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61
Folio Assignment ; Folio/Poster Project
Bank, Charly. - 2020
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62
Sign Language Translator
In: Lo, Brandon; Mohanraj, Harshithaa; Ngo, Brandon; & Phan, Daniel. (2019). Sign Language Translator. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/4d83d182 (2019)
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63
Poster "Documentation, archiving, an preservation of Sri Lanka Portuguese" ; slpposter01 ; Documentation of Sri Lanka Portuguese
Hugo; Mahesh; Patrícia. - 2019
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64
A Noteworthy Study: Music in the Spanish Classroom
In: John Wesley Powell Student Research Conference (2019)
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65
124 Correlating structure and function to better identify surrogate end points for clinical trial design: a longitudinal clinical and imaging study of primary progressive aphasia
Mahoney, Colin. - : BMJ Publishing Group Ltd, 2019
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66
132 Brushstrokes after stroke - art and neuroplasticity
Narasimhan, Manisha; Ramon, Lucy. - : BMJ Publishing Group Ltd, 2019
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67
S55. THERAPEUTIC MANAGEMENT OF PATIENTS DIAGNOSED WITH SCHIZOPHRENIA AND MAJOR NEUROCOGNITIVE DISORDER DUE TO ALZHEIMER’S DISEASE - A CASE SERIES
Vasiliu, Octavian; Vasile, Daniel; Vasiliu, Diana Gabriela. - : Oxford University Press, 2019
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68
P03.12 Complete versus incomplete resection in newly diagnosed Glioblastoma: Impact on functional Outcome
In: Neuro Oncol (2019)
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69
S49. COGNITIVE CORRELATES OF ABNORMAL MYELINATION IN PSYCHOSIS
Vanes, Lucy; Mouchlianitis, Elias; Barry, Erica. - : Oxford University Press, 2019
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70
T120. EXAMINING PSYCHOSIS IN SOCIAL MEDIA: THE TARGETED INDIVIDUALS MOVEMENT AND THE POTENTIAL OF PATHOLOGICAL ECHO-CHAMBERS
Xuan, Lei; MacDonald, Angus. - : Oxford University Press, 2019
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71
F101. LINGUISTIC DETERMINANTS OF FORMAL THOUGHT DISORDER IN FIRST EPISODE PSYCHOSIS
Mackinley, Michael; Chan, Jenny; Ke, Hannah. - : Oxford University Press, 2019
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72
S19. ANALYZING NEGATIVE SYMPTOMS AND LANGUAGE IN YOUTHS AT RISK FOR PSYCHOSIS USING AUTOMATED LANGUAGE ANALYSIS
Stanislawski, Emma; Bilgrami, Zarina; Sarac, Cansu. - : Oxford University Press, 2019
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73
T35. SPEED OF FACE PROCESSING PREDICTS PSYCHOSIS IN AT-RISK YOUTHS
Bilgrami, Zarina; Benavides, Caridad; Sarac, Cansu. - : Oxford University Press, 2019
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74
S78. EXAMINING AN EVENT-RELATED BRAIN POTENTIAL INDEX OF SEMANTIC PRIMING IN CANNABIS-USING INDIVIDUALS AT CLINICAL HIGH-RISK FOR PSYCHOSIS
Ahmed, Sarah; Lepock, Jennifer R; Maheandiran, Margaret. - : Oxford University Press, 2019
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75
F49. NEURAL CORRELATES OF LANGUAGE AND SPEECH DISTURBANCES IN SCHIZOPHRENIA
de Boer, Janna; Voppel, Alban; van Dellen, Edwin. - : Oxford University Press, 2019
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76
S80. FACTORS IMPACTING RESPONSE TO AN INTERACTIVE OBESITY TREATMENT APPROACH (IOTA) ADAPTED FOR USE IN INDIVIDUALS WITH SEVERE MENTAL ILLNESS (SMI)
Nicol, Ginger; Haddad, Rita; Ricchio, Amanda. - : Oxford University Press, 2019
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77
T177. STRUCTURAL ORGANIZATION OF THE PRAXIS NETWORK PREDICTS GESTURE PRODUCTION: EVIDENCE FROM HEALTHY SUBJECTS AND PATIENTS WITH SCHIZOPHRENIA
Viher, Petra; Abdulkadir, Ahmed; Stegmayer, Katharina. - : Oxford University Press, 2018
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78
P01.160 Social needs and social services provision in Brain Tumor patients
Rotondi, M; Focarelli, S; Villani, V. - : Oxford University Press, 2018
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79
A235 SYSTEMATIC REVIEW AND META-ANALYSIS: COMPARING OF ESTIMATED ENERGY REQUIREMENTS IN CIRRHOTIC PATIENTS USING INDIRECT CALORIMETRY VERSUS PREDICTION EQUATIONS
Eslamparast, T; Vandermeer, B; Raman, M. - : Oxford University Press, 2018
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80
A240 AN UNUSUAL PRESENTATION OF HEPATIC ENCEPHALOPATHY: RECURRENT GLOBAL APHASIA
Wishart, E; Block, H; Bedi, A. - : Oxford University Press, 2018
Abstract: BACKGROUND: Hepatic encephalopathy (HE) is impairment in a brain function caused by liver dysfunction and portosystemic shunting. It is a frequent and debilitating complication of cirrhosis, the pathophysiology of which is complex and not fully elucidated. HE is associated with poor survival and has a high risk of recurrence. Hepatic encephalopathy can present as a wide spectrum of neurological and psychiatric abnormalities ranging from subclinical alterations to coma and death. Despite the wide range of presentations there have been no published cases of hepatic encephalopathy presenting as global aphasia. AIMS: We describe a case of a patient with alcoholic cirrhosis with recurrent presentations of HE presenting as global aphasia. METHODS: A case of HE with global aphasia is reviewed and literature review on HE with focal findings is explored and summarized. RESULTS: A 57 y/o F with decompensated alcoholic cirrhosis presents to hospital with acute onset global aphasia. Her past medical history is significant for two previous left parieto-occipital lobe hemorrhagic strokes and medically controlled seizures after these strokes. CT/CTA showed no acute changes consistent with stroke and EEG demonstrate triphasic waves consistent with metabolic derangement. Serum ammonia was elevated at 136 μmol/L. On collateral history the patient was reported to be non-compliant with lactulose. The patient was restarted on lactulose in hospital and quickly improved to baseline. 6 months later the patient presented again with global aphasia. A CT ruled out stroke and HE was found to be responsible for her aphasia with an ammonia of 106 μmol/L. Her HE was precipitated by an upper gastrointestinal bleed and ongoing alcohol use. EGD revealed portal hypertensive gastropathy, gastric ulcers, and small varices not amenable to banding. Paracentesis was completed to rule out spontaneous bacterial peritonitis and ultrasound ruled out hepatocellular carcinoma. Rifaxamin was added to the patients’ medication regime and her symptoms resolved. CONCLUSIONS: In this case, we present a review on the literature of HE presenting with focal deficits. Despite the wide range of presentations of HE with focal neurologic signs - including hemiplegia, hemiparasia, hemiagnosia, abnormal extraocular movements, and apraxias - there have been no published cases of hepatic encephalopathy presenting as global aphasia. This is the first documented case of global aphasia being the focal neurological sign in HE. Alternatively, we postulate that the encephalopathy brought out the patient’s deficits from her prior left parieto-occipital strokes. FUNDING AGENCIES: None
Keyword: Poster Presentations
URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507666/
https://doi.org/10.1093/jcag/gwy008.241
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