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Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022

Received: 19 May 2024     Accepted: 4 June 2024     Published: 14 June 2024
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Abstract

Background and purpose: Aphasia is a language disorder that frequently occurs after a cerebrovascular accident. This prospective descriptive study aimed to describe the epidemiological, clinical and radiological profiles of post-stroke aphasia. Materials and method: Patients presenting aphasia after a stroke documented by brain imaging, hospitalized from April to September 2022 in the neurology departments of the Cocody and Treichville University Hospitals were included. Aphasia was screened using the Language Screening Test (LAST). Epidemiological, clinical and radiological data were collected through clinical observation. Results: Of the 217 stroke patients admitted to neurology during the period, 32 presented aphasia (14.7%). The average age was 56 years, with a male predominance (M/F sex ratio of 2.2). The majority of patients had primary or no schooling (87.5%). Arterial hypertension was the most frequent cardiovascular risk factor (50%) and hemiplegia, the most common physical sign (93.8%). The average LAST score for aphasic patients was 5.3 out of 15. We observed that naming and repetition were the most affected components of speaking, with scores below normal in 87.5%. and 88% of cases. Regarding oral comprehension, order execution was the component most affected for 75.1% of patients. In the acute phase of stroke, 50% of cases of aphasia were severe. Radiologically, 75% of patients presented an ischemic stroke with the predilection of the middle cerebral artery. Conclusion: this study highlights the importance of early detection of aphasia in post-stroke patients and rapid treatment to optimize their linguistic recovery.

Published in American Journal of Psychiatry and Neuroscience (Volume 12, Issue 2)
DOI 10.11648/j.ajpn.20241202.12
Page(s) 32-38
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Aphasia, Stroke, Language Screening Test (LAST), Epidemiological, Clinical, Radiological Profiles

References
[1] E. Durand, Développement d’une nouvelle thérapie ciblant l’anomie des verbes d’action: validation comportementale et exploration des corrélats neurofonctionnels de ses effets dans les cas d’aphasie, juin 2020, Consulté le: 11 mai 2024. [En ligne]. Disponible sur:
[2] Aphasie sévère après un AVC: et si tout se jouait dès le début de la prise en charge ? Consulté le: 6 novembre 2023. [En ligne]. Disponible sur:
[3] E. Plowman, B. Hentz, et C. Ellis, Post-stroke aphasia prognosis: a review of patient-related and stroke-related factors: Aphasia prognosis, J. Eval. Clin. Pract., vol. 18, no 3, p. 689-694, juin 2012,
[4] E. M. Khedr et al., A hospital-based study of post-stroke aphasia: frequency, risk factors, and topographic representation, Egypt. J. Neurol. Psychiatry Neurosurg., vol. 56, no 1, p. 2, déc. 2019,
[5] E. Masson, Évaluation et profil évolutif de l’aphasie de Broca chez les bilingues suivis en rééducation à Abidjan, EM-Consulte. Consulté le: 11 mai 2024. [En ligne]. Disponible sur:
[6] P. M. Ossou-Nguiet, D. Gnonlonfoun, B. Bandzouzi-Ndamba, A. M. Mouanga, K. Assogba, et E. Matali, Qualite de vie des aphasiques post-AVC a Brazzaville, Afr. J. Neurol. Sci., vol. 31, no 1, Art. no 1, 2012, Consulté le: 11 mai 2024. [En ligne]. Disponible sur:
[7] L. T. Connor, L. K. Obler, M. Tocco, P. M. Fitzpatrick, et M. L. Albert, Effect of socioeconomic status on aphasia severity and recovery, Brain Lang., vol. 78, no 2, p. 254-257, août 2001,
[8] É. A.-A. Diarra, A.-E. K. Assouan, R. B. Yao, L. K. Kouame, C. Kajo, et C. Tanoh, Épidémiologie des AVC en Côte d’Ivoire et perspectives, Rev. Neurol. (Paris), vol. 172, p. A164, avr. 2016,
[9] B. Sonfo et al., Accidents Vasculaires Cérébraux dans le Service de Médecine de l’Hôpital Somine Dolo de Mopti, Mali, Health Sci. Dis., vol. 21, no 2, Art. no 2, janv. 2020,
[10] M. Vellay, Sévérité initiale des troubles aphasiques et récupération à trois mois de l’AVC: étude prospective, Sci. Cogn., 2014.
[11] A. Osa García et al., Predicting Early Post-stroke Aphasia Outcome From Initial Aphasia Severity, Front. Neurol., vol. 11, p. 120, févr. 2020,
[12] P. E. G. S. Bandzouzi et al., Accidents Vasculaires Cérébraux de l’Enfant à Pointe-Noire (Congo), Health Sci. Dis., vol. 22, no 10, Art. no 10, oct. 2021,
Cite This Article
  • APA Style

    Roxane, B. A. M., Léonard, K. K., Stéphane, A. A., Samuel, Y. N., Tanya, E. S. N., et al. (2024). Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022. American Journal of Psychiatry and Neuroscience, 12(2), 32-38. https://doi.org/10.11648/j.ajpn.20241202.12

