以听觉失认为首发症状的脑卒中康复4例报道

doi:10.3969/j.issn.1006-9771.2020.07.022

Abstract

Abstract:

Objective To study the clinical characteristics, diagnosis, treatment and rehabilitation of auditory agnosia after stroke.Methods Four stroke inpatients with auditory agnosia as the first symptom from January, 2016 to August, 2018 were reviewed. Results All the patients started with auditory impairment, followed with motor dysfunction and speech impairment. They had a previous history of cerebrovascular disease once or more, and were finally diagnosed as auditory agnosia after stroke. After comprehensive rehabilitation treatment, all the patients could walk independently, and the activities of daily living were improved. Some patients could discriminate environmental sound, but still were poor in listening comprehension. Conclusion Post-stroke auditory agnosia is rare, with poor outcome, which needs comprehensive assessment, speech perception training and non-verbal communication training to improve the communication.

Key words: stroke, auditory agnosia, cortical deafness, auditory neglect

CLC Number:

R743.3

LIU Ping,HU Xue-yan,HE Jing-jie. Rehabilitation for Stroke with Auditory Agnosia as the First Symptom: Four Cases Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 851-855.

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References 27

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时间	Fugl-Meyer评定量表	Holden步行分级	改良Barthel指数
治疗前	24(20~35)	0~1级	25(20~35)
治疗后	87(84~92)	3~4级	80(75~85)

时间	听理解、复述、听写	表达、阅读、书写
治疗前	0	90
治疗后	0	100

Rehabilitation for Stroke with Auditory Agnosia as the First Symptom: Four Cases Report

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