Abstract
We investigated correlations between lexical impairments and regional infarction versus hypoperfusion in hyperacute stroke (within 24 hours of onset). Seven patients with hyperacute dominant hemisphere stroke underwent a battery of lexical tasks, and investigational MRI techniques of Diffusion-Weighted Imaging (DWI) and Magnetic Resonance Perfusion Imaging (MRPI). Lexical performance was a function of regional hypoperfusion (on MRPI) rather than region of (probably) completed infarct (on DWI). Strong correlations were found between: accuracy in auditory word comprehension and volume of left temporal and parietal hypoperfusion, and accuracy of naming and left parietal hypoperfusion. Frequent errors in repetition were associated with left temporal and/or left frontal hypoperfusion, but the volume of infarct in these areas was not significantly correlated with the rate of repetition errors. Results of this preliminary study indicate that MRPI is a promising tool for investigating the regions of hypoperfused (dysfunctional, but not infarcted) brain tissue associated with specific language impairments in hyperacute stroke.
Published Version
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