Communicative processes of individuals with injuries of the right cerebral hemisphere
DOI:
https://doi.org/10.5935/0104-7795.20130002Keywords:
Stroke, Language Disorders, Agnosia, CommunicationAbstract
Objective: This study aimed to profile the language skills of patients with damage to the right cerebral hemisphere attended at the Ibirapuera Unit (Central) of the Association for the Welfare of Handicapped Children - AACD (Associação de Assistência à Criança Deficiente - AACD/Unidade Ibirapuera - Central), and to discover the perceptions of caregivers and patients regarding the presence or absence of language disorders after a stroke. Method: The descriptive study was conducted from July to September of 2009 with 11 adults through the application of the Montreal Communication Evaluation Battery (known in Brazil as Bateria MAC) tests, the Questionnaire on Awareness of Difficulties, and the Communicative Disorders Screening on individuals with neurological conditions, direct relatives, and/or caregivers. Results: It was found that 90.9% of patients with injuries of the right cerebral hemisphere had a deficit in at least one of the tests comprising the Bateria MAC assessment of language. Conclusion: Findings showing the patient’s absence of awareness of their linguistic and cognitive deficits are also very important, not only about their daily life activities, but about their agnosia.
Downloads
References
Fonseca RP, Parente MAMP. Relaçao entre linguagem e hemisfério direito. In: Ortiz, Karin Zazo. Distúrbios neurológicos adquiridos: linguagem e cogniçao. Barueri: Manole, 2005. p. 135-56.
Mansur LL, Radanovic M. Neolinguística: princípios para prática clínica. Sao Paulo: Inteligentes; 2004.
Devinsky O, D'esposito M. Neurology of cognitive and behavioral disorders. New York: Oxford University Press; 2004.
Bryan KL, Hale JB. Differential effects of left and right cerebral vascular accidents on language competency. J Int Neuropsychol Soc. 2001;7(6):655-64. DOI: http://dx.doi.org/10.1017/S1355617701766015
Mansur LL, Radanovic M, Rüegg D, Zanotto de Mendonça LI, Scaff M.Descriptive study of 192 adults with speech and language disturbances. Sao Paulo Med J. 2002;120(6):170-4. DOI: http://dx.doi.org/10.1590/S1516-31802002000600003
Fonseca RP, Parente MAMP. Metanálise de estudos do processamento comunicativo em indivíduos com lesao vascular direita. Estudos Psicol. 2007;24(4);529-38. DOI: http://dx.doi.org/10.1590/S0103-166X2007000400012
Fonseca RP, Parente MAMP, Cote H, Ska B, Joanette Y. Bateria Mac - Bateria Montreal de Avaliaçao da Comunicaçao. Carapicuiba: Pró Fono; 2008.
Tompkins CA, Lehman-Blake MT, Baumgaertner A, Fassbinder W. Mechanisms of discourse comprehension impairment after right hemisphere brain damage: suppression in inferential ambiguity resolution. J Speech Lang Hear Res. 2001;44(2):400-15. DOI: http://dx.doi.org/10.1044/1092-4388(2001/033)
Tompkins CA, Fassbinder W, Lehman Blake M, Baumgaertner A, Jayaram N. Inference generation during text comprehension by adults with right hemisphere brain damage: activation failure versus multiple activation. J Speech Lang Hear Res. 2004;47(6):1380-95. DOI: http://dx.doi.org/10.1044/1092-4388(2004/103)
Geyh S, Cieza A, Kollerits B, Grimby G, Stucki G. Content comparison of health-related quality of life measures used in stroke based on the international classification of functioning, disability and health (ICF): a systematic review. Qual Life Res. 2007;16(5):833-51. DOI: http://dx.doi.org/10.1007/s11136-007-9174-8
Thomson AM, Taylor R, Fraser D, Whittle IR. The utility of the Right Hemisphere Language Battery in patients with brain tumours. Eur J Disord Commun. 1997;32(3 Spec No):325-32.
Tompkins CA, Bloise CG, Timko ML, Baumgaertner A. Working memory and inference revision in brain-damaged and normally aging adults. J Speech Hear Res. 1994;37(4):896-912.
Tompkins CA, Boada R, Mcgarry K. The access and processing of familiar idioms by brain-damaged and normally aging adults. J Speech Hear Res. 1992;35(3):626-37.
Jordan LC, Hillis AE. Aphasia and right hemisphere syndromes in stroke. Curr Neurol Neurosci Rep. 2005;5(6):458-64. DOI: http://dx.doi.org/10.1007/s11910-005-0034-z
Hier DB, Mondlock J, Caplan LR. Behavioral abnormalities after right hemisphere stroke. Neurology. 1983;33(3):337-44. DOI: http://dx.doi.org/10.1212/WNL.33.3.337
Cocchini G, Beschin N, Cameron A, Fotopoulou A, Della Sala S. Anosognosia for motor impairment following left brain damage. Neuropsychology. 2009;23(2):223-30. DOI: http://dx.doi.org/10.1037/a0014266
Nitrini R. Percepçao, agnosias e memória: uma revisao. Arq Bras Neurocir. 1992;11(4):201-8.
Bottini G, Sedda A, Ferrè ER, Invernizzi P, Gandola M, Paulesu E. Productive symptoms in right brain damage. Curr Opin Neurol. 2009;22(6):589-93. DOI: http://dx.doi.org/10.1097/WCO.0b013e328332c71d
Lehman Blake M. Affective language and humor appreciation after right hemisphere brain damage. Semin Speech Lang. 2003;24(2):107-19. DOI: http://dx.doi.org/10.1055/s-2003-38902
Ackermann H, Hertrich I, Ziegler W. Prosodic disorders in neurologic diseases-a review of the literature. Fortschr Neurol Psychiatr. 1993;61(7):241-53. DOI: http://dx.doi.org/10.1055/s-2007-999092
Fonseca RP, Ferreira GD, Liedtke FV, Müler JL, Sarmento TF, Parente MAMP. Alteraçoes cognitivas, comunicativas e emocionais após lesao hemisférica direita: em busca de uma caracterizaçao da síndrome do hemisfério direito. Psicol USP. 2006;17(4):241-62. DOI: http://dx.doi.org/10.1590/S0103-65642006000400013
Vilkki J, Levänen S, Servo A. Interference in dual-fluency tasks after anterior and posterior cerebral lesions. Neuropsychologia. 2002;40(3):340-8. DOI: http://dx.doi.org/10.1016/S0028-3932(01)00090-2
Downloads
Published
Issue
Section
License
Copyright (c) 2013 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.