Spontaneous upper limb monoplegia secondary to probable cerebral amyloid angiopathy

Cerebral amyloid angiopathy is a clinicopathological disorder characterised by vascular amyloid deposition initially in leptomeningeal and neocortical vessels, and later affecting cortical and subcortical regions. The presence of amyloid within the walls of these vessels leads to a propensity for primary intracerebral haemorrhage. We report the unusual case of a 77-year-old female who presented to our emergency department with sudden onset isolated hypoaesthesia and right upper limb monoplegia. A CT scan demonstrated a peripheral acute haematoma involving the left perirolandic cortices. Subsequent magnetic resonance imaging demonstrated previous superficial haemorrhagic events. One week following discharge the patient re-attended with multiple short-lived episodes of aphasia and jerking of the right upper limb. Further imaging demonstrated oedematous changes around the previous haemorrhagic insult. Cerebral amyloid angiopathy is an overlooked cause of intracerebral haemorrhage; the isolated nature of the neurological deficit in this case illustrates the many guises in which it can present

Investigating mobile technology resources for integration: The Technology-Pedagogy-Language-Culture (TPLC) Model

Acquiring language and culture of the host society are essential prerequisites for integration. As many migrants have smartphones, they can be used for integration purposes. In this study, mobile applications (apps) for Swedish language training, information about host society and contacts with locals targeted at newly arrived Arabic migrants are analysed. With focus on language and cultural training we developed a model for evaluation that takes into account both Technological, Pedagogical, Linguistic and Cultural aspects. The TPLC-model for evaluation shows that language training as well as translation and vocabulary apps dominate the Swedish market, while societal information is largely absent. Most of the analysed apps are technically reliable, free of charge and available for Android or both Android and iOS. However, in regard to the pedagogical aspects, the apps demonstrate a focus on traditional pedagogical approaches with basic vocabulary training and similar, while more active learning and pronunciation and speaking activities are less common. The latter can, together with expansion of intercultural communication, be areas for further development in mobile learning for integration purposes