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Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia

This review aimed to explore the concept, etiology, classification, classical cortical mapping, assessment, diagnosis and differential diagnosis, treatment, rehabilitation, mechanism, recovery, prognosis, and influencing factors for Chinese post‐stroke aphasia (PSA). The review emphasized the necess...

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Autores principales: Wang, Yinhua, Du, Wanliang, Yang, Xiaona, Yan, Jun, Sun, Wei, Bai, Jing, Zhou, Jiong, Zhou, Aihong, Niu, Jianping, Li, Chuanling, Wang, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711225/
https://www.ncbi.nlm.nih.gov/pubmed/34964014
http://dx.doi.org/10.1002/agm2.12183
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author Wang, Yinhua
Du, Wanliang
Yang, Xiaona
Yan, Jun
Sun, Wei
Bai, Jing
Zhou, Jiong
Zhou, Aihong
Niu, Jianping
Li, Chuanling
Wang, Jian
author_facet Wang, Yinhua
Du, Wanliang
Yang, Xiaona
Yan, Jun
Sun, Wei
Bai, Jing
Zhou, Jiong
Zhou, Aihong
Niu, Jianping
Li, Chuanling
Wang, Jian
author_sort Wang, Yinhua
collection PubMed
description This review aimed to explore the concept, etiology, classification, classical cortical mapping, assessment, diagnosis and differential diagnosis, treatment, rehabilitation, mechanism, recovery, prognosis, and influencing factors for Chinese post‐stroke aphasia (PSA). The review emphasized the necessity and significance of neuroimaging assessment of brain and blood vessels and neuropsychological assessment in diagnosis and differential diagnosis of Chinese PSA. In addition, it suggested and recommended to use “dichotomies of internal and external, and anterior and posterior” as a starting point, based on the anatomic location of brain and blood vessels and their relationship with language area and language disorder. As a result, the formulated Chinese PSA classification was more suitable to guide the clinical treatment of cerebral stroke. Diagnosis, classification, and differential diagnosis of Chinese PSA types were performed according to the “dichotomy” and “four elements.” The formulated “flow diagram” enabled to determine the classification of Chinese PSA types. It was beneficial for patients to establish targeted and individualized rehabilitation training plans. This review introduced the use of memantine, piracetam, donepezil, etc. in PSA treatment, evaluated clinical studies conducted in China and abroad, investigated the mechanism of action related to the use of drugs in PSA treatment, and explored the therapeutic mechanism of rehabilitation training. It suggested the use drugs of memantine, piracetam, donepezil, etc. combine with non‐pharmacotherapy and rehabilitation training in clinical studies on PSA treatment and also in practical settings.
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spelling pubmed-87112252021-12-27 Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia Wang, Yinhua Du, Wanliang Yang, Xiaona Yan, Jun Sun, Wei Bai, Jing Zhou, Jiong Zhou, Aihong Niu, Jianping Li, Chuanling Wang, Jian Aging Med (Milton) REGULAR ARTICLES This review aimed to explore the concept, etiology, classification, classical cortical mapping, assessment, diagnosis and differential diagnosis, treatment, rehabilitation, mechanism, recovery, prognosis, and influencing factors for Chinese post‐stroke aphasia (PSA). The review emphasized the necessity and significance of neuroimaging assessment of brain and blood vessels and neuropsychological assessment in diagnosis and differential diagnosis of Chinese PSA. In addition, it suggested and recommended to use “dichotomies of internal and external, and anterior and posterior” as a starting point, based on the anatomic location of brain and blood vessels and their relationship with language area and language disorder. As a result, the formulated Chinese PSA classification was more suitable to guide the clinical treatment of cerebral stroke. Diagnosis, classification, and differential diagnosis of Chinese PSA types were performed according to the “dichotomy” and “four elements.” The formulated “flow diagram” enabled to determine the classification of Chinese PSA types. It was beneficial for patients to establish targeted and individualized rehabilitation training plans. This review introduced the use of memantine, piracetam, donepezil, etc. in PSA treatment, evaluated clinical studies conducted in China and abroad, investigated the mechanism of action related to the use of drugs in PSA treatment, and explored the therapeutic mechanism of rehabilitation training. It suggested the use drugs of memantine, piracetam, donepezil, etc. combine with non‐pharmacotherapy and rehabilitation training in clinical studies on PSA treatment and also in practical settings. John Wiley and Sons Inc. 2021-11-26 /pmc/articles/PMC8711225/ /pubmed/34964014 http://dx.doi.org/10.1002/agm2.12183 Text en © 2021 The Authors. Aging Medicine published by Beijing Hospital and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle REGULAR ARTICLES
Wang, Yinhua
Du, Wanliang
Yang, Xiaona
Yan, Jun
Sun, Wei
Bai, Jing
Zhou, Jiong
Zhou, Aihong
Niu, Jianping
Li, Chuanling
Wang, Jian
Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title_full Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title_fullStr Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title_full_unstemmed Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title_short Diagnosis and differential diagnosis flow diagram of Chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
title_sort diagnosis and differential diagnosis flow diagram of chinese post‐stroke aphasia types and treatment of post‐stroke aphasia
topic REGULAR ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8711225/
https://www.ncbi.nlm.nih.gov/pubmed/34964014
http://dx.doi.org/10.1002/agm2.12183
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