Aphasia and herpes virus encephalitis: a case study

Sao Paulo Medical Journal

Ellen Cristina Siqueira Soares-ishigaki¹  Maysa Luchesi Cera¹  Alexandre Pieri¹  Karin Zazo Ortiz² 

[1],Universidade Federal de São Paulo Department of Speech Therapy São Paulo,Brazil

关键词: Meningoencephalitis;    Encephalitis;    herpes simplex;    Aphasia;    Language;    Cognition;    Adolescent;    Meningoencefalite;    Encefalite por herpes simples;    Afasia;    Linguagem;    Cognição;    Adolescente;   

DOI  :  10.1590/S1516-31802012000500011

来源: SciELO

【 摘 要 】

CONTEXT: Meningoencephalitis early in life, of any etiology, is a risk factor for development of subsequent sequelae, which may be of physical, psychiatric, behavioral or cognitive origin. Anomia is a language abnormality frequently found in such cases, and other language deficits are rarely described. The aim of this study was to describe the cognitive and linguistic manifestations following a case of herpetic meningoencephalitis in a 13-year-old patient with eight years of schooling. CASE REPORT: The patient underwent a speech-language audiology assessment nine months after the neurological diagnosis. The battery of tests included the Montreal-Toulouse Language Assessment test protocol (MT Beta-86, modified), the description from the Cookie Theft task of the Boston Diagnostic Aphasia Examination (BDAE), an informal assessment of the patient's logical and mathematical reasoning, and the neuropsychological subtests from the WAIS-III scale, which assess working memory. The patient presented mixed aphasia, impairment of short-term memory and working memory, and dyscalculia. This case also presented severe cognitive and linguistic deficits. Prompt diagnosis is crucial, in order to enable timely treatment and rehabilitation of this neurological infection and minimize the cognitive deficits caused by the disease.

【 授权许可】

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