Public Transport - Effectivity of Costs and a Specific Case Description

Objective Current recommendations for cochlear hydrops treatment include systemic glucocorticoids and diuretics. Cochlear cells express dopamine receptors, although their role is unknown in the pathophysiology of cochlear hydrops. Case Description We report the case of remission of recurrent right-sided cochlear hydrops in a young male patient treated with bromocriptine due to pituitary macroprolactinoma. Transient improvement was observed after oral steroid and diuretic treatment, but cochlear hydrops recurred until the dose of bromocriptine was increased to 10 mg daily. Conclusion Bromocriptine may stimulate dopamine receptors in cochlear cells with potential therapeutic role in patients with cochlear hydrops. There are no widely accepted and effective treatments for endolymphatic hydrops, and identifying potential new and efficacious therapeutics is of high relevance.

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Training Methods With Clinicians and Students—A Personal Story and Change: Narrative Therapy for Stuttering

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd18.1.37 ◽

2008 ◽

Vol 18 (1) ◽

pp. 37-42 ◽

Cited By ~ 1

Author(s):

Margaret Leahy

Keyword(s):

Narrative Therapy ◽

Evidence Based Practice ◽

Theoretical Background ◽

Evidence Based ◽

Training Methods ◽

Sense Of Control ◽

Case Description ◽

General Outline ◽

Personal Story ◽

Fluency Disorders

Abstract Educating students and informing clinicians regarding developments in therapy approaches and in evidence-based practice are important elements of the responsibility of specialist academic posts in universities. In this article, the development of narrative therapy and its theoretical background are outlined (preceded by a general outline of how the topic of fluency disorders is introduced to students at an Irish university). An example of implementing narrative therapy with a 12-year-old boy is presented. The brief case description demonstrates how narrative therapy facilitated this 12-year-old make sense of his dysfluency and his phonological disorder, leading to his improved understanding and management of the problems, fostering a sense of control that led ultimately to their resolution.

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The Labeling Problem in Aphasia

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.5102.176 ◽

1986 ◽

Vol 51 (2) ◽

pp. 176-180 ◽

Cited By ~ 10

Author(s):

Audrey L. Holland ◽

Davida Fromm ◽

Carol S. Swindell

Keyword(s):

Speech Disorders ◽

Case Description ◽

Test Results ◽

Apraxia Of Speech ◽

Poor Agreement ◽

Motor Speech ◽

Motor Speech Disorders ◽

Communication Difficulties ◽

Token Test ◽

Primary Problem

Twenty-five "experts" on neurogenic motor speech disorders participated in a tutorial exercise. Each was given information on M, a patient who had communication difficulties as the result of stroke, and asked to complete a questionnaire about his problem. The information included a detailed case description, an audiotape of M's speech obtained at 4, 9, 13, and 17 days post-stroke, and test results from the Western Aphasia Battery, the Token Test, and a battery for apraxia of speech. The experts were in excellent agreement on M's primary problem, although it was called by seven different names. The experts were in poor agreement on his secondary problem(s), e.g., the presence and type of aphasia and dysarthria. The results suggest that labeling is difficult, even for "experts." Furthermore, the practicing clinician needs to be sensitive to the likelihood of more than one coexisting problem.

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