dissecante
Afasia/etiologia
Infarto Cerebral/etiologia
Aneurisma Intracraniano
Artéria Cerebral Média
[Mh] Termos MeSH secundário: Aneurisma Dissecante/complicações
Aneurisma Dissecante/diagnóstico por imagem
Aneurisma Dissecante/tratamento farmacológico
Revascularização Cerebral/métodos
Constrição Patológica
Seres Humanos
Aneurisma Intracraniano/complicações
Aneurisma Intracraniano/diagnóstico por imagem
Aneurisma Intracraniano/tratamento farmacológico
Masculino
Meia-Idade
Artéria Cerebral Média/diagnóstico por imagem
Inibidores da Agregação de Plaquetas/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Platelet Aggregation Inhibitors)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009695


  3 / 8229 MEDLINE  
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[PMID]:29236818
[Au] Autor:Ortiz KZ; Mantovani-Nagaoka J
[Ad] Endereço:Universidade Federal de São Paulo, Departamento de Fonoaudiologia, São Paulo SP, Brasil.
[Ti] Título:Limb apraxia in aphasic patients.
[So] Source:Arq Neuropsiquiatr;75(11):767-772, 2017 Nov.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Limb apraxia is usually associated with left cerebral hemisphere damage, with numerous case studies involving aphasic patients. The aim of this study was to verify the occurrence of limb apraxia in aphasic patients and analyze its nature. This study involved 44 healthy volunteers and 28 aphasic patients matched for age and education. AH participants were assessed using a limb apraxia battery comprising subtests evaluating lexical-semantic aspects related to the comprehension/production of gestures as well as motor movements. Aphasics had worse performances on many tasks related to conceptual components of gestures. The difficulty found on the imitation of dynamic gesture tasks also indicated that there were specific motor difficulties in gesture planning. These results reinforce the importance of conducting limb apraxia assessment in aphasic patients and also highlight pantomime difficulties as a good predictor for semantic disturbances.
[Mh] Termos MeSH primário: Afasia/etiologia
Apraxias/etiologia
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Afasia/diagnóstico por imagem
Apraxias/diagnóstico por imagem
Estudos de Casos e Controles
Feminino
Lateralidade Funcional
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Testes Neuropsicológicos
Fatores Socioeconômicos
Acidente Vascular Cerebral/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  4 / 8229 MEDLINE  
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[PMID]:28740002
[Au] Autor:Nagayoshi N; Arai T; Tanno M; Watanabe M; Suzuki T; Akasaki Y; Murayama Y
[Ad] Endereço:Department of Rehabilitation, The Jikei University Hospital.
[Ti] Título:[A Case of Amusia Following Right Temporal Subcortical Hemorrhage].
[So] Source:Brain Nerve;69(7):862-867, 2017 Jul.
[Is] ISSN:1881-6096
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A woman in her 60s presented with amusia due to a localized subcortical hemorrhage of the right temporal lobe. No other symptoms of higher brain dysfunction or body paralysis were observed. One characteristic symptom in this case was rhythm impairment. Few cases of this impairment have been previously reported, and the responsible lesion and underlying mechanisms are still a matter of speculation. However, in this case, a relationship with the right temporal lobe was indicated.
[Mh] Termos MeSH primário: Afasia/etiologia
Hemorragia Cerebral/diagnóstico por imagem
Lobo Temporal/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Hemorragia Cerebral/complicações
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Música
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.11477/mf.1416200832


  5 / 8229 MEDLINE  
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[PMID]:29076848
[Au] Autor:Stephens M
[Ad] Endereço:Margaret Stephens is senior lecturer in speech, language, and communication science at the University of Portsmouth, Portsmouth, United Kingdom, and a member of the Cochrane Nursing Care Field.
[Ti] Título:The Effectiveness of Speech and Language Therapy for Poststroke Aphasia.
[So] Source:Am J Nurs;117(11):19, 2017 Nov.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org.
[Mh] Termos MeSH primário: Afasia/reabilitação
Terapia da Linguagem
Fonoterapia
Reabilitação do Acidente Vascular Cerebral
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Afasia/etiologia
Feminino
Seres Humanos
Masculino
Ensaios Clínicos Controlados Aleatórios como Assunto
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000526741.00314.d9


