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Biomedical subjects

R W Hayward

Publications and source records attributed to R W Hayward.

5 recordsLinked to original sources
PubMed1979

The resolving stroke and aphasia. A case study with computerized tomography.

A 39-year-old man suffered an intracerebral hemorrhage in the region of the left internal capsule deep to Wernicke's area. The location of the lesion was confirmed by computerized tomography (CT) performed two days postictally. Two weeks after admission, the Boston Diagnostic Aphasia Examination (BDAE) diclosed Wernicke's aphasia. We hypothesize that the hematoma exerted pressure on Wernicke's cortical area, thus causing the resulting Wernicke's aphasia at that time. A CT scan three months later showed absorption of the hematoma, with a residual low-density lesion deep to Wernicke's area, in the region of the arcuate fasciculus. At that time, BDAE testing disclosed a mild conduction aphasia. Serial CT scanning combined with discriminating clinical evaluation of aphasia provides a valuable opportunity for study of the processes underlying stroke resolution and aphasia.

Adult↗
PubMed1978

Lesion localization in aphasia with cranial computed tomography and the Boston Diagnostic Aphasia Exam.

Nineteen stable left-hemisphere stroke patients with aphasia were evaluated by the Boston Diagnostic Aphasia Examination (BDAE) and the Token Test (TT), and by cranial computed tomography (CT). The types of aphasia included Broca (three patients), Wernicke (four patients), conduction (four patients), transcortical motor (four patients), and global (four patients). The lesions, as localized by CT scan, were superimposed onto five composite lesion localization maps for these five aphasia syndromes. There was good correlation between BDAE aphasia type and lesion localization. On CT scans, the locations of cortical language areas lie in a specific relationship to parts of the ventricular system.

Aged↗
PubMed1977

Cranial computed tomographic scan appearance of Sturge-Weber disease: unusual presentation.

The CT findings in both the typical and atypical presentations of the Sturge-Weber syndrome are characteristic if not pathognomonic in most cases. The typical gyriform cortical calcification and cortical atrophy are well demonstrated whether associated with a small or enlarged hemicranium. Contrast enhancement was demonstrated in both cases where contrast medium infusion was performed.

Adolescent↗
PubMed1977

Cranial computed tomography in aphasia. Correlation of anatomical lesions with functional deficits.

A variety of aphasic patients were studied to determine the relationship betweeen lesion size, as demonstrated by cranial computed tomography (CCT), and the type of aphasia, as classified by the Boston Diagnostic Aphasia Examination (BDAE). CCT demonstrated a variety of lesions. Those in nonfluent Broca's aphasics and fluent Wernicke's aphasics were separable into pre-Rolandic and post-Rolandic areas, respectively. Conduction, global, and anomic aphasics had different lesion sites. Correlation of lesion location by CCT with aphasia type supports Geschwind's concepts of aphasia.

Adult↗