Painful opthalmoplegia: the Tolosa-Hunt syndrome Sebastian, Swagna; Athyal, Regi Philip; Narayanan, Sahasranamalyer ...
Annals of Saudi medicine,
09/2007, Letnik:
27, Številka:
5
Journal Article
Recenzirano
Odprti dostop
In a patient presenting with painful ophthalmoplegia, etiologies fall into three broad categories including vascular, neoplastic and inflammatory conditions.
To establish an association between adenoid hypertrophy and hearing loss and its impact on speech and language in pediatric age group. A prospective case control study done in a tertiary hospital in ...South India. Twenty children with hearing loss were recruited in the study group and twenty-four children as controls. These groups underwent at detailed otorhinolaryngologic examination, hearing and speech evaluation. The size of the adenoids was graded endoscopically. Findings between the two groups were compared and analysed. Our study found statistically significant association between adenoid hypertrophy with choanal obstruction and abutment of eustachian tube opening seen on endoscopy with hearing loss (
p
= 0.025). The children with hearing loss also had speech and language delay (
p
= 0.004). Children with enlarged adenoids obstructing the > 50% of the choanae or abutting the eustachian tube opening are more likely to have hearing loss and may develop speech and language delay. The ACE endoscopic adenoid grading system is consistent and reliable in evaluation of adenoids.
Aim of the Study: The aim of our study was to compare the impact of hearing loss in the life of adults who had congenital hearing loss with that of adults with acquired adult onset hearing loss ...(auditory neuropathy). Methodology: The quality of life scale questionnaire was administered on two groups. One group consisted of 10 adults with prelingual bilateral severe to profound hearing loss identified before the age of 3 years and who were using hearing aids and had received regular intervention for speech and language development by a qualified speech language pathologist. Second group consisted of 10 adults with auditory neuropathy. Results and Discussion: Wilcoxon rank sum test was used to compare the domains across the groups and the gender distributions between two groups were analyzed using Fisher's exact test. The results revealed that differences between the adults with early-onset hearing loss and late onset hearing loss was statistically significant for most of the domains. The results indicated the fact that accepting a hearing loss during adulthood leads to more psychological trauma than adjusting and living with the hearing loss from the early years of life. Loss of hearing is quite traumatic to adults. Psychological trauma that they undergo is as important as their physiological problem and psychological referral to a clinical psychologist may be beneficial to many of them.
We report a right handed patient with right middle cerebral artery infarct who recovered from aphasia and has persisting agraphia and alexia. The types of errors that he showed were similar in ...writing as well as reading, characterized by spelling errors that would preserve the phonological form of the target word. The sparing of language functions other than reading and writing suggests the possibility of different language functions being represented in different lobes or the possibility of differential cerebral reorganization for different functions. The co-occurrence of same type of agraphia and alexia, i.e., lexical type raises the question whether reading and writing share a common neural circuit. Key words: crossed aphasia, lexical alexia, lexical agraphia Introduction
To determine the type, severity and manifestation of dysphagia in patients with neurogenic etiology. Clinical documentation was done on the different etiologies, its manifestation, assessment ...findings and management strategies taken for patients with neurogenic oropharyngeal dysphagia who were referred for assessment and management of dysphagia over a period of three months in a tertiary care teaching hospital. Flexible endoscopic examination was done in all the patients. The severity of dysphagia in these patients were graded based on Gugging Swallowing Screen (GUSS). A total of 53 patients with neurogenic oropharyngeal dysphagia were evaluated by an otolaryngologist and a speech language pathologist over a period of three months. The grading of severity based on GUSS for these patients were done. There were 30 patients with recurrent laryngeal nerve injury due to various etiologies, one patient with Neurofibroma-vestibular schwanoma who underwent surgical excision, 16 patients with stroke, two patients with traumatic brain injury, two patients with Parkinsonism and two patients with myasthenia gravis. The manifestation of dysphagia was mainly in the form of prolonged masticatory time, oral transit time, and increased number of swallows required for each bolus, cricopharyngeal spasms and aspiration. Among the dysphagia patients with neurogenic etiology, dysphagia is manifested with a gradual onset and is found to have a progressive course in degenerative disorders. Morbidity and mortality may be reduced with early identification and management of neurogenic dysphagia.
The present study reveals the writing errors in a bilingual Wernickes aphasic with Malayalam as mother tongue and English as second language. The phoneme grapheme conversion route was nonfunctional ...in both L1 and L2 as indicated by poor scores for writing to dictation as well as on the subtest of sight spelling (the examiner will dictate the word first and then shows the word in which few letters will be missing. Subject has to write the word by filling the missing letters) for nonwords. The good scores obtained on sight spelling for irregular as well as regular words shows that the patient had access to stored whole word orthographic representation in the lexicon, L1 showing better scores than L2 .It is suggested that the intact route, i.e., lexical route may be used for training these patients for retrieving words. Key words: bilingual aphasia, phonological agraphia, Wernickes aphasia
The present study reveals the details of a pair of identical twins with idioglossia and Language Learning disability .The children were evaluated by a multidisciplinary team consisting of an ...Otorhinolaryngologist, Neurologist, Audiologist, Speech Language Pathologist and Psychologist. Both children showed idioglossia, a history of delayed speech and language milestones, misarticulations and dysgraphia. There was an association between their misarticulations and the spelling errors. It is suggested that oral production is essential for later writing skills to develop. Both the children had exceptionally good skills in Mathematics. Early identification and intervention of twins with language delay is crucial.
Laryngeal movements in stutterers Sebastian, Swapna; Benedict, Anto; Balraj, Achamma
Journal of Laryngology and Voice,
01/2013, Letnik:
3, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Background: The etiology of stuttering is a puzzle. Abnormal laryngeal movements have been assumed to be a cause of stuttering by many researchers. We aimed at comparing the laryngeal functions of ...stutterers using electroglottogram (EGG) and vocal tract functioning using formant frequency analysis. Materials and Methods: We compared the acoustic and electroglottographic parameters in the phonation of stutterers between the age range of 15-25 years and normal subjects matched for age and sex. Results and Discussion: All the electroglottographic parameters of stutterers differed from that of normal speaking subjects which is indicative of difficulty in adjustment of the laryngeal gestures for speech in stutterers. There was no significant difference between the stutterers and non-stutterers in terms of formant frequencies. Similar formant frequencies in stutterers and normal speakers and abnormal electroglottographic parameters are suggestive of abnormal laryngeal movements and normal vocal tract functioning in stutterers.
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