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<p>Congenital Bilateral Perisylvian Syndrome (CBPS) is a rare neurodevelopmental disorder characterized by cortical malformations, specifically polymicrogyria within the perisylvian region. This condition leads to pronounced impairments in speech, language, and motor functions. The current case study discusses a 12-year-old female patient diagnosed with bilateral perisylvian polymicrogyria, accompanied by global developmental delay. A comprehensive assessment indicated considerable deficits in articulation, resonance, receptive and expressive language capabilities, cognitive function, and oromotor control, alongside pseudobulbar signs and a confirmed chromosomal duplication at the 4q28-qter locus. Magnetic resonance imaging and genetic testing corroborated the clinical diagnosis. A tailored speech and language therapy program was implemented to address issues related to velopharyngeal incompetency, articulation inaccuracies, limited language usage, and oro-motor weakness through a structured, multidisciplinary intervention approach. Over four months, the child exhibited significant improvements in speech intelligibility, resonance, vocabulary usage, sentence construction, cognitive abilities, and communication confidence. This report underscores the importance of thorough diagnostic evaluations and the advantages of personalized, multi-faceted interventions. Furthermore, it highlights the critical role of multidisciplinary collaboration in enhancing outcomes for children affected by CBPS and similar communication disorders.</p>

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Speech and Language Challenges and Therapy Outcomes in Congenital Perisylvian Syndrome: A Case Report

  • 期刊论文

  • 发表日期：

    2026年1月6日

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  • D. G. Rashmi,
  • K. Vinod Sruthi

摘要

Congenital Bilateral Perisylvian Syndrome (CBPS) is a rare neurodevelopmental disorder characterized by cortical malformations, specifically polymicrogyria within the perisylvian region. This condition leads to pronounced impairments in speech, language, and motor functions. The current case study discusses a 12-year-old female patient diagnosed with bilateral perisylvian polymicrogyria, accompanied by global developmental delay. A comprehensive assessment indicated considerable deficits in articulation, resonance, receptive and expressive language capabilities, cognitive function, and oromotor control, alongside pseudobulbar signs and a confirmed chromosomal duplication at the 4q28-qter locus. Magnetic resonance imaging and genetic testing corroborated the clinical diagnosis. A tailored speech and language therapy program was implemented to address issues related to velopharyngeal incompetency, articulation inaccuracies, limited language usage, and oro-motor weakness through a structured, multidisciplinary intervention approach. Over four months, the child exhibited significant improvements in speech intelligibility, resonance, vocabulary usage, sentence construction, cognitive abilities, and communication confidence. This report underscores the importance of thorough diagnostic evaluations and the advantages of personalized, multi-faceted interventions. Furthermore, it highlights the critical role of multidisciplinary collaboration in enhancing outcomes for children affected by CBPS and similar communication disorders.