Written production in a case of locked-in syndrome with bilateral corticopontic degeneration
| Autor: | L. Tell, Frédérique Gayraud, E. Bentot, Bruno Martinie, Gilles Rode, A. Lepilliez, François Cotton |
|---|---|
| Přispěvatelé: | RMN et optique : De la mesure au biomarqueur, Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Espace et Action, Université de Lyon-Université de Lyon-IFR19-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging Mental ability Writing [SDV]Life Sciences [q-bio] media_common.quotation_subject medicine.medical_treatment Degeneration (medical) Audiology Quadriplegia Communication Aids for Disabled Arts and Humanities (miscellaneous) medicine Humans Contrast (vision) ComputingMilieux_MISCELLANEOUS Applied Psychology media_common Rehabilitation business.industry Brain Eye movement Linguistics Cognition Middle Aged medicine.disease Neuropsychology and Physiological Psychology Etiology Female Locked-in syndrome business Neuroscience [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Neuropsychological Rehabilitation Neuropsychological Rehabilitation, Taylor & Francis (Routledge), 2014, 25 (5), pp.780-797. ⟨10.1080/09602011.2014.975253⟩ |
| ISSN: | 1464-0694 0960-2011 |
| DOI: | 10.1080/09602011.2014.975253 |
| Popis: | Patients in locked-in syndrome show normal or near normal mental abilities that contrast with the limited motor capacity that hinders voluntary communication. However, eye movements and blinking are usually preserved and can be used to establish a communication system. We report an exceptional case of locked-in syndrome. The aetiology was basilar thrombosis consecutive to a cervical manipulation. In addition, brain MRI performed 23 years later showed a ventral pontine stroke with bilateral corticopontic degeneration. In this study the patient was able to produce written output using a chin-controlled Morse system decoded by a computer. A detailed linguistic analysis of text written over 20 years by the patient was carried out. The data demonstrate that improvements in language performance can be observed even in patients with brain lesions in areas associated with high-level cognitive processes. The data show a decrease of typing, grammatical and lexical errors over time, use of less frequent words, and an increase of more complex linguistic structures. This paper adds to previous findings confirming the value of daily practice and rehabilitation to enhance quality of life in this group of patients. |
| Databáze: | OpenAIRE |
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