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Fungal endocarditis with heart valve replacement and atrial fibrillation posing a treatment challenge: A case report.
Medicine (Baltimore)
November 2020
Department of Neurology, The Affiliated Hefei Hospital of Anhui Medical University, Hefei, Anhui, P.R. China.
Rationale: Fungal endocarditis (FE) is a rare disease, in which antifungal treatment is necessary. When FE is complicated with prosthetic heart valve and/or atrial fibrillation, the coadministration of antifungal agents and warfarin is inevitable. We report a case of rheumatic heart disease with atrial fibrillation who developed FE following prosthetic heart valve replacement.
View Article and Find Full Text PDFChapter 37: alexia and agraphia.
Handb Clin Neurol
December 2010
Department of Health Research & Policy (Epidemiology) and Neurology & Neurological Sciences, Stanford University, Stanford, CA 94305-5405, USA.
Studies of alexia and agraphia have played important roles in understanding how complex cognitive functions are related to brain structure and activity. Modern interests in brain-behavior relations began during the second half of the 19th century as an outgrowth of flawed correlative studies by neuroanatomist Franz Gall and subsequent clinical-pathological analyses by Jean-Baptiste Boulliaud on speech and the frontal lobes. In 1856, Louis Victor Marcé drew attention to writing disorders and postulated a cerebral faculty for writing.
View Article and Find Full Text PDFAphemia: an isolated disorder of articulation.
Clin Neurol Neurosurg
July 2001
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, PA, USA.
Aphemia is a disorder with prominent speech abnormality. Since its description by Broca, there has been debate regarding the neuropsychological disorganization underlying aphemia: is aphemia an articulatory disorder or a language disorder? We describe a patient with markedly impaired articulation, but preserved receptive and written language function and buccal-facial coordination. The location of his stroke was in the left precentral gyrus, undercutting a small area of motor and premotor cortex.
View Article and Find Full Text PDFAphemia associated with bilateral striato-capsular lesions subsequent to cerebral anoxia.
Brain Inj
May 1989
Department of Speech and Hearing, University of Queensland, St. Lucia, Australia.
A case is presented of a 13-year-old right-handed male who exhibited bilateral striato-capsular lesions following an episode of cerebral anoxia and a range of clinical features typical of aphemia. The findings of a neurological assessment, neuroradiological assessment and battery of speech/language tests are described and their implications for current theories regarding the role of the basal ganglia in speech/language function discussed. The patient initially demonstrated an isolated loss of the ability to articulate words without the loss of the ability to write or comprehend spoken language.
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