Aphasiediagnostik auf der Stroke Unit

Bley, Maria; Wagner, A. James; Berrouschot, Jörg

doi:10.1007/s00115-002-1281-8

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Ein wichtiges Problem der Früherkennung von Sprachstörungen in der Akutphase liegt unseres Erachtens in der heterogenen Klassifikation der verschiedenen Syndrome und ihrer Begleitstörungen [7,8,[12][13][14]. Dadurch wird es schwierig, verschiedene Studien miteinander zu vergleichen.…”

Section: Diskussionunclassified

Early recognition of speech and speech-associated disorders after acute stroke

Trapl

Eckhardt

et al. 2004

Wien Med Wochenschr

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In the course of increasing demands in acute stroke care in stroke units, criteria for efficient speech diagnosis, which can be applied in the first hours of acute stroke are necessary. In this study we investigated early recognition of speech and speech-associated disorders in acute stroke, and compared the neurologists' clinical diagnoses at admission with the results of a test battery (KAP--Kurze Aphasieprüfung). 90 of 104 consecutively recruited patients could be tested within the first three days. 53.8% (n = 49/N = 91) of the patients presented with language disorders in the clinical neurological examination at admission compared to 63.7% (n = 58/N = 91) that were found to have language disorders according to KAP. Syndrome classification in the group of aphasias showed a frequent occurrence of global aphasia, unclassified aphasia, anomic aphasia and agraphia. Speech apraxia and alexia were always accompanied by aphasia. A large amount of patients are affected by a variety of speech disorders. This study could show that a portion of these disorders could not be diagnosed in the acute situation without using a standardized test battery. Therefore clinical examination should be supplemented by standardized tests in routine diagnosis of speech disorders in acute stroke units in order to treat every patient adequately as soon as possible.

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Section: Diskussionunclassified

Early recognition of speech and speech-associated disorders after acute stroke

Trapl

Eckhardt

et al. 2004

Wien Med Wochenschr

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“…B. die "Kurze Aphasieprüfung" (KAP) und der "Aphasie-Schnelltest" (AST). Die beiden Tests wurden als Verfahren zur Aphasietestung bei Schlaganfallpatienten (nicht bei Tumorpatienten) von Bley et al [3] vorgeschlagen.…”

Section: Introductionunclassified

Vergleich von Aachener Aphasie-Test, klinischer Untersuchung und Aachener Aphasie-Bedside-Test bei Hirntumorpatienten

et al. 2002

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In the clinical routine examination of patients with brain tumors, aphasic symptoms are often not recognized. In order to document the incidence of such symptoms, three diagnostic methods of testing for aphasia were compared: the Aachen aphasia test (AAT), which is the German standard aphasia test, clinical examination, and the Aachen aphasia bedside test (AABT), which was designed to test patients in the acute phases of illness. In the AAT, 50% of patients with left-sided tumors and 36% of those with right-sided tumors showed aphasic disturbances. The AAT results were defined as the gold standard. Clinical examination showed only low sensitivity; less than half of the aphasic patients were diagnosed as such. The AABT also detected only about half of the patients with aphasic disturbances. The low sensitivity is caused mainly by the results of the patients with right-hemisphere tumors, in which the mental set of the examiner during clinical examination (aphasic symptoms are not expected in patients with right-hemisphere lesions) and the pattern of disturbances in the AABT (deficits may be less severe and different in nature) may prevent detection of aphasic symptoms. Both clinical examination and AABT are thus not suitable for aphasia diagnostics in brain tumor patients. As the AAT is very time-consuming in everyday clinical routine, however, the development of an aphasia screening test seems desirable.

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Wem’s die Rede verschlägt

Höger

2024

psychopraxis. neuropraxis

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Aphasiediagnostik auf der Stroke Unit

Cited by 4 publications

References 15 publications

Early recognition of speech and speech-associated disorders after acute stroke

Early recognition of speech and speech-associated disorders after acute stroke

Vergleich von Aachener Aphasie-Test, klinischer Untersuchung und Aachener Aphasie-Bedside-Test bei Hirntumorpatienten

Wem’s die Rede verschlägt

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