scholarly journals Isolated Bilateral Cerebral Peduncular Infarction Manifesting Pseudobulbar Palsy and Quadriparesis: a Case Report

2021 ◽  
Vol 14 ◽  
Author(s):  
Namwoo Kwon ◽  
Woo In Choi ◽  
Hyoung Seop Kim
Keyword(s):  
Case Report ◽  
Pseudobulbar Palsy

scholarly journals Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report

2016 ◽  
Vol 40 (4) ◽  
pp. 751 ◽  
Author(s):  
Hye Yeon Lee ◽  
Min Jeong Kim ◽  
Bo-Ram Kim ◽  
Seong-Eun Koh ◽  
In-Sik Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Pseudobulbar Palsy ◽  
Thalamic Infarction

Pseudobulbar Palsy, Personality Change, and Ataxia in a 34-year-old Man: A Case Report

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S273-S273
Author(s):  
Stephanie Y. Kim ◽  
Merrie Viscarra
Keyword(s):  
Case Report ◽  
Personality Change ◽  
Pseudobulbar Palsy

scholarly journals Isolated acute pseudobulbar palsy with infarction of artery of percheron: case report and literature review

2021 ◽  
Vol 21 (1) ◽  
pp. 166-71
Author(s):  
Jamir Pitton Rissardo ◽  
Ana Fornari Caprara
Keyword(s):  
Case Report ◽  
Brain Magnetic Resonance Imaging ◽  
Pseudobulbar Palsy ◽  
Clinical Syndromes ◽  
Artery Of Percheron ◽  
Apparent Diffusion ◽  
Tongue Movements ◽  
Swallowing Difficulty ◽  
Gag Reflex ◽  
Hypernasal Voice

Introduction: Pseudobulbar palsy (PBP) is characterized by supranuclear lesions in the corticobulbar pathway. Neoplasia, inflammatory, demyelinating, and stroke are possible etiologies of this disorder. Case report: We report an elderly female who presented with dysarthria. She was dysarthric with a hypernasal voice, no apraxia or aphasia was observed. Tongue movements were slow with limited amplitude. Her soft palate dropped bilaterally; gag reflex was present. Also, she reported swallowing difficulty and choking with her saliva. Bilateral vertical and horizontal gaze were intact to either voluntary or oculocephalic movements. A cranial CT scan was suggestive of artery of Percheron (AOP) infarction. Brain magnetic resonance imaging showed hypersignal on diffusion-weighted and T2-weighted images and hyposignal on apparent diffusion coefficient in both thalami. CT angiography scan revealed an AOP originating from the left posterior cerebral artery. The swallowing study with a videofluoroscopic demonstrated oral and pharyngeal phases with severe dysfunction. Conclusion: To the authors’ knowledge, there are two cases of individuals with artery of Percheron infarction who devel- oped PBP associated with other clinical syndromes. Still, isolated PBP following infarction of Percheron’s artery was not reported. We hypothesized that the PBP may have occurred because of the existence of vascular territory variations in the perforating arteries that arise from the AOP. Keywords: Pseudobulbar palsy; thalamus; infarction.

scholarly journals A Case Report of Isolated Bilateral Cerebral Peduncular Infarction

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Chenguang Zhou ◽  
Yuanhong He ◽  
Xiaorui Tian ◽  
Zhiwen Chao ◽  
Yinghui Zhu ◽  
...  
Keyword(s):  
Case Report ◽  
Eye Movements ◽  
Clinical Manifestation ◽  
Central Portion ◽  
Pseudobulbar Palsy ◽  
Cerebral Peduncle ◽  
Acute Infarction ◽  
Disturbance Of Consciousness ◽  
Consciousness Disturbance ◽  
The Relationship

Isolated bilateral cerebral peduncular infarctions (BCPI) presenting as acute pseudobulbar palsy are rarely reported and, to the best of our knowledge, most of the previous reports of BCPI were related to locked-in syndrome and disturbance of consciousness. Herein, we described a case of a 55-year-old man who presented with acute pseudobulbar palsy and mild tetraparesis, but preserved eye movements, with no consciousness disturbance. DWI revealed an acute infarction involving the central portion of the cerebral peduncle with a characteristic “traditional Chinese eight character” sign. The relationship between the infarcted range in the cerebral peduncle and the clinical manifestation was discussed in our report.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

A Tape-Recorded Therapy Method for Stutterers: A Case Report

1970 ◽  
Vol 35 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Maryann Peins ◽  
Bernard S. Lee ◽  
W. Edward McGough
Keyword(s):  
Case Report

The Use of Real-Time Visual Displays of Speech in the Training of a Profoundly Deaf, Nonspeaking Child: A Case Report

1971 ◽  
Vol 36 (3) ◽  
pp. 397-409 ◽  
Author(s):  
Rachel E. Stark
Keyword(s):  
Case Report ◽  
Real Time ◽  
Speech Production ◽  
Behavior Problem ◽  
Deaf Children ◽  
Developmental Sequence ◽  
Visual Displays ◽  
Individual Instruction ◽  
Academic Record ◽  
Extract Information

Real-time amplitude contour and spectral displays were used in teaching speech production skills to a profoundly deaf, nonspeaking boy. This child had a visual attention problem, a behavior problem, and a poor academic record. In individual instruction, he was first taught to produce features of speech, for example, friction, nasal, and stop, which are present in vocalizations of 6- to 9-month-old infants, and then to combine these features in syllables and words. He made progress in speech, although sign language and finger spelling were taught at the same time. Speech production skills were retained after instruction was terminated. The results suggest that deaf children are able to extract information about the features of speech from visual displays, and that a developmental sequence should be followed as far as possible in teaching speech production skills to them.

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