[The restoration of speech in patients with aphasia depending on the manifestations of carotid atherosclerosis in stroke].
OBJECTIVE
To study an effect of stenosing lesions of carotid arteries on the recovery of speech functions in acute stroke patients.


METHODS
Medical histories of 253 patients (median age 58 [52,63]) with acute left hemispheric ischemic and hemorrhagic stroke and motor or sensorimotor aphasia were analyzed. The severity of atherosclerotic lesion of brachiocephalic arteries was assessed using color duplex scanning. According to the results of duplex scanning, patients were divided into 3 groups: 1 - without stenosis of extracranial arteries; 2 - with ≤50% stenosis of carotid arteries; 3 - with >50% stenosis of carotid arteries.


RESULTS
Stenosis greater than 50% (group 3) was a predictor of the poor recovery of speech function while stenosis less than 50% (groups 1 and 2) had no effect on the outcome.


CONCLUSIONS
The severe atherosclerosis of carotid arteries had a negative effect on speech recovery in acute stroke patients.
Kemerovo State Medical Academy; Regional Clinical Hospital for Veterans of Wars, Kemerovo.
M N
MN
Safronova
Kemerovo Cardiological Clinic.
O A
OA
Mizurkina
Kemerovo State Medical Academy; Kemerovo Cardiological Clinic; Research Institute of Complex Problems of Cardiovascular Diseases.
A V
AV
Kovalenko
Research Institute of Complex Problems of Cardiovascular Diseases.
O L
OL
Barbarash
D001037:Aphasia / Q000209:etiology / Q000534:rehabilitation*; D050197:Atherosclerosis; D016122:Brachiocephalic Trunk; D002339:Carotid Arteries; D002340:Carotid Artery Diseases / Q000150:complications*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic; D006801:Humans; D008875:Middle Aged; D013060:Speech; D020521:Stroke / Q000150:complications*