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003			OSt
005			20251027112105.0
008			251018s2024 ua a|||frm||| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a616.8552
092			_a616.8552 _221
097			_aPh.D
099			_aCai01.11.20.Ph.D.2024.Ma.P
100	0		_aMahmoud Ahmed Hamdy Badwy, _epreparation.
245	1	0	_aPost stroke language disorders : _bClinical, neuroimaging and different therapeutic modalities / _cby Mahmoud Ahmed Hamdy Badwy ; Supervised Prof. Dr. Adel Hassanein ElSayed, Gad Prof. Dr. Nervana Mohamed El Fayoumy, Prof. Dr. Rania Shehata Mohamed, Dr. Mohamed Hatem Elgabaly.
246	1	5	_aإضطراب اللغة ما بعد السكتة الدماغية : _bالفحص الاكلنيكي ,التصوير بالاشعة التشخصية والطرق العلاجية المختلفة /
264		0	_c2024.
300			_a105 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2024.
504			_aBibliography: pages 77-95.
520		3	_aApproximately 85% of stroke patients with aphasia recover from the aphasia within 3–6 months after onset; however, some may require additional time for recovery. Aim of work: To assess the effect of some demographics, clinical and neuroimaging variables on recovery of post stroke aphasia and to evaluate the effect of different therapeutic modalities (medical treatment, intravenous (IV) thrombolysis (recombinant tissue plasminogen activator (rtPA), mechanical thrombectomy) on language function among patients with ischemic stroke. Patients and Methods: This prospective cohort study included 100 right handed patients with post stroke language disorders. Patients were divided into 50 patients treated with medical therapy and 25 patients treated with IV thrombolysis and 25 patients treated with mechanical thrombectomy. Assessment of severity of stoke was done using National Institutes of Health Stroke Scale (NIHSS). Carotid duplex and echo were done. Computed tomography and/or magnetic resonance imaging were performed. Speech assessment tests (Kasr El Aini Arabic Aphasia test (KAAT) and Voice handicap index (VHI)) were done within 1 week followed within 3 and 6 months later. Results: Patients with small brain infarction had better mean scores of KAAT and VHI compared to those with large brain infarction also patients with dyslipidemia had significantly better KAAT and VHI mean scores compared to non-dyslipidemic patients. Moreover, patients with Small vessel disease had better KAAT and VHI mean scores compared to those with large vessel disease .Furthermore, nonsmokers had higher KAAT mean scores compared to smokers. Improvement of KAAT and VHI mean score from the onset of the disease to the follow up after 3 and 6 months in patients who received medical treatment,,IV thrombolysis and thrombectomy. There is no statistical significant difference between different methods of treatment (medical treatment, IV thrombolysis and thrombectomy.) as regards KAAT and VHI scores at onset of the disease, 3 months and 6 months later. Conclusion: Factors associated with good recovery of aphasia include absence of dyslipidemia, small infarction and small vessel disease. It seems that there is an improvement of speech mean scores with time after behavioral speech and language therapy (SLT), regardless method of treatment (medical treatment ,IV thrombolysis, thrombectomy).
520		3	_aصُممت هذه الدراسة الفوجية المرتقبة لتقييم تأثير بعض المتغيرات الديموغرافية والاكلينكيه التصويرية العصبية على التعافي من فقدان القدرة على الكلام بعد السكتة الدماغية وتقييم تأثير الطرق العلاجية المختلفة (العلاج بالعلاج الدوائي وانحلال الخثرة الوريدي، واستئصال الخثرة الميكانيكي) على الوظيفة اللغوية بين المرضى المصابين بالسكتة الدماغية الحاده. شارك في هذه الدراسة مائة مريض يستخدمون اليد اليمني مصابين باضطرابات لغوية بعد السكتة الدماغية. تم تقسيم المرضى إلى 50 مريضًا مريضًا تم علاجهم بالعلاج الدوائي و25 مريضًا تم علاجهم بانحلال الخثرة الوريدي و25 مريضًا تم علاجهم باستئصال الخثرة الميكانيكي.
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		7	_aNeurological language disorders
650		7	_aاضطرابات اللغة العصبية
653		1	_aPost stroke language disorders _aclinical _aneuroimaging _adifferent therapeutic modalities
700	0		_aAdel Hassanein ElSayed Gad _ethesis advisor.
700	0		_aNervana Mohamed El Fayoumy _ethesis advisor.
700	0		_aRania Shehata Mohamed _ethesis advisor.
700	0		_aMohamed Hatem Elgabaly _ethesis advisor.
900			_b01-01-2025 _cAdel Hassanein ElSayed Gad _cNervana Mohamed El Fayoumy _cRania Shehata Mohamed _cMohamed Hatem Elgabaly _UCairo University _FFaculty of Medicine _DDepartment of Neurology
905			_aShimaa _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c174952