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Rehabilitation Practice and Science

Translated Title

腦中風引起的失語症型式與年齡和性別的關係

Abstract

75 patients with different types of aphasia attended to the Department of Physical Medicine and Rehabilitation of National Taiwan University Hospital from Oct. 1980 to Dec. i984. They were all right handed and each of them suffered from a single clinical episode of cerebral infarction. Their speech function were evaluated according to the performance on the Boston Diagnostic Aphasia Examination.The relationship among the age, gender and aphasic type was analyzed. Regardless of gender, patients with Broca's aphasia was significantly younger than those with global and transcortical sensory aphasias. Male patient was prevalent in aphasic groups, but mean age of both gender groups was no difference. The possible explanations may be adduced for our findings; one is related to the cerebrovascular changes of aging- The decrease of cerebral circulation is prominant and disseminated in increasing age. There may be changes in the cerebral blood flow associated with aging, predisposing different brain areas to stroke. The second is possible that changes in cognition, deterioration of memroy and comprehension disturbance may predispose the perception dysfunction of language or advanced language dysfunction like global aphasia in aging group. The prevalence of male in aphasia is possibly due to the gender difference in cerebral dominance. Our study for the relationship of age, gender and aphasic type in stroke patients is similar to those reported literatures by foreign researchers with their patients in different language culture.

Language

Traditional Chinese

First Page

93

Last Page

97

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