Speech-language and neuropsychological disorders in a case of neurosyphilis
DOI:
https://doi.org/10.33448/rsd-v10i12.20282Keywords:
Neurosyphilis; Evaluation; Adult; Language; Speech.Abstract
The neurosyphilis affects the Central Nervous System and can cause a number of prejudices including language, speech, orofacial and praxis. The present study aimed at describe a clinic case of a young patient with neurosyphilis and the alterations in the speech, language and neuropsychological evaluations. RSS, male, 22 years old, 11 years of education, was sent to evaluation with history of paresthesia, muscular strength loss and progressive cognitive decline. The evaluation was made through the Mini-Mental Status Examination, Montreal-Toulouse Language Assessment Battery, ASHA-FACS, Apraxia Speech Assessment Protocol and the Brief Neuropsychological Assessment Battery - NEUPSILIN. The patient presented low performance in all the evaluations. Being diagnosed with apraxia of speech, hypokinetic dysarthria and linguistic and extralinguistic disorders. It is important that for the diagnosis and adequate therapeutic planning, all the difficulties of neurological alterations are known and how much the patient is affected by these symptoms.
References
American Psychiatric Association. (2014). Manual diagnóstico e estatístico de transtornos mentais. DSM-5. Artmed.
Beauchemin, P. & Laforce Jr., R. (2014). Neurocognitive Changes in Tertiary Neurosyphilis: A Retrospective Chart. ReviewCan J Neurol Sci.; 41: 452- 8.
Czarnowska-Cubała, M., Wiglusz, M. S., Cubała, W. J., Jakuszkowiak-Wojten, K., Landowski, J. & Krysta, K. (2013). MR findings in neurosyphilis – a literature review with a focus on a practical approach to neuroimaging. Psychiatria Danubina; 25(2), 153–7.
Engelhardt, E. (2010). Rapidly progressive dementias. A brief review. Revista Brasileira de Neurologia. 46(2).
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res.; 12:189-98.
Fonseca, R. P., Salles, J. F. & Parente, M. A. M. P. (2009). Instrumento de Avaliação Neuropsicoplógica Breve - NEUPSILIN. Vetor.
Frattali, C. M., Thompson, C. K., Holland, A. L., Wohl, C. & Ferketic, M. M. (1995). Functional Assessment of Comunication Skills for Adults (ASHA FACS). Rockville (MD): American Speech-Language-Hearing Association.
Gatchel, J., Legesse, B., Tayeb, S., Murray, E. & Price, B. (2015). Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis. GenHosp Psychiatry.; 37(5):459-63.
Kirk, C. & Vigeland, L. (2014). A Psychometric Review of Norm-Referenced Tests Used to Assess Phonological Error Patterns. Language, Speech, and Hearing Services in Schools, 45, 365–377.
Kochhann, R., Varela, J. S., Lisboa, C. S. M. & Chaves, M. L. F. (2010). The Mini Mental State Examination: Review of cutoff points adjusted for schooling in a large Southern Brazilian sample. Dement. neuropsychol.; 4(1): 35-41.
Martins, F. C. & Ortiz, K. Z. (2004). Proposta de protocolo para avaliação da apraxia da fala. Fono Atual.; 7(30):53-61.
Martins, F. C. & Ortiz, K. Z. (2009). The relationship between working memory and apraxia speech. Arq Neuropsiquiatr.; 67(3-B): 843-48.
Melle, N. (2007). Guía de intervención logopédica en la disartria. Madrid: Síntesis.
Noonan, K. A., Pryer, L. R., Jones, R. W., Burns, A. S. & Lambon Ralph, M. A. (2012). A direct comparison of errorless and errorful therapy for object name relearning in Alzheimer’s disease. Neuropsychol Rehabil.; 22:215-34.
Parente, M. A. M. P., Fonseca, R. P., Pagliarin, K. C., Barreto, S. S., Soares-Ishigaki, E. C. S., Hübner, L. C., Joanette, Y., Nespoulous, J. & Ortiz, K. C. (2016). Bateria Montreal-Toulouse de Avaliação da Linguagem – Bateria MTL-Brasil. Vetor Editora.
Peixoto, Y. K. M., Lopes, P. C., Matiles, R. S., Ramos, F. P., Leite, S. A. & Mendes, R. F. (2019). Neurossífilis: Uma revisão da literatura evidenciando a clínica. V Seminário Científico e IV Jornada de Iniciação Científica do UNIFACIG.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.
Rohder, J. D., Rossor, M. N. & Warren, J. D. (2010). Syndromes of nonfluent primary progressive aphasia: a clinical and neurolinguistic analysis. Neurology; 75(7):603-10.
Rouse, M. H. (2020). Neuroanatomy for speech-language pathology and audiology. (2a ed.), Jones & Bartlett Learning.
Shriberg, L. D., Fourakis, M., Hall, S., Karlsson, H., Lohmeier, H. L. & McSweeny, J. L. et al. (2010). Extensions to the Speech Disorders Classification System (SDCS). Clin Linguist Phon.;24(10):795-824.
Spencer, K. A. & Rogers, M. A. (2005). Speech motor programming in hypokinetic and ataxic dysarthria. Brain; 94:347-66.
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