Diukova G M, Glozman Zh M, Titova E Iu, Kriushev E S, Gamaleia A A
Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(5 Suppl 2):11-21.
The clinical picture revealed that right-sided brain stroke is often accompanied by some speech disturbances. The present paper aims at the analysis of literature devoted to speech disturbances in right-sided brain stroke. The paper addresses issues on lateralization of speech functions, in particular the role of the right hemisphere in speech activity and structure of speech pathology in right hemispheric foci are specified. Such clinical variants of speech disturbances as aphasia, disprosodia, dysartria, mutism and stammering are analyzed in depth. Types of speech disorders as well as possible mechanisms of their formation in dependence of the lesion localization on the brain axis (cortex, subcortical structures, stem, cerebellum) and size of brain lesion are reviewed.
临床情况显示,右侧脑卒通常伴有一些言语障碍。本文旨在分析关于右侧脑卒言语障碍的文献。本文探讨了言语功能的侧化问题,特别是右半球在言语活动中的作用,并明确了右半球病灶处言语病理学的结构。深入分析了失语症、韵律障碍、构音障碍、缄默症和口吃等言语障碍的临床变体。回顾了言语障碍的类型及其根据脑轴(皮层、皮层下结构、脑干、小脑)上病变定位和脑损伤大小而形成的可能机制。