モヤモヤ病発症後，重篤な麻ひ性構音障害をきたした２症例　臨床像と文字言語の獲得

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  • Clinical findings for and acquisition of written language in two children having severe dysarthria with MoyaMoya disease.
  • ―臨床像と文字言語の獲得―

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For several years the author followed two children having severe dysarthria with MoyaMoya disease. The present study reports the clinical findings of these cases, and is particularly concerned with the acquisition of written language after infantile cerebrovascular accident. The most characteristic finding was that both patients had suffered from pseudobulbar paralysis, with the degree of paralysis including feeding difficulty. Facial weakness and dysarthria did not improve over a long time and caused protrusive deformity in the dental arch. The patients communicate with vowel utterance and use a written-language supplementary.<BR>These two cases suggest that the development of written language is not always dependent upon ability of articulation. It is presumed that acquisition of written language would relate to a specific pattern of covert oral behavior which corresponds to the phoneme.

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