How should we redesign our body?
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Biomedical subjects
Publications and source records attributed to L A Golper.
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The anterior operculum syndrome (AOS) is a well-defined clinical entity that has received little attention in the English literature. We report the clinical and CT findings in 3 cases of AOS; 2 were caused by bilateral cerebral infarctions secondary to bilateral internal carotid occlusion and 1 by the residual effects of viral encephalitis. Although there was variability in the range of deficits found in our cases, each of these patients presented with characteristic facio-pharyngo-glosso-masticatory diplegia with a dramatic automatic-voluntary movement dissociation. This syndrome deserves attention for its characteristic anatomic and prognostic implications.
In the neurologic literature there has been a growing recognition of a syndrome of focal cranial dystonias referred to variously as blepharospasm-oromandibular dystonia, Brueghel's syndrome, or Meige's syndrome. Typically, this syndrome presents as an isolated and idiopathic dystonia of facial or oromandibular muscles occasionally prompting a referral to a speech pathologist. Our findings in a group of 10 patients with this diagnosis are presented, and the negligible effect of an intensive program of speech management for one subject is described.
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This study evaluated the propriety of decisions by aphasic adults to avoid or to return to driving following a cerebrovascular accident. A comparison was made of a rehabilitation team's assessments of driving skills with a group of 10 aphasic adults who had chosen to return to driving without professional consultation and 10 aphasic adults who had not returned to driving. The Fisher Exact Probability Test found that the team-assigned driver and nondriver groupings agreed with the patients' own groupings with the relationship significant at p less than 0.005. This suggested patients had appropriately judged their own compentency to drive. Discriminant analysis of variables tested by the team suggested language performance alone was not the most cogent indicator for driving candidacy.