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Application of ERPs neuromarkers for assessment and treatment of a patient with chronic crossed aphasia after severe TBI and long-term coma - Case Report.

Abstract  Objective. The study aimed to evaluate the application of ERPs neuromarkers for the assessment and treatment of a patient with chronic crossed aphasia after severe TBI and a long-term coma.
PMID
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Evaluation of differentiated neurotherapy programs for a patient after severe TBI and long term coma using event-related potentials.

Authors

Mayor MeshTerms

Evoked Potentials

Keywords
Journal Title annals of agricultural and environmental medicine : aaem
Publication Year Start




PMID- 28378976
OWN - NLM
STAT- MEDLINE
DA  - 20170405
DCOM- 20170419
LR  - 20170419
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 24
IP  - 1
DP  - 2017 Mar 31
TI  - Application of ERPs neuromarkers for assessment and treatment of a patient with
      chronic crossed aphasia after severe TBI and long-term coma - Case Report.
PG  - 141-147
LID - 10.5604/12321966.1232770 [doi]
AB  - Objective. The study aimed to evaluate the application of ERPs neuromarkers for
      the assessment and treatment of a patient with chronic crossed aphasia after
      severe TBI and a long-term coma. CASE REPORT: An ambidextrous female patient,
      aged 29, suffered from posttraumatic chronic crossed aphasia, severe TBI and a
      prolonged coma after a car accident. The patient took part in two differentiated 
      rehabilitation programmes of neurotherapy included 20 sessions of relative beta
      training and 20 sessions of rTMS; both programmes were combined with behavioural 
      training. The patient was tested 3 times: before the experiment, after completion
      of programme A, and after completion of programme B. RESULTS: In the 1st
      recording, the neuromarker of aphasia was found - an excess of the P2 wave over
      the left temporal area. There was a cognitive control deficit - an excess of
      omission errors and an increase of RT variability - all indexes of sporadic ADHD.
      In the 2nd recording, slight improvements in cognitive control, and language
      functions were found. In the 3rd recording, after the rTMS sessions most of her
      cognitive dysfunctions had been resolved, including language functions. It should
      be stressed that the activation (especially the increase in the ERP potential of 
      the right side over the frontal lobe) was found. The neuromarker of aphasia did
      not change, only the location had slightly moved frontally. CONCLUSIONS: The
      application of ERP neuromarkers assists in the diagnosis, treatment, and academic
      success of an ambidextrous patient with chronic posttraumatic aphasia and
      sporadic ADHD. ERPs can be used to assess the functional brain changes induced by
      neurotherapeutical programmes.
FAU - Chantsoulis, Marzena
AU  - Chantsoulis M
AD  - Academy of Physical Education, Department of Physiotherapy, Wroclaw, Poland.
FAU - Polrola, Pawel
AU  - Polrola P
AD  - Jan Kochanowski University in Kielce, Faculty of Medicine and Health Sciences,
      Kielce, Poland.
FAU - Goral-Polrola, Jolanta
AU  - Goral-Polrola J
AD  - Old Polish University, Kielce, Poland.
FAU - Hajdukiewicz, Anna
AU  - Hajdukiewicz A
AD  - Old Polish University, Kielce, Poland.
FAU - Supinski, Jan
AU  - Supinski J
AD  - Academy of Physical Education Department of Psychology, Wroclaw, Poland.
FAU - Kropotov, Juri D
AU  - Kropotov JD
AD  - Laboratory for Action Programming Neurobiology, Institute of the Human Brain,
      Russian Academy of Sciences, St. Petersburg, Russia.
FAU - Pachalska, Maria
AU  - Pachalska M
AD  - Chair of Neuropsychology and Neurorehabilitation, The Andrzej Frycz Modrzewski
      Krakow University, Krakow, Poland; Center of Cognition and Communication, New
      York, NY, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
SB  - IM
MH  - Adult
MH  - Aphasia/etiology/*therapy
MH  - Brain Injuries, Traumatic/etiology/*therapy
MH  - Coma/etiology/*therapy
MH  - *Evoked Potentials
MH  - Female
MH  - Humans
EDAT- 2017/04/06 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/06 06:00
AID - 1232770 [pii]
AID - 10.5604/12321966.1232770 [doi]
PST - ppublish
SO  - Ann Agric Environ Med. 2017 Mar 31;24(1):141-147. doi: 10.5604/12321966.1232770 .

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