Takemura Norihiro, Nakahira Akiko, Ogawa Mie, Uesaka Toshio, Baba Takehiko, Miura Fumiko, Nishio Shunji
Department of Rehabilitation, Baba Memorial Hospital, 4-244 Higashi, Hamaderafunao-cho, Sakai-shi, Osaka 592-8555, Japan.
No To Shinkei. 2002 Sep;54(9):823-6.
An 81-year-old woman with left medial frontal lobe hematoma, which involved the supplementary motor area, is reported. She was right-handed and was initially mute for several hours after the onset. On admission, she exhibited mild paresis of the right lower extremity. Her spontaneous speech was sparse and not fluent, but her articulation and auditory comprehension were normal and repetition was good. She exhibited excellent performance in the confrontation naming task, but showed difficulty in recalling words from a given category during the word fluency task. On the basis of these clinical features, she was diagnosed as having transcortical motor aphasia. Our case may corroborate previous findings that the left medial frontal lobe is important in word fluency but not in confrontation naming.
报告了一名81岁女性，其左侧额叶内侧血肿累及辅助运动区。她是右利手，发病后最初数小时呈缄默状态。入院时，她表现出右下肢轻度轻瘫。她的自发言语稀少且不流畅，但发音和听觉理解正常，复述良好。她在对名称任务中表现出色，但在词语流畅性任务中从给定类别中回忆单词存在困难。基于这些临床特征，她被诊断为经皮质运动性失语。我们的病例可能证实了先前的发现，即左侧额叶内侧在词语流畅性方面很重要，但在对名称方面并非如此。