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    ACS Style

    Roxane, B. A. M.; Léonard, K. K.; Stéphane, A. A.; Samuel, Y. N.; Tanya, E. S. N., et al. Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022. Am. J. Psychiatry Neurosci. 2024, 12(2), 32-38. doi: 10.11648/j.ajpn.20241202.12

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    AMA Style

    Roxane BAM, Léonard KK, Stéphane AA, Samuel YN, Tanya ESN, et al. Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022. Am J Psychiatry Neurosci. 2024;12(2):32-38. doi: 10.11648/j.ajpn.20241202.12

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  • @article{10.11648/j.ajpn.20241202.12,
      author = {Beuseize Affoué Marie Roxane and Kouassi Kouamé Léonard and Abbé Ange Stéphane and Yeo Nawa Samuel and Essoin-De Souza Nancy Tanya and Broh N’Guessan Yves and Offoumou Fiacre Delors and Diakité Imaila and Doumbia-Ouattara Mariam},
      title = {Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022
    },
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {12},
      number = {2},
      pages = {32-38},
      doi = {10.11648/j.ajpn.20241202.12},
      url = {https://doi.org/10.11648/j.ajpn.20241202.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20241202.12},
      abstract = {Background and purpose: Aphasia is a language disorder that frequently occurs after a cerebrovascular accident. This prospective descriptive study aimed to describe the epidemiological, clinical and radiological profiles of post-stroke aphasia. Materials and method: Patients presenting aphasia after a stroke documented by brain imaging, hospitalized from April to September 2022 in the neurology departments of the Cocody and Treichville University Hospitals were included. Aphasia was screened using the Language Screening Test (LAST). Epidemiological, clinical and radiological data were collected through clinical observation. Results: Of the 217 stroke patients admitted to neurology during the period, 32 presented aphasia (14.7%). The average age was 56 years, with a male predominance (M/F sex ratio of 2.2). The majority of patients had primary or no schooling (87.5%). Arterial hypertension was the most frequent cardiovascular risk factor (50%) and hemiplegia, the most common physical sign (93.8%). The average LAST score for aphasic patients was 5.3 out of 15. We observed that naming and repetition were the most affected components of speaking, with scores below normal in 87.5%. and 88% of cases. Regarding oral comprehension, order execution was the component most affected for 75.1% of patients. In the acute phase of stroke, 50% of cases of aphasia were severe. Radiologically, 75% of patients presented an ischemic stroke with the predilection of the middle cerebral artery. Conclusion: this study highlights the importance of early detection of aphasia in post-stroke patients and rapid treatment to optimize their linguistic recovery.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022
    
    AU  - Beuseize Affoué Marie Roxane
    AU  - Kouassi Kouamé Léonard
    AU  - Abbé Ange Stéphane
    AU  - Yeo Nawa Samuel
    AU  - Essoin-De Souza Nancy Tanya
    AU  - Broh N’Guessan Yves
    AU  - Offoumou Fiacre Delors
    AU  - Diakité Imaila
    AU  - Doumbia-Ouattara Mariam
    Y1  - 2024/06/14
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ajpn.20241202.12
    DO  - 10.11648/j.ajpn.20241202.12
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 32
    EP  - 38
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20241202.12
    AB  - Background and purpose: Aphasia is a language disorder that frequently occurs after a cerebrovascular accident. This prospective descriptive study aimed to describe the epidemiological, clinical and radiological profiles of post-stroke aphasia. Materials and method: Patients presenting aphasia after a stroke documented by brain imaging, hospitalized from April to September 2022 in the neurology departments of the Cocody and Treichville University Hospitals were included. Aphasia was screened using the Language Screening Test (LAST). Epidemiological, clinical and radiological data were collected through clinical observation. Results: Of the 217 stroke patients admitted to neurology during the period, 32 presented aphasia (14.7%). The average age was 56 years, with a male predominance (M/F sex ratio of 2.2). The majority of patients had primary or no schooling (87.5%). Arterial hypertension was the most frequent cardiovascular risk factor (50%) and hemiplegia, the most common physical sign (93.8%). The average LAST score for aphasic patients was 5.3 out of 15. We observed that naming and repetition were the most affected components of speaking, with scores below normal in 87.5%. and 88% of cases. Regarding oral comprehension, order execution was the component most affected for 75.1% of patients. In the acute phase of stroke, 50% of cases of aphasia were severe. Radiologically, 75% of patients presented an ischemic stroke with the predilection of the middle cerebral artery. Conclusion: this study highlights the importance of early detection of aphasia in post-stroke patients and rapid treatment to optimize their linguistic recovery.
    
    VL  - 12
    IS  - 2
    ER  - 

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Author Information
  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Cocody, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Department of Neurology, University Hospital of Yopougon, Abidjan, Ivory Coast; Faculty of Medical Sciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

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