Kids with this condition, also known as central auditory processing disorder (CAPD), can't understand what they hear in the same way other kids do. 10.1016/j.jns.2015.03.Auditory processing disorder (APD) is a hearing problem that affects about 3%–5% of school-aged children. Factors predicting post-stroke aphasia recovery. Finding a focus for quality of life with aphasia: social and emotional health, psychological well-being. 10.1161/01.STR.Ĭruice M, Worrall L, Hickson L, Murison R. The influence of depression, social activity, and family stress on functional outcome after stroke. 10.1002/ana.410380416Īngeleri F, Angeleri VA, Foschi N, Giaquinto S, Nolfe G. Aphasia in acute stroke: incidence, determinants, and recovery. Pedersen PM, Stig Jørgensen H, Nakayama H, Raaschou HO, Olsen TS. Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. MRI comprehension outcome recovery stroke temporal lobe.Ĭopyright © 2021 Lwi, Herron, Curran, Ivanova, Schendel, Dronkers and Baldo.Įngelter ST, Gostynski M, Papa S, Frei M, Born C, Ajdacic-Gross V, et al. Conclusions: The current findings suggest a critical role for the posterior left middle temporal gyrus in the recovery of auditory comprehension following stroke, and that spontaneous recovery of auditory comprehension can continue well beyond the first year post-stroke.
Age and gender were not associated with outcome or recovery slopes.
Higher education was associated with better outcome on all auditory comprehension tasks. The recovery analysis revealed that auditory comprehension scores continued to improve beyond the first year post-stroke. There was a small region of convergence between the three comprehension tasks, in the very posterior portion of the left middle temporal gyrus. Poor comprehension of sequential commands was associated with lesions in the left posterior middle temporal gyrus. Poor yes/no sentence comprehension was associated almost exclusively with the left mid-posterior middle temporal gyrus. Results: LSM analyses revealed that poor single-word auditory comprehension was associated with lesions involving the left mid- to posterior middle temporal gyrus, and portions of the angular and inferior-middle occipital gyri. In a subset of patients who completed language testing at two or more time points, we also analyzed the trajectory of recovery in auditory comprehension using survival curve-based time compression. Demographic variables (age, gender, and education) were also examined for their role in these outcomes.
Univariate and multivariate lesion-symptom mapping (LSM) was used to identify brain regions associated with auditory comprehension outcomes on three different tasks: Single-word comprehension, yes/no sentence comprehension, and comprehension of sequential commands. Methods: This study included 168 left hemisphere chronic stroke patients stroke patients with auditory comprehension impairments ranging from mild to severe. Thus, little is known about the time frame for auditory comprehension recovery following stroke, and whether specific neurologic and demographic variables contribute to recovery and outcome. Despite its importance, limited research has examined the recovery pattern of auditory comprehension and instead has focused on aphasia recovery more generally. The inability to understand others has a direct impact on a person's quality of life and ability to benefit from treatment. Introduction: One of the most challenging symptoms of aphasia is an impairment in auditory comprehension.
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