Verbal Auditory Agnosia in Children

Verbal Auditory Agnosia in Children
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儿童言语听觉失认症

DOI:
10.1111/j.1469-8749.1988.tb04811.x
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发表时间:
1988
影响因子:
3.8
通讯作者:
I. Rapin
I. Rapin
中科院分区:
医学2区
文献类型:
--
作者:
I. Rapin

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四个(可能是五个)男孩被描述为一个深刻的理解缺陷的声学语言,导致严重或完全废除的表达性讲话。一个男孩从出生时就被认为是巨脑畸形,但智力上级。他从小就有严重的发音缺陷,语言习得延迟。另一个男孩被认为在左顶叶深处有一个小的血管瘤异常。在其他三个人中没有发现脑损伤。双侧脑功能障碍的证据包括三个男孩的轻微运动异常,两个男孩的orbital缺陷,以及三个(可能是四个)男孩的EEG中的双侧同步弥漫性或独立局灶性阵发性放电。只有三个男孩发生癫痫,并且很容易用抗惊厥药控制。一个脑电图严重异常的男孩至今没有临床癫痫发作,也没有从弗罗姆一年的抗惊厥治疗中获益。其中两个男孩是兄弟,包括一个男孩,他的诊断是可疑的,因为语言从来没有正常,因为他既没有癫痫发作的异常脑电图。脑电图异常的严重程度与语言障碍的病程没有密切关系。这种综合征的关系,获得性失语症的儿童,韦尼克失语症和纯词聋的成年人,并以发育lagnuage残疾为主的接受性缺陷,进行了讨论。一个孩子说明了写作和语音编码和解码操作之间的密切联系,和两个孩子的语言技能的保存提供的声学通道被绕过和语言呈现视觉。强调后一点是因为它对患有这种综合症的儿童的补救教育的影响。
Four (possibly five) boys are described with a profound comprehension deficit for acoustic language, leading to severe or complete abolition of expressive speech. One boy had presumed megalencephaly from birth but was of superior intelligence. He had a severe articulation deficit from early childhood, with delayed acquisition of speech. Another boy is thought to have a small angiomatous anomaly in the depth of the left parietal lobe. No brain lesions are known in the other three. Evidence for bilateral brain dysfunction consists of minor motor abnormalities in three boys, oromotor deficits in two boys, and bilaterally synchronous diffuse or independent focal paroxysmal discharges in the EEG of three, possibly four, of the boys. Seizures have occurred in only three boys, and have been easily controlled with anticonvulsants. One boy with a grossly abnormal EEG has had no clinical seizures to date and has not benefited frome one year of anticonvulsant therapy. Two of the boys are brothers, including the boy in whome the diagnosis is questionable since speech was never normal and since he has had neither seizures for an abnormal EEG. The severity of EEG abnormalities did not correlate closely with the course of the language deficit. The relationship of this syndrome to acquired aphasia in children, to Wernicke's aphasia and pure word deafness in adults, and to developmental lagnuage disability with predominantly receptive deficits, is discussed. One child illustrated the close association between writing and phonologic encoding and decoding operations, and two children the preservation of linguistic skills provided the acoustic channel was by-passed and language presented visually. This latter point has been emphasized because of its implications for the remedial education of children with this syndrome.
儿童获得性失语症。
DOI: 10.1177/088307389501000401
发表时间: 1995
影响因子: 1.9
作者:
Rapin,I
通讯作者: Rapin,I