低级别胶质瘤手术后亚临床运动性言语缺陷的检测

Detection of Subclinical Motor Speech Deficits after Presumed Low-Grade Glioma Surgery.

作者信息

Mirkoska Vesna, Antonsson Malin, Hartelius Lena, Nylén Fredrik

机构信息

Speech and Language Pathology Unit, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, 40530 Gothenburg, Sweden.

Department of Clinical Sciences, Umeå University, 90736 Umeå, Sweden.

出版信息

Brain Sci. 2023 Nov 24;13(12):1631. doi: 10.3390/brainsci13121631.

Abstract

Motor speech performance was compared before and after surgical resection of presumed low-grade gliomas. This pre- and post-surgery study was conducted on 15 patients (mean age = 41) with low-grade glioma classified based on anatomic features. Repetitions of /pa/, /ta/, /ka/, and /pataka/ recorded before and 3 months after surgery were analyzed regarding rate and regularity. A significant reduction (6 to 5.6 syllables/s) pre- vs. post-surgery was found in the rate for /ka/, which is comparable to the approximate average decline over 10-15 years of natural aging reported previously. For all other syllable types, rates were within normal age-adjusted ranges in both preoperative and postoperative sessions. The decline in /ka/ rate might reflect a subtle reduction in motor speech production, but the effects were not severe. All but one patient continued to perform within normal ranges post-surgery; one performed two standard deviations below age-appropriate norms pre- and post-surgery in all syllable tasks. The patient experienced motor speech difficulties, which may be related to the tumor's location in an area important for speech. Low-grade glioma may reduce maximum speech-motor performance in individual patients, but larger samples are needed to elucidate how often the effect occurs.

摘要

对疑似低级别胶质瘤手术切除前后的言语运动表现进行了比较。这项手术前后的研究针对15名(平均年龄 = 41岁)根据解剖特征分类的低级别胶质瘤患者开展。对手术前和术后3个月记录的 /pa/、/ta/、/ka/ 和 /pataka/ 的重复发音在速度和规律性方面进行了分析。发现 /ka/ 的发音速度在手术前与术后有显著下降(从6个音节/秒降至5.6个音节/秒),这与先前报道的自然衰老10至15年期间近似的平均下降幅度相当。对于所有其他音节类型,术前和术后发音速度均在正常年龄校正范围内。/ka/ 发音速度的下降可能反映出言语运动产生方面的细微减少,但影响并不严重。除一名患者外,所有患者术后表现仍在正常范围内;一名患者在术前和术后所有音节任务中的表现均比适合其年龄的标准低两个标准差。该患者存在言语运动困难,这可能与肿瘤位于对言语重要的区域有关。低级别胶质瘤可能会降低个别患者的最大言语运动表现,但需要更大规模的样本才能阐明这种影响的发生频率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cb0/10741922/43e0f65d607d/brainsci-13-01631-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索