"Thalamic aphasia" after stroke is associated with left anterior lesion location.
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ID: 53748
2019
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Abstract
Aphasic symptoms are typically associated with lesions of the left fronto-temporal cortex. Interestingly, aphasic symptoms have also been described in patients with thalamic strokes in anterior, paramedian or posterolateral location. So far, systematic analyses are missing.We conducted a retrospective analysis of consecutive patients admitted to our tertiary stroke care center between January 2016 and July 2017 with image-based (MRI) proven ischemic stroke. We evaluated stroke lesion location, using 3-T MRI, and presence of aphasic symptoms.Out of 1064 patients, 104 (9.8%) presented with a thalamic stroke, 52 of which (4.9%) had an isolated lesion in the thalamus (ILT). In patients with ILT, 6/52 had aphasic symptoms. Aphasic symptoms after ILT were only present in patients with left anterior lesion location (n = 6, 100% left anterior vs. 0% other thalamic location, p < 0.001).Aphasic symptoms in thalamic stroke are strongly associated with left anterior lesion location. In thalamo-cortical language networks, specifically the nuclei in the left anterior thalamus could play an important role in integration of left cortical information with disconnection leading to aphasic symptoms.
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| Reference Key |
fritsch2019thalamicjournal
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|---|---|
| Authors | Fritsch, Merve;Krause, Thomas;Klostermann, Fabian;Villringer, Kersten;Ihrke, Manuela;Nolte, Christian H; |
| Journal | journal of neurology |
| Year | 2019 |
| DOI |
10.1007/s00415-019-09560-1
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