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. 2020 Sep;23(Suppl 2):S109-S115.
doi: 10.4103/aian.AIAN_475_20. Epub 2020 Aug 5.

A Longitudinal Study of Aphasia Due to Pure Sub-Cortical Strokes

Durjoy Lahiri  1 , Alfredo Ardila  2   3 , Souvik Dubey  1 , Biman Kanti Ray  1
Affiliations

A Longitudinal Study of Aphasia Due to Pure Sub-Cortical Strokes

Durjoy Lahiri et al. Ann Indian Acad Neurol. 2020 Sep.

Abstract

Introduction: Contemporary neuro-imaging techniques have significantly advanced our understanding of the brain organization of language and the involvement of subcortical areas in aphasia. However, articles on sub-cortical aphasia, particularly in non-western languages, remain to be few and far between. We set out to explore aphasia typology in sub-cortical strokes among Bengali-speaking population with a focus towards providing a longitudinal view over a period of 3 months post-stroke.

Methods: Bengali version of Western Aphasia Battery (BWAB) was used to assess and classify language dysfunction in our study participants. Conventional brain imaging techniques (CT scan & MRI) were used to detect and localize strokes. Uni-variate analysis for categorical variable (location versus aphasia typology) was performed using Chi square and Fischer's exact test (as applicable). Directional measures were calculated using lambda and Goodman-Kruskal tau (Range of - 1 to + 1). Boot strapping was applied while calculating the directional measures because of inadequate numbers in some sub-sections the sample.

Results: Frequency of sub-cortical aphasia was observed to be 29.80% (62/208) in the index study. Four location of strokes were associated with language dysfunction, of which putamen (53.23%) was the commonest followed by striato-capsular region (33.87%). Thalamus and peri-ventricular white matter (PVWM) strokes (6.45% each) were infrequent in our sample of sub-cortical aphasia. Global aphasia (30/62, 48.38%) was the most frequent type observed in acute phase while Broca's aphasia (23/53, 43.39%) dominated among the follow up cases. Aphasia recovery (with follow up AQ of 90.0 or more) was observed in 12 (22.64%) patients of whom majority (8/12) had striato-capsular strokes.

Conclusion: The present paper illustrates the epidemiological aspects as well as longitudinal course aphasia following pure sub-cortical strokes.

Keywords: Aphasia; longitudinal; sub-cortical.

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Conflict of interest statement

There are no conflicts of interest.

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