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Tumor-associated aphasia in left hemisphere primary brain tumors

The importance of age and tumor grade

Department of Neurology, University of Massachusetts Medical Center, Worcester, MA.

Although one-quarter of patients with primary brain tumors have language disturbances at the time of initial presentation, the factors contributing to their aphasia are not clear. A group of 32 patients with primary tumors of the left hemisphere was collected retrospectively and the relationship between clinical, radiographic, and pathologic factors and tumor-associated aphasia was examined. We assessed language function before beginning any treatment including steroids. The factor that best predicted language disturbance was greater patient age; the only other significant factor was tumor grade. Tumor size made a nearly significant impact, but tumor location within the left hemisphere did not correlate with aphasia.

Address correspondence and reprint requests to Dr. Recht, Department of Neurology, University of Massachusetts Medical Center, 55 Lake Avenue North, Worcester, MA 01655.

Received February 15, 1988. Accepted for publication in final form July 25, 1988.