一位双系统（东西方）多语言者脑震荡后出现左向镜像书写和阅读。

Sinistrad mirror writing and reading after brain concussion in a bi-systemic (oriento-occidental) polyglot.

作者信息

Streifler M, Hofman S

出版信息

Cortex. 1976 Dec;12(4):356-64. doi: 10.1016/s0010-9452(76)80039-1.

Abstract

The problem of mirror writing and reading is discussed in the light of a clinical case, where this disturbance appeared after an apparently minor head injury. Mirror writing and reading in this polyglot individual affected only the sinistrad (Hebrew) writing and reading system, leaving the dextrad (Latin) system unimpaired. This disturbance appeared together with dyscalculia, left-right disorientation and slight temporal confusion, suggestive of parieto-occipital lobe pathology. The clinical picture also showed apparently "conversional" traits, such as are sometimes seen in incomplete parietal lobe syndromes. The relevant literature is reviewed and patho-physiological mechanisms of mirror reversal are discussed.

摘要

本文结合一个临床病例讨论了镜像书写和阅读问题。该病例中，这种障碍出现在一次看似轻微的头部受伤之后。这位通晓多种语言的患者的镜像书写和阅读仅影响从左至右（希伯来语）的书写和阅读系统，而从右至左（拉丁语）系统未受影响。这种障碍与计算障碍、左右定向障碍和轻微的时间定向障碍同时出现，提示顶枕叶病变。临床症状还表现出明显的“转化”特征，类似不完全性顶叶综合征中有时可见的症状。本文回顾了相关文献并讨论了镜像反转的病理生理机制。