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Aphasia

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3781. Long-term follow-up of meningiomas of the cavernous sinus after surgical treatment alone. Full Text available with Trip Pro

surgery was performed via a presigmoid-retrolabyrinthine or retrosigmoid approach in 13 and 14 patients, respectively.The mortality rate was 5% and two patients had severe hemiplegic or aphasic sequelae. The creation or aggravation of disorders in vision, ocular motility, or trigeminal function occurred in 19, 29, and 24% of patients respectively, with a significantly higher rate of complications when resection was performed inside the CS (p < 0.05). Gross-total removal of both the extra

2007 Journal of Neurosurgery

3782. Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients. 1989. (Abstract)

, and for those with lesions acquired in early life or adulthood. These findings indicate a need for revision of the classical model of language localization. The combination of discrete localization in individual patients but substantial individual variability between patients also has major clinical implications for cortical resections of the dominant hemisphere, for it means that language cannot be reliably localized on anatomic criteria alone. A maximal resection with minimal risk of postoperative aphasia

2008 Journal of Neurosurgery

3783. Migraine aura or transient ischemic attacks? A five-year follow-up case-control study of women with transient central nervous system disorders in pregnancy. Full Text available with Trip Pro

during the five-year follow-up.The diagnosis of migraine aura was difficult because for many patients it was their first ever attack and headache tended to be absent or of non-migraineous type. The aura features were more complex, with several aura symptoms and a higher prevalence of sensory and dysphasic aura than usual. Gradually developing aura symptoms, or different aura symptoms occurring in succession as described in the International Classification of Headache Disorders, seem to be useful

2007 BMC Medicine

3784. Incidence of hemorrhage associated with electrophysiological studies performed using macroelectrodes and microelectrodes in functional neurosurgery. (Abstract)

of hemorrhage. Nineteen patients with arterial hypertension underwent 28 surgical procedures. Five cases of hemorrhage (2.02%) occurred. One patient presented with hemiparesis and dysphasia but no surgery was required. The incidence of hemorrhage in patients in whom MER was performed was 2.9%, whereas the incidence in patients in whom MER was not used was 1.4% (p = 0.6529). Bleeding occurred in 10.71% of patients with hypertension and 0.91% of those who were nonhypertensive (p = 0.0111). Among the 104

2005 Journal of Neurosurgery

3785. Hashimoto's encephalopathy mimicking migraine with aura. (Abstract)

Hashimoto's encephalopathy mimicking migraine with aura. We describe a patient with Hashimoto's encephalopathy presenting as long-standing episodes of aphasia associated with migraine-like headache. Repeated thyroid hormone levels were within normal values, but high titers of antithyroid antibodies in serum, and diffuse EEG slowing and CSF abnormalities during one episode led to the diagnosis.

2007 Headache

3786. Cluster-like headache aura status. (Abstract)

Cluster-like headache aura status. We describe a patient with successive attacks (40 to 90 minutes) of cluster-like headache associated with aphasia, and contralateral hemihypesthesia and hemiplegia. The condition can best be described as cluster-like headache aura status.

2005 Headache

3787. [Effects of three-stage rehabilitation treatment on acute cerebrovascular diseases: a prospective, randomized, controlled, multicenter study]. (Abstract)

, Barthel index, SF-36 scale, Lowenstein occupational therapy cognitive assessment (LOTCA), Westen aphasia battery, Hamilton depression scale, and modified Ashworth spasm scale, one week after the onset and by the ends of 1, 2, 3, 4, 5, and 6 months after the onset respectively.The scores of clinical neurological impairment, Fugl-Meyer scores, SF-36 scores, incidence of PSD, and modified Ashworth scores (for upper and lower limbs) were lower, and LOTCA scores and Barthel indexes were higher at different

