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Various Consequences of Subcortical StrokeProspective Study of 16 Consecutive Cases
Davida Fromm, MS;
Audrey L. Holland, PhD;
Carol S. Swindell, MA;
Oscar M. Reinmuth, MD
Arch Neurol. 1985;42(10):943-950.
Abstract
• Sixteen consecutive cases of subcortical stroke were studied prospectively and systematically. Behavioral and neurological manifestations of different sides, sites, and causes of lesion were evaluated by means of daily, standard observations during the patient's hospitalization and formal testing at monthly intervals thereafter. Language and cognitive impairments were observed following hemorrhagic and nonhemorrhagic strokes to both the left and right thalami and basal ganglia. The patterns were unlike those characteristic of traditional aphasia syndromes. One patient was asymptomatic; four demonstrated only dysarthria or dysarthria with abnormal affect; and 11 displayed a combination of speech, language, and cognitive deficits. Language skills recovered more rapidly and completely than did cognitive skills. Recovery was most dramatic within the first six to eight weeks after onset.
Author Affiliations
From the Western Psychiatric Institute and Clinic (Mss Fromm and Swindell and Dr Holland) and the Department of Neurology (Dr Reinmuth), University of Pittsburgh School of Medicine.
Footnotes
Accepted for publication Dec 12, 1984.
Reprint requests to Western Psychiatric Institute and Clinic, 3811 O'Hara St, Pittsburgh, PA 15213 (Ms Fromm).
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