Abstract
We studied the factors influencing the prognosis of acquired aphasia in a series of 29 children with focal hemispheric lesions sustained after language acquisition. Twenty two children (76%) recovered completely from aphasia. Vascular and traumatic cases recovered better than those with encephalitis. Although many older children also recovered fully, all that did not recover were older than 7. In what concerns lesion size and site, determined by CT scan in 19 cases, the involvement of the postrolandic cortex and the extension of Wernicke’s area damage were associated with a poor outcome. This suggests that recovery from acquired aphasia is more dependent upon the intact areas the left hemisphere than upon language shift to the nondominant hemisphere.
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References
Alajouanine, TH. and Lhermitte, F. Acquired Aphasia in Children. Brain, 88, 653–662, 1965.
Castro Caldas, A. Diagnostico e Evolução das Afasias de causa vascular (Doctoral Thesis). Faculdade de Medicina de Lisboa, 1979.
Clarus, A. Uber Aphasie bei Kindern. Jahresb Kinderheilkd, 7, 369–400, 1874.
Cranberg, L. D., Filley, C. M., Hant, E. J. and Alexander, M. P. Acquired Aphasia in childhood: clinical and CT investigations. Neurology, 37, 1165–1172, 1987.
Dennis, M. and Whitaker, H. A. Language acquisition following hemidecortication: Linguistic superiority of the left over the right hemisphere. Brain and Language, 3, 404–433, 1976.
De Renzi, E. and Vignolo, L. A. The Token Test: a sensitive test to detect receptive disturbances in aphasics. Brain, 85, 665–678, 1962.
Ferro, J. M. Análise neuropsicológica do insucesso escolar. Actas do I Encontro Nacional de Educação Especial. Sociedade Portuguesa para o Estudo Cientifico da Deficiência Mental, 154–158, 1979.
Ferro, J. M. Neurologia do Comportamento (Doctoral Thesis) Faculdade de Medicina de Lisboa,1986.
Goodglass, H. and Kaplan, E. The assessment of Aphasia and Related Disorders. Philadelphia Lea & Fabiger, 1972.
Guttman, E. Aphasia in Children. Brain, 65, 205–219, 1942.
Hayward RN, Naeser MA, and Zatz, LM Cranial computed tomography in aphasia. Correlation of anatomical lesions with functional deficits Radiology, 123, 653–660, 1977.
Hécaen, H. Acquired Aphasia in Children and the Ontogenesis of Hemispheric Functional Specialization. Brain Lang. 3, 114–134, 1976.
Hécaen, H. Acquired Aphasia in Children: Revisited. Neuropsychologia. 21, 581–587, 1983.
Lenneberg, E. Biological Foundations of Language. New York, John Wiley, 1967.
Molfese, D. L., Freeman, R. B. and Palermo D. S. The ontology of brain lateralization for speech and nonspeech stimuli. Brain and Language, 2, 356–368, 1975.
Reynell, J. K. Manual for the Reynell Developmental Language Scales (Revised). NFER Publishing company Ltd. England, 1977.
Satz, P. and Bullard-Bates, C. Acquired Aphasia in Children. In Sarno, MT (Ed) Acquired Aphasia. New York, Academic Press pp. 399–426, 1981.
Satz, P., Strauss, E., Wada, J. and Orsini, D. Some correlates of intra and interhemispheric speech organization after left focal brain injury. Neuropsychologia, 26, 345–350, 1988.
Van Dongen, H. R., Loonen M. C. and Van Dongen K. J. Anatomical basis for acquired fluent aphasia in children. Ann. Neurol, 17, 306–309, 1985.
Van Dongen, H. R. Clinical Aspects of Acquired Aphasia and Dysarthria in Childhood. Ebunom Publisher, Delft, 1988.
Van Hout, A., Evrard, Ph. and Lyon, G. On the positive semiology of Acquired Aphasia in Children. Develop. Med. and Child Neurol., 27, 231–241, 1985.
Vargha-Khadem, F., Gorman, A. M. and Watters, G. V. Aphasia and Handedness in Relation to Hemispheric side, age at injury and severity of cerebral lesion during childhood. Brain, 108, 677–696, 1985.
Witelson, S. F. and Pallie, W. Left hemisphere specialization for language in the newborn: Neuroanatomical evidence of asymmetry. Brain, 96, 641–646, 1973.
Woods, B. T. and Carey, S. Language Deficits after apparent Clinical Recovery from Childhood Aphasia. Ann. Neurol. 6, 405–409, 1979.
Woods, B. T. and Teuber, H. L. Changing patterns of Childhood Aphasia. Ann. Neurol. 3, 273–280, 1978.
Zimmerman, R. A., Bilaniuk, L. T., Packer, R. J., Goldberg, H. I. and Grossman, R. I., Computed Tomographic-Arteriographic correlates in Acute Basal Ganglionic Infarction in Childhood Neuroradiology, 24, 241–248, 1983.
Krashen, S. D. Lateralization, language learning and the critical period: some new evidence Language Learning. 23, 63–74, 1973.
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© 1991 Springer Science+Business Media Dordrecht
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Martins, I.P., Ferro, J.M. (1991). Recovery from Aphasia and Lesion Size in the Temporal Lobe. In: Martins, I.P., Castro-Caldas, A., van Dongen, H.R., van Hout, A. (eds) Acquired Aphasia in Children. NATO ASI Series, vol 60. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3582-5_14
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DOI: https://doi.org/10.1007/978-94-011-3582-5_14
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