Abstract | BACKGROUND: SUMMARY OF REVIEW: Diverse theories of the underlying neurological deficits in aphasia have led to different pharmacologic rationales for therapy. Animal studies have demonstrated decreased levels of brain catecholamines after cortical stroke and more rapid stroke recovery with therapy aimed at augmenting brain norepinephrine and dopamine. These studies have led to recent attempts to hasten or extend language and sensorimotor rehabilitation after human stroke by administration of catecholaminergic drugs. When used as an adjunct to behavioral therapy, such pharmacotherapy appears to have benefit. CONCLUSIONS: While drug therapy is unlikely to revolutionize the treatment of aphasia, it nonetheless holds promise as an adjunct to behavioral speech and language therapy to decrease performance variability and consequently to improve mean performance in patients with mild to moderate language dysfunction. Additional studies with carefully designed methods are necessary to assess the full potential of aphasia pharmacotherapy.
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Authors | S L Small |
Journal | Stroke
(Stroke)
Vol. 25
Issue 6
Pg. 1282-9
(Jun 1994)
ISSN: 0039-2499 [Print] United States |
PMID | 8202996
(Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S., Review)
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Chemical References |
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Topics |
- Animals
- Aphasia
(drug therapy, etiology, metabolism)
- Brain Chemistry
- Catecholamines
(analysis)
- Central Nervous System Diseases
(complications)
- Cerebrovascular Disorders
(complications)
- Humans
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