在另一种神经系统疾病的背景下解开功能性语言障碍:一个病例报告。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Beatriz Stein, Filipa Sotero, José Fonseca
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引用次数: 0

摘要

这个临床病例描述了功能性语言障碍的交流概况。一名48岁妇女因言语突然改变、全身性肌张力障碍及步态共济失调而入院急诊。磁共振成像显示多处幕上及幕下炎性病变,累及双侧枕后颞叶、双侧额凸、左侧脑岛及旁正中额叶皮层、间脑、斜下脑。第三天,进行了语言病理学评估,发现语言不一致:重复的初始声音,没有获得性口吃的特征,咬紧牙关,不是面部运动障碍的原因,声音和韵律的模式不一致。三天后,进行了另一次评估,显示语音清晰度有了显著提高。在这些天里发现的语言特征缺陷及其严重程度都有明显的变化。这些行为与一种语言模式同时出现,而这种语言模式没有任何神经损伤的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disentangling a Functional Speech Disorder in the Context of another Neurological Disease: A Case Report.

This clinical case describes the communication profile of a functional speech disorder. A 48-year-old woman was admitted to the emergency service due to sudden changes in speech, generalized dystonia and gait ataxia. Magnetic resonance imaging showed multiple supra and infratentorial inflammatory lesions involving the posterior occipito-temporal lobes bilaterally, frontal convexity bilaterally, insula and paramedian frontal cortex on the left, diencephalon, rhombencephalon. On the third day, a speech pathology evaluation was conducted, revealing inconsistencies in speech: repetitions of initial sounds, without characteristics of an acquired stutter, a clenched articulation, not justified by an orofacial motor disorder, an inconsistent pattern in voice and prosody. Three days later, another assessment was carried out, showing a significant improvement in speech intelligibility. There was a marked variability in speech features defects found over the days, as well as in their severity. These behaviors appear simultaneously with a speech pattern that is not justified by any of the neurological lesions found.

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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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