Jordan F M, Murdoch B E
Department of Speech and Hearing, University of Queensland, Australia.
Brain Inj. 1990 Jan-Mar;4(1):101-8. doi: 10.3109/02699059009026154.
A case is presented of a seven-year-old female who showed an unexpected recovery of functional communication skills following a prolonged period of traumatic mutism subsequent to a severe closed head injury. The patient initially presented as comatose. A period of mutism subsequent to the coma extended for ten months. Following this protracted period of mutism the child demonstrated rapid and unexpected recovery of functional communication skills, despite the persistence of higher level language deficits. The findings of a neurological assessment, neuroradiological assessment and battery of speech/language tests are described. The present case is discussed in light of the existing literature on recovery from paediatric head trauma.
本文报告了一例七岁女性患者,她在严重闭合性颅脑损伤后经历了长时间的创伤性缄默症,但其功能性沟通技能却意外恢复。患者最初呈昏迷状态。昏迷后的缄默期持续了十个月。在这段漫长的缄默期之后,尽管仍存在较高水平的语言缺陷,但患儿的功能性沟通技能却迅速且意外地恢复了。文中描述了神经学评估、神经放射学评估以及一系列言语/语言测试的结果。本文结合现有的关于小儿头部创伤恢复的文献对该病例进行了讨论。