2004 Zhonghua yi xue za zhi Controlled trial quality: uncertain

3788. Verbal mediation and memory for novel figural designs: a dual interference study. (Abstract)

Verbal mediation and memory for novel figural designs: a dual interference study. To the extent that all types of visual stimuli can be verbalized to some degree, verbal mediation is intrinsic in so-called "visual" memory processing. This impurity complicates the interpretation of visual memory performance, particularly in certain neurologically impaired populations (e.g., aphasia). The purpose of this study was to investigate the relative contributions of verbal mediation to recognition memory

2005 Brain and cognition Controlled trial quality: uncertain

3789. Levodopa: faster and better word learning in normal humans. Full Text available with Trip Pro

Levodopa: faster and better word learning in normal humans. Dopamine is a potent modulator of learning and has been implicated in the encoding of stimulus salience. Repetition, however, as required for the acquisition and reacquisition of sensorimotor or cognitive skills (e.g., in aphasia therapy), decreases salience. We here tested whether increasing brain levels of dopamine during repetitive training improves learning success. Forty healthy humans took 100mg of the dopamine precursor levodopa

2004 Annals of neurology Controlled trial quality: uncertain

3790. [Clinical features and management of multiple sclerosis in children]. (Abstract)

1993 to May 2006 were collected and analyzed.Among the 25 cases, 16 were female and the F:M ratio was 1.78:1. The relapsing-remitting type was seen in 21 cases, the secondary progressive MS in 3 cases and the classification was impossible in one case. The mean age of onset was 6.7 years (2-12) with various initial symptoms including visual loss (11 cases), cortical symptoms (8 cases with seizures, consciousness disturbance, aphasia and apraxia, etc.), myeleterosis (3 cases), symptoms of brainstem

2007 Zhonghua er ke za zhi. Chinese journal of pediatrics

3791. Neurological signs in relation to type of cerebrovascular disease in vascular dementia. Full Text available with Trip Pro

presented (10%). Measures of small vessel disease were associated with an increased prevalence of dysarthria, dysphagia, parkinsonian gait disorder, rigidity, and hypokinesia and as well to hemimotor dysfunction. By contrast, in the presence of a cerebral infarct, aphasia, hemianopia, hemimotor dysfunction, hemisensory dysfunction, reflex asymmetry, and hemiplegic gait disorder were more often observed.The specific neurological signs demonstrated by patients with VaD differ according to type of imaged (...) cerebrovascular disease. Even in people who meet restrictive VaD criteria, small vessel disease is often seen with more subtle signs, including extrapyramidal signs, whereas large vessel disease is more often related to lateralized sensorimotor changes and aphasia.

2008 Stroke

3792. Isolated Lateral Sinus Thrombosis. A Series of 62 Patients. Full Text available with Trip Pro

lateral sinus thrombosis. Clinical, etiologic, and prognostic features were compared with those of other 133 CVT cases.Sixty-two patients (32%) had isolated lateral sinus thrombosis. Headaches were present in 95% of patients. The main clinical presentation was isolated headache in 28 patients (45%), whereas 15 (24%) had isolated intracranial hypertension. Nineteen patients (31%) had at least one focal sign (deficit and/or focal seizure). Dysphasia was the most common one (8 patients). Compared

2008 Stroke

3793. Use of Emergency department transcranial doppler assessment of reperfusion after intravenous tPA for ischemic stroke. (Abstract)

of transcranial Doppler (TCD) monitoring in the Emergency Department (ED) to guide the decision for advanced reperfusion strategies after failure of IV-tPA.A 75-year-old man presented to the ED within 50 min after the acute onset of right-sided hemiparesis and aphasia. After administration of IV-tPA, there was no immediate improvement in neurological symptoms. TCD performed in the ED demonstrated persistent left middle cerebral artery (MCA) occlusion. Based on this information, the patient received intra

2008 Journal of Emergency Medicine

3794. Altered language processing in autosomal dominant partial epilepsy with auditory features. Full Text available with Trip Pro

