[Long-term outlook of patients with severe craniocerebral trauma treated in Lausanne's Rehabilitation Service].
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Biomedical subjects
Publications and source records attributed to F Thuillard.
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A 60 year-old patient in whom spontaneous language was abolished still had a marked capacity for completing phrases and an irrepressible echolalia. From a formal point of view, linguistic ability remained at a high level. Auditory verbal comprehension was severely affected, but was not completely abolished. There was occipital blindness. Pathologic examination reveated extensive bilateral lesions in the regions supplied by the anterior and posterior cerebral arteries. Bilateral destruction of the supplementary motor areas was noted, but the perisylvian language areas were intact. These disorders constitute a syndrome of isolation of language areas which can be used to study anatomical correlations and particularly the role of the supplementary motor area in linguistic and paralinguistic processes.
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We have followed up the very severe memory troubles of a 12 year old girl after a craniopharyngiomectomy. We discuss the interest of this observation referring in particular to age, since the amnesic syndrome of the child is a little documented area. A tumoral etiology for an amnesic syndrome is rare. In most of such cases craniopharyngioma is at the origin of mnesic troubles in the adult. When craniopharyngioma is quite frequent in the child, an amnesic syndrome is rarely observed.