Assal G, Bindschaedler C
Division de Neuropsychologie, CHU Vaudois Lausanne, Suisse.
Rev Neurol (Paris). 1990;146(4):249-55.
We report a case of delusion characterized by a time disorientation with a constant three days advance. Five years previously, the patient had suffered a left hemisphere stroke with aphasia. The delusional belief appeared at the same time as a cortical deafness following a second right hemisphere infarction. There was severe behaviour disturbances which lasted seven months, then cleared without any other change in the clinical picture. The lesions involved the left parietal lobe as well as the temporal and insular regions of both hemispheres.
我们报告一例以时间定向障碍为特征的妄想症,患者总是觉得时间提前了三天。五年前,该患者曾患左半球中风并伴有失语症。这种妄想信念与第二次右半球梗死导致的皮质聋同时出现。患者出现了严重的行为障碍,持续了七个月,随后自行缓解,临床症状未发生其他变化。病变累及左顶叶以及双侧半球的颞叶和岛叶区域。