Half develop speech problems such as
apraxia. Other long-term problems may include poor intellectual function, ovarian dysfunction, and rare cases of severe neurodegeneration, Dr.
Early or Predominant Neurologic Sign Suggested Diagnoses Tremor Parkinson's disease Gait disorder Multiple-system atrophy, progressive supranuclear palsy (PSP) Dementia Alzheimer's disease, multi-infarct state, normal pressure hydrocephalus (NPH) Autonomic instability Murinary Multiple-system atrophy urgency, constipation, loss (Shy-Drager syndrome) of libido) Visual complaints (diplopia, PSP, multiple-system atrophy ophthalmoparesis) Ataxia Olivopontocerebellar atrophy (OPCA), multiple-system atrophy
Apraxia NPH, senile gait
apraxia Peripheral neuropathy OPCA, multiple-system atrophy, spinocerebellar-nigral degeneration Pyramidal tract signs Multi-infarct state, multiple-system atrophy, cervical myelopath Adapted, with permission, from Stern MB, Hurtig HI, eds.
Por fim, no terceiro estagio da doenca, observam-se dificuldades na compreensao (afasia), na escrita (disortografias, agrafia), na leitura (alexia) e cenario de completo mutismo atrelado a diversas modificacoes como apraxias e agnosias [9].
Alem de acometer a funcao da memoria, a demencia deve demonstrar a producao de outra perturbacao cognitiva, como afasia (decrescimo das funcoes de linguagem), apraxia (dano na capacidade de realizar atividades motoras), agnosia (dificuldade para reconhecer ou identificar objetos) ou uma alteracao da funcao executiva (habilidade de pensar de maneira abstrata e programar, iniciar, sequenciar, acompanhar e cessar um comportamento complexo) [3].
A apraxia de fala na infancia e definida pela dificuldade em programar voluntariamente o gesto articulatorio.
Os estudos sobre a apraxia da fala na infancia iniciaram-se na decada de 1970 e fonoaudiologos pontuam o fato de criancas com apraxia de fala nao progredirem ou progredirem minimamente na terapia fonoaudiologica convencional.
Verbal apraxia, which is the sequencing capacity of syllables within words--fluency involved in the sequence of required movements for oral expression--has its functional learning, ie, the interaction with its own speech production that will lead the child to learn them [1,6].
In Brazil, in 1996, appearing for the first time in the scientific field was a publication on Non Verbal Apraxia whose authors [6] expose the need to stimulate this aspect for clinical work with oral language.
