PDF(Pubmed)
Abstract：
There is a complex link between tuberculous meningitis (TBM) and aphasia, in which a language impairment is caused by an injury to the cortical language centre. The parts of the brain that function for speech and language production are the Wernicke\'s, Broca\'s, and arcuate fasciculus regions. This case report mainly highlights the neurological consequences of TBM, and how it affects language and speech functioning. It outlines a comprehensive physiotherapy rehabilitation program that targets a range of issues for the patient, such as verbal output, weakness, motor deficits, articulation issues in speech, and coordination issues. Various treatment modalities can help correct weakness, improve balance and coordination, increase flexibility and range of motion (ROM), and make speech more fluent. The case report emphasizes the necessity of using an integrated approach that combines speech-language therapy (SLT), melodic intonation therapy (MIT), constraint-induced aphasia therapy (CIAT), medication treatments, and physical therapy to address the multifaceted impacts of TBM-induced aphasia on a patient\'s quality of life (QOL).
摘要：
结核性脑膜炎（TBM）和失语症之间存在复杂的联系，其中语言障碍是由皮质语言中心的损伤引起的。大脑中用于言语和语言产生的部分是韦尼克的，Broca\'s,和弓形束状区域。此病例报告主要强调了TBM的神经系统后果，以及它如何影响语言和言语功能。它概述了一个全面的物理治疗康复计划，针对患者的一系列问题，例如口头输出，弱点,运动障碍,言语中的衔接问题，协调问题。各种治疗方式可以帮助纠正虚弱，改善平衡和协调，增加灵活性和运动范围(ROM)，让演讲更流畅。病例报告强调了使用结合言语语言治疗（SLT）的综合方法的必要性，旋律语调疗法（MIT），限制性失语症治疗(CIAT)，药物治疗,和物理治疗，以解决TBM引起的失语症对患者生活质量（QOL）的多方面影响。
