Afazija u bolesnika s ishemijskim moždanim udarom

Abstract

Aphasia in ischemic stroke patients is associated with increased mortality, decreased rates of functional recovery, and reduced work capability. The aim was to study the prevalence and characteristics of aphasia in ischemic stroke patients. This prospective, cohort study included 177 patients (94 male and 83 female) hospitalized for ischemic stroke at University Department of Neurology in Osijek in 2010. All patients were examined by a neurologist and speech therapist to specify the subtype of stroke and speech disturbance. The study showed 75 (42.4%) study patients to have aphasia (48.2% of females and 37.2% of males). The most frequent clinical type was expressivereceptive aphasia. Aphasic patients were statistically significantly older (75 vs. 70 years) and showed female predominance (53% vs. 42%). Patients with aphasia also had a threefold share of large vessel stroke (51% vs. 17%) and approximately twofold share of cardioembolic stroke (41% vs. 22%). The share of left hemisphere stroke was nearly twofold in aphasic (61%) compared to non-aphasic (31%) patients. The study showed a high prevalence of aphasia in patients with ischemic stroke, which increased with age, was more pronounced in females and most frequently found in patients suffering from large vessel stroke and cardioembolic stroke.Afazija u bolesnika s ishemijskim moždanim udarom udružena je većom smrtnošću, sniženim stopama funkcijskog oporavka i smanjenom radnom sposobnošću. Cilj je bio ispitati učestalost i značajke afazije u bolesnika s ishemijskim moždanim udarom. U ovu prospektivnu kohortnu studiju bilo je uključeno 177 bolesnika (94 muškaraca i 83 žene) hospitaliziranih zbog ishemijskog moždanog udara na Klinici za neurologiju u Osijeku tijekom 2010. godine. Sve bolesnike pregledao je neurolog i logoped kako bi se utvrdila podvrsta moždanog udara i poremećaj govora. Studija je pokazala da afaziju ima 75 (42,4%) bolesnika (48,2% žena i 37,2% muškaraca). Ekspresivno-receptivna afazija bila je najčešći klinički tip afazije. Bolesnici s afazijom bili su statistički značajno stariji (75 prema 70 godina), a prevladavale su žene (53% prema 42%). Uz to, bolesnici s afazijom imali su trostruko veću učestalost moždanog udara velikih krvnih žila (51% prema 17%) i otprilike dvostruko veću učestalost kardioembolijskog moždanog udara (41% prema 22%). Učestalost moždanog udara lijeve polutke bila je gotovo dvostruka u afazičnih (61%) u usporedbi s neafazičnim (31%) bolesnicima. Istraživanje je pokazalo visoku učestalost afazije u bolesnika s ishemijskim moždanim udarom, koja se povećavala s dobi, bila je više izražena u žena, a najčešće se nalazila u bolesnika s moždanim udarom velikih krvnih žila i onih s kardioembolijskim moždanim udarom