  6 / 8229 MEDLINE  
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[PMID]:28846724
[Au] Autor:Zhang J; Yu J; Bao Y; Xie Q; Xu Y; Zhang J; Wang P
[Ad] Endereço:Master of Science in Neurological Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
[Ti] Título:Constraint-induced aphasia therapy in post-stroke aphasia rehabilitation: A systematic review and meta-analysis of randomized controlled trials.
[So] Source:PLoS One;12(8):e0183349, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Constraint-induced aphasia therapy (CIAT) has been widely used in post-stroke aphasia rehabilitation. An increasing number of clinical controlled trials have investigated the efficacy of the CIAT for the post-stroke aphasia. PURPOSE: To systematically review the randomized controlled trials (RCTs) concerning the effect of the CIAT in post-stroke patients with aphasia, and to identify the useful components of CIAT in post-stroke aphasia rehabilitation. METHODS: A computerized database search was performed through five databases (Pubmed, EMbase, Medline, ScienceDirect and Cochrane library). Cochrane handbook domains were used to evaluate the methodological quality of the included RCTs. RESULTS: Eight RCTs qualified in the inclusion criteria. Inconsistent results were found in comparing the CIAT with conventional therapies without any component from the CIAT based on the results of three RCTs. Five RCTs showed that the CIAT performed equally well as other intensive aphasia therapies, in terms of improving language performance. One RCT showed that therapies embedded with social interaction were likely to enhance the efficacy of the CIAT. CONCLUSION: CIAT may be useful for improving chronic post-stroke aphasia, however, limited evidence to support its superiority to other aphasia therapies. Massed practice is likely to be a useful component of CIAT, while the role of "constraint" is needed to be further explored. CIAT embedded with social interaction may gain more benefits.
[Mh] Termos MeSH primário: Afasia/reabilitação
Terapia da Linguagem/métodos
Reabilitação do Acidente Vascular Cerebral/métodos
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Afasia/etiologia
Seres Humanos
Linguagem
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170829
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183349


  7 / 8229 MEDLINE  
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[PMID]:28842449
[Au] Autor:Thomalla G; Boutitie F; Fiebach JB; Simonsen CZ; Nighoghossian N; Pedraza S; Lemmens R; Roy P; Muir KW; Heesen C; Ebinger M; Ford I; Cheng B; Cho TH; Puig J; Thijs V; Endres M; Fiehler J; Gerloff C
[Ad] Endereço:From Klinik und Poliklinik für Neurologie, Kopf- und Neurozentrum (G.T., C.H., B.C., C.G.), and Klinik und Poliklinik für Neuroradiologische Diagnostik und Intervention, Diagnostikzentrum (J.F.), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany; Service de Biostatistique (F.B., P.R.) and Dep
[Ti] Título:Effect of informed consent on patient characteristics in a stroke thrombolysis trial.
[So] Source:Neurology;89(13):1400-1407, 2017 Sep 26.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether the manner of consent, i.e., informed consent by patients themselves or informed consent by proxy, affects clinical characteristics of samples of acute stroke patients enrolled in clinical trials. METHODS: We analyzed the manner of obtaining informed consent in the first 1,005 patients from WAKE-UP, an investigator-initiated, randomized, placebo-controlled trial of MRI-based thrombolysis in stroke patients with unknown time of symptom onset running in 6 European countries. Patients providing informed consent by themselves were compared with patients enrolled by proxy consent. Baseline clinical measures were compared between groups. RESULTS: In 359 (35.7%) patients, informed consent was by proxy. Patients with proxy consent were older (median 71 vs 66 years, < 0.0001) and had a higher frequency of arterial hypertension (58.2% vs 43.4%, < 0.0001). They showed higher scores on the NIH Stroke Scale (median 11 vs 5, < 0.0001) and more frequently aphasia (73.7% vs 20.0%, < 0.0001). The rate of proxy consent varied among countries ( < 0.0001), ranging from 77.1% in Spain to 1.2% in Denmark. CONCLUSIONS: Patients recruited by proxy consent were older, had more severe strokes, and had higher prevalence of aphasia than those with capacity to give personal consent. Variations in the manner of consent across countries may influence trial results. CLINICALTRIALSGOV AND CLINICALTRIALSREGISTEREU IDENTIFIERS: NCT01525290 (clinicaltrials.gov); 2011-005906-32 (clinicaltrialsregister.eu).
[Mh] Termos MeSH primário: Consentimento Livre e Esclarecido
Acidente Vascular Cerebral/tratamento farmacológico
Terapia Trombolítica
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Afasia/epidemiologia
Afasia/etiologia
Encéfalo/diagnóstico por imagem
Método Duplo-Cego
Europa (Continente)
Feminino
Seres Humanos
Hipertensão/complicações
Hipertensão/epidemiologia
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Prevalência
Procurador
Índice de Gravidade de Doença
Acidente Vascular Cerebral/complicações
Acidente Vascular Cerebral/diagnóstico por imagem
Acidente Vascular Cerebral/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171029
[Lr] Data última revisão:
171029
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170827
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004414


