Rehabilitation of Communication Disorders in Children with Acquired Higher Brain Dysfunctions. Communication Disorders Following Traumatic Brain Injury in Childhood: A Case Study of Frontal Lobe Dysfunction.

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  • TAMAI Fumi
    Department of Communication Sciences and Disorders, Hiroshima Prefectural College of Health Sciences

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  • 小児の後天性高次脳機能障害によるコミュニケーション障害とその指導　　脳外傷による小児のコミュニケーション障害　　前頭葉障害の１例の回復経過
  • ノウ ガイショウ ニ ヨル ショウニ ノ コミュニケーション ショウガイ ゼントウヨウ ショウガイ ノ 1レイ ノ カイフク カテイ

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Abstract

This paper reports on the treatment and process of recovery of a patient who sustained severe, traumatic brain injury at eleven years of age and was suffering from communication and behavioral disorders. MRI demonstrated extensive lesions in the bilateral frontal lobe. One year after the injury, the patient continued to show attention deficits, difficulty in initiating communication and movement, and simple and repetitive reactions to external stimulus in both behavior and conversation. The patient showed no signs of aphasia but tended toward rapid utterances, the repetition of words or parts of words as in stuttering, and perseveration in writing and drawing. The patient demonstrated fair to good improvement in behavior and communication but continued to show deficits three years after the accident. This case suggests the importance of carrying out treatment for a child with bilateral frontal lesions within a framework incorporating treatment for both behavior and communication disorders.

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