Investigation of micro structural and macrostructural features of the language in ischemic strokes not accompanyed with aphasia

There are few studies in the literature on language disorders that may be seen in ischemic strokes not accompanied by aphasia. The aim of this study was to investigate the macrostructural and microstructural features of language in ischemic stroke patients without aphasia. ADD was administered to evaluate language in ischemic stroke patients and to determine the presence of aphasia. Narrative samples of the individuals were analyzed in terms of microstructural and macrostructural features of language. The type of the study was cross-sectional. The sample of the study consisted of a total of 62 individuals, 31 participants who did not have aphasia, 31 participants who had ischemic stroke and 31 healthy participants. In this study, the language characteristics of individuals without aphasia after ischemic stroke were compared with healthy participants using standard and descriptive tools. The type-type ratio obtained by narrative analysis, average word length in morphemes, auditory comprehension, repetition, naming, grammar, speech act and writing subtest results in the ADD showed better results in the healthy control group compared to the vertebrobasilar and carotid system groups. When the mean subjective judgment usage of the healthy and stroke groups were compared, no subjective judgment was found in the narrative sample of any participant in the stroke group. When the results in the narrative analysis and ADD subdomains were compared between the right and left hemisphere groups, the left hemisphere group had lower results in all parameters except morpheme error and writing evaluation. Participants with left hemisphere stroke without aphasia were also found to have language disorders. Vertebrobasilar and carotid system groups showed higher usage in simple sentences, effort behaviors, filler discourses, hesitation expressions and anomie variables compared to the healthy control group. The findings indicate that various components of language may be impaired in arterial system damage. Speech and language disorders in individuals with cerebrovascular events should be evaluated in the subacute and chronic periods, and the therapeutic needs of individuals with ischemic stroke should be determined regardless of the presence of aphasia. Key words: Ischemic, language, lesion, narrative, stroke