The Relationship of Post-Stroke Aphasia Types with Age, Sex and Stroke Type in a Group of Iraqi Patients

Abstract

ABSTRACT:BACKGROUND :Aphasia is a condition of Loss or impairment of the production or comprehension of spoken or written language because of an acquired lesion of the brain. Aphasia is most often caused by stroke. OBJECTIVE:To assess the relationship of post-stroke aphasia types with age, sex and stroke types PATIENTS AND METHODS:A hospital - based cross sectional survey study conducted at Baghdad teaching hospital and Al Imamain Al kadhmain medical city between October 2014 and September 2015. One hundred patients with different types of patients with proved diagnosis of stroke by clinical and radiological assessment in young age group and old one of both genders and both left and right handed were included. Data regarding the clinical and demographic characteristics of the patients were reported including: Age, gender, handedness, stroke types, stroke side, stroke site, and aphasia types.RESULTS:A total of 100 patients with different types of stroke were enrolled in this study. The mean age of the studied group was 62.1 ± 13.2 (range: 37-87) years, moreover, majority of the studied group aged more than 50 years. Females were relatively the dominant than males; 55 (55%) vs. 45 (45%) respectively. Ischemic stroke was the dominant type of stroke among cases it was reported in 76 cases (76%) compared to only 24 (24%) of hemorrhagic type. Global aphasia was found in 32 stroke cases (32%), Broca´s in 17 (17%), Thalamic 17 (17%), Putaminal 11 (11%), Werneck's 11 (11%), Motor transcortical 6 (6%), Conductive and anomia 4 (4%) and the Mixed transcortical in only two cases (2%)CONCLUSION:Post stroke Aphasia was more frequent among stroke patients older than 50 years. Ischemic stroke was the dominant type of stroke. Global aphasia was the dominant subtypes of aphasia among the studied group followed by Broca’s. Thalamic and the other subtypes were less frequent.