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Opinion EDITORIAL Stimulating Dialogue Through Treatment of Poststroke Aphasia With Transcranial Direct Current Stimulation Steven C. Cramer, MD, MMSc Stroke remains a leading cause of human disability. Impor- of anodal tDCS, whereby two 5 × 5 cm sponges were placed, 1 of which (the anode) was on the left scalp over a targeted cor- tant gains have been realized in the setting of acute ischemic stroke, where thrombolytic and catheter-based reperfusion tical region and the other of which (the cathode) was on the therapies can substantially improve long-term behavioral right supraorbital scalp; in general, anodal tDCS increases cor- outcomes. However, most pa- tical excitability. The targeted cortical region was identified tients with a new stroke are by a functional magnetic resonance imaging scan obtained at Related article page 1470 not eligible for such thera- baseline, ensuring that stimulation was centered over a func- pies because of delays in diagnosis or hemorrhagic etiology, tionally intact left temporal lobe region, and underscoring the for example, and many who are treated nonetheless have sub- utility of using a measure of brain function to direct details of stantial long-term disability. Additional classes of poststroke a restorative therapy for individual patients. therapy are needed.
JAMA Neurology – American Medical Association
Published: Dec 20, 2018
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