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Home > Emergency Medical Minute > Podcast #280: Isolated Aphasia in Stroke
Podcast: Emergency Medical Minute
Episode:

Podcast #280: Isolated Aphasia in Stroke
Category: Science & Medicine
Duration: 00:01:24
Publish Date: 2017-12-11 11:00:00
Description:

Author: Aaron Lessen, M.D.

Educational Pearls

  • Patients with an ischemic stroke from occlusion of the left middle cerebral artery often present with aphasia in addition to other neurological deficits.
  • A recent study looked at patients presenting with suspected stroke. Of the 700 patients recruited, 3% had isolated aphasia on exam.  On follow-up, none of the 3% had evidence of stroke on imaging. Underlying causes of the isolated aphasia in these patients included syncope, infections, seizures were the underlying cause.  

References: Gabriel Casella, Rafael H. Llinas, Elisabeth B. Marsh, Isolated aphasia in the emergency department: The likelihood of ischemia is low, Clinical Neurology and Neurosurgery, Volume 163, 2017, Pages 24-26, ISSN 0303-8467, https://doi.org/10.1016/j.clineuro.2017.10.013.
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