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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Speechlessness Caused After A Stroke

My friend s 32 year old son has a stroke due to a heart defect. He is left-handed and it affected his right side. He cannot speak. What are the chances of him recovering speech? He is already a month into this, and cannot say a thing. But, he can sign his name, and understands what people are saying. What s a person s like this prognosis. And they say his cognition is intact.
Thu, 18 Sep 2014
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
Your son has suffered from a stroke leading to rt sided hemiplegia with motor or Broca's aphasia. Cardiac defect might be Patent Foramen Ovale (PFO). In a left-handed person, speech area is present in the left hemisphere (70%) or right hemisphere (20%) or bilaterally (10%). Left-handers appear to have diffuse representation of language function ;hence their recovery from aphasia may be better than would be expected in RT- handers. Proper rehabilitation of the stroke patient includes early physical, occupational, and speech therapy.Gradual/partial recovery may take 06 months. Physical therapy can recruit unused neural pathways and have been shown to improve hemiparesis following stroke, even years following the stroke.







Regards

Dr. T.K. Biswas M.D.
Mumbai
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Suggest Treatment For Speechlessness Caused After A Stroke

Hi, Thank you for your query. I can understand your concerns. Your son has suffered from a stroke leading to rt sided hemiplegia with motor or Broca s aphasia. Cardiac defect might be Patent Foramen Ovale (PFO). In a left-handed person, speech area is present in the left hemisphere (70%) or right hemisphere (20%) or bilaterally (10%). Left-handers appear to have diffuse representation of language function ;hence their recovery from aphasia may be better than would be expected in RT- handers. Proper rehabilitation of the stroke patient includes early physical, occupational, and speech therapy.Gradual/partial recovery may take 06 months. Physical therapy can recruit unused neural pathways and have been shown to improve hemiparesis following stroke, even years following the stroke. Regards Dr. T.K. Biswas M.D. Mumbai