NEUROBEHAVIORAL AND IMAGING PROFILE OF VASCULAR APHASIC SYNDROMES WITH THEIR SHORT-TERM OUTCOME

Objective: To study the neurobehavioral pattern of aphasia due to stroke and to study the correlation of aphasia with the radiological imaging profile. This prospective analytical study is done in all stroke patients with Setting: acute language dysfunction attending the Neurology department, TVMCH, between February 2024 and December 2024. Participants: This prospective analytical study is done in 48 cases admitted to the neurology department who were diagnosed with acute language dysfunction secondary to stroke. This study investigates the impact of vascular stroke syndrome on language functions, speci Results: fically comprehension, expression, and repetition, in 45 patients (35 males, 10 females) with varying literacy levels. Stroke location strongly correlated with language impairment severity, with basal ganglia infarcts linked to severe repetition deficits, while frontal lobe strokes (M1–M3) predominantly affected expression, and temporal/parietal strokes (M4–M6) impaired comprehension and repetition. Gender differences were noted, with male patients exhibiting greater deficits in comprehension and expression, while females showed better repetition abilities. Literacy significantly influenced recovery, as patients with higher education demonstrated better language function outcomes by Day 5 post-stroke. These findings underscore the role of stroke location and cognitive reserve in language recovery, highlighting the need for targeted rehabilitation strategies.