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Post-Traumatic Epilepsy Case Summary

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Sherman, a mid-50s male, has come in today experiencing reading difficulty. Patient suffered a head injury 30 years ago that caused post-traumatic amnesia and residual right-sided hemiparesis for two weeks. Patient also reports being neglectful in taking phenobarbital to control his somewhat severe seizures and that the right-sided hemiparesis has increased leading to a facial droop. Prior to the seizures, the patient reports that he was an active reader; currently, the patient reports that he can read high-frequency familiar words that follow phonetic rules (and, it, boy) with minimal difficulty, but has problems with low-frequency irregular words. When asked to read words such as “colonel,” patient relied heavily on sounding them out, letter-by-letter.

Due to the patient having still experiencing seizures from a traumatic brain injury more than thirty years ago, the most accurate diagnosis would be Posttraumatic Epilepsy (4)(6). If Posttraumatic Epilepsy goes untreated, prolonged seizures will ensue, causing brain damage (4)(6). The patient also has obvious language disability whereby he only has difficulty reading and enunciating words that do not follow orthographic rules, such as, “colonel” and “yacht;” normal words such as “boy” he has no problem with. Pronouncing words that do not …show more content…

When this area is damaged, the resulting effect would be that the reader is unable to pick up grammatical nuances within text (2)(11)(13). The Arcuate Fasciculous acts as intermediary between Broca’s and Wernicke’s areas, helping an individual to articulate words and phrases that might not make sense (such as pronouncing colonel as “Ker-nul”) (1)(7). When the Arcuate Fasciculous is damaged, patients develop difficulty with pronouncing irregular words, such as those mentioned above, and often times develop phonological dyslexia

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