Aphasia Research Paper

Investigation of Nature of Aphasia in Stroke Associated with Metabolic Syndrome

Bincy Babu, Shamili Asokan, Daly Sebastian, Reeta Philip

ABSTRACT

Introduction: Stroke is one of the largest causes of death and disability in adults, affecting a large number of people all over the world. Two of the leading risk factors that lead to stroke are diabetes and hypertension. People with diabetes often have co-occurring conditions such as hypertension, cholesterol, etc., either together, or with one condition leading to another due to which there is an increased probability that these individuals develop heart diseases or stroke at an earlier age as compared to other people as a result of genetic or environmental influence. It has been found that there

The study included 16 female participants (mean age of 58 years) and 23 male participants (mean age of 52 years) with a history of diabetes (mean period of 8 years) and hypertension following diabetes that led to Cerebrovascular Accident (CVA). Hence, inclusion criteria for the study included people with stroke presenting with a history of metabolic syndrome (diabetes-hypertension). Detailed clinical evaluation was done, with careful consideration of pre and post morbid stages. MRI and CT scan was examined to get an understanding of the client’s site of lesion and areas affected. Following this, Western Aphasia Battery was administered to understand the type of aphasia. So as to exclude presence of other issues, differential diagnosis was done. A pattern analysis of aphasia was carried out, following which descriptive and parametric statistics were derived and the MRI findings, the metabolic syndrome and the Western Aphasia Battery findings (Aphasia type) were

The participants presented with diabetes, following which they also developed hypertension. The most common type of aphasia was found to be Global aphasia, the second most common type was Broca’s Aphasia and Receptive type of Aphasia was found to be least common among these individuals. Another trend that was observed was Global aphasia progressing to Broca’s aphasia.

Conclusion: The analysis reveals that most of the participants with aphasia secondary to stroke with a history of diabetes were more susceptible to damage in the left MCA territory (along with other diffuse lesions) as well as multiple strokes. The analysis also reveals that the most common type of aphasia occurring in such cases is of the Global type or global type resolving to different aphasias. Based on recent evidences, the need for physical exercises and language monitoring in cases of metabolic syndrome is of major