Biopercular lesions and acquired mutism in a young patient.
A 13-year-old patient developed complete mutism and buccofacial apraxia following toxic vasculitis due to a yellow scorpion sting. Language functions were preserved. A CT scan disclosed mainly biopercular infarcts. It is suggested that the lost control of vocalization and speech is associated with biopercular lesions and that a preserved right opercular region can take over this function in the presence of damage to homologous left opercular region.
Loewenstein Rehabilitation Hospital Ra'anana, Israel.
Z
Z
Groswasser
I
I
Groswasser-Reider
C
C
Korn
D000293:Adolescent; D000818:Animals; D001072:Apraxias / Q000000981:diagnostic imaging / Q000209:etiology*; D001925:Brain Damage, Chronic / Q000000981:diagnostic imaging / Q000209:etiology*; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D004292:Dominance, Cerebral / Q000502:physiology; D005625:Frontal Lobe / Q000000981:diagnostic imaging; D006801:Humans; D007557:Israel; D008297:Male; D009155:Mutism / Q000000981:diagnostic imaging / Q000209:etiology*; D065008:Scorpion Stings / Q000150:complications*; D012605:Scorpions; D014057:Tomography, X-Ray Computed