Aphasia: associated disturbances in affect, behavior, and cognition in the setting of speech and language difficulties

Psychosomatics. May-Jun 2007;48(3):258-64. doi: 10.1176/appi.psy.48.3.258.

Abstract

Patients with disturbances in affect, behavior, and cognition present a variety of challenges to healthcare providers; their evaluation and treatment becomes especially problematic in the setting of speech and language difficulties. The authors present the case of a man who sustained a left-side cerebrovascular accident with aphasia and discuss the approach to his diagnosis and treatment. Moreover, since a variety of speech and language problems can arise after stroke and since patients and their treaters can become frustrated by impaired communication and diagnostic uncertainties, authors review the clinical manifestations, timing, and treatment of such conditions so that treatment can be improved.

Publication types

  • Case Reports

MeSH terms

  • Antidepressive Agents / administration & dosage
  • Aphasia / etiology
  • Aphasia / psychology*
  • Blood Pressure
  • Brain / diagnostic imaging
  • Cognition Disorders / etiology
  • Cognition Disorders / psychology*
  • Depressive Disorder, Major / complications
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / drug therapy
  • Fibrinolytic Agents / administration & dosage
  • Heart Rate
  • Humans
  • Language Disorders / etiology
  • Language Disorders / psychology*
  • Male
  • Mental Disorders / etiology
  • Mental Disorders / psychology*
  • Middle Aged
  • Mood Disorders / etiology
  • Mood Disorders / psychology*
  • Serotonin Uptake Inhibitors / administration & dosage
  • Speech Disorders / etiology
  • Speech Disorders / psychology*
  • Stroke / complications
  • Stroke / diagnosis
  • Stroke / psychology
  • Tissue Plasminogen Activator / administration & dosage
  • Tomography, X-Ray Computed / methods

Substances

  • Antidepressive Agents
  • Fibrinolytic Agents
  • Serotonin Uptake Inhibitors
  • Tissue Plasminogen Activator