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Etiology of Stroke in Patients with Wernicke's Aphasia
Stroke 20:1730-1732, Knepper,L.E.,et al, 1989
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Article Abstract
We reviewed 49 patients with Wernicke's aphasia resulting from a stroke. Their aphasia was classified on the basis of comprehensive neuropsychological testing.Wernicke's aphasia was more common in older patients and in men.Cerebral infarction occurred in 38 patients(78%)and intracerebral hemorrhage in seven(14%);the remaining four patients(8%) developed aphasia after surgery for aneurysmal subarachnoid hemorrhage. Embolic events were the most common etiology of Wernicke's aphasia in the 38 patients with cerebral infarction,with cardiac emboli in 40%and large- vessel atheroemboli from a carotid source in 16%.In patients with Wernicke's aphasia secondary to infarction,an embolic source should be sought.Patients with Wernicke's aphasia should have computed tomography to exclude intracerebral hemorrhage before institution of anticoagulant therapy.
 
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aphasia
CAT scan
CAT scan,abnormal
cerebral embolism
cerebral embolism,cardiac origin
cerebrovascular accident
cerebrovascular accident,postoperative
embolism
intracerebral hemorrhage
Wernicke's aphasia

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