[language Evaluation In Children With Bilateral Cerebrovascular Disease: Study Of Two Cases].

We describe two children, aging 5 years and 6 months and 5 years and 10 months respectively, when the phonoaudiological assessment was conducted. Both children presented bilateral cerebrovascular disease (CVD), confirmed in the acute phase by means of clinical and image neurological test. During this phase, the two patients were examined by a pediatric neurologist of the Pediatric Neurology Discipline of FCM/UNICAMP, pediatric CVD ambulatory. Audiologic Assessment, Protocol for Infant Language Assessment, and Peabody Picture Vocabulary Test were used in the evaluations. The qualitative analysis of the two subjects from a phonoaudiological and neurological point of view has shown the recovery of adquired language disturbance with no influence whatsoever in the development of the first subject and subtle language and/or learning process alterations for the second subject. The cases study has revealed that the predominant aspects should be analyzed in an individual, quantitative, and qualitative basis to lead to conclusive findings.62911-

Disturbio adquirido de linguagem em crianças com doença cerebrovascular : aquisição de linguagem em lactentes e pre-escolares

Orientador : Maria Valeriana L. de Moura-RibeiroDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: A Doença Cérebrovascular (DCV) é uma das causas do Distúrbio Adquirido de Linguagem (DAL), acometendo entre outras funções mentais superiores, a linguagem. A literatura especializada nos mostra quadros de DAL sem caracterizar os subsistemas lingüísticos alterados nos sujeitos avaliados. Assim, objetivou-se nesta pesquisa a avaliação de linguagem contendo subsistemas fonético-fonológicos, morfossintáticos, semântico lexicais, pragmáticos e discursivo narrativos, incluindo também as noções perceptivacognitivascom o intuito de considerar os pré-requisitos para posterior aquisição da leitura e escrita favorecendo um mellior desempenho escolar. Buscou-se caracterizar o diagnóstico de DAL considerando a assimetria hemisférica precoce para linguagem em hemisfério esquerdo, paralelamente a comunicação pré-verbal como início do desenvolvimento da linguagem na criança. Foram avaliadas 10 crianças, sendo 5 sujeitos experimentais e 5 pareadas como controles, na ocasião da avaliação fonoaudiológica proposta estavam com a idade cronológica até 5 anos e 11 meses, formando um grupo pré-escolar. No grupo experimental (GE), 4 sujeitos são do sexo masculino e 1 do sexo feminino, e o grupo controle (GC) foi pareado em sexo, faixa etária e idade com o GE. No GE, 2 sujeitos tinham lesões no hemisfério esquerdo (SI e S5), um no hemisfério direito (S4) e dois com lesões bilaterais (S2 e S3). A DCV foi do tipo isquêmicaem SI, S2, S3 e S5 e hemorrágica em S4, confinnado na fase aguda através de exame neurológico clínico e de imagem, todos atendido nesta fase por médico neurologista infantilda Disciplina de Neurologia Infantil da FCMlUNICAMP. Todos os pacientes tiveram triagem audiológica indicativos de limiares normaIS. Na análise qualitativa dos 5 sujeitos experimentais do ponto de vista fonoaudiológico através da aplicação de protocolos, provas e testes padronizados de linguagem e para avaliação neurológica, por meio de exame neurológico com complementação de exames laboratoriais em líquidos orgânicos e exames de imagem, foi possível realizar diagnósticos e correlacioná-Iosem todos os sujeitos. Nosso estudo mostrou que a recuperação do DAL em 5 cnanças que apresentaram DCV avaliados na idade pré-escolar revelou comprometimentos da linguagemobjetivos e sutis nos processos de aprendizagemAbstract: Cerebrovascular Disease (CVD) is an Acquired Aphasia in Children etiology (AAC), because can deteriorate among other abilities, the language. The AAC literature shows us language assessments without details of linguistic elements. Our objectives in this research was described the language evaluation with phonetic-phonological, syntactic, semantic lexical, pragmatic and discursive narrative characteristics. We also evaluated perceptive-cognitive notions to consider the basis for subsequent acquisitionof reading and writing favoring a better school development. It was looked for AAC diagnostic characteristics considering the precocious language hemispherical asymmetry in left hemisphere, paraliel to pre -verbal communication as beginning of language development children. We evaluated 10 children, being 5 experimental subjects and 5 controls, they were chronological age until 5 years and 11 months in language evaluation, composing a preschool group. In the experimental group (eG), 4 subjects are male and 1 female, and the control group (cG) respected same sex and age of eG. In eG, 2 subjects had lesions in the left hemisphere (SI and S5), one in the right hemisphere (S4) and two with bilaterallesions (S2 and S3). CVD was ischaemic type in SI, S2, S3 and S5 and haemorrhagic in S4, confirmed in the acute phase through clinical neurological exam and image. Ali children were assisted in this phase by child neurologist of the Discipline of Child Neurology of FCMIUNICAMP. Ali patients has normal thresholds hearing. In the qualitative ana1ysisof language for 5 children through the application of protocols, proofs and standardized tests of language and for neurological evaluation, through neurological exam with complementation of laboratory in organic liquids and imageexams, it was possible to accomplish diagnostics and correlate them in ali subjects. Our study showed that recovery of AAC in 5 children with CVD in preschool age revealed specificslanguage compromisingin learning processesMestradoCiencias BiomedicasMestre em Ciências Médica

Doença cérebrovascular: aquisição da linguagem em criânças e pré escolares

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[cerebrovascular Disease: Language Acquisition In Preschool Children].

We describe ten children, aging 5 years and 1 month until 5 years and 11 months, when the phonoaudiological assessment was conducted. They are divided according to cerebrovascular disease, in CVD group (CVD-G) and control group (cG). Children were seen and CVD was confirmed in the acute phase at UNICAMP hospital. Audiologic assessment, protocol for Infant language assessment, and Peabody picture vocabulary test were used in the evaluations. The qualitative analysis of the subjects from a phonoaudiological and neurological point of view has shown the recovery of acquired language disorder (ALD) with no influence whatsoever in the development of 2 subjects and subtle language and/or learning process alterations for 3 subjects. The cases study has revealed that all aspects of language development in preschool children should be analyzed in an individual, quantitative, and qualitative basis to lead to conclusive findings.63807-1