RESUMO
A 5-year-old female was evaluated because of severe speech and expressive language delay. On examination, she could hardly speak and communicated through gestures. She manifested severe dysarthria and difficulty in protruding and moving her tongue laterally. She lacked coordination of the swallowing process, with drooling and an increased mental reflex. Her cognitive development was normal, and no associated neurologic dysfunction of the limbs was noted. On follow-up, the child experienced two episodes of seizures at 6 years of age. Magnetic resonance imaging of the brain demonstrated perisylvian and frontal polymicrogyria. Clinical and radiologic findings demonstrated a similarity and continuum between congenital suprabulbar paresis (Worster-Drought syndrome) and perisylvian syndrome.
Assuntos
Paralisia Bulbar Progressiva/congênito , Paralisia Bulbar Progressiva/diagnóstico , Lobo Frontal/patologia , Substância Cinzenta Periaquedutal/patologia , Distúrbios da Fala/etiologia , Paralisia Bulbar Progressiva/classificação , Pré-Escolar , Diagnóstico Diferencial , Epilepsia/etiologia , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Imageamento por Ressonância Magnética , Distúrbios da Fala/patologia , SíndromeRESUMO
Report on three patients in whom computer tomography (CT) revealed an isodense subdural hematoma. One patient had a CT scan 24 hours, the other 3 weeks and the third 3 months after the appearance of clinical symptoms. It is therefore impossible to predict at what stage a subdural hematoma will appear isodense in the CT. The criteria for identification of isodense subdural hematoma are reviewed.
