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一名右利手患者在右侧大脑半球分水岭梗死之后出现经皮质感觉性失语:对另一例交叉性失语病例的15个月评估

Transcortical sensory aphasia in a right-handed patient following watershed infarcts in the right cerebral hemisphere: a 15-month evaluation of another case of crossed aphasia.

作者信息

Roebroek R M, Promes M M, Korten J J, Lormans A C, van der Laan R T

机构信息

Department of Neurology, Maasland Hospital, Sittard, The Netherlands.

出版信息

Brain Lang. 1999 Nov;70(2):262-72. doi: 10.1006/brln.1999.2162.

Abstract

Well-documented cases of crossed (transcortical sensory) aphasia, especially those with longitudinal evaluation, are rare. We report a case of crossed transcortical sensory aphasia following watershed infarcts in the right hemisphere, from the moment of the accident until 15 months afterward. The aphasia type, and the course of recovery, is a "mirror" representation of that seen in cases of uncrossed aphasia. Unfortunately, the data do not permit strong conclusions regarding the lateralization of language in association with praxis and visuospatial abilities. This underlines the need for more well-documented (case) studies to come to a better understanding of the mechanisms through which lateralization occurs.

摘要

有充分记录的交叉性(经皮质感觉性)失语病例,尤其是那些经过纵向评估的病例,非常罕见。我们报告一例右侧半球分水岭梗死所致的交叉性经皮质感觉性失语病例,从发病之时直至15个月后。失语类型及恢复过程是未交叉性失语病例所见情况的“镜像”表现。遗憾的是,这些数据无法就语言与运用及视觉空间能力相关的侧化得出有力结论。这凸显了需要更多有充分记录的(病例)研究,以便更好地理解侧化发生的机制。

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