Inoue Satoshi, Kondoh Takeshi, Nishihara Masamitsu, Hosoda Koukichi, Kohmura Eiji
Department of Neurosurgery, Kobe Graduate School of Medicine, 7-5-2 Kusunoki-chou, Chuo-ku, Kobe-shi, Hyogo 650-0017, Japan.
No Shinkei Geka. 2008 Nov;36(11):1023-7.
A 58-year-old man with metastatic brain tumor in his right occipito-temporal region was operated, using craniectomy. He had no neurological symptoms preoperatively. The tumor was 2.5 cm in diameter with minor perifocal edema. Two days after total removal of the tumor, typical prosopagnosia appeared, in which he could not recognize his wife's face as well as faces of medical stuff. He could see them as a whole, and described them undistinguishably from each other. He used voices, movements and clothing to recognize a familiar person. His recognition and semantic knowledge of people were found to be intact and he could recognize certain parts of the face (e.g. the nose or the mouth). He could clearly see other parts of the body, the environment and other objects, in color. The prosopagnostic condition lasted for a few weeks and slowly disappeared. Prosopagnosia caused by surgical procedure has been rarely reported. Although postoperative prosopagnosia is likely to be transient, it should be recognized as a complication in occipito-temporal cortex.
一名58岁男性，右枕颞区有转移性脑肿瘤，接受了颅骨切除术。术前他没有神经症状。肿瘤直径为2.5厘米，周围有轻微水肿。肿瘤完全切除两天后，出现了典型的面孔失认症，他无法认出妻子的脸以及医护人员的脸。他能看清他们的全貌，且无法区分彼此。他通过声音、动作和衣服来识别熟悉的人。发现他对人的识别和语义知识完好无损，并且他能认出面部的某些部位（如鼻子或嘴巴）。他能清晰地看到身体的其他部位、周围环境和其他物体，且颜色正常。面孔失认症持续了几周后逐渐消失。手术导致的面孔失认症鲜有报道。尽管术后面孔失认症可能是短暂的，但应将其视为枕颞叶皮质的一种并发症。
