Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2012     Vol 37     No 2
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      UDK 636.2.09:[616.981.45:579.842.1/.2(497.11)"1849"

ISSN 035-2899, 37(2012) No 2 p.113-117

Case reports

Aphasia Rehabilitation at Two Patients After Vigil Coma
(Rehabilitacija dva slučaja afazije nakon vigilne kome)

Goran Savić, Amela Iriškić


Aphasia rehabilitation after vigil coma depends on the intensity, depth and duration of coma, severity and localization of brain injury and the length and intensity of rehabilitation. AIM: To identify the course and results of speech and language therapy. METHODOLOGY: Following the course of speech and language rehabilitation in two patients after vigil coma. RESULTS: The patients are of the approximately same age. In both patients vigil coma lasted for about 2.5 months. Both are dominantly right-sided. Patient Š. D. after multiple trauma with left-sided brain injury after deep, moved into the state of vigil coma. After the patient regained consciousness minimum voice communication was established after a year of speech therapy. The full range of intelligible verbal communication was achieved after 3 years. Intensive speech therapy lasted for 7 months. After that, speech therapy was conducted periodically during the following 4 years. Reading and writing were fully recovered. Patient Ž. N. after multiple trauma with dominantly right-sided brain injury and minor left brain injuries after deep, moved into a state of vigil coma. After the patient regained consciousness, he started and is still doing speech therapy. After a month and a half of intensive speech therapy, minimum voice communication was established. Not fully intelligible verbal communication was established after 2.5 months. After 3 months of therapy the patient is able to read with some additional help, and writing is at a rudimentary level of restitution. CONCLUSION: Speech and language therapy gave good results in treating the patients after vigil coma. A long and intensive speech and language rehabilitation was required to achieve the desired results in the presented cases.
Keywords: vigil coma, speech and language rehabilitation, aphasia

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Savić Goran
ZZMR "Dr M. Zotović" Banja Luka,
Paper received: 30.5.2012
Paper accepted: 30.7.2012
Paper Internet issues: 12.11.2012
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Journal of Regional section of Serbian medical association in Zajecar
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