Evaluation of aphasia in patients with chronic subdural hematoma operated
Abstract
Introduction: Aphasia constitutes 38 % of the most common cognitive sequelae in the presence of cerebrovascular disease or craniocerebral trauma, which presents difficulties for verbal communication in the first days after the acquisition of brain damage.
Objective: To evaluate aphasia in patients operated on for chronic subdural hematoma in Camagüey, between May 2021 and July 2024.Methods: An observational, analytical, cross-sectional study was carried out. The universe consisted of 55 patients according to the inclusion and exclusion criteria. The authors worked on 41 patients selected through simple random sampling. Outpatient clinical records were the secondary source of information. Descriptive and inferential statistics were used. The data was presented in tables and graphs.Results: The 10 patients over 80 years of age represented 24.4% of the sample. According to Nakaguchi's classification, 8 patients (19.5%) presented postoperative aphasia. Bleeding in the left subdural space was identified in 11 cases (26.8%), of which 14.6% showed difficulties in some language phases. The Boston Test revealed 4 patients (9.8%) with Broca's aphasia and 3, or 7.3%, with transcortical motor aphasia.Conclusions: The factors associated with the development of postsurgical aphasia included: age over 80 years, use of anticoagulants, preoperative aphasia, trabecular appearance according to Nakaguchi's classification, left-sided location in the subdural space, re-interventions, and hematoma formation. The main aphasias diagnosed using the Boston test were Broca's and transcortical motor aphasias.
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22 julio 2025