Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Aphasic Dystextia as Presenting Feature of Ischemic Stroke in a Pediatric Patient. Case Rep Neurol Med 2016;2016:3406038

Date

09/01/2016

Pubmed ID

27579197

Pubmed Central ID

PMC4992528

DOI

10.1155/2016/3406038

Abstract

Aphasia is an important presenting symptom of acute stroke. With increasing reliance on electronic communication, incoherent texting or "dystextia," which is a subset of aphasia that is reflected in text messages, can be a useful tool for symptom recognition and analysis. It can be a red flag for the family and therefore can help in early identification of an acute neurological deficit. It is also useful for providers to reliably analyze the deficit as well as establish a timeline of evolution of symptoms. There have been case reports where dystextia has been the presenting feature of stroke or complicated migraine and in one case of meningioma. We present the case of a teenage patient that in our knowledge is the youngest reported case of dystextia, whose aphasia recorded in a text message assisted with stroke localization. This also adds to the literature of dystextia which so far has only seven other cases reported.

Author List

Lakhotia A, Sachdeva A, Mahajan S, Bass N

Author

Nancy Bass MD Professor in the Neurology department at Medical College of Wisconsin