William Campanella 1,2 , Riccardo Pedrini 1,2 , Lucilla Vestito 1 , Lucio Marinelli 1,2 , Carlo Trompetto 1,2 , Laura Mori 1,2 Show Affiliations »
Abstract
BACKGROUND: Although many studies have demonstrated the effectiveness of transcranial direct current stimulation (tDCS) in improving speech recovery in post-stroke aphasia, as far as we know patients affected by thalamic aphasia have never been investigated. PATIENT AND METHOD: A 65-year-old man with severe non-fluent aphasia due to a left thalamic haemorrhagic stroke underwent intensive daily speech therapy combined with tDCS. RESULTS: The patient showed progressive improvement with almost complete recovery of his speech disorder, behavioural disinhibition and apathy. CONCLUSIONS: Our findings suggest that tDCS with concurrent speech therapy can be useful in patients with subcortical stroke lesions. LEARNING POINTS: The thalamus has a central role in the development of the higher functions, such as memory, regulation of behaviour and emotions, and language elaboration.Transcranial direct current stimulation (tDCS) applied to the cerebral cortex is a promising tool for improving language recovery in patients with post-stroke aphasia.Combined treatment with tDCS and speech and language therapy (SLT) was effective in a patient with subacute thalamic aphasia, who showed improvement in all aspects of linguistic and behavioural communication. © EFIM 2020.
BACKGROUND: Although many studies have demonstrated the effectiveness of transcranial direct current stimulation (tDCS) in improving speech recovery in post-stroke aphasia, as far as we know patients affected by thalamic aphasia have never been investigated. PATIENT AND METHOD: A 65-year-old man with severe non-fluent aphasia due to a left thalamic haemorrhagic stroke underwent intensive daily speech therapy combined with tDCS. RESULTS: The patient showed progressive improvement with almost complete recovery of his speech disorder, behavioural disinhibition and apathy. CONCLUSIONS: Our findings suggest that tDCS with concurrent speech therapy can be useful in patients with subcortical stroke lesions. LEARNING POINTS: The thalamus has a central role in the development of the higher functions, such as memory, regulation of behaviour and emotions, and language elaboration.Transcranial direct current stimulation (tDCS) applied to the cerebral cortex is a promising tool for improving language recovery in patients with post-stroke aphasia.Combined treatment with tDCS and speech and language therapy (SLT) was effective in a patient with subacute thalamic aphasia, who showed improvement in all aspects of linguistic and behavioural communication. © EFIM 2020.
Entities: Chemical
Keywords:
Transcranial direct current stimulation; aphasia; cerebral haemorrhage; rehabilitation; speech therapy
Year: 2020
PMID： 33194851 PMCID： PMC7654988 DOI： 10.12890/2020_001794
Source DB: PubMed Journal: Eur J Case Rep Intern Med ISSN： 2284-2594