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EN
Introduction. Subacute degeneration of the posterior and lateral spinal cord is a rare neurological complication of B12 avitaminosis. Aim. In this paper, we present the case of a 65-year-old man who, in the course of long-term vitamin B12 deficiency associated with atrophic gastritis, developed a severe set of neurological symptoms that are part of the retinal spinal cord degeneration with characteristic features in MR imaging of the cervical spine in the form of an inverted “V mark” ‘in axial images and typical localization in the spinal cord. Description of the case. After careful analysis of the syndrome and making an early diagnosis, parenteral vitamin B12 supplementation began, resulting in improved neurological status, laboratory parameters as well as regression of changes in magnetic resonance imaging. Conclusion Significant symptoms of this syndrome are paresthesia in the distal parts of the limbs, ataxia, spastic paresis.
EN
Graphomotor skills are the object of research in the developmental aspect (in the normal and in diverse pathological cases, in the context of the child’s acquisition of basic school skills) and in the cases of their loss, e.g. in the course of neurodegenerative diseases. Because of the fact that writing disorders often accompany speech disorders, particularly those determined neurologically, the assessment of graphomotor skills as a sphere important for written communication (and thereby linguistic communication) should be an obligatory element of logopedic diagnosis. In the case of dysarthric patients and accompanying graphomotor disorders the analysis of specificity of these disorders (both the course of graphomotor activities and their products) may help diagnose clinical neuromotor symptoms, which in turn facilitates diagnosis of a clinical type of dysarthria.
PL
Sprawności grafomotoryczne stanowią przedmiot badań w aspekcie rozwojowym (w normie i w rozmaitych przypadkach patologii, w kontekście nabywania przez dziecko podstawowych umiejętności szkolnych), a także w przypadkach ich utraty, np. w przebiegu chorób neurodegeneracyjnych. Z uwagi na to, że zaburzenia pisma towarzyszą często zaburzeniom mowy, zwłaszcza uwarunkowanym neurologicznie, ocena sprawności grafomotorycznych jako sfery ważnej dla przebiegu komunikacji pisemnej (a tym samym komunikacji językowej) powinna stanowić obligatoryjny element diagnozowania logopedycznego. W przypadku pacjentów z dyzartrią i współwystępującymi zaburzeniami grafomotorycznymi analiza specyfiki tych zaburzeń (zarówno przebiegu czynności grafomotorycznych, jak i ich wytworów) może pomóc w rozpoznaniu neuromotorycznych objawów klinicznych , co z kolei ułatwia rozpoznanie typu klinicznego dyzartrii.
EN
Graphomotor skills are the object of research in the developmental aspect (in the normal and in diverse pathological cases, in the context of the child’s acquisition of basic school skills) and in the cases of their loss, e.g. in the course of neurodegenerative diseases. Because of the fact that writing disorders often accompany speech disorders, particularly those determined neurologically, the assessment of graphomotor skills as a sphere important for written communication (and thereby linguistic communication) should be an obligatory element of logopedic diagnosis. In the case of dysarthric patients and accompanying graphomotor disorders the analysis of specificity of these disorders (both the course of graphomotor activities and their products) may help diagnose clinical neuromotor symptoms, which in turn facilitates diagnosis of a clinical type of dysarthria.
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