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June 1968

Progress in Learning Disabilities: Vol 1.

Arch Neurol. 1968;18(6):718-719. doi:10.1001/archneur.1968.00470360140019

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The hero of this book is a neurological patient: the child with "minimal cerebral dysfunction." For many years he fought off the attempts of psychiatrists to explain his hyperkinesis in analytic terms, he battled with those who thought that his dyslexia was a symptom of mental retardation. Now he has returned home to neurology. How are we to recognize him, explain him, and treat him?

The traditional routine of neurological examination for infants and young children in insufficient: to the extent that it rehearses these techniques, the chapter of Dr. Vuckovich is disappointing. The traditional explanations of adult aphasia in terms of fiber disconnection are well reviewed here by Geschwind—but how relevant are they to the unlocalized deficits found in developmental speech and language disorders? Again, our knowledge of cerebral dominance when established in adults helps us but little in understanding the factors that interfere with the establishment of dominance.

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