ABSTRACT Background and purposes battery and CT scan of the brain Verbal productivity Results All the patients showed lower scores at all Discussion Among the ischemic stroke patients with Conclus ID: 936210
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. 2014, vol. 20, issue 2 /http://www.journal-imab-bg.org ABSTRACT Background and purposes: battery and CT scan of the brain. Verbal productivity Results: All the patients showed lower scores at all Discussion: Among the ischemic stroke patients with Conclusion: Future studies on testing of verbalchoice in ischemic stroke patients should confirm itspractical significance for the assessment of speech disordersconcerning a special speech- recovery education. Key words:Verbal choice, ischemic stroke INTRODUCTION VERBAL CHOICE IN ISCHEMIC STROKE PA-TIENTS WITH ANOMIC APHASIA Maya P. Danovska, Dora Peichinska, Mirena P. Valkova, Boyko Stamenov. Neurology Clinic, University Hospital, Medical University - Pleven, Bulgaria Journal of IMAB - ISSN: 1312-773X (Online) clinical signs [2, 3]. Two types of anomic aphasia have been Verbal productivity of patients with aphasia is Testing of verbal choice is considered a reliable andgrowing scientific investigations and analyses [8]. The purpose of the present study was to examine and CONTINGENT AND METHODS We studied 50 patients with anomic disorders (32diagnosis ischemic stroke. Neuropsychological tests of A.A.reproductive speech of patients with aphasic disorders(modified in Bulgarian language by P.Ovcharova et al) [9]: ·Neuropsychological battery for evaluation of - naming of 6 objects, located in the visual field; - naming of 6 objects, based on their description; - verbal fluency: naming of 5 fruits for 5 seconds. ·Examination of reproductive speech - oralthe examiner. RESULTS: given in Table 1. Table 1. Results from nominative speech evaluation. SuccessfulUsage ofUsage of performanceparaphasiasdiminutivelow wordswords Naming of objects, 31(62.0%)14 5 Naming of objects by description17 (34.0%)14 (28.0%)6 (12.0%) Verbal fluency10 (20.0%)2 (4%)7 (14%)17 (34.0%)24 http://dx.doi.org/10.5272/jimab.2014202.495 http://www.journal-imab-bg.org 2014, vol. 20, issue 2 / us
ed for assessment of verbal fluidity. Only 10 (20.0%) managed to execute correctly the task. It was found that17 (34.0%) used low frequency words with coexistingdifficulties in high frequency words actualization. Only 7(14.0%) patients used diminutive nouns and usually they Table 2. The greatest was the number of predicativesactualization (75.4%) as compared to the given text,followed by the usage of particles, unions, prepositions andinterjections (66.1%) and the least was that of nominatives DISCUSSION The present study demonstrates the clinicalsignificance of verbal choice testing in anomic aphasiasafter left hemispheric ischemic stroke. Verbal fluency as a cognitive function thattIt is proven that many brain areas (predominantly frontaland temporal lobes) are associated with verbal fluency [10].Hillis and al. [11] have discussed brain regions involvedby description, which has been also found by Tatemichihibe explained by the wider representation of verbal fluencyareas in brain cortex compared to the object naming ones.Unlike Alzheimer dementia patients [14], left hemisphericcrelations after temporal lesion in stroke survivors [8] v/spredominantly memory impairment in classic Alzheimerdementia is the most reasonable explanation. However, thatdegenerative dementia. We also found more difficulties in Coccia and al [15]. However, on the basis of our results, anomic disorders. Actualization of particles, unions,number. On the basis of our results we can promote verbalchoice as good test for anomic aphasia screening inits practical significance for the assessment of speech CONCLUSIONS: predicatives. Actualization of particles, unions,number. However, future studies on testing of verbal choice Table 2 Results from the quantitative analysis of verbal choice in reproductive speech v/s the text given. NominativesPredicatives prepositions, interjections Verbal choice6.4 (49.2%)9.8 13 (100%) . 2014, vol. 20, iss
ue 2 /http://www.journal-imab-bg.org Address for correspondence: Maya Danovska Department of Neurology, University Hospital, Medical University - Pleven. 8A, Georgi Kochev str., 5800 Pleven, Bulgaria Tel: +359 64 886 276; Fax: +359 64 801 524 E-mail: mdanovska@yahoo.com REFERENCES: 1. Pulvermüller F, NeiningerB, Elbert T, Mohr B, RockstrohB, Koebbel P, et al. Constant-inducedStroke 2001 Jul;32(7):1621-6. PubMed ] 2. Bersano A, Burgio F, GattinoniM, Candelise L; PROSIT Study Group. bilitation programme. nt J Stroke. PubMed ][ CrossRef ].. 3. Salles JF, Holderbaum CS,Parente MA, Mansur LL, Ansaldo AI.Arq Neuropsiquiatr. PubMed ][ CrossRef ] 4. Tsvetkova LS . Some ways of op-timization of aphasics rehabilitation. Int J Rehabil Res. 1980; 3(2):183-90.[ PubMed ] 5. Kulik TB, Wronska I, Koc-Kozlowiec B ration with family. Ann Univ Mariae PubMed ] 6. Lazar RM, Minzer B, AntonielloD, Festa JR, Krakauer JW, Marshall RS.severity. Stroke. 2010 Jul;41(7):1485– PubMed ] [ CrossRef ] Michelet V, Rereau S, Rousseaux M, Communication impair-ment and activity limitation in stroke DisabilRehabil. 2011;33(13-14):1169-78.[ PubMed ] [ CrossRef ] 8. Luria A. The functional organi- PubMed ] 9. Ovcharova P, Raichev R. Apha- [in Bulgarian] 10. Baldo JV, Schwartz S, WilkinsD, Dronkers NF. Role of frontal versustom mapping. J Int Neuropsychol Soc. PubMed ][ CrossRef ] 11. Hillis AE, Tuffiash E, Wityk RJ, Cognit Neuropsychol. PubMed ] [ CrossRef ] 12. Tatemichi TK, Desmond DW,Stem Y, Paik M, Sano M, Bagiella E.quency, patterns, and relationship tofunctional abilities. Neurol Neuro-surg Psychiatry. 1994 Feb;57(2):202- PubMed ] 13. Planton M, Peiffer S, AlbucherJF, Barbeau EJ, Tardy J, Pastor J, et al.good recovery. Eur J Neurol. PubMed ][ CrossRef ] 14. Gomez RG, White DA. Usingmentia of the Alzheimer type. ArchClin Neuropsychol. PubMed ] [ CrossRef ] S, Provinciali L, Matthew A, Ralph L.Cognit Neuro- PubMed ] [ CrossRef ]