  8 / 8229 MEDLINE  
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[PMID]:28806409
[Au] Autor:Gillespie A; Hald J
[Ad] Endereço:Department of Psychological and Behavioural Science, London School of Economics and Political Science, London, United Kingdom.
[Ti] Título:The paradox of helping: Contradictory effects of scaffolding people with aphasia to communicate.
[So] Source:PLoS One;12(8):e0180708, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:When interacting with people with aphasia, communication partners use a range of subtle strategies to scaffold, or facilitate, expression and comprehension. The present article analyses the unintended effects of these ostensibly helpful acts. Twenty people with aphasia and their main communication partners (n = 40) living in the UK were video recorded engaging in a joint task. Three analyses reveal that: (1) scaffolding is widespread and mostly effective, (2) the conversations are dominated by communication partners, and (3) people with aphasia both request and resist help. We propose that scaffolding is inherently paradoxical because it has contradictory effects. While helping facilitates performing an action, and is thus enabling, it simultaneously implies an inability to perform the action independently, and thus it can simultaneously mark the recipient as disabled. Data are in British English.
[Mh] Termos MeSH primário: Afasia/fisiopatologia
Comunicação
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Relações Interpessoais
Masculino
Meia-Idade
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180708


  9 / 8229 MEDLINE  
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[PMID]:28711275
[Au] Autor:Nguyen MT; Stoianovici R; Brunetti L
[Ad] Endereço:Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy at Rutgers, The State University of New Jersey, New Brunswick, NJ, USA; Department of Pharmacy, Robert Wood Johnson University Hospital Somerset, Somerville, NJ, USA. Electronic address: may.nguyen@rwjbh.org.
[Ti] Título:Chemotherapy induced stroke mimic: 5-Fluorouracil encephalopathy fulfilling criteria for tissue plasminogen activator therapy.
[So] Source:Am J Emerg Med;35(9):1389-1390, 2017 Sep.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stroke mimics, especially those involving chemotherapy related neurotoxicity, can confound the clinical diagnosis of acute stroke. Here we describe the case of a 63year-old male with a recent history of stage IIIC colon cancer who presented with confusion on the second day of modified FOLFOX6 (5-fluorouracil/oxaliplatin) chemotherapy and subsequently received alteplase, tissue plasminogen activator therapy (tPA), for presumed ischemic stroke. Magnetic resonance imaging scans after tPA administration did not reveal evidence of an infarction and the patients' neurological symptoms resolved completely after discontinuation of 5-fluorouracil (5-FU). Although this patient did not experience any side effects from tPA, fibrinolytic therapy may have been avoided with a better understanding of potential chemotherapy related adverse reactions. Our experience suggests that 5-FU induced reversible encephalopathy can present with acute stroke-like symptoms and emergency medicine personnel evaluating patients for tPA treatment should be aware of this differential diagnosis.
[Mh] Termos MeSH primário: Antimetabólitos Antineoplásicos/efeitos adversos
Encefalopatias/induzido quimicamente
