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Yıl:1996; Cilt: 33; Sayı: 2>> Özet
Nöropsikiyatri Arşivi; 1996;33(2):121-126
Subkortikal Strokde Afazi
L Hanoğlu, F Özer, B Yalçıner, O Doğu, B Arpacı
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi 1. Nöroloji Kliniği
Bu çalışmada Bilgisayarlı Tomografisinde (BT) subkortikal bölgede lezyonla birlikte afazi saptanan 8 olgu, gösterdikleri afazi profili ve lezyon lokalizasyonu açısından değerlendirildi. Olguların tümünde afazi kliniğinin ana elemanlarını anomi ve semantik özellikleri parafazilerin oluşturduğu izlendi. Talamik lokalizasyonlu, olgularda ayrıca tekrarın korunduğu, striokapsüler lokalizasyon gösteren olgularda ise anlama ve tekrar kusurlarının bu ana tabloya eşlik ettikleri izlendi. Bu bulgular subkorükal afazilerdeki klinik tablonun kortikal afazi tabloları kadar belirgin ayırdedici özellikleri olmamasına rağmen, yine de klinik tanıda, lezyonu lokalize etmede yararlı olabileceğini düşündürmektedir.
Aphasia In Subkortikal Strokes
In this study, 8 aphasic patients with subcortical lesions on CT were evaluated in an attempt to investigate a probable correlation between aphasic prophile and lesion localisation. In all of the cases, the main clinical features of aphasia consisted of anomia and semantic paraphasias. In addition, repetition Was preserved in thalamic lesions and comprehension and repetition disturbances were added to the main clinical picture in striocapsuler lesions. These findings indicate to the inadequacy of distinctive features of the clinical picture in subcortical aphasias compared to cortical aphalasias but, still, it migth aid to clinical diagnosis and lesion localisation.

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