Assuntos
Neoplasias Nasofaríngeas/patologia , Neoplasias Orbitárias/patologia , Rabdomiossarcoma/patologia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Nasofaríngeas/diagnóstico por imagem , Neoplasias Orbitárias/diagnóstico por imagem , Neoplasias dos Seios Paranasais/diagnóstico por imagem , Neoplasias dos Seios Paranasais/patologia , Rabdomiossarcoma/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
It has been suggested that recovery from aphasia may depend on the ability of the nondominant hemisphere to subserve language functions. We describe a patient who illustrates a possible "transfer" of language dominance. The patients sustained two infarcts two years apart, one in each hemisphere, involving mirror image territories in the temporoparietal area. The clinical course of each infarct was almost identical, consisting of an initial Wernicke's aphasia which evolved into anomic aphasia during recovery.
Assuntos
Afasia/fisiopatologia , Dominância Cerebral , Anomia/fisiopatologia , Afasia de Wernicke/fisiopatologia , Infarto Cerebral/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Tomografia Computadorizada por Raios XRESUMO
This report describes a 28-year-old male who suddenly began to stutter after an attempted suicide. The patient had a history of one prior stuttering episode lasting approximately one week, also following a suicide attempt. The speech evaluation documented that the patient stuttered on automatic overlearned social responses, during choral reading, during singing, while under the influence of white noise, and during an initial trial of delayed auditory feedback (DAF). In addition, the patient produced stuttering-like repetitions while merely miming speech. He did not demonstrate secondary stuttering symptoms and his nonfluencies were almost exclusively repetitions of initial or stressed syllables. An intervention program using DAF was initiated and in approximately one month the frequency of stuttering had markedly decreased. The behaviors exhibited by this patient are considered to characterize stuttering of sudden onset in adults due to significant psychological distress.
Assuntos
Gagueira/psicologia , Adulto , Depressão/complicações , Retroalimentação , Dependência de Heroína/complicações , Dependência de Heroína/reabilitação , Humanos , Masculino , Metadona/uso terapêutico , Gagueira/complicações , Gagueira/terapia , Tentativa de SuicídioRESUMO
A previously reported treatment program for patients with severe apraxia of speech suggested that (1) some communicative ability could be restored, (2) it might be feasible to develop home programs from the original program, (3) the complete eight-step continuum may not be necessary, and (4) some patients had difficulty at step 4 in the program. Protocols from four severely apractic patients supported the contention that some communicative ability could be restored using this program. Effective home programs, based on the original program, were successfully developed. The complete program was not needed for two of the four patients. Finally, a methodology for reducing the difficulty at step 4 in the program was discussed.
