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Lesion localization of global aphasia without hemiparesis by overlapping of the brain magnetic resonance images

摘要Global aphasia without hemiparesis is a striking stroke syndrome involving language impairment without the typically manifested contralateral hemiparesis, which is usually seen in patients with global aphasia following large left perisylvian lesions. The objective of this study is to elucidate the speciifc areas for lesion localization of global aphasia without hemiparesis by retrospectively studying the brain magnetic resonance images of six patients with global aphasia without hemi-paresis to deifne global aphasia without hemiparesis-related stroke lesions before overlapping the images to visualize the most overlapped area. Talairach coordinates for the most overlapped areas were converted to corresponding anatomical regions. Lesions where the images of more than three patients overlapped were considered significant. The overlapped global aphasia without hemiparesis related stroke lesions of six patients revealed that the signiifcantly involved anatomi-cal lesions were as follows:frontal lobe, sub-gyral, sub-lobar, extra-nuclear, corpus callosum, and inferior frontal gyrus, while caudate, claustrum, middle frontal gyrus, limbic lobe, temporal lobe, superior temporal gyrus, uncus, anterior cingulate, parahippocampal, amygdala, and subcallosal gyrus were seen less signiifcantly involved. This study is the ifrst to demonstrate the heteroge-neous anatomical involvement in global aphasia without hemiparesis by overlapping of the brain magnetic resonance images.

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作者单位 Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea [1]
栏目名称 TECHNICAL UPDATES
DOI 10.4103/1673-5374.147935
发布时间 2015-01-19
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中国神经再生研究(英文版)

中国神经再生研究(英文版)

2014年23期

2081-2086页

SCIMEDLINEISTICCSCDCABP

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