PDF(Pubmed)
Abstract：
BACKGROUND: There have been no papers reporting improvement in language function and changes in cerebral blood flow following repeated use of repetitive transcranial magnetic stimulation in combination with intensive speech-language-hearing therapy. This case report concerns the efficacy of repeated use of repetitive transcranial magnetic stimulation and intensive speech-language-hearing therapy for a certain patient suffering from aphasia following stroke, plus the findings of the cerebral blood flow measurements.
METHODS: The patient was a 71-year-old right-handed Japanese male who developed fluent aphasia following a left middle cerebral artery stroke. He underwent repetitive transcranial magnetic stimulation and intensive speech-language-hearing therapy five times in total. The repetitive transcranial magnetic stimulation was applied to right inferior frontal gyrus at the frequency of 1 Hz plus 2 hours per day of intensive speech-language-hearing therapy. The patient\'s language function was evaluated in the short term and long term. Cerebral blood flow was measured with single photon emission computed tomography scan. As a result, in the short term, the patient\'s language function improved especially during the initial hospitalization. In the long term, it improved gradually and stabilized.Cerebral blood flow was increased in the right hemisphere.
CONCLUSIONS: The findings of the study indicate that the repeated use of repetitive transcranial magnetic stimulation and intensive speech-language-hearing therapy may be effective in improving and preserving language function and increasing cerebral blood flow for aphasia following stroke.
METHODS: The patient was a 71-year-old right-handed Japanese male who developed fluent aphasia following a left middle cerebral artery stroke. He underwent repetitive transcranial magnetic stimulation and intensive speech-language-hearing therapy five times in total. The repetitive transcranial magnetic stimulation was applied to right inferior frontal gyrus at the frequency of 1 Hz plus 2 hours per day of intensive speech-language-hearing therapy. The patient\'s language function was evaluated in the short term and long term. Cerebral blood flow was measured with single photon emission computed tomography scan. As a result, in the short term, the patient\'s language function improved especially during the initial hospitalization. In the long term, it improved gradually and stabilized.Cerebral blood flow was increased in the right hemisphere.
CONCLUSIONS: The findings of the study indicate that the repeated use of repetitive transcranial magnetic stimulation and intensive speech-language-hearing therapy may be effective in improving and preserving language function and increasing cerebral blood flow for aphasia following stroke.
摘要：
背景：目前还没有文献报道重复使用重复经颅磁刺激联合强化言语-语言-听力治疗后语言功能的改善和脑血流量的变化。该病例报告涉及对中风后失语症的某些患者重复使用重复经颅磁刺激和强化言语-语言-听力疗法的疗效。加上脑血流测量的结果。
方法：患者是一名71岁的日本男性，他在左大脑中动脉中风后出现流利的失语症。他总共接受了五次重复的经颅磁刺激和强化的言语-语言-听力治疗。重复经颅磁刺激以1Hz的频率加每天2小时的密集言语-语言-听力治疗应用于右额下回。对患者的语言功能进行短期和长期评估。使用单光子发射计算机断层扫描扫描测量脑血流量。因此,在短期内,患者的语言功能得到改善，尤其是在初次住院期间。从长远来看,逐渐好转,趋于稳定。右半球的脑血流量增加。
结论：研究结果表明，反复使用重复经颅磁刺激和强化言语-语言-听力疗法可能有效改善和保持语言功能，增加中风后失语症的脑血流量。
方法：患者是一名71岁的日本男性，他在左大脑中动脉中风后出现流利的失语症。他总共接受了五次重复的经颅磁刺激和强化的言语-语言-听力治疗。重复经颅磁刺激以1Hz的频率加每天2小时的密集言语-语言-听力治疗应用于右额下回。对患者的语言功能进行短期和长期评估。使用单光子发射计算机断层扫描扫描测量脑血流量。因此,在短期内,患者的语言功能得到改善，尤其是在初次住院期间。从长远来看,逐渐好转,趋于稳定。右半球的脑血流量增加。
结论：研究结果表明，反复使用重复经颅磁刺激和强化言语-语言-听力疗法可能有效改善和保持语言功能，增加中风后失语症的脑血流量。
