Brain activation during speech perception in a patient with a massive left hemisphere infarction.

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Title: Brain activation during speech perception in a patient with a massive left hemisphere infarction.
Authors: Sahuquillo, Juan (AUTHOR), Rădoi, Andreea (AUTHOR), Benejam, Bessy (AUTHOR), Junqué, Carme (AUTHOR), Fernández-Espejo, Davinia (AUTHOR), Poca, Maria A. (AUTHOR)
Source: Brain Injury. Nov2013, Vol. 27 Issue 12, p1470-1474. 5p.
Subjects: Aphasia, Magnetic resonance imaging, Brain stimulation, Neuropsychological tests, Research funding, Stroke, Tomography, Equipment & supplies, Data analysis software, Disease complications, Therapeutics
Abstract: Background: Little is known about the regions involved in recovery from global aphasia in patients with malignant infarction after decompressive hemicraniectomy. This study reports a case of brain activation during speech perception in a right-handed patient with a massive left hemispheric infarction. Methods: Decompressive hemicraniectomy was performed in a 20-year old woman with space-occupying infarction of the speech dominant hemisphere. Complete anterior, middle and part of the posterior cerebral artery territories of the left hemisphere, as well as posterior regions of the right middle cerebral artery territory, were affected. Neuropsychological testing and functional magnetic resonance imaging (fMRI) during speech perception were performed 10 months after stroke. Results: The patient was able to walk, go up and down stairs independently and perform simple tasks at home. She was also well able to match visually and orally presented words with their corresponding pictures, despite large bilateral lesions in the posterior regions. fMRI revealed strong activation of the left temporo-occipital and parieto-occipital areas. In the right hemisphere was observed a small area of activation in the posterior part of the superior and middle temporal gyrus. Conclusions: In aphasic patients, the activation of posterior bilateral associative areas might be used to support language perception. [ABSTRACT FROM AUTHOR]
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  Data: Brain activation during speech perception in a patient with a massive left hemisphere infarction.
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  Data: <searchLink fieldCode="AR" term="%22Sahuquillo%2C+Juan%22">Sahuquillo, Juan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rădoi%2C+Andreea%22">Rădoi, Andreea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Benejam%2C+Bessy%22">Benejam, Bessy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Junqué%2C+Carme%22">Junqué, Carme</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernández-Espejo%2C+Davinia%22">Fernández-Espejo, Davinia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poca%2C+Maria+A%2E%22">Poca, Maria A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Brain+Injury%22">Brain Injury</searchLink>. Nov2013, Vol. 27 Issue 12, p1470-1474. 5p.
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  Data: <searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+stimulation%22">Brain stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychological+tests%22">Neuropsychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Tomography%22">Tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Equipment+%26+supplies%22">Equipment & supplies</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Little is known about the regions involved in recovery from global aphasia in patients with malignant infarction after decompressive hemicraniectomy. This study reports a case of brain activation during speech perception in a right-handed patient with a massive left hemispheric infarction. Methods: Decompressive hemicraniectomy was performed in a 20-year old woman with space-occupying infarction of the speech dominant hemisphere. Complete anterior, middle and part of the posterior cerebral artery territories of the left hemisphere, as well as posterior regions of the right middle cerebral artery territory, were affected. Neuropsychological testing and functional magnetic resonance imaging (fMRI) during speech perception were performed 10 months after stroke. Results: The patient was able to walk, go up and down stairs independently and perform simple tasks at home. She was also well able to match visually and orally presented words with their corresponding pictures, despite large bilateral lesions in the posterior regions. fMRI revealed strong activation of the left temporo-occipital and parieto-occipital areas. In the right hemisphere was observed a small area of activation in the posterior part of the superior and middle temporal gyrus. Conclusions: In aphasic patients, the activation of posterior bilateral associative areas might be used to support language perception. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3109/02699052.2013.823660
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      – SubjectFull: Aphasia
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      – SubjectFull: Brain stimulation
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      – SubjectFull: Neuropsychological tests
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      – SubjectFull: Research funding
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      – SubjectFull: Stroke
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      – SubjectFull: Tomography
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      – SubjectFull: Equipment & supplies
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      – SubjectFull: Data analysis software
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      – SubjectFull: Disease complications
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      – SubjectFull: Therapeutics
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      – TitleFull: Brain activation during speech perception in a patient with a massive left hemisphere infarction.
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              M: 11
              Text: Nov2013
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              Y: 2013
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