Reference : Impact of Aphasia on Consciousness Assessment: A Cross-Sectional Study.
Scientific journals : Article
Human health sciences : Neurology
http://hdl.handle.net/2268/173393
Impact of Aphasia on Consciousness Assessment: A Cross-Sectional Study.
English
Schnakers, C []
Bessou, H []
Rubi-Fessen, I []
Hartmann, A []
Fink, GR []
Meister, I []
Giacino, JT []
Laureys, Steven mailto [Université de Liège - ULiège > > Centre de recherches du cyclotron >]
Majerus, Steve mailto [Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychopathologie cognitive >]
16-Apr-2015
Neurorehabilitation and Neural Repair
SAGE Publications
29
41-47
Yes (verified by ORBi)
International
1545-9683
1552-6844
Thousand Oaks
CA
[en] aphasia ; consciousness ; aphasia ; stroke
[en] BACKGROUND:

. Previous findings suggest that language disorders may occur in severely brain-injured patients and could interfere with behavioral assessments of consciousness. However, no study investigated to what extent language impairment could affect patients' behavioral responses.

OBJECTIVE:

. To estimate the impact of receptive and/or productive language impairments on consciousness assessment.

METHODS:

. Twenty-four acute and subacute stroke patients with different types of aphasia (global, n = 11; Broca, n = 4; Wernicke, n = 3; anomic, n = 4; mixed, n = 2) were recruited in neurology and neurosurgery units as well as in rehabilitation centers. The Coma Recovery Scale-Revised (CRS-R) was administered.

RESULTS:

. We observed that 25% (6 out of 24) of stroke patients with a diagnosis of aphasia and 54% (6 out of 11) of patients with a diagnosis of global aphasia did not reach the maximal CRS-R total score of 23. An underestimation of the consciousness level was observed in 3 patients with global aphasia who could have been misdiagnosed as being in a minimally conscious state, even in the absence of any documented period of coma. More precisely, lower subscores were observed on the communication, motor, oromotor, and arousal subscales.

CONCLUSION:

. Consciousness assessment may be complicated by the co-occurrence of severe language deficits. This stresses the importance of developing new tools or identifying items in existing scales, which may allow the detection of language impairment in severely brain-injured patients.
Centre de Recherches du Cyclotron - CRC
Researchers ; Professionals ; Students ; Others
http://hdl.handle.net/2268/173393
10.1177/1545968314528067

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