Burile Ghanishtha C, Harjpal Pallavi, Arya Neha P, Seth Nikita H
Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Feb 7;16(2):e53793. doi: 10.7759/cureus.53793. eCollection 2024 Feb.
There is a complex link between tuberculous meningitis (TBM) and aphasia, in which a language impairment is caused by an injury to the cortical language centre. The parts of the brain that function for speech and language production are the Wernicke's, Broca's, and arcuate fasciculus regions. This case report mainly highlights the neurological consequences of TBM, and how it affects language and speech functioning. It outlines a comprehensive physiotherapy rehabilitation program that targets a range of issues for the patient, such as verbal output, weakness, motor deficits, articulation issues in speech, and coordination issues. Various treatment modalities can help correct weakness, improve balance and coordination, increase flexibility and range of motion (ROM), and make speech more fluent. The case report emphasizes the necessity of using an integrated approach that combines speech-language therapy (SLT), melodic intonation therapy (MIT), constraint-induced aphasia therapy (CIAT), medication treatments, and physical therapy to address the multifaceted impacts of TBM-induced aphasia on a patient's quality of life (QOL).
结核性脑膜炎（TBM）与失语症之间存在复杂的联系，失语症是由皮质语言中枢受损导致的语言障碍。大脑中负责言语和语言产生的部分是韦尼克区、布洛卡区和弓状束区域。本病例报告主要强调了TBM的神经学后果，以及它如何影响语言和言语功能。它概述了一个全面的物理治疗康复计划，该计划针对患者的一系列问题，如言语输出、虚弱、运动缺陷、言语发音问题和协调问题。各种治疗方式有助于纠正虚弱、改善平衡和协调、增加灵活性和关节活动范围（ROM），并使言语更流畅。该病例报告强调了采用综合方法的必要性，这种方法结合了言语语言治疗（SLT）、旋律语调疗法（MIT）、强制性失语症治疗（CIAT）、药物治疗和物理治疗，以解决TBM诱发的失语症对患者生活质量（QOL）的多方面影响。
