Dynamic aphasia following low-grade glioma surgery near the supplementary motor area: A selective spontaneous speech deficit

作者：Satoer Djaina^*; Kloet Alfred; Vincent Arnaud; Dirven Clemens; Visch Brink Evy

来源：Neurocase, 2014, 20(6): 704-716.

DOI：10.1080/13554794.2013.841954

• Dynamic aphasia
• Spontaneous speech
• Cognition
• Supplementary Motor Area
• Glioma surgery

We describe a patient (KO) with reduced spontaneous speech, resembling dynamic aphasia, after awake glioma surgery in the proximity of the supplementary motor area. Naming, repetition, and comprehension were intact. He was tested with an extensive neuropsychological test-battery and a protocol for dynamic aphasia at 1 year. He presented with postoperative reduced spontaneous speech and selective executive function deficits. Most language recovery took place at 3 months postoperatively, whereas the executive functions improved between 3 months and 1 year. Results suggest that resection near the supplementary motor area could increase the risk of cognitive disturbances at long term, especially language.

• 出版日期2014