Special Topics Flashcards
The following surgical procedure for pts with a cleft palate includes a substance that is impanted or injected into the posterior pharyngeal wall to make it bulge
A pharyngoplasty
A substance (silicone, teflon, or cartilage) may be injected or implanted into the PPW to make it bulge. The bulge helps pt achieve improved VP closure so they sound less hyper nasal when speaking
A six-year old girl, Vanessa, has been referred to you. Her parents state that she was a happy, typically-developing child with excellent verbal language skills. They report that she was an early and precocious reader with many friends. However, about a month ago, she began acting aggressive and hyperactive. She seemed to “fall off a cliff, in the parents’ words, in her language skills. She was not able to comprehend what she heard and she stopped reading and speaking. They share that they are very worried and have been consulting with Vanessa’s physician. Given the description, you suspect that Vanessa has:
Landau-Kleffner syndrome
LKS is a rare childhood neurological disorder wherein formerly healthy, typical children lose their ability to comprehend language and then speak it.
This loss and resulting aphasia can be gradual or sudden
Offen develop co occuring disorders: depression, hyperactivity, aggressiveness
Unknown cause
Occurs around 3-7 yrs
You are evaluating a 3-year-old child whose parents have concerns about his social aspects of communication, frequent echolalia, and perseverations. His parents mentioned that he frequently talks to himself, has anxiety, and displays hyperactive behavior. These concerns are evident throughout your evaluation. You notice that he has difficulty attending to tasks and has limited eye contact. Upon observation, you see that his facial features are characterized by a high forehead, large jaw, and pinnas which are atypically formed. Following your evaluation, you refer this child and his family to a geneticist to rule out the possibility of a genetic syndrome. The patient most likely presents with:
Fragile X syndrome
Fragile X syndrome manifest pragmatic disorders, anxiety, limited eye contact, and hyperactivity
