Introduction: Acute cerebellitis is one of the main causes of cerebellar syndrome in infancy. Among the wide range of manifestations, headache and ataxia being the most predominant, we can find other less frequent, although nonetheless interesting, ones, such as language disorders, which go beyond the well-known cerebellar dysarthria. The different combinations in which the symptoms can appear, especially when not accompanied by ataxia, make the condition a real challenge for the clinician. Case reports: Two patients, aged 2 and 4 years, with clinical features, lab tests and neuroimaging results consistent with parainfectious acute cerebellitis. Both of them also presented a striking language disorder, one in the form of cerebellar mutism and the other in the form of hypofluency and agrammatism, the latter also developing in the absence of ataxia. Both cases progressed favourably, and mild speech alterations persisted in the follow-up visits.

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Introduction: Advances in neuroimaging techniques have sparked a growing interest in the study of the cerebellum and its role in the cognitive processes. It is becoming increasingly clear that there is a relationship between this organ and linguistic production, and between pathologies of the cerebellum and some language disorders, such as cerebellar dysarthria.

Aims: To review the contribution made by the cerebellum to the linguistic functions, to analyse the language disorders that derive from cerebellar diseases and to propose the use of speech therapy intervention in conditions of this kind.

Development: An analysis is performed to determine the role of the cerebellum as a modulator in language, of cerebellar dysarthria, of the aetiological factors and of the clinical manifestations that can be observed in verbal production.

Procedures for functional assessment and the contents of speech therapy treatment are proposed. Conclusions: The acquisition of language in early childhood is conditioned by, among other things, the anatomical shaping and neurophysiological activity of the cerebellum. Alterations affecting the development of the structure of the cerebellum, as well as the pathologies and neurophysiological dysfunctions affecting it, can lead to language disorders. The speech therapist's diagnosis must be used to start treatment as early as possible, which will affect the perceptive organisation, motor skills, cognitive profile and linguistic competencies.

The work programme will be drawn up in a global and interdisciplinary manner. The intervention of family members and their participation in the therapeutic process will make an invaluable contribution to have positive recovery environments. Title: Cerebelo y lenguaje: intervencion logopedica en sus trastornos. Los avances en las tecnicas de neuroimagen han propiciado un creciente interes por el estudio del cerebelo y su participacion en los procesos cognitivos.

Es cada vez mas evidente la relacion que existe entre este organo y la produccion linguistica, y entre las patologias cerebelosas y determinados trastornos del lenguaje, como la disartria cerebelosa. Revisar la contribucion del cerebelo a las funciones linguisticas, analizar los trastornos del lenguaje que derivan de las enfermedades cerebelosas y plantear la intervencion logopedica en este tipo de afectaciones.

Se realiza un analisis de la funcion moduladora del cerebelo en el lenguaje, de la disartria cerebelosa, de los factores etiologicos y de las manifestaciones clinicas observables en la produccion verbal. Se plantean los procedimientos para la valoracion funcional y los contenidos del tratamiento logopedico. La adquisicion del lenguaje en la infancia esta condicionado, entre otros aspectos, por la conformacion anatomica y la actividad neurofisiologica del cerebelo. Las alteraciones en el desarrollo de la estructura cerebelosa, las patologias y las disfunciones neurofisiologicas de este pueden ocasionar trastornos del lenguaje.

El diagnostico logopedico ha de servir para iniciar lo mas pronto posible el tratamiento, que incidira en la mejora de la organizacion perceptiva, las habilidades motrices, el perfil cognitivo y las competencias linguisticas.

El programa de trabajo se planteara de manera global e interdisciplinar. La intervencion familiar y su participacion en el proceso terapeutico sera una contribucion de gran valor para contar con entornos de recuperacion positivos.

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Cite Favorites. Abstract in English , Spanish. Similar articles Language and the cerebellum. Handb Clin Neurol. PMID: Review. The enigmatic linguistic cerebellum: clinical relevance and unanswered questions on nonmotor speech and language deficits in cerebellar disorders. Cerebellum Ataxias. The cerebellum and language: the story so far. De Smet HJ, et al. Folia Phoniatr Logop. Cerebellar disorders in childhood: cognitive problems. Steinlin M. Epub Dec 5. Cognitive, linguistic and affective disturbances following a right superior cerebellar artery infarction: a case study.

Epub Mar 2. PMID: Show more similar articles See all similar articles. Publication types English Abstract Actions. Child Actions. Humans Actions. Copy Download.


[Language Disorders in Acute Cerebellitis: Beyond Dysarthria]

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[Cerebellum and Language: Speech Therapy Intervention to Treat Their Disorders]




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