<報告>頭部外傷により小児失語症を呈した1例の長期経過

URI http://harp.lib.hiroshima-u.ac.jp/pu-hiroshima/metadata/3457
File
Title
<報告>頭部外傷により小児失語症を呈した1例の長期経過
Title Alternative
<REPORTS>Long-term outcome of a case of acquired childhood aphasia
Author
氏名 玉井 ふみ
ヨミ タマイ フミ
別名 TAMAI Fumi
氏名 徳永 要二
ヨミ トクナガ ヨウジ
別名 TOKUNAGA Yoji
Subject
小児失語症
頭部外傷
言語機能
長期経過
childhood aphasia
traumatic brain injury
linguistic functions
long-term outcome
Abstract

A longitudinal study of a case of aphasia acquired in childhood was reported. The patient was a 27-year-old right-handed man who had suffered a traumatic brain injury caused by a serious traumatic fall at 11 years of age. Surgery was performed to remove an epidural hematoma immediately. He remained in a coma for four months following the accident. MRI revealed extensive lesions extending across the parietal, temporal, and occipital lobes, basal ganglia and thalamus in the left hemisphere. The patient was mute for six months, after which he began to speak some words. However, he could pronounce only vowels and the consonants / m / and / n / due to dysarthria and apraxia of speech. Although auditory comprehension of single words and simple sentences was fairly intact, he experienced difficulty in comprehending complex sentences precisely. He also showed severe deficits in reading and writing of both Japanese kana and kanji. His articulative disorders, except for slow speech, disappeared within two years following the traumatic brain injury. He received speech therapy for 15 years following the injury, and comprehensive and expressive language abilities showed good recovery. However, word-finding or syntactic processing deficits were sometimes apparent. He also demonstrated marked improvement in scores on the Standard Language Test for Aphasia. However, deficiencies in grammar, writing and reading comprehension remained. The long-term recovery of the patient suggests plasticity of cerebral functions during childhood. However, the age of injury, 11 years of age, and the extensiveness of the cerebral lesions suffered are considered to be responsible for the persistent language disorders.

Description

国立情報学研究所で電子化

Journal Title
広島県立保健福祉短期大学紀要
Volume
1
Issue
1
Spage
127
Epage
134
Published Date
1996-03
Publisher
広島県立保健福祉短期大学
ISSN
1342-0070
NCID
AA11318754
Language
jpn
NIIType
Departmental Bulletin Paper
Text Version
出版社版
Sort Key
22
Old URI
Set
pu-hiroshima