Bogousslavsky J
Genolier Swiss Medical Network, Valmont-Genolier, Montreux, Switzerland.
Eur Neurol. 2009;61(3):138-42. doi: 10.1159/000186503. Epub 2008 Dec 18.
The famous Swiss writer Charles-Ferdinand Ramuz suffered a stroke at 65 years, which he called 'the adventure' or 'the accident'. He developed language disturbances suggesting crossed aphasia in a right hander with left hemiparesis. This uncommon pattern allowed him to continue to write his diary and to report his disturbances, with a unique depth and precision, especially for cognitive-emotional changes. Language and motor dysfunction recovered within a few weeks, but Ramuz complained of persisting emotional flattening alternating with irritability, fatigue, depression, anxiety, and concentration difficulty, which gave him the feeling to have become another person and to be inhabited by a stranger, whom he compared with devils. Ramuz fought several months to resume his literary activity, having the impression to have lost inspiration and creativity. However, the novels he wrote less than 6 months after stroke show no stylistic changes and have been found to be of the same quality as his previous production. Ramuz even 'used' his stroke experience in his work, in particular in a novel depicting an old man who has a stroke and dies of it. Ramuz's diary, with his own daily description of stroke features and consequences during acute and recovery phases, is a unique document in a writer of his importance, and provides invaluable information on subjective emotional and cognitive experience of stroke.
著名的瑞士作家夏尔 - 费迪南·拉米在65岁时中风,他将其称为“奇遇”或“意外”。他出现了语言障碍,这表明一名惯用右手且左侧偏瘫的患者患有交叉性失语。这种不常见的情况使他能够继续写日记,并以独特的深度和精确性记录自己的障碍,尤其是认知 - 情感方面的变化。语言和运动功能障碍在几周内恢复,但拉米抱怨情绪持续平淡,并伴有易怒、疲劳、抑郁、焦虑和注意力难以集中等症状,这让他感觉自己变成了另一个人,仿佛被一个陌生人占据,他将这个陌生人比作恶魔。拉米努力了几个月才重新开始文学创作,感觉自己失去了灵感和创造力。然而,他在中风后不到6个月所写的小说在风格上并无变化,而且被认为与他之前的作品质量相当。拉米甚至在作品中“运用”了自己的中风经历,特别是在一部描绘一位老人中风并因此去世的小说中。拉米的日记,其中记录了他在中风急性期和康复期对中风特征及后果的日常描述,对于像他这样重要的作家来说是一份独特的文献,为中风的主观情感和认知体验提供了宝贵信息。