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From the University of South Alabama College of Medicine, Mobile, AL (Dr. Mohr), the Division of Computer Research and Technology (Dr. Weiss), and the National Institute of Neurological and Communicative Disorders and Stroke (Dr. Caveness), National Institutes of Health, Betheda, MD, Eastern Virginia Medical School, Norfolk, VA (Drs. Dillon and Rish), Harvard University School of Medicine, Boston, MA (Dr. Kistler), and Vanderbilt University School of Medicine, Nashville, TN (Dr. Meirowsky).
Aphasia occurred in 244 of 1030 patients with head wounds, correlating with gunshot cause (p < 0.03) and initial loss of consciousness (p < 106) Aphasia disappeared within 10 years in 84 cases (34%). Sensorimotor aphasia usually changed to motor aphasia; motor aphasia disappeared and sensory aphasia persisted. These improvements continued years after the accompanying hemiparesis stabilized, and were not related to wound site, depth, or whether the wound was caused by gunshot or fragment.
Parietal wounds caused hemiparesis more often (p < 106 than did wounds elsewhere. Regardless of the features of the hemiparesis initially, the severity of the final syndrome was greatest in the hand and arm and least in the face.
Address correspondence and reprint requests to Dr. Mohr, Department of Neurology, University of South Alabama College of Medicine, 2451 Fillingim Street, Mobile, AL 36617.
Accepted for publication February 6, 1980.
This study was supported by the Intramural Research and Stroke and Trauma Programs of the National Institute of Neurological and Communicative Disorders and Stroke.
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