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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 |
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Case reports Aphasia Rehabilitation at Two Patients After Vigil Coma (Rehabilitacija dva slučaja afazije nakon vigilne kome) Goran Savić, Amela Iriškić ZZMR "DR M. ZOTOVIĆ" BANJA LUKA, RS&BIH |
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| Summary: 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 |
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Corresponding Address: Savić Goran ZZMR "Dr M. Zotović" Banja Luka, RS&BiH e-mail: sakogo@blic.net |
Paper received: 30.5.2012 Paper accepted: 30.7.2012 Paper Internet issues: 12.11.2012 |
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