Osawa Aiko, Maeshima Shinichiro, Kubo Kenji, Itakura Toru
Department of Rehabilitation Medicine, Kawasaki Medical School Kawasaki Hospital, Okayama, Japan.
Brain Inj. 2006 Jun;20(6):673-6. doi: 10.1080/02699050600676958.
This study reports two patients with tumours arising from the splenium of the corpus callosum that caused a memory disturbance consistent with retrosplenial amnesia as well as a variety of cognitive deficits including agraphia, acalculia, constructional apraxia and ideomotor and ideational apraxia involving both hands, but not aphasia. Patients showed disorientation to time and place, impaired recent memory and memorizing capacity; immediate and remote memory were preserved. Despite impaired performance intelligence quotients (IQ), verbal IQ was relatively spared. Patients also showed disconnection symptoms including bilateral crossed visuomotor ataxia and alexia to stimuli presented in the right visual field. In both cases, the tumour of the splenium had provoked surrounding oedema extending to the left parietal and occipital lobes.
本研究报告了两名胼胝体压部肿瘤患者,这些肿瘤导致了与压后失忆相符的记忆障碍,以及包括失写症、失算症、结构性失用症和涉及双手的观念运动性失用症及观念性失用症等多种认知缺陷,但未出现失语症。患者表现出时间和地点定向障碍、近期记忆和记忆能力受损;即刻记忆和远期记忆得以保留。尽管表现智商(IQ)受损,但言语智商相对保留。患者还表现出分离症状,包括双侧交叉性视觉运动共济失调以及对右侧视野呈现的刺激的失读症。在这两个病例中,胼胝体压部的肿瘤引发了周围水肿,水肿延伸至左侧顶叶和枕叶。