Hillis Argye E
Department of Neurology and Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
Am J Phys Med Rehabil. 2007 Jun;86(6):426-34. doi: 10.1097/PHM.0b013e31805ba094.
Aphasia recovery has often been attributed to a combination of "spontaneous recovery" and rehabilitation. However, a variety of new pharmacological, surgical, and interventional neuroradiology procedures have been developed that can complement rehabilitation in the first days to weeks after stroke by restoring blood flow to dysfunctional but salvageable brain tissue. This paper will review the medical and surgical interventions to improve regional cerebral blood flow that recently have been shown to (1) augment aphasia recovery by improving tissue function, and (2) prevent expansion of the stroke that would otherwise impede recovery. Success with such treatments facilitates aphasia rehabilitation by improving the baseline language performance that must be improved further with language therapy.
失语症的恢复通常被认为是“自然恢复”和康复相结合的结果。然而，目前已经开发出了多种新的药理学、外科手术及介入神经放射学方法，这些方法可以在中风后的头几天到几周内，通过恢复功能异常但仍可挽救的脑组织的血流来辅助康复治疗。本文将回顾那些旨在改善局部脑血流的医学和外科干预措施，这些措施最近已被证明：（1）通过改善组织功能来促进失语症的恢复；（2）防止中风扩大，否则会阻碍恢复。这些治疗方法的成功通过改善基线语言表现促进了失语症康复，而语言表现还必须通过语言治疗进一步提高。
