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Volume 25 (1984)
- Issue 4 Pages 269-
- Issue 3 Pages 181-
- Issue 2 Pages 127-
- Issue 1 Pages 1-
Volume 25, Issue 2
Displaying 1-5 of 5 articles from this issue
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Fusako Aizawa, Katsuhiko Ibayashi, Motoyoshi Yamazaki, Yoji Onishi1984 Volume 25 Issue 2 Pages 127-132
Published: April 25, 1984
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSTo date, the dominant posterior boundary zone has generally been considered as the pathological site of transcortical sensory aphasia. Recently, however, we experienced a case that showed transcortical sensory aphasia accompanied by symptoms of left anterior cerebral artery occlusion.
The right-handed patient suffered minimal speech disturbance and mild right hemiparesis about 40 days before a complete stroke. The first CT scan before the stroke showed an unmargined low-density area in the left temporo-occipital region in the territory of the posterior cerebral artery. Then, the patient suffered a complete stroke of the right hemiparesis with crural predominance, accompanied by severe aphasia. The diagnosis of transcortical sensory aphasia was made as a result of the standard language test for aphasia.The second CT scan showed a low-density area in territories of the left anterior cerebral artery as well as the left posterior cerebral artery. The patient died of a maxillary tumor after 1.5 years.
The finding of the autopsy pointed to old infarct of the territories of the left anterior and posterior cerebral arteries, as well as mild left cerebral atrophy due to thrombus of the left internal carotid artery. Because of the simultaneous occurrence of transcortical sensory aphasia and the symptoms of the anterior cerebral artery occlusion, we considered the infarct of the territory of the anterior cerebral artery as the pathological site of the transcortical sensory aphasia for this case.View full abstractDownload PDF (8241K) -
Hiroshi Watanabe, Sohtaro Komiyama, Shuichiro Kannae, Atsuko Noguchi, ...1984 Volume 25 Issue 2 Pages 133-139
Published: April 25, 1984
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESS1. The regulatory mechanism of phonation modality in patients with mild voice disorders was studied and shown as changes of pitch : mean flow rate and intensity : mean flow rate on a cathode ray oscilloscope via phonation analyzer SK-80.
2. The result was that adult patients with singers' nodules tried to vocalize by making the intensity stronger rather than by making the pitch higher, in order to lessen the excessive flow volume during vocalization.
3. Infants with laryngeal nodules reduced the loss of expiratory flow by making the pitch higher rather than by making the intensity stronger.
Simultaneous changes of modality were also found in patients with chronic laryngitis or mild recurrent nerve paralysis.
4. We were unable to determine whether the pitch or intensity dominant states caused a vicious circle, that is whether the states themselves caused the abnormalities to worsen.View full abstractDownload PDF (4966K) -
Masako Notoya, Shigetada Suzuki1984 Volume 25 Issue 2 Pages 140-146
Published: April 25, 1984
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSThe training process of a severely hearing-impaired infant was reported. Acquisition of vocabulary, sentences and function words in oral language and written language were described from age 26 to 79 months. The effects of the written language on oral language development were discussed.
The main results were as follows:
1) Written language was easier to learn than oral language.
2) Written language was transfered to oral language. The development of oral language overtook that of written language after 60 months.
3) The combined number of receptive vocabulary words was about 4, 000 for written and oral language by 79 months. The number of expressive words was about 3, 000 in oral language by the same age.
4) The subject showed much the same language development as that of normally hearing children in terms of vocabulary, sentences and function words at the age 72 months.
These results suggest that teaching the written language to the hearing-impaired in early life not only provides a high level of literacy but also serves to promote the oral language.View full abstractDownload PDF (859K) -
Masako Abe, Masayuki Sawashima1984 Volume 25 Issue 2 Pages 147-154
Published: April 25, 1984
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSThis paper reports our clinical experience with 46 cases of congenital palatal paralysis, which is a type of congenital velopharyngeal incompetence without overt structural abnormality.
The results were summarized as follows.
1) Parents were aware of the patient's speech disorder at 2-3 years old, and visited many hospitals. Treatment was delayed, however, because of difficulty in diagnosis.
2) Many cases with palatal paralysis also had other malformations, and showed nasal flow of milk. Their early speech development too was slightly delayed.
3) The patients had many articulation disorders, especially hypernasality, nasal distortion of consonants and glottal stops. They showed fewer abnormal palatalized articulations than cases of cleft palate.
4) Pharyngeal flap operations were performed in order to improve velopharyngeal closure.Postoperatively, a long time was required before hypernasality disappeared. In some patients, slight hypernasality or hyponasality remained even after the operation. These results indicated the difficulty in the surgical control of the velopharyngeal function in this particular type of cases.
5) Articulation disorders were corrected by articulation training after the operation. The results of this training were similar to those of cases with cleft palate and functional speech disorders.View full abstractDownload PDF (1093K) -
[in Japanese]1984 Volume 25 Issue 2 Pages 155-168
Published: April 25, 1984
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSDownload PDF (1363K)
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