Abstract
Background: Stroke has always been considered as an urgent medical problem in every country in the world. Symptoms of stroke are varied, causing many disorders in movement, cognitive perception and social psychology. In which, language disorder is a common symptom and often leaves sequelae for patients. Cerebral infarction is a common type of stroke that causes language disorders.
Objectives: 1. To survey the types of language disorders in patients with cerebral infarction at the University of Medicine and Pharmacy Hospital; 2. To identify relevant factors between clinical, location, and size of lesions with types of language disorders.
Subjects and methods: Cross-sectional descriptive study on 30 patients with cerebral infarction who suffer from language disorders at The Stroke Center, Hue University of Medicine and Pharmacy Hospital from March 2024 to December 2024, assessment of language disorders using The Aphasia Rapid Test (ART).
Results: Patients ≥ 70 years old (70.0%). Male patients (70.0%), female patients (30.0%). Subacute cerebral infarction duration (43.3%). Hemispheric lesions were mainly left (70.0%), subcortical (53.3%). Middle cerebral artery lesions accounted for a high proportion (36.7%). Lesion size 0.5 - 15 mm (63.3%). The location of the lesions is divided by area/lobe with the highest rate of coronal radiata, followed by the temporal lobe, occipital lobe, interlobe and the lowest rate of lesions in the insula, caudate nucleus, cerebellum, brain stem, corpus callosum. The rate of aphasia types in patients with cerebral infarction is Trans-motor cortex (30.0%), Broca (23.2%), Conduction (16.7%), Wernicke (10.0%), Total/Trans-sensory cortex/Mixed Trans-cortex (6.7%), no Anomic aphasia. There is a relationship between the location of cortical/subcortical lesions and the type of aphasia p = 0.047 (< 0.05). The relationship between temporal lobe lesions and Wernicke aphasia (p = 0.014), the relationship between coronal ramus lesions and Conduction aphasia (p = 0.003), the relationship between frontal lobe lesions and Total aphasia (p = 0.034), the relationship between centrum semiovale lesions and Transmotor aphasia were statistically significant with p = 0.049.
Conclusion: Aphasia is a common complication of ischemic stroke, with transcortical motor aphasia accounting for the highest percentage at 30.0%, followed by Broca's aphasia at 23.2%. There is a correlation between the location of cortical/subcortical lesions and the type of aphasia.
| Published | 2025-12-25 | |
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| Issue | Vol. 15 No. 7 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.7.32 | |
| Keywords | thất ngôn, nhồi máu não, vị trí tổn thương aphasia, stroke, location of lesions |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
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