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Japanese

Speech Disturbance in Acute Stage of Putaminal Hemorrhage Tohru HORIKOSHI 1 , Yoshishige MAGASEKI 1 , Tomohiro OMATA 1 , Kazuhiro HASHIZUME 1 , Hideaki NUKUI 1 , Keiji KOMIYA 2 1Department of Neurosurgery, Yamanashi Medical College 2Department of Speech Therapy, Kohu Johnan Hospital Keyword: Aphasia , Putaminal hemorrhage , Acute stage pp.411-416
Published Date 1993/5/10
DOI https://doi.org/10.11477/mf.1436900642
  • Abstract
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Speech disturbance was evaluated in the acute stage of 34 patients with left putaminal hemorrhage. Twenty-two patients were surgically treated and 12 were medi-cally treated. Word cognition, naming, and obedience toverbal command were evaluated according to the STLA severity grade, and speech disturbance in the acute stage was classified as 10 severe cases, 13 moderate cases and 9 mild eases. Severity of speech disturbance was correlated to severity of hemiparesis, volume of hematoma and extension of hematoma. The cases with hematomas extending to the corona radiata showed se-vere speech disturbance. At the time of re-evaluation about one month after the initial evaluation, 13 cases showed improvement of the disturbance to some ex-tent, but 19 cases showed no improvement. The im-provement was related to severity of initial speech dis-turbance, type of hematoma and volume of hematoma. The hematomas whose volumes were over 30ml were related to poor recovery. However, the cases with hematomas extending to the posterior part of the coro-na radiata showed poor improvement even though the volume was less than 30 ml.

In conclusion, these clinical factors, especially the de-gree of hematoma extension shown on CT scan, are useful for diagnosis and evaluation of speech disturb-ance in putaminal hematoma.


Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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