The patient, now aged 19, is found conscious, reactive, cooperative, with sardonic facies, sialorrhea, global aphasia
, ataxic gait, lower extremity muscular atrophy, and upper extremity spasticity at grade 3 on Ashworth Scale (Fig.
At 4 weeks after onset, she was transferred to the rehabilitation department and showed severe abulia (decreased spontaneous activity and speech, disinterest, and flattened affect) with other associated symptoms (hypersomnia, severely impaired cognition, poor concentration, global aphasia
, dysphonia, dysphasia, quadriparesis, depression, and ideational apraxia), which started after the operation.
The residents had severe global aphasia
which was an individual background factor affecting their ability to take on the role as conversation partner in the interaction with the nurses both in the physical routine care and in the social interaction.
LHS patients had the greater number of communication problems with 23.1% and 27.8% having motor or sensory aphasia and global aphasia
Objective neurological examination revealed right hemiplegia (MRC=0/5), with central facial paresis and global aphasia
All aphasic patients were right-handed, and according to the ABC test, they were classified as mixed transcortical aphasia ( n = 7), Wernicke aphasia ( n = 9), Broca aphasia ( n = 37), global aphasia
( n = 2), and crossed aphasia ( n = 2).
The child, intubated 5 minutes after birth, was found to have spastic tetraparesis cerebral palsy (CP) with impaired cognition, seizures, and global aphasia
He suffered sudden paralysis of the right half of his body (hemiplegia) with complete loss of speech (global aphasia
) on 29 May 2000.
The patient had global aphasia
andresidual right side hemiplegia.
The absence of a correlation between linguistic deficit and cognitive impairment was also demonstrated in a preliminary study  of 34 aphasic patients, none of whom had global aphasia
. Helm-Estabrooks' studies demonstrate the importance of carrying out a comprehensive cognitive assessment, because the integrity of nonlinguistic abilities cannot be estimated according to the severity of aphasia.
The broad and more classic classification used by the National Aphasia Association (2015), the Heart and Stroke Foundation (2013), the American Heart Association (2015), and the National Institute on Deafness and Other Communication Disorders (NIDCD, 2010) when discussing aphasia with the lay community includes three types: expressive aphasia, receptive aphasia, and global aphasia