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Early damage may result in new anatomic connections through collateral sprouting and synaptogenesis. New strategies may be acquired through reorganization of intrinsic functions of residual structures. After a lesion, positron emission tomography (PET) studies show limited inter-hemispheric reorganization of the involved area. Cortical areas are speciﬁed genetically and by extrinsic factors relating to at least three distinct processes: radial speciﬁcation of the cortex, development of internal microcircuitry, and development of external connectively.
1963). Cerebral unilateralization in chronic epileptic cases: the Wechsler object assembly subtest. J. Clin. Psychol. 19: 169–71. Benson, D. F. (1979). Associated neurobehavioral problems Aphasia, Alexia, and Agraphia, pp. 158–73. New York: Churchill Livingstone. Berlin, C. , Lowe-Bell, S. , Jannetta, P. J. & Kline, D. G. (1972). Central auditory deﬁcits after temporal lobectomy. Arch. Otolaryngol. 96: 4–10. Bishop, D. V. M. (1981). Plasticity and speciﬁcity of language localization in the developing brain.
This gradually clears. Occasionally, children with uncontrolled frequent absence seizures, especially atypical forms, may present with blocks, halts, and jerky speech efforts. They may exhibit humming or they may get stuck on words. There are omissions in understanding. Rarely, their speech efforts may seem confused, slurred, or even deﬁcient. This can be seen more commonly with excess stress. Jerky speech with momentary halts or inﬂections may be seen with minor motor seizures (the akinetic drops or myoclonic jerks).