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January 1, 1981Brain122 citations

The Epidemiology of Aphasic and Cognitive Impairment in Stroke

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AKAndrew KerteszASAnn Sheppard

Key Points

  • The research aims to explore sex differences and age distribution in types of aphasia and cognitive impairment post-stroke.
  • Examined sex differences and age distribution in patients with aphasia and right hemisphere damage due to acute infarct.
  • Measured language and performance deficits using a standardized test.
  • Grouped patients meaningfully based on test results.
  • Higher male to female ratio of aphasia correlates with sex distribution in infarcts, not cerebral organization differences.
  • Broca's aphasics were younger compared to other groups, possibly due to pathophysiological factors affecting embolic strokes in the middle cerebral artery.
  • No significant differences in sex or aphasia types across age groups, except for females in the 50-year age range where the ratio reversed.

Abstract

Sex differences and age distribution are examined in various types of aphasia and in right hemisphere-damaged patients due to acute infarct. The language and performance deficits were measured by a standardized test allowing us to group patients meaningfully. The higher male to female ratio of aphasia is shown to relate to a similar sex distribution in infarcts rather than to sex differences in cerebral organization. Broca's aphasics were somewhat younger than the other groups and the slight difference may be related to pathophysiological factors favouring embolic strokes in the anterior territory of the middle cerebral artery. Sex and aphasia types were not significantly different in various age groups except about 50 years of age where the female aphasics reversed the ratio.

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Cite This Study

Kertesz et al. (1981) studied this question.

synapsesocial.com/papers/6a21e95f00d082f62f96da38https://doi.org/10.1093/brain/104.1.117
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