Arboix A, Roca J M, Gumà J R, Massons J, Pujadas R, Oliveras N, Freixa E, Titus F
Servicio de Neurología, Hospital Central La Alianza, Barcelona.
Med Clin (Barc). 1991 Oct 12;97(12):459-62.
The clinical observation of a 74 year old male presenting isolated Wernicke's aphasia due to a temporal left infarction of cardiac embolic origin secondary to paroxysmal auricular flutter is described. Transthoracic and transesophageal echocardiography, computerized tomography and magnetic resonance provided characteristic images which permitted the establishment of the diagnosis of lipomatous hypertrophy of the interauricular septum without requiring the use of invasive techniques. Lipomatous hypertrophy of the interauricular septum is a cardiac tumor of unusual presentation constituted of an abnormal accumulation of non-encapsulated fatty tissue which occupies a thickness greater than 15 mm of the interauricular septum. Wernicke's aphasia as a form of presentation of the lipomatous hypertrophy of the interauricular septum has not previously been described in the literature.
描述了一名74岁男性因阵发性房扑继发心脏栓塞性起源的左侧颞叶梗死而出现孤立性韦尼克失语症的临床观察。经胸和经食管超声心动图、计算机断层扫描和磁共振成像提供了特征性图像，无需使用侵入性技术即可确诊房间隔脂肪肥厚。房间隔脂肪肥厚是一种表现不寻常的心脏肿瘤，由未包裹的脂肪组织异常积聚构成，占据房间隔厚度超过15毫米。房间隔脂肪肥厚以韦尼克失语症作为一种表现形式，此前文献中尚未有过描述。