Altered language processing in autosomal dominant partial epilepsy with auditory features. Autosomal dominant partial epilepsy with auditory features (ADPEAF) is an idiopathic focal epilepsy syndrome with auditory symptoms or receptive aphasia as major ictal manifestations, frequently associated with mutations in the leucine-rich, glioma inactivated 1 (LGI1) gene. Although affected subjects do not have structural abnormalities detected on routine MRI, a lateral temporal malformation

2008 Neurology

3795. Very early semantic dementia with progressive temporal lobe atrophy: an 8-year longitudinal study. Full Text available with Trip Pro

Very early semantic dementia with progressive temporal lobe atrophy: an 8-year longitudinal study. Semantic dementia is a syndrome within the spectrum of frontotemporal lobar degenerations characterized by fluent progressive aphasia (particularly anomia) and loss of word meaning.To report a unique case of very early semantic dementia with a slowly progressive course, allowing insights into the early natural history of this disorder.Case report.A tertiary care center.A 62-year-old woman who

2008 Archives of Neurology

3796. Assessment of Depression After Stroke. A Comparison of Different Screening Instruments. Full Text available with Trip Pro

Assessment of Depression After Stroke. A Comparison of Different Screening Instruments. Assessing poststroke depression may be complicated by aphasia, other cognitive deficits, and several somatic stroke-related symptoms. We studied the possible differences in performance of some commonly used instruments in screening depression after stroke.We compared the Beck Depression Inventory, Hamilton Rating Scale for Depression, Visual Analogue Mood Scale, proxy assessment, and Clinical Global (...) of these instruments clearly stood apart from the others. Proxy ratings should be used with caution, and the use of the Visual Analogue Mood Scale among patients with aphasia and other cognitive impairments cannot be recommended.

2008 Stroke

3797. Parietal lobe deficits in frontotemporal lobar degeneration caused by a mutation in the progranulin gene. Full Text available with Trip Pro

aphasia or nonfluent aphasia and a behavioral syndrome dominated by apathy.We suggest that parietal deficits may be a prominent feature of PGRN mutations and that these deficits may be caused by disruption of frontoparietal functional pathways.

2008 Archives of Neurology

3798. Atypical frontotemporal lobar degeneration with ubiquitin-positive, TDP-43-negative neuronal inclusions. Full Text available with Trip Pro

cases of FTLD-U are TDP-43 proteinopathies, there are exceptions. We describe six cases of early onset FTD with FTLD-U pathology that was negative for TDP-43, which we refer to as 'atypical' FTLD-U. All cases were sporadic and had very early onset FTD (mean age = 35 years), characterized by severe progressive psychobehavioural abnormalities in the absence of significant aphasia, cognitive-intellectual dysfunction or motor features. The neuropathological features were highly consistent, with small

2008 Brain

3799. Oculomotor function in frontotemporal lobar degeneration, related disorders and Alzheimer's disease. Full Text available with Trip Pro

individuals with frontotemporal dementia (FTD), 19 with semantic dementia (SD) and six with progressive non-fluent aphasia (PA), as compared to 28 individuals with Alzheimer's disease, 15 with CBS, 10 with PSP and 27 control subjects. Different combinations of oculomotor abnormalities were identified in all clinical syndromes except for SD, which had oculomotor performance that was indistinguishable from age-matched controls. Only PSP patients displayed abnormalities in saccade velocity, whereas

2008 Brain

3800. Spontaneous social behaviors discriminate behavioral dementias from psychiatric disorders and other dementias. Full Text available with Trip Pro

: 45 Alzheimer's disease (National Institute of Neurologic and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association research criteria); 40 frontotemporal dementia, 21 semantic dementia, and 13 progressive nonfluent aphasia (Neary research criteria); 14 corticobasal degeneration and 21 progressive supranuclear palsy (Litvan research criteria); 37 dementia with Lewy bodies (McKeith research criteria); 16 vascular dementia (Ischemic Vascular Disease research

2008 Journal of Clinical Psychiatry

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