Neoplasias do Colo/tratamento farmacológico
Fluoruracila/efeitos adversos
[Mh] Termos MeSH secundário: Antimetabólitos Antineoplásicos/administração & dosagem
Protocolos de Quimioterapia Combinada Antineoplásica
Afasia/induzido quimicamente
Encefalopatias/diagnóstico por imagem
Confusão/induzido quimicamente
Diagnóstico Diferencial
Fibrinolíticos/uso terapêutico
Fluoruracila/administração & dosagem
Cefaleia/induzido quimicamente
Seres Humanos
Leucovorina
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Compostos Organoplatínicos
Acidente Vascular Cerebral/diagnóstico por imagem
Acidente Vascular Cerebral/tratamento farmacológico
Ativador de Plasminogênio Tecidual/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimetabolites, Antineoplastic); 0 (Fibrinolytic Agents); 0 (Organoplatinum Compounds); EC 3.4.21.68 (Tissue Plasminogen Activator); Q573I9DVLP (Leucovorin); U3P01618RT (Fluorouracil)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170717
[St] Status:MEDLINE


  10 / 8229 MEDLINE  
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[PMID]:28675420
[Au] Autor:Loesch AM; Steger H; Losher C; Hartl E; Rémi J; Vollmar C; Noachtar S
[Ad] Endereço:Department of Neurology, Epilepsy Center, University of Munich, Munich, Germany.
[Ti] Título:Seizure-associated aphasia has good lateralizing but poor localizing significance.
[So] Source:Epilepsia;58(9):1551-1555, 2017 Sep.
[Is] ISSN:1528-1167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the occurrence of ictal and postictal aphasia in different focal epilepsy syndromes. METHODS: We retrospectively analyzed the video-electroencephalographic monitoring data of 1,118 patients with focal epilepsy for seizure-associated aphasia (SAA). Statistical analysis included chi-square analysis and Fisher's exact test. RESULTS: We identified 102 of 1,118 patients (9.1%) in whom ictal or postictal aphasia (SAA) was part of their recorded seizures (n = 59 of 102; 57.8%) or who reported aphasia by history (n = 43; 42.2% only reported aphasia by history). Postictal aphasia was present in 18 patients (30.5%). Six of the 59 patients had both ictal and postictal aphasia (10.2%). SAA occurred either with left hemisphere seizure onset or with seizures spreading from the right to the left hemisphere. SAA was most common in patients with parieto-occipital epilepsy (10.9%; five of 46 patients), followed by patients with temporal (6.7%; 28 of 420 patients), focal (not further localized; 4.8%; 22 of 462 patients), and frontal epilepsy (2.1%; four of 190 patients; p = 0.04). SAA was more common in parieto-occipital epilepsy than in frontal epilepsy (p = 0.02). In contrast, there was no significant difference in SAA between temporal and parieto-occipital epilepsy (p = 0.36). SIGNIFICANCE: SAA has a high lateralizing but limited localizing value, as it often reflects spread of epileptic activity into speech-harboring brain regions.
[Mh] Termos MeSH primário: Afasia/etiologia
Convulsões/complicações
[Mh] Termos MeSH secundário: Afasia/fisiopatologia
Encéfalo/fisiopatologia
Eletroencefalografia
Epilepsias Parciais/complicações
Epilepsias Parciais/fisiopatologia
Seres Humanos
Neuroimagem
Tomografia por Emissão de Pósitrons
Estudos Retrospectivos
Convulsões/fisiopatologia
Tomografia Computadorizada de Emissão de Fóton Único
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE
[do] DOI:10.1111/epi.13835



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