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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(08): 638-643
DOI: 10.1590/0004-282X20160097
ARTICLES

Performance of language tasks in patients with ruptured aneurysm of the left hemisphere worses in the post-surgical evaluation

Avaliação da linguagem em pacientes com hemorragia subaracnóidea aneurismática no hemisfério esquerdo piora após a cirurgia
Ana Cláudia C Vieira
1   Universidade Federal de Pernambuco, Departamento de Fonoaudiologia, Recife PE, Brasil;
,
Gustavo Andrade
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Moysés Ponte de Souza
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Maria de Fátima Leal Griz
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Isabel Eugênia Costa e Silva
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Saul M. C. Quinino
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Divaldo Câmara Jr
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
,
Hildo R.C Azevedo-Filho
2   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brasil.
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ABSTRACT

Sub-arachnoid hemorrhage (SAH) promotes impairment of upper cortical functions. However, few information is available emphasizing changes in language after aneurismal SAH and aneurysm location influence.

Objective To assess the language and verbal fluency performance in aneurismal SAH pre- and post-surgery in patients caused by an aneurysm of the anterior communicating artery (AcomA), left middle cerebral artery (L-MCA) and left posterior comunicating artery (L-PcomA).

Methods Assessment in 79 patients with SAH, on two occasions: pre- and post surgical treatment. They were divided into three groups by the aneurysms’ location.

Results Deterioration is detected in the performance of all patients during the post-surgical period; L-MCA aneurysm patients displayed a reduction in verbal naming and fluency; L-PcomA patients deteriorated in the written language and fluency tasks.

Conclusion After the surgical procedure the patients decreased in various language tasks and these differences in performance being directly related to the location of the aneurysm.

RESUMO

Hemorragia subaracnóidea (HSA) proporciona alterações nas altas funções cerebrais. Contudo, há poucos trabalhos enfatizando as alterações da linguagem na HSA aneurismática e a influência da localização do aneurisma.

Objetivos Analisar e comparar os desempenhos da linguagem e fluência verbal na HSA nos períodos pré e pós-cirúrgicos nos pacientes com aneurismas da comunicante anterior (AcomA), cerebral média (ACME) e comunicante posterior esquerdas (AcomPE).

Métodos A avaliação da linguagem de 79 pacientes com HSA aneurismática foi realizada em duas ocasiões: pré e pós cirurgia. Eles foram divididos em três grupos de acordo com a localização do aneurisma.

Resultados Os grupos apresentaram deterioração na avaliação pós-operatória com diferentes características. O grupo da ACME demonstraram deterioração na fluência e nomeação, enquanto o da AcomPE pioraram nos testes de linguagem escrita e fluência.

Conclusões Após o tratamento cirúrgico, os pacientes deterioraram em vários itens de linguagem com diferenças relacionadas à localização do aneurisma.

subarachnoid hemorrhage - intracranial aneurysm - language
hemorragia subaracnóidea - aneurisma intracraniano - linguagem


Publication History

Received: 22 June 2015

Accepted: 02 June 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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