Electrophysiological Changes in Patients with Post-stroke Aphasia: A Systematic Review

Brain Topogr. 2023 Mar;36(2):135-171. doi: 10.1007/s10548-023-00941-4. Epub 2023 Feb 7.

Abstract

Background Magnetoencephalography (MEG) and electroencephalography (EEG) record two main types of data: continuous measurements at rest or during sleep, and event-related potentials/evoked magnetic fields (ERPs/EMFs) that involve specific and repetitive tasks. In this systematic review, we summarized longitudinal studies on recovery from post-stroke aphasia that used continuous or event-related temporal imaging (EEG or MEG). Methods We searched PubMed and Scopus for English articles published from 1950 to May 31, 2022. Results 34 studies were included in this review: 11 were non-interventional studies and 23 were clinical trials that used specific rehabilitation methods, neuromodulation, or drugs. The results of the non-interventional studies suggested that poor language recovery was associated with slow-wave activity persisting over time. The results of some clinical trials indicated that behavioral improvements were correlated with significant modulation of the N400 component. Discussion Compared with continuous EEG, ERP/EMF may more reliably identify biomarkers of therapy-induced effects. Electrophysiology should be used more often to explore language processes that are impaired after a stroke, as it may highlight treatment challenges for patients with post-stroke aphasia.

Keywords: Aphasia; Electroencephalography; Event-related potential; Evoked magnetic field; Magnetoencephalography; Stroke.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Aphasia* / etiology
  • Electroencephalography
  • Evoked Potentials / physiology
  • Female
  • Humans
  • Magnetoencephalography
  • Male
  • Stroke* / complications