How long is the recovery of global aphasia? Twenty-five years of follow-up in a patient with left hemisphere stroke.

Abstract:

BACKGROUND:Current knowledge regarding the time course of aphasia recovery is based on observations limited to the first years after stroke. OBJECTIVE:The authors studied long-term outcome (25 years) of language in a patient with global aphasia. METHODS:A 37-year-old man with global aphasia from a large ischemic lesion in the left middle cerebral artery territory was tested 9 times between 3 weeks and 25 years poststroke by means of the Milan Language Examination, Token Test, Raven Test, and apraxia tests. RESULTS:Three main periods of recovery were identified. The first year after stroke was characterized by recovery of verbal comprehension and word repetition. From 1 to 3 years, naming and reading improved. From 3 to 25 years, progressive improvement of previously emerged functions was found, as well as the appearance of spontaneous speech. CONCLUSIONS:This unique long-term follow-up shows that the time span for recovery of language functions in global aphasia after stroke may be much longer than previously documented.

authors

Smania N,Gandolfi M,Aglioti SM,Girardi P,Fiaschi A,Girardi F

doi

10.1177/1545968310368962

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

871-5

issue

9

eissn

1545-9683

issn

1552-6844

pii

1545968310368962

journal_volume

24

pub